АППЛИКАТОРНЫЕ ИНСТРУМЕНТЫ, ИМЕЮЩИЕ ИЗОГНУТЫЕ И ШАРНИРНО-СОЧЛЕНЕННЫЕ ВАЛЫ ДЛЯ РАЗВЕРТЫВАНИЯ ХИРУРГИЧЕСКИХ КРЕПЛЕНИЙ И СПОСОБЫ ДЛЯ НИХ

Изобретение относится к медицине. Аппликаторный инструмент для выдачи хирургических креплений включает в себя корпус и изогнутый вал. Хирургические крепления расположены в пределах изогнутого вала для выдачи из дистального конца изогнутого вала. Устройство подачи расположено внутри изогнутого вала для смещения хирургических креплений на одно положение ближе к дистальному концу изогнутого вала каждый раз, когда устройство подачи перемещается дистально. Пусковой элемент расположен внутри изогнутого вала. Пусковой элемент имеет возможность перемещения между проксимальным и дистальным концами изогнутого вала для выдачи хирургических креплений из дистального конца изогнутого вала. Ступенчатый узел в сборе приспособлен к приему ведущего из хирургических креплений от устройства подачи, когда устройство подачи перемещается дистально, чтобы сместить ведущее хирургическое крепление в значительное совмещение с пусковым элементом, когда устройство подачи перемещается проксимально. 4 н. и 17 з.п. ф-лы ...

ХИРУРГИЧЕСКИЙ СШИВАЮЩИЙ ИНСТРУМЕНТ (ВАРИАНТЫ)

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

СИСТЕМА НАВИГАЦИИ, СЛЕЖЕНИЯ И НАПРАВЛЕНИЯ ДЛЯ ПОЗИЦИОНИРОВАНИЯ ОПЕРАЦИОННЫХ ИНСТРУМЕНТОВ В ТЕЛЕ ПАЦИЕНТА

Группа изобретений относится к медицине. Система навигации, слежения и направления для позиционирования операционных инструментов в теле пациента содержит управляющее устройство, просмотровое устройство и первое средство обнаружения для определения пространственного положения просмотрового устройства. Система дополнительно содержит зонд, соединенный с операционным инструментом и выполненный с возможностью введения во внутреннюю часть тела пациента. Зонд содержит по меньшей мере один световод, имеющий зоны дисперсии светового потока, генерируемого внутри световода, и средство обнаружения для обнаружения дисперсии светового потока, чтобы идентифицировать пространственное расположение зонда, введенного в тело пациента. Управляющее устройство выполнено с возможностью проецирования на просмотровом устройстве изображения внутреннего состояния по меньшей мере одной внутренней части тела пациента и изображения зонда на основе идентифицированного пространственного расположения. Носитель данных, ...

СИСТЕМЫ ОБНАРУЖЕНИЯ КОНЦЕВОГО ЭФФЕКТОРА ДЛЯ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

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

УСТРОЙСТВО И СПОСОБ ПОДАЧИ АЭРОЗОЛЬНОГО ЛЕКАРСТВЕННОГО ПРЕПАРАТА

Группа изобретений относится к медицине. Устройство подачи лекарственного препарата в виде аэрозоля пациенту включает в себя аэрозольный генератор для создания аэрозоля из источника лекарственного препарата и мундштучный компонент, выполненный с возможностью вставки в рот пациента. Мундштучный компонент функционально связан с аэрозольным генератором для приема аэрозоля и подачи аэрозоля пациенту. Мундштучный компонент имеет вентральную поверхность, обращенную к языку пациента, когда мундштучный компонент вставлен в рот пациента, и может включать в себя элемент позиционирования кончика языка, предусмотренный на вентральной поверхности. Вентральная поверхность и, если имеется, элемент позиционирования кончика языка выполнен/ы с возможностью зацепления кончика языка пациента при использовании устройства подачи лекарственного препарата для правильного позиционирования языка. 3 н. и 18 з.п. ф-лы, 1 табл., 12 ил.

УСТРОЙСТВА ДЛЯ ДОЗИРОВАННОГО ВВЕДЕНИЯ ХИРУРГИЧЕСКИХ КРЕПЕЖНЫХ ЭЛЕМЕНТОВ В ТКАНЬ С ОДНОВРЕМЕННЫМ НАНЕСЕНИЕМ НАРУЖНЫХ МАРКИРОВОЧНЫХ ЗНАКОВ, ОТОБРАЖАЮЩИХ ЧИСЛО И МЕСТОНАХОЖДЕНИЕ ВВЕДЕННЫХ ХИРУРГИЧЕСКИХ КРЕПЕЖНЫХ ЭЛЕМЕНТОВ

Группа изобретений относится к медицинской технике, а именно к дозированному введению хирургических крепежных элементов, и в частности, к устройствам для дозированного введения хирургических крепежных элементов. Устройство для дозированного введения хирургических крепежных элементов внутри тела и нанесения маркировочных знаков снаружи тела, указывающих на место введения хирургических крепежных элементов внутри тела, содержит первый элемент, второй элемент и маркирующий узел. Первый элемент имеет на своем дистальном конце дозирующее отверстие для хирургических крепежных элементов, выполненное с возможностью дозированного введения хирургических крепежных элементов. Второй элемент соединен с первым элементом, при этом второй элемент имеет дистальный конец, который противоположен дозирующему отверстию для хирургических крепежных элементов. Маркирующий узел прикреплен к дистальному концу второго элемента, причем маркирующий узел выполнен с возможностью перемещения от дозирующего отверстия для ...

ПНЕВМОПРИВОДНОЙ ХИРУРГИЧЕСКИЙ ОТРЕЗНОЙ И ФИКСИРУЮЩИЙ АППАРАТ С ЕМКОСТЬЮ ХРАНЕНИЯ УВЕЛИЧЕННОГО ОБЪЕМА

Изобретение относится к медицине. Хирургический аппарат для применения в связи с пневмоприводным инструментом в различных вариантах осуществления содержит приводную систему, которая выполнена с возможностью сообщения, по меньшей мере, одного приводящего в действие движения в пневмоприводной инструмент при получении потока газа под давлением. Аппарат может дополнительно содержать элемент хранения материала, который пневмогидравлически связан с приводной системой. Элемент хранения материала может содержать материал в первой негазообразной фазе, который селективно испаряется с образованием газа под давлением при включении приводной системы. Предлагается также источник энергии для устройства с газовым приводом. В различных вариантах осуществления источник энергии содержит элемент хранения материала, который пневмогидравлически связан с устройством с газовым приводом. Элемент хранения материала содержит материал, имеющий первую негазообразную фазу, и который селективно испаряется с образованием ...

КОНСТРУКЦИИ ДЛЯ ОБНАРУЖЕНИЯ ОШИБОК ДЛЯ УЗЛОВ ХИРУРГИЧЕСКИХ ИНСТРУМЕНТОВ

ШАБЛОН ДЛЯ ОПРЕДЕЛЕНИЯ ПОДХОДЯЩЕГО ДЛЯ ПАЦИЕНТА РАЗМЕРА ИМПЛАНТАТА БЕДРЕННОЙ КОСТИ ЭНДОПРОТЕЗА КОЛЕННОГО СУСТАВА

Изобретение относится к медицине. Шаблон для определения подходящего для пациента размера имплантата бедренной кости эндопротеза коленного сустава содержит основное тело, щуповый элемент, две сопрягаемые детали для прилегания и базовой привязки соответственно к центральному и к боковому передним мыщелкам дистального конца бедренной кости пациента и по меньшей мере одну масштабную линейку и связанную с ней стрелку для указания положения щупового элемента в направлении измерения по отношению по меньшей мере к одной из сопрягаемых деталей для указания подходящего размера имплантата. Щуповый элемент, перемещаемый по отношению к основному телу вдоль направления измерения, содержит щуп с острием щупа для прилегания к задней базовой точке дистального конца бедренной кости пациента. Указанные сопрягаемые детали установлены с возможностью движения по отношению к основному телу таким образом, что спроецированное на это направление измерения расстояние от острия щупа до этих сопрягаемых деталей устанавливается ...

ПНЕВМОПРИВОДНОЙ ХИРУРГИЧЕСКИЙ ОТРЕЗНОЙ И ФИКСИРУЮЩИЙ АППАРАТ С РУЧНЫМ ОТВОДЯЩИМ УСТРОЙСТВОМ

... 1. Хирургический аппарат для применения в связи с пневмоприводным инструментом, содержащим прошивной/отрезной механизм, установленный в нем с возможностью функционирования, выполненный с возможностью перемещения между незадействованным положением и сработавшим положением, при этом упомянутый хирургический аппарат содержит: приводную систему, сообщающуюся с возможностью функционирования с пневмоприводным инструментом и выполненную с возможностью селективного сообщения, по меньшей мере, прошивного/отрезного движения, вызванного приводной системой, прошивному/отрезному механизму пневмоприводного инструмента для вынуждения перемещения прошивного/отрезного механизма из незадействованного положения в сработавшее положение в ответ на поток газа из источника газа, пневмогидравлически связанного с упомянутой приводной системой; и отводящий элемент, сообщающийся с упомянутой приводной системой, чтобы созданное вручную отводящее движение можно было сообщать упомянутой приводной системе для ручного ...

ПНЕВМОПРИВОДНОЙ ХИРУРГИЧЕСКИЙ ОТРЕЗНОЙ И ФИКСИРУЮЩИЙ АППАРАТ С МЕХАНИЧЕСКОЙ РЫЧАЖНОЙ ПЕРЕДАЧЕЙ, СВЯЗЫВАЮЩЕЙ ДВИЖЕНИЕ КОНЦЕВОГО ЭФФЕКТОРА И РЫЧАГА

... 1. Хирургический аппарат для применения в связи с пневмоприводным инструментом, содержащим установленный в нем прошивной/отрезной механизм, выполненный с возможностью перемещения между незадействованным положением и сработавшим положением, при этом упомянутый хирургический аппарат содержит: узел рукоятки; узел удлиненного стержня, имеющий проксимальный конец, соединенный с возможностью функционирования с упомянутым узлом рукоятки, и дистальный конец; дистальный элемент, связанный с упомянутым дистальным концом упомянутого узла удлиненного стержня и выполненный с возможностью установки на нем с возможностью функционирования пневмоприводного инструмента; приводную систему, установленную в, по меньшей мере, чем-то одном из упомянутого узла рукоятки и упомянутого узла удлиненного стержня и выполненную с возможностью селективного сообщения прошивного/отрезного движения прошивному/отрезному механизму пневмоприводного инструмента, когда тот установлен на упомянутом дистальном элементе, для перемещения ...

ОККЛЮЗИРУЮЩИЕ УСТРОЙСТВА НА ОСНОВЕ ПОЛИМЕРОВ, СИСТЕМЫ И СПОСОБЫ

... 1. Окклюзирующее устройство, содержащее: удлиненный элемент, имеющий первую компоновку и вторую компоновку, в котором первая компоновка имеет относительно малый проходной профиль, а вторая компоновка сложена, в котором удлиненный элемент имеет по меньшей мере одну модификацию для увеличения площади поверхности, поверхностного сопротивления и/или осевого профиля удлиненного элемента, и в котором, после введения альгината, удлиненный элемент в первой компоновке имеет первый объем, а во второй компоновке - второй объем, который больше первого объема.2. Устройство по п. 1, в котором по меньшей мере часть удлиненного элемента предрасположена ко второй компоновке.3. Устройство по п. 1, в котором удлиненный элемент не предрасположен ни к первой компоновке, ни ко второй компоновке и в котором вторая компоновка выбирается произвольно.4. Устройство по п. 1, в котором в первой компоновке удлиненный элемент является трубчатым и проходным, а во второй компоновке его проходимость ограничена наполнителем ...

ХИРУРГИЧЕСКИЕ КРЕПЕЖНЫЕ ДЕТАЛИ, АППЛИКАТОРЫ И СПОСОБЫ УСТАНОВКИ ХИРУРГИЧЕСКИХ КРЕПЕЖНЫХ ДЕТАЛЕЙ

... 1. Пусковая система для аппликатора, предназначенного для выдачи хирургических крепежных деталей, содержащая:корпус;удлиненный ствол, выходящий из указанного корпуса;разблокирующий пусковой стержень, расположенный в указанном удлиненном стволе;механизм пускового стержня, способный зацеплять указанный пусковой стержень для предотвращения его перемещения в дистальном направлении в течение по меньшей мере одного этапа пускового цикла;спусковой элемент, прикрепленный к указанному корпусу;пусковую пружину, имеющую первый конец, соединенный с указанным пусковым стержнем, и второй конец, выполненный с возможностью последовательного соединения и отсоединения от указанного спускового крючка в процессе указанного пускового цикла;при этом указанный пусковой цикл содержитначальный этап, на котором указанный спусковой элемент находится в открытом положении и отсоединен от указанного элемента для накопления энергии, а указанная пусковая пружина по меньшей мере частично сжата, иэтап направляющего движения ...

ВЕНОЗНЫЙ ЖГУТ

ПНЕВМОПРИВОДНОЙ ХИРУРГИЧЕСКИЙ ОТРЕЗНОЙ И ФИКСИРУЮЩИЙ АППАРАТ СО СМЕННЫМИ ИСТОЧНИКАМИ ЭНЕРГИИ

... 1. Хирургический аппарат, содержащий узел рукоятки; источник пневматической энергии, закрепленный с возможностью съема на основном участке узла рукоятки; пневматическую приводную систему, установленную с возможностью функционирования на упомянутом хирургическом аппарате и выполненную с возможностью пневмогидравлического соединения с источником пневматической энергии; и блокировочную систему, связанную с узлом рукоятки и выполненную с возможностью блокирования подсоединения источника пневматической энергии к основному участку узла рукоятки и пневматической приводной системе после того, как источник пневматической энергии отсоединяли от основного участка узла рукоятки и пневматической приводной системы заданное число раз. 2. Хирургический аппарат по п.1, в котором источник пневматической энергии установлен в участке ручке, который съемно прикреплен к основному участку узла рукоятки. 3. Хирургический аппарат по п.2, в котором упомянутый источник пневматической энергии является извлекаемым ...

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, ...

ХИРУРГИЧЕСКИЙ ОТРЕЗНОЙ И ФИКСИРУЮЩИЙ АППАРАТ С ПРИВОДОМ ОТ ДВИГАТЕЛЯ И АДАПТИВНОЙ ОБРАТНОЙ СВЯЗЬЮ СИСПОЛЬЗОВАТЕЛЕМ

... 1. Хирургический отрезной и фиксирующий аппарат, содержащий: концевой эффектор, содержащий режущий инструмент для разрезания объекта, расположенного в концевом эффекторе; узел главного ведущего вала, соединенный с концевым эффектором; и рукоятку, соединенную с узлом главного ведущего вала, при этом рукоятка содержит: электродвигатель для приведения в движение узла главного ведущего вала посредством цепи зубчатых передач привода; рычаг прошивки; датчик включения электродвигателя для определения отведения назад рычага прошивки, при этом, когда отведение назад рычага прошивки определяется датчиком включения электродвигателя, в электродвигатель выдается сигнал на переднее вращение для осуществления разрезания объекта, позиционированного в концевом эффекторе, режущим инструментом; и, по меньшей мере, один датчик для определения состояния, указывающего положение режущего инструмента в концевом эффекторе. 2. Хирургический отрезной и фиксирующий аппарат по п.1, в котором, по меньшей мере, один ...

ХИРУРГИЧЕСКИЙ АППАРАТ С СИСТЕМОЙ ОБРАТНОЙ СВЯЗИ

... 1. Модуль состояния для применения с хирургическим аппаратом, содержащим множество датчиков, при этом модуль состояния содержит корпус, конструктивно выполненный с возможностью разъемного соединения с хирургическим аппаратом; множество контактов, при этом каждый отдельный контакт конструктивно выполнен с возможностью электрической связи с другим датчиком, когда корпус подсоединен к хирургическому аппарату; схема, электрически связанная с, по меньшей мере, одним из контактов; и множество индикаторов, при этом, по меньшей мере, один из индикаторов электрически связан со схемой. 2. Модуль состояния по п.1, в котором схема содержит управляющую схему. 3. Модуль состояния по п.2, в котором схема содержит счетное устройство. 4. Модуль состояния по п.1, в котором множество индикаторов содержит визуальный индикатор, электрически связанный со схемой. 5. Модуль состояния по п.4, в котором визуальный индикатор содержит светоизлучающий диод. 6. Модуль состояния по п.4, в котором визуальный индикатор ...

АППЛИКАТОРЫ, ИМЕЮЩИЕ ДИСТАЛЬНЫЕ КОНЦЕВЫЕ КОЛПАЧКИ, ОБЛЕГЧАЮЩИЕ ТОЧНОЕ РАЗМЕЩЕНИЕ ХИРУРГИЧЕСКИХ КРЕПЕЖНЫХ ЭЛЕМЕНТОВ ВО ВРЕМЯ ОТКРЫТЫХ ВОССТАНОВИТЕЛЬНЫХ ПРОЦЕДУР

... 1. Аппликатор для выдачи хирургических крепежных элементов, содержащий:кожух;пусковую систему, размещенную в указанном кожухе;привод, соединенный с указанным кожухом для активации указанной пусковой системы;удлиненный стержень, проходящий от указанного кожуха, причем указанный удлиненный стержень имеет внешний диаметр;колпачок, закрепленный на дистальном конце указанного удлиненного стержня, причем указанный колпачок имеет нижний дистальный край, проходящий латерально за пределы внешнего диаметра указанного удлиненного стержня.2. Аппликатор по п. 1, в котором указанный нижний дистальный край указанного колпачка имеет длину, превышающую внешний диаметр указанного удлиненного стержня.3. Аппликатор по п. 2, в котором указанный колпачок имеет дистальную торцевую грань, которая скошена вверх и проксимально от указанного нижнего дистального края, причем указанный колпачок включает окно доставки хирургических крепежных элементов, образованное в указанной дистальной торцевой грани для выдачи хирургических ...

Vollständig getrennte Punktionsausrüstung

Vollständig getrennte Punktionsausrüstung, die Folgendes umfasst: einen Katheter; eine mit einem Ende des Katheters verbundene Stütze; einen durch den Katheter und die Stütze entlang einer Axialrichtung passierenden Kanal; eine luftbefüllbare Struktur, die auf der Stütze angeordnet ist und mit dem Kanal in Verbindung steht; ein Luftventil zum Steuern der luftbefüllbaren Struktur, um sie ein- und auszuschalten; eine erste Dichtungskomponente zum Abdichten, wenn ein Instrument verwendet wird; und eine zweite Dichtungskomponente zum Abdichten, wenn kein Instrument verwendet wird; wobei die erste Dichtungskomponente, die zweite Dichtungskomponente und die Stütze auf abdichtende Weise von oben nach unten hintereinander verbunden sind und die erste Dichtungskomponente unabhängig von der zweiten Dichtungskomponente getrennt werden kann, welche unabhängig von der Stütze getrennt werden kann, um mehrere Methoden zur Entnahme von Proben bereitzustellen.

System, particularly medical system, has device, particularly medical device, which has device components, where movement axis or movement direction is selected by selection element and is indicated by activated lighting elements

The system has a device, particularly a medical device, which has device components (3,11). A movement axis or a movement direction is selected by a selection element and is indicated by activated lighting elements (21 to 25) for a defined movement of the device components. The designated movement axis or the designated movement direction is released by an actuating element, such that the desired movement of the device components is carried out.

Apparatus for administering fluid to a medical tube

COMPUTER-AIDED SURGERY SYSTEM WITH SOURCE OF LIGHT

Endoluminal device and method

An endoluminal device can be configured for precise positioning during deployment within a vessel. The endoluminal device can be a tack, stent, vascular implant or other type of implant. The endoluminal device can have circumferential member with an undulating configuration having multiple inward and outward apexes and struts extending therebetween. Two of the struts can be used to establish a foot for the precise positioning of the device during deployment. A method of placing the endoluminal device can include withdrawing an outer sheath such that a portion of the endoluminal device is expanded prior to the rest of the endoluminal device. 2a F/Gol25F ...

UTERINE MANIPULATOR

An embodiment includes a uterine manipulator system comprising: a collar including a first shelf connected to the inner surface of the collar; a stabilizer including a stabilizer rim adapted to couple to the first shelf; and a shaft adapted to pass through the stabilizer and a hollow tunnel of the collar with a bulbous tip. Other embodiments are described herein. 12-o ...

Endoluminal device and method

An endoluminal device can be configured for precise positioning during deployment within a vessel. The endoluminal device can be a tack, stent, vascular implant or other type of implant. The endoluminal device can have circumferential member with an undulating configuration having multiple inward and outward apexes and struts extending therebetween. Two of the struts can be used to establish a foot for the precise positioning of the device during deployment. A method of placing the endoluminal device can include withdrawing an outer sheath such that a portion of the endoluminal device is expanded prior to the rest of the endoluminal device. 2a F/Gol25F ...

Device and method for positioning a closure device

Surgical instruments

Endoscopic surgical clip applier

Surgical instrument having a feedback system

A surgical instrument. The surgical instrument comprises a plurality of sensors, and a status module releasably connected to the surgical instrument. The status module comprises a plurality of contacts, a circuit, and a plurality of indicators. Each individual contact is in 5 electrical communication with a different sensor. The circuit is in electrical communication with at least one of the contacts. At least one of the indicators is in electrical communication with the circuit. (2 2 FIG. 1 ...

Tourniquet cuff with improved pneumatic passageway

Minimially invasive repair of a valve leaflet in a beating heart

Locator and closure device

Electrical surgical instrument

Abstract Electrical Surgical Instrument A hand-held, electrically powered and controlled surgical stapler/cutter (1) includes a handle (10) shaped to fit in one hand of a user. The handle (10) has a selectively actuated, self-contained electric power supply (600) having at least one battery cell. The handle further includes at least part of an anvil control assembly (100) and at least part of an electrically-powered stapler/cutter control assembly electrically connected to the power supply (600). A surgical end effector is connected to the handle (10) and is operatively connected to each of the anvil control assembly (100) and the stapler/cutter control assembly (200). The stapler/cutter control assembly (200) staples and cuts tissue disposed at the surgical end effector when powered by the power supply (600).

Biological sampling device

A sampling device adapted for transcervical sampling of biological materials from a pregnant patient comprising: an elongate insertion tube (4) having a first end (5) adapted for insertion through the external orifice (external os) of said patient's cervix and a second end (6) including a handle means (7) for manipulating said tube; a measuring means for determining the position of said first end of said tube within said cervix, wherein said first end (5) includes a sampling head (9, 14) adapted to collect biological material including cells, mucus and biological fluids, and wherein said measuring means is adapted to determine the extent of insertion and transcervical position of said first end to optimise the transcervical sampling site.

Applicator instruments having curved and articulating shafts for deploying surgical fasteners and methods therefor

An applicator instrument for dispensing surgical fasteners includes a housing and a curved shaft. Surgical fasteners are disposed within the curved shaft for being dispensed from the distal end of the curved shaft. An advancer is disposed inside the curved shaft for shifting the surgical fasteners one position closer to the distal end of the curved shaft each time the advancer moves distally. A firing element is disposed inside the curved shaft and is movable between the proximal and distal ends of the curved shaft for dispensing the surgical fasteners from the distal end of the curved shaft. A staging assembly is adapted to receive a leading one of the surgical fasteners from the advancer as the advancer moves distally to shift the leading surgical fastener into substantial alignment with the firing element when the advancer moves proximally.

System for providing surgical access

One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member ( 14 ), a first helical member ( 66 ), an anchor member ( 54 ) removably coupled to the helical member distal end, and a suture member ( 52 ) coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical with between about one and three helical loops.

Endoscopic surgical clip applier

Transwall visualization arrangements for surgical circular staplers

A surgical instrument is disclosed. Various embodiments include an elongated shaft that defines a central axis and has a distal end portion that is configured to operably support a circular staple cartridge therein. At least one detection member may be operably supported within the elongated shaft. Each detection member may have a distal portion that is radially deployable away from the central axis upon application of a deployment motion thereto. The distal end portions may have a bumper or light mounted thereto.

Aerosol drug delivery apparatus and method

A drug delivery apparatus (5, 5', 5'', 5''') for delivering an aerosol including a drug to a patient includes an aerosol generator (45, 50, 55, 60) for generating the aerosol from a supply of the drug, and a mouthpiece component (30, 30', 30'', 30''') structured to be inserted into the mouth of the patient. The mouthpiece component is operatively coupled to the aerosol generator for receiving the aerosol and delivering the aerosol to the patient. The mouthpiece component has a ventral surface (85, 85', 85'') structured to face a tongue (100) of the patient when the mouthpiece component is inserted into the mouth of the patient and may include a tongue apex positioning element (90, 90', 90''', 105) provided on the ventral surface. The ventral surface, and if present, the tongue apex positioning element is/are structured to engage the apex (95) of the tongue of the patient during use of the drug delivery apparatus to properly position the tongue.

Electrical surgical instrument

Abstract ELECTRICAL SURGICAL INSTRUMENT A surgical instrument (1) includes a surgical end effector having at least one actuation assembly to effect a surgical procedure when actuated. An electric motor (120) is operationally connected to the end 5 effector to operate the at least one actuation assembly. A power supply (600) is electrically connected to the motor (120) and selectively powers the motor (120) to actuate the at least one actuation assembly. The power supply (600) has at least one battery cell with a critical current rate. When activated to power the motor (120) and actuate the at least one actuation assembly, the power supply (600) operates the at least one battery cell at a super-critical current rate.

Systems and methods for increased operating room efficiency

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.

Surgical stapling loading unit with stroke counter and lockout

SURGICAL STAPLING LOADING UNIT WITH STROKE COUNTER AND A surgical loading unit (10), which comprises: an elongate outer frame (12) defining a longitudinal axis (k) and having proximal and distal ends (14, 16); an end effector (300 mounted to the distal end (16) of the outer frame (12); a drive (22) at least partially disposed within the outer frame (12) and operatively coupled to the end effector (300), the drive (22) adapted for longitudinal movement through a plurality of sequential firing strokes to operate the end effector (300); a rotatable counter (32) mounted to the outer frame (12) and adapted for rotational movement about the longitudinal axis (k), the rotatable counter (32) having visual indicators for providing visual indicia corresponding to a number of firing strokes completed by the drive (22); a counter actuator (52) mounted to the drive (22) and dimensioned to engage the rotatable counter (32) to cause rotational movement of the rotatable counter (32) through an arc segment ...

Multi-fire stapler with electronic counter, lockout, and visual indicator

MULTI-FIRE STAPLER WITH ELECTRONIC COUNTER, LOCKOUT, AND VISUAL INDICATOR A surgical instrument (10) comprising: a handle (20) having a controller (22) and a motor (23), the motor (23) being coupled to a drive shaft (23a); an adapter (30) releasably coupled to the handle (20), the adapter (30) including an adapter identification device (32) in communication with the controller (22), the adapter identification device (32) configured to store adapter data and to communicate the adapter data to the controller (22); and a loading unit (40) releasably coupled to the adapter (30), the loading unit (40) configured to affect tissue in response to a force transmitted by the adapter (30) from the drive shaft (23a), the loading unit (40) including a loading unit identification device (42) in communication with the controller (22), the loading unit identification device (42) configured to store loading unit data and configured to communicate the loading unit data to the controller (22), wherein the ...

Loading unit velocity and position feedback

LOADING UNIT VELOCITY AND POSITION FEEDBACK A loading unit (20) for a surgical stapling device has a cartridge assembly (508) and an anvil assembly (506), the cartridge assembly (508) including a channel (516) and a staple cartridge (518) having a plurality of surgical staples (530) therein. An axial drive assembly (560) has a clamping member (606), the clamping member (606) having an upper flange (606b) for engaging the anvil assembly (506), and a lower flange (606c) for engaging the channel (516). The axial drive assembly (560) is movable through the staple cartridge (518) to drive the staples (530) out of the staple cartridge (518) and against the anvil assembly (506). Mechanical features are defined in the channel (516) for indicating an end of stroke for the axial drive assembly (560), the mechanical features having a first pattern and a second pattern. LA-I Lo -CM cO !F! to ...

Endoluminal device and method

An endoluminal device can be configured for precise positioning during deployment within a vessel. The endoluminal device can be a tack, stent, vascular implant or other type of implant. The endoluminal device can have circumferential member with an undulating configuration having multiple inward and outward apexes and struts extending therebetween. Two of the struts can be used to establish a foot for the precise positioning of the device during deployment. A method of placing the endoluminal device can include withdrawing an outer sheath such that a portion of the endoluminal device is expanded prior to the rest of the endoluminal device.

A mechanical tourniquet apparatus and method of use

A pre-fabricated tourniquet that is easy to apply, that ensures consistent and even circumferential pressure, that is light weight, that provides standard life saving operation, and that can be utilized in any setting or situation, and related methods are provided. Mechanically constricting tourniquet apparatus and related methods are provided that are comprised of a tourniquet body, a carriage, a torsion bar, a receiver and a slider. The tourniquet is long enough to encircle a human limb, for example, an arm or leg.

Apparatus and method of laparoscopic port site suture

Surgical staple cartridges and end effectors with vessel measurement arrangements

Surgical staple cartridges and end effectors for assessing a size of tissue stapled by the staple cartridge or otherwise manipulated by the end effector. In various forms, the staple cartridge has at least one series of measurement indicia on the deck base that may be viewed from above the deck surface when the anvil is clamping the tissue onto the staple cartridge. Other embodiments include structure for forming a mark on the cartridge deck that corresponds to a size of the tissue supported thereon. Methods for severing and stapling tissue are also disclosed.

Devices and methods facilitating sleeve gastrectomy procedures

DEVICES AND METHODS FACILITATING SLEEVE GASTRECTOMY A gastrectomy device (10) includes an elongated member (12) defining a centerline that extends through proximal and distal ends thereof A shape modification member (16) coupled to the elongated member (12) is movable relative to the centerline of the elongated member (12). The shape modification member (16) is movable between a first state, adjacent to the elongated member (12), and a second state, spaced from the elongated member (12). The shape modification member (16) conforms to a portion of a patient's stomach ("S") in the second state. C%4z IMPm ...

Personalized tourniquet system

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the ...

Surgical tunneling instrument with expandable section

A trocar for preparing pilot holes, tunnels and other spaces within bone includes a piercing tip, a cutting element, and an expansion element for expanding the cutting element radially outwardly with respect to a longitudinal axis of the trocar. The cutting element includes one or more cutting blades. The trocar also includes a hollow shaft. The hollow shaft can include one or more apertures axially and radially aligned with the one or more cutting blades. The expansion element can include an activation rod housed inside the hollow shaft. The one or more cutting blades can be in the form of two opposed cutting blades separated by a gap, the two opposed cutting blades being radially displaceable with respect to the longitudinal axis. The activation rod can include a wedge that partially enters the gap between the two opposed cutting blades to displace the cutting blades to an expanded position.

Endoscopic reposable surgical clip applier

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

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

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

Navigation, tracking and guiding system for the positioning of operatory instruments within the body of a patient

Navigation, tracking and guiding system (1) for the positioning of operatory instruments (5) inside the body of a patient (P) comprising a control unit (2), a display (3) and first detecting means (4) for determining the spatial position of the viewer (3). The system (1) further comprises a sensor associated to an operatory instrument (5) and insertable inside the internal portion (Pi) of the body of the patient (P). The probe comprises at least one optical guide, having dispersion zones of a luminous flux generated inside the optical guide and detecting means for the detection of the dispersion of the luminous flux, in order to identify the spatial arrangement of the probe when inserted within the patient (P). The control unit (2) is configured to project on the viewer (3) an image of the internal state of at least one internal portion (Pi) of the body of the patient (P) and the image of the probe based on the identified spatial arrangement.

Personalized tourniquet for intermittent vascular occlusion

An apparatus for intermittent vascular occlusion based on a personalized tourniquet pressure (PTP) includes a dual-purpose tourniquet cuff having an inflatable bladder, a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder for sensing and characterizing pressure pulsations indicative of a distal occlusion pressure (DOP) to identify a minimum pressure at which penetration of blood past the cuff is stopped, a PTP estimator responsive to the pulsation sensor for producing an estimate of a PTP, wherein the estimate of the PTP is a function of the DOP, an effector module communicating pneumatically with the inflatable bladder for maintaining pressure in the bladder near the PTP during a first time period and for maintaining pressure in the bladder near a second level of pressure during a second time period, and a controller selectively operating the inflatable bladder in conjunction with the sensor module and the effector module.

ANCHOR DELIVERY SYSTEMS

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

Implant and filament management device

A variety of configurations of implant management devices are provided. The configurations provide different combinations of features for maintaining a location of an implant with respect to the device and managing filaments of the implant. One exemplary embodiment of a device includes a generally rectangular-shaped body having an implantable body retainer, an opening disposed a distance apart from the retainer and configured to receive a ligament graft therein, and a fold extending across the body and intersecting the opening. Folding one end of the body towards a bottom surface of the body along the fold can form a filament loop engaging region to hold in tension a filament loop extending from the implant. Additional filament(s) associated with the implant can be managed by various filament retention features. Methods for preparing a ligament graft for implantation by relying upon indicia formed on a surface of the device body are also provided.

DEVICE AND METHOD FOR ASSISTING IN FLEXOR TENDON REPAIR AND REHABILITATION

A surgical device and method used to assist in the surgical repair and rehabilitation of damaged and/or severed tendons. In one embodiment of the present invention, the device is comprised of a hollow member, preferably shaped as a partial funnel and/or cone, having an inner and outer surface, a flared mouth, a shaft, and an apical end. The device may further include a thin, elongated handle for ease of manipulation, and can be implantable or non-implantable. The present invention further discloses a method of passing a severed flexor tendon and/or repair site through the edge of a pulley in the flexor tendon sheath.

ENDOVASCULAR FLOW DIRECTION INDICATOR

An endovascular tool (10) is provided, which includes a longitudinal delivery shaft (24) and a fin (20) coupled to the delivery shaft (24). The fin (20) is configured to assume (a) a compressed state for endoluminal delivery, and (b) an expanded state for endoluminal deployment, in which state the fin (20) is configured to pivot around an axis of rotation (18). Other embodiments are also described.

CLIP ADVANCER WITH LOCKOUT MECHANISM

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

SURGICAL CONSOLE AND HAND-HELD SURGICAL DEVICE

A surgical system and method includes a surgical instrument configured to wirelessly transmit identifying data specific to the surgical instrument and a console configured to receive the identifying data. The console is configured to register the surgical instrument based on the identifying data, establish a wireless two-way communication link between the surgical instrument and the console, receive at least one of operational data and commands from the surgical instrument, and provide operational feedback data to a user of the surgical instrument during an operation of the surgical instrument based on the at least one of operational data and commands.

SURGICAL STAPLING INSTRUMENT HAVING A TWO-POSITION LOCKOUT MECHANISM

Surgical stapler systems can include lockout mechanisms to restrict further movement of a jaw assembly and provide different functionality when a jaw assembly is empty and when a partially or fully fired reload cartridge is present in the jaw assembly. When the jaw assembly is empty, the empty jaw assembly lockout mechanism can arrest an open-close stroke of the jaw assembly. When an at least partially fired reload is present in the jaw assembly, a fired reload lockout mechanism can allow operation of the jaw assembly through a substantial portion of an open-close stroke, but restrict actuation of the jaw assembly in a firing stroke. The separate lockout mechanisms can be embodied in a single lockout lever actuatable by lockout actuators to three distinct positions or by two independently-operable lockout levers.

ILLUMINATED ENDOSCOPIC PEDICLE PROBE WITH DYNAMIC REAL TIME MONITORING FOR PROXIMITY TO NERVES

An endoscopic pedicle probe has an elongate body with a proximal end and a distal end. A tip on the distal end is pushed into the pedicle to form the hole, and an enlarged head on the proximal end enables a surgeon to manipulate the probe. The body has an inner shaft with a cylindrical sleeve telescopically engaged over it. An endoscope extends through a longitudinal bore in the shaft, with a camera at the tip end connected with a monitor to enable a surgeon to visually observe the area being treated. A light extends through another bore to illuminate the area, and a further bore conducts irrigation fluid to and from the area. The sleeve is made of electrically non-conductive material and the shaft and tip are made of electrically conductive material to enable stimulation of nerves at the treatment area.

SURGICAL TUNNELING INSTRUMENT WITH EXPANDABLE SECTION

A trocar for preparing pilot holes, tunnels and other spaces within bone includes a piercing tip, a cutting element, and an expansion element for expanding the cutting element radially outwardly with respect to a longitudinal axis of the trocar. The cutting element includes one or more cutting blades. The trocar also includes a hollow shaft. The hollow shaft can include one or more apertures axially and radially aligned with the one or more cutting blades. The expansion element can include an activation rod housed inside the hollow shaft. The one or more cutting blades can be in the form of two opposed cutting blades separated by a gap, the two opposed cutting blades being radially displaceable with respect to the longitudinal axis. The activation rod can include a wedge that partially enters the gap between the two opposed cutting blades to displace the cutting blades to an expanded position.

TOURNIQUET

The present invention relates a tourniquet, where tightening of the tourniquet is performed by linear motion by pulling a pull-cord. The tourniquet comprises a tensioning device and a strap. The first end of the strap is coupled to the tensioning device. The second end of the strap is wrapped around a limb and fixed to the tensioning device. The tightening of the tourniquet is achieved by pulling a pull-cord. Linear motion by the pull-cord is translated into winding up the strap inside the tensioning device, and thereby achieving a time-effective tightening of the tourniquet without the need of high forces.

NON-OPTICAL NAVIGATION SYSTEM FOR GUIDING TRAJECTORIES

A system or method may be used to align a guide (e.g., a screw guide, a trajectory guide for biopsies, etc.) for insertion of a screw, instrument, or tool (e.g., a spinal screw) at a specified angle. The system and method may track the movement and angle of the guide which may be affixed to an articulated arm with respect to a reference point based on sensor data. The system and method may determine whether the guide is at the specified angle based on sensor data.

DEVICES AND METHODS FOR OCULAR SURGERY

A surgical device for cutting a lens within a capsular bag of an eye. Related methods, systems, and devices are also provided.

ELECTRICAL SURGICAL INSTRUMENT

A surgical instrument includes a surgical end effector having a receiving portion for removably receiving therein an interchangeable part. The receiving portion has a communication connection. A handle connected to the end effector actuates the end effector. The handle has a controller electrically connected to the communication connection for authenticating the interchangeable part when placed at the end effector. An interchangeable part is removably connected to the receiving portion and has an encryption device electrically removably connected to the communication connection when placed at the receiving portion. The encryption device authenticates the interchangeable part when queried by the electric controller.

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

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

DYNAMIC ANNULOPLASTY RING SIZER

A dynamic, adjustable annuloplasty ring sizer can include an adjustable ring replica, which can be adjusted through a range of sizes corresponding to available prosthetic annuloplasty repair ring sizes. Actuation of an adjustment trigger on a handle portion of the ring sizer can displace tension wires that extend through a malleable shaft and through a plurality of articulating segments that form the ring replica. Displacement of the tension wires causes flexion of the joints between adjacent articulating segments, thereby reducing the overall size of the ring replica. Releasing the tension wires can allow an elastic extension wire to act on the ring replica, enlarging the ring replica to its maximum, at-rest size. In this manner, the appropriate size of annuloplasty ring prosthesis can be determined with a single device, without requiring a plurality of static ring sizers that require individual insertion and placement for the conventional trial-and- error sizing methods.

IMPLANTABLE MEDICAL DEVICE DEPLOYMENT SYSTEM

A medical device delivery system includes an implantable medical device and a delivery device. The implantable medical device includes at least one attachment feature having an elastomeric element. The delivery device includes a catheter and an elongate element. The catheter is arranged to contact the elastomeric element, and the elongate element is arranged to releasably couple with the elastomeric element.

DISTAL TIP FEATURES FOR END EFFECTOR OF SURGICAL INSTRUMENT

An apparatus comprises a body, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector comprises and anvil and a cartridge. A longitudinal axis intersects the distal tip of the anvil when the anvil is in a closed position. The cartridge defines a sight line extending along a distal surface of the cartridge from a first side of the cartridge toward the anvil. The first side of the cartridge is opposite to the anvil. The distal surface of the cartridge is neither parallel to nor perpendicular to the longitudinal axis. The sight line intersects the longitudinal axis near the distal tip when the anvil is in the closed position. A segment of the sight line and a segment the longitudinal axis define an angle ?. The angle ? is larger than 90º.

A MECHANICAL TOURNIQUET APPARATUS AND METHOD OF USE

A pre-fabricated tourniquet that is easy to apply, that ensures consistent and even circumferential pressure, that is light weight, that provides standard life saving operation, and that can be utilized in any setting or situation, and related methods are provided. Mechanically constricting tourniquet apparatus and related methods are provided that are comprised of a tourniquet body, a carriage, a torsion bar, a receiver and a slider. The tourniquet is long enough to encircle a human limb, for example, an arm or leg.

MULTIPLE-FIRING SECURING DEVICE AND METHODS FOR USING AND MANUFACTURING SAME

A multiple-fire securing device includes a hollow outer shaft, a reloader, a reloader movement assembly, a rail, and securing structures each defining an inner securing orifice. The reloader longitudinally moves within the outer shaft and has a distal end shaped to temporarily contact one of the securing structures. The rail is disposed within the reloader and has an installing location. The securing structures are disposed on the rail. The reloader movement assembly moves the reloader longitudinally in a distal direction to deliver a first securing structure to the installing location from a first proximal position and moves the reloader proximally away from the installing location without the first securing structure to a position in which the distal end of the reloader temporarily contacts a second one of the securing structures. The second and successive securing structures are moved one at a time to the installing location.

ELECTRICAL SURGICAL INSTRUMENT

A surgical instrument includes a surgical end effector having a receiving portion for removably receiving therein an interchangeable part. The receiving portion has a communication connection. A handle connected to the end effector actuates the end effector. The handle has a controller electrically connected to the communication connection for authenticating the interchangeable part when placed at the end effector. An interchangeable part is removably connected to the receiving portion and has an encryption device electrically removably connected to the communication connection when placed at the receiving portion. The encryption device authenticates the interchangeable part when queried by the electric controller.

CIRCULAR STAPLING INSTRUMENTS WITH SECONDARY CUTTING ARRANGEMENTS AND METHODS OF USING SAME

Surgical instruments are disclosed. Various non- limiting embodiments may include an elongated shaft (14) that has a distal end portion that is configured to operably support a circular staple cartridge (30) therein. A tissue acquisition shaft may be rotatably supported within said elongated shaft and have a distal portion that protrudes distally beyond the distal end portion of the elongated shaft. At least one tissue acquisition member may be pivotally attached to the distal end portion of the tissue acquisition shaft such that the tissue acquisition members are selectively pivotable from a retracted position to deployed positions upon application of a deployment motion thereto. A rotatable cutting member may be operably supported adjacent to the tissue acquisition member and being selectively rotatable about the central axis upon application of a cutting actuation motion thereto.

SURGICAL ACCESS SYSTEM

A surgical access assembly (100) is disclosed. The surgical access assembly comprises an outer sheath (102) and an obturator (104). The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either device within the brain.

SYSTEMS AND APPARATUS FOR FACILITATING INTRANASAL TREATMENT OF A PATIENT

Systems are disclosed for facilitating intranasal treatment of a patient's sphenopalatine/pterygopalatine recess. Likewise the instant system is effective for addressing acute pain conditions, and is refined enough to be performed by physician's assistants, nurses, and other well-trained practitioners. Apparatus involved includes a sheath hub, a catheter hub, an arresting element, and an engagement element in embodiments. Engagement between the arresting element and the engagement element prevents rotation of the sheath hub with respect to the catheter hub.

SYSTEM FOR PROVIDING SURGICAL ACCESS

One embodiment is directed to a system for providing surgical access across a wall of a tissue structure, comprising a delivery member ( 14 ), a first helical member ( 66 ), an anchor member ( 54 ) removably coupled to the helical member distal end, and a suture member ( 52 ) coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of the suture member in a deployed suture pattern which remains coupled to the anchor member, the deployed suture pattern being characterized in that it is substantially helical with between about one and three helical loops.

PERINEUM OVERLAY DEVICE

A perineum overlay device (100) for locating anatomical features within the perineum of a patient and/or needle insertion sites for targeting anatomical features within the perineum of a patient includes a section of flexible material (102) and a plurality of markings (104) printed on a first side (106) of' the section of the material. The section of flexible material is configured to conform and cover a portion of the perineum of a patient. The plurality of markings are each configured to identify a location of an anatomicA feature (104A-G) within the perineum and/or a needle insertion site (104N) corresponding to a targeted anatomical feature within the perineum, when the section is positioned over the perineum of a patient. [0048] In a method of treating a pelvic condition of a patient. a perineum overlay device (100) comprising a section of flexible material (102) is positioned over the perineum (144) of a patient. ln some embodiments. alignment markings (104) on a first side (106) ...

SURGICAL CIRCULAR STAPLER WITH TISSUE RETENTION ARRANGEMENTS

Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.

TRANSWALL VISUALIZATION ARRANGEMENTS AND METHODS FOR SURGICAL CICULAR STAPLERS

A surgical instrument is disclosed. Various embodiments include an elongated shaft that defines a central axis and has a distal end portion that is configured to operably support a circular staple cartridge therein. At least one detection member may be operably supported within the elongated shaft. Each detection member may have a distal portion that is radially deployable away from the central axis upon application of a deployment motion thereto. The distal end portions may have a bumper or light mounted thereto.

SURGICAL STAPLE CARTRIDGES AND END EFFECTORS WITH VESSEL MEASUREMENT ARRANGEMENTS

Surgical staple cartridges and end effectors for assessing a size of tissue stapled by the staple cartridge or otherwise manipulated by the end effector. In various forms, the staple cartridge has at least one series of measurement indicia on the deck base that may be viewed from above the deck surface when the anvil is clamping the tissue onto the staple cartridge. Other embodiments include structure for forming a mark on the cartridge deck that corresponds to a size of the tissue supported thereon. Methods for severing and stapling tissue are also disclosed.

SURGICAL FASTENER

A surgical fastener is provided for various surgical fastening applications, including attaching an implantable prosthesis, such as a soft tissue repair fabric, to tissue and/or muscle. The surgical fastener may include a coil body and a separate head that is attached to the coil body. The head may include an internal thread that is threadably attached to the coil body. The head may also be further secured to the coil body with a compression fit therebetween. A locking feature may prevent back-out of the coil body from the head. The surgical fastener may be assembled by threading the coil body through the head.

PHARMACEUTICAL WASTE DISPOSAL ASSEMBLY

A pharmaceutical waste disposal assembly (10) for disposing of raw pharmaceutical waste comprises a first receiver body (19) and a first reaction agent (287). The first receiver body (19) receives the pharmaceutical waste. The first receiver body (19) includes a receiver bottom (283), The first reaction agent (287) is positioned within the first receiver body (19) and spaced apart from the receiver bottom (283), The pharmaceutical waste reacts with the first reaction agent (287) to change the pharmaceutical waste in one of a chemical and physical manner so that the pharmaceutical waste is unrecoverable. The first receiver body (19) can receive fluid pharmaceutical waste and/or solid pharmaceutical waste. The first reaction agent (287) may include one or more of a denaturant, an emetic and a bittering agent. For example, the first reaction agent (287) may include one or more of quinine, ipecac and denatonium benzoate.

BONE POSITIONING DEVICE AND METHOD

A device (400) for positioning a bone cutting guide (432) on a tibia may- include a tibial attachment member (402) including a varus/valgus adjustment member (406), an anterior/posterior adjustment member (408), and at least one aperture for coupling with a pin inserted into the tibia. The device may also include a stationary arm (410) fixedly attachable to the tibial attachment member (402) at one end and extending to a pivot joint (412) at an opposite end. Further, the device may include a pivoting arm (414) movably attached at one end to the stationary arm (410) at a pivot joint (412). The device may also include a light emitter (416) attachable to the pivoting arm (414). A depth selection member (424) movably coupled to the stationary arm (410) and configured to removably attach to the bone cutting guide (432) can also be included in the device. A stylus (426) removably attachable to the bone cutting guide (432) can also be part of the device.

SURGICAL INSTRUMENT CONTROLS WITH ILLUMINATED FEEDBACK

An electromechanical powered surgical instrument includes a handle assembly and a control assembly. The handle assembly is configured to engage an end effector to manipulate a tool assembly thereof The control assembly is positioned on the candle assembly and includes a plurality of buttons. Each of the plurality of buttons is associated with a function of the end effector. Each of the plurality of buttons is also associated with a light source. The light source is configured to selectively backlight the associated button.

APPARATUS AND METHODS FOR TISSUE CLOSURE

Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device (100), a finger guard or shield (188) can be used, handle or holding area or areas (154, 164, 182) can be used, and positioning indicators can be used. A resiliently flexible target material (134) can also be used for reliably holding a suture during the procedure. Introducers (300) can be used having a suture holder, an alignment indicator (338) and insertion limits.

APPLICATOR INSTRUMENTS HAVING DISTAL END CAPS FOR FACILITATING THE ACCURATE PLACEMENT OF SURGICAL FASTENERS DURING OPEN REPAIR PROCEDURES

An applicator instrument for dispensing surgical fasteners includes a housing, a firing system disposed in the housing, an actuator coupled with the housing for actuating the firing system, an elongated shaft extending from the housing, the elongated shaft having an outer diameter, and a cap secured to the distal end of the elongated shaft, whereby the cap has a lower distal edge that extends laterally beyond the outer diameter of the elongated shaft. The lower distal edge of the cap has a length that is greater than the outer diameter of the elongated shaft. The cap has a distal end face that slopes upwardly and proximally from the lower distal edge, and the cap has a surgical fastener delivery window formed in the distal end face for dispensing surgical fasteners. The delivery window has a lower end that is spaced from the lower distal edge.

METHODS AND DEVICES TO REDUCE THE LIKELIHOOD OF INJURY FROM CONCUSSIVE OR BLAST FORCES

A method and device for reducing the damaging effects of radiant energy, blast, or concussive events includes applying pressure to at least one jugular vein to reduce the egress of blood from the cranial cavity during or before the incidence of the imparting event. Reducing blood outflow from the cranial cavity increases intracranial volume and/or pressure of the cerebrospinal fluid to reduce the risk of traumatic brain injury and injuries to the spinal column. Reducing blood outflow further increases the intracranial pressure and volume, and thereby increases the pressure and volume of the cochlear fluid, the vitreous humor and the cerebrospinal fluid to thereby reduce the risk of injury to the inner ear, internal structure of the eye and of the spinal column. In addition, increasing intracranial pressure and volume reduces the likelihood of brain injury and any associated loss of olfactory function ...

Stapler for carrying out surgical sutures for micro-blood vessel anastomosis by metal staples, has actuating mechanism actuated by action on levers of control unit, for causing setting in place of staples successively one after other

The device i.e. stapler has a collar (2) rotatable relative to a handle (1) and provided with a spout (3) for presentation and installation of staples by an actuation mechanism. A control unit includes a removable and interchangeable loader containing the staples to be posed. The actuating mechanism is actuated by the action of only one finger of an operator on levers (7, 7a) of the control unit, for causing the setting in place of the staples successively one after the other inside the mechanism to allow distribution, presentation and setting of the staples by the action of the levers. An independent claim is also included for a metal staple.

COMPONENT SET FOR MEDICAL PROVISIONING

Die vorliegende Erfindung betrifft ein Komponenten-Set (1) zur medizinischen Erstversorgung eines Patienten. Das Komponenten-Set umfasst einen verschliessbaren Behälter mit einer ersten Behälterwand (2), die mindestens ein erstes Innenvolumen (V 1 ) definiert. Das Komponenten-Set umfasst weiter eine Mehrzahl an zur Anordnung im ersten Innenvolumen vorgesehenen Modulen (11.1, 11.2, ...). Die Module (11.1, 11.2, ...) sind zur Behandlung und/oder Pflege eines Patienten ausgebildet. Das Komponenten-Set umfasst weiter ein Sensorelement zur Detektion eines geöffneten Zustands des verschliessbaren Behälters und eine Sendeeinheit zur Kommunikation mit einem Rechner. Eine Steuereinheit verarbeitet die Detektion eines geöffneten Zustands des Behälters und erzeugt ein entsprechendes Signal. Die Erfindung umfasst weiter ein System zur Versorgung eines Gebäudes und/oder Gebäudekomplexes mit Notfallausrüstung zur medizinischen Erstversorgung und ein Verfahren zum Betreiben eines solchen.

Method for monitoring the condition of operation utensils, and operation accessory with sensor.

Die Erfindung betrifft ein Verfahren zum Überwachen des Zustands von Operationsutensilien für chirurgische Eingriffe und ähnliche Einsätze, wobei der Zustand der Operationsutensilien anhand von für ihre Einsatzfähigkeit massgeblichen Parametern wie Temperatur, Feuchte, Impuls, EO-Konzentration, Strahlung, etc. vorzugsweise kontinuierlich mit in ihnen eingebauten Sensoren erfasst wird. Die von diesen erhaltenen Daten werden zeitgleich oder zeitversetzt in einer Datenverarbeitungseinrichtung anhand von instrumentenspezifischen Sollvorgaben vorzugsweise algorithmisch ausgewertet. Die Erfindung betrifft ausserdem ein Operationsutensil mit mindestens einem Sensor (13, 14).

Pneumatically powered surgical cutting and fastening instrument with replaceable power sources

A METHOD OF FEEDING A MEDICAL APPARATUS

SYSTEM AND METHOD TO TRACK USAGE OF SURGICAL INSTRUMENT

Surgical circular stapler with tissue retention arrangements

Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.

Surgical stapler and method of surgical stapling

Surgical stapling methods and tools which allow a surgeon to create several different predetermined amounts of tissue constriction using the same staple ( 11 ) loaded in such a tool ( 31 ). An improved staple construction ( 61 ) of increased rigidity is also shown.

Locator and closure device and method of use

The present invention is directed to a device which is capable of both locating a punctured blood vessel wall and sealing the puncture in the vessel and to the method of using the device as well. In one embodiment, the device includes an elongate deployment member having a sealing element releasably disposed within a distal end thereof, said deployment member being coupled to a first actuator configured to retract said deployment member relative to said sealing element, and an elongated indicator member having a proximal end and a distal end, said indicator member extending through a lumen in said deployment member such that the distal end of said indicator member extends distally of the distal end of the deployment member, and said indicator member being coupled to a second actuator configured to retract said indicator member relative to said deployment member.

Method for providing surgical access

One embodiment is directed to a method for providing surgical access across a wall of a tissue structure, comprising: measuring a thickness of the wall of the tissue structure at a targeted entry location; and providing a helical needle having a helical needle pitch selected to pull an intercoupled suture member across the wall with a distal portion of the needle such that a deployed suture pattern is formed, the deployed suture pattern being characterized in that it is substantially helical and represents a number of helical loops substantially encapsulated by the wall of the tissue structure that is greater than about one helical loop, and is less than about three helical loops.

Medical device usage data processing

A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.

Occlusion device

A vascular occlusion device for occluding a body cavity includes an elongate member for injecting embolization material into the body cavity and a deflecting device. The deflecting device is disposed around a distal end of the elongate member and is expandable to contact an interior wall of the body cavity in the expanded state. The deflecting device is configured to be deflected by the embolization material to change a shape of the deflecting device in the expanded state. The deflecting device provides a visual and tactile indication of completion of embolization based on the shape of the deflecting device in the expanded state.

Surgical staple cartridges and end effectors with vessel measurement arrangements

Surgical staple cartridges and end effectors for assessing a size of tissue stapled by the staple cartridge or otherwise manipulated by the end effector. In various forms, the staple cartridge has at least one series of measurement indicia on the deck base that may be viewed from above the deck surface when the anvil is clamping the tissue onto the staple cartridge. Other embodiments include structure for forming a mark on the cartridge deck that corresponds to a size of the tissue supported thereon. Methods for severing and stapling tissue are also disclosed.

Surgical Filament Snare Assemblies

A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably, to the filament engagement feature. The first and second noose limbs emerge from the anchor as first and second free filament limbs that are capable of being passed through tissue to be repaired and then passable through the noose. The noose is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after anchor fixation. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs as a single unit.

Surgical instrument with indicator

A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.

Polymer-Based Occlusion Devices, Systems and Methods

A method of occluding includes imbibing a porous elongate element comprised of ePTFE with a calcium-containing solution. The method also includes delivering, via a delivery catheter, the calcium-imbibed porous elongate element to a target occlusion site. The method further includes administering, after the calcium-imbibed porous elongate element has been completely delivered to the target occlusion site and resides entirely within a volume defined by the target occlusion site, an alginate-containing solution to the target occlusion site.

Disposable ophthalmic/medical apparatus with timed color change indication

A disposable ophthalmic or medical apparatus has a portion with a color changeable dye disposed thereon. The dye changes color after being exposed to oxygen for a controlled and predetermined period of time indicating that the apparatus should no longer be used.

Surgical fasteners having articulating joints and deflectable tips

A surgical fastener for securing a prosthetic device to tissue includes a first leg having a proximal end, a distal end, a first insertion tip at the distal end, and a first articulating joint that separates said first leg into a proximal segment and a distal segment that is deflectable relative to the proximal segment, and a second leg including a proximal end, a distal end, a second insertion tip at the distal end, and a second articulating joint that separates said second leg into a proximal segment and a distal segment that is deflectable relative to the proximal segment. A bridge connects the proximal ends of the first and second legs for forming a closed end of the surgical fastener. After implantation in tissue, the insertion tips are deflectable away from vessels and nerves to minimize injury to the vessels and nerves, and to minimize patient discomfort and pain.

Endoscope system

An endoscope system includes an illumination unit which includes a modulation section configured to control a visible light source so that visible light from the visible light source is subjected to intensity modulation in a predetermined pattern, and emits modulated visible light as illumination light, a detection section configured to detect the modulated visible light, and a determination section configured to determine whether an insertion portion of an endoscope is present in an object based on a detection result of the detection section. The illumination unit is arranged outside the object, and the detection section is arranged at the insertion portion.

Multi-lumen central access vena cava filter apparatus for clot management and method of using same

A combined multi-lumen central access catheter and an embolic filter including ports proximal and distal the filter for fluid infusion and/or pressure sensing and infusion ports in the catheter to permit infusion of bioactive agents, flushing agents and/or contrast agents and managing the capture of the clot thereafter.

Multi-lumen central access vena cava filter apparatus for clot management and method of using same

A combined multi-lumen central access catheter and an embolic filter including ports proximal and distal the filter for fluid infusion and/or pressure sensing and infusion ports in the catheter to permit infusion of bioactive agents, flushing agents and/or contrast agents and managing the capture of the clot thereafter.

Tourniquet Cuff with Improved Pneumatic Passageway

A tourniquet cuff has minimal flow restrictions within its pneumatic passageway under normal operating conditions, has a substantially reduced likelihood of partial or complete obstructions or interruptions of the pneumatic passageway under foreseeable operating conditions, can indicate exposure of the cuff to external agents that are capable of affecting the integrity of the pneumatic passageway before use, and can be manufactured economically.

Endoscopic surgical clip applier

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

MICROGRAFT FOR THE TREATMENT OF INTRACRANIAL ANEURYSMS AND METHOD FOR USE

A device for occluding a vasculature of a patient including a micrograft having an absorbent polymeric structure with a lumen of transporting blood. The micrograft has a series of peaks and valleys formed by crimping. The occluding device is sufficiently small and flexible to be tracked on a guidewire and/or pushed through a microcatheter to a site within the vasculature of the patient. Delivery systems for delivering the micrografts are also disclosed. 1. A vascular graft configured for occluding a vasculature of a patient , the vascular graft comprising:an absorbent biocompatible textile structure for a tubular structure; anda core element having a proximal end, a distal end and a lumen within the core element, the core element positioned inside the biocompatible structure and attached to the biocompatible structure, the core element having a coiled structure having multiple coils;a tube secured to the core element, wherein a distal portion of the tube is within the textile structure, the tube having a lumen extending therethrough from a distal opening to a proximal opening to enable blood flow into and out of the tube;wherein a capillary effect is created within the vascular graft when the biocompatible structure is exposed to blood such that blood is transported in a proximal direction through the vascular graft wherein blood clots.2. The vascular graft of claim 1 , wherein the vascular graft is non-self-expanding along its length.3. The vascular graft of claim 1 , wherein a proximal end of the tube extends proximally of the coiled structure and the textile structure is attached over an outer surface of the tube.4. The vascular graft of claim 1 , wherein the tube is positioned within coils of the coiled structure.5. The vascular graft of claim 1 , wherein the biocompatible structure has a distal opening at a distal end for blood flow into the distal opening.68-. (canceled)9. The vascular graft of claim 1 , wherein the vascular graft is movable to a substantially ...

SYSTEM AND METHODS FOR CONTROLLING A DISPLAY OF A SURGICAL INSTRUMENT

Various systems and methods of controlling a surgical instrument are disclosed. The surgical instrument can include one or more sensors that are configured to detect or measure parameters associated with the use of the instrument and a display. A control circuit can be configured to detect whether the instrument is articulating, firing, clamping, and so on according to relationships between the detected parameters. The control circuit can further cause the display to display an image or sequences of images according to the particular operational state of the instrument. The images can provide alerts, instructions on how to use the instrument, or information detected by the one or more sensors, such as the position of the knife during transection. 117-. (canceled)18. A surgical system , comprising: a first jaw; and', 'a second jaw rotatable relative to the first jaw between an open position and a closed position;, 'an end effector, comprisingan elongate shaft;an articulation joint, wherein the end effector is rotatable relative to the elongate shaft about the articulation joint;an articulation driver configured to drive the end effector about the articulation joint;a motor configured to drive the articulation driver;means for sensing a firing force experienced by the articulation driver, wherein the means for sensing is configured to sense the firing force by sensing a current through the motor; anda control circuit configured to control the motor based on the sensed current through the motor.19. The surgical system of claim 18 , wherein the control circuit is configured to control the motor based on a comparison of the sensed current through the motor to a threshold current.20. The surgical system of claim 19 , wherein the control circuit is configured to interrupt the current through the motor based on the sensed current through the motor reaching or exceeding the threshold current.21. The surgical system of claim 20 , further comprising a means for notifying a ...

SLACK REMOVAL IN SUTURE CONSTRUCTS FOR TISSUE REPAIR

Utilities (e.g., systems, methods, etc.) for reducing or limiting slack in stitching or suture constructs secured to tissues in a manner that limits the need for surgeons to physically pull on patients' muscles to remove such slack and that may ultimately reduce recovery time for patients. In one aspect, a method of creating or anchoring a suture construct (e.g., a method of stitching) in tissue in a manner that produces first and second opposite portions of the construct that can be pulled apart in any appropriate manner to apply a tension in the construct to remove slack therein substantially free of pulling on patients' muscles to remove such slack is disclosed. The present utilities also describe a tool that can be used to automatically apply a predetermined level of tension to a suture construct to remove slack therein. 1. A suture construct for use in the repair of a tissue , comprising:a first portion of a flexible strand that is configured to be disposed between a first portion of the tissue and a first free end of the flexible strand;a second portion of the flexible strand that is configured to be disposed between the first portion of the tissue and a second free end of the flexible strand;a series of stitches of the flexible strand that are configured to be cinched over a surface of the tissue; anda loop of the flexible strand that is configured to protrude from a second portion of the tissue that is opposite the first portion of the tissue, wherein the series of stitches is disposed between a) the loop and b) the first and second portions of the flexible strand.2. The suture construct of claim 1 , wherein the series of stitches includes:a first series of stitches connected to the second portion of the flexible strand and;a second series of stitches connected to the first portion of the flexible strand.3. The suture construct of claim 2 , wherein the first and second series of stitches are non-overlapping.4. The suture construct of claim 2 , wherein the ...

SYSTEMS AND METHODS FOR INCREASED OPERATING ROOM EFFICIENCY

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle. 115-. (canceled)16. An apparatus for receiving a needle , the apparatus comprising:a housing comprising an upper outward facing surface and a lower outward facing surface;a needle slot within the housing and located between the upper outward facing surface and the lower outward facing surface, the needle slot configured to receive a needle between the upper outward facing surface and the lower outward facing surface and comprising a secure zone configured to receive the needle therein; anda needle driver slot extending a distance along the housing and the needle slot, the needle driver slot also extending from the upper outer facing surface to the needle slot, wherein the needle driver slot is configured to receive a needle driver therethrough as the needle driver advances the needle along the needle slot and into the secure zone.17. The apparatus of claim 16 , wherein the housing comprises an upper structure and a lower structure that are coupled together.18. The apparatus of claim 17 , wherein the upper outward facing surface comprises a surface of the upper structure and the lower outward facing surface comprises a surface of the lower structure.19. The apparatus of claim 16 , wherein the needle driver slot intersects the needle slot.20. ...

SURGICAL MAT AND SURGICAL MARKING PEN TO PREVENT WRONG-SITE SURGERY

A color-coded surgical table covering or floor mat and/or a surgical color-coded skin marker can be used in a medical setting to identify a bodily location of patient for which a medical procedure is to take place. The surgical color-coded skin marker may be used to mark the location of the medical procedure site on a patient. The medical patient would be oriented to match the surgical table covering or floor mat body form that identifies, through color and orientation, or text, the bodily location of a medical procedure to take place. The combination of the two (table covering/floor mat and skin marker) provides an unmistakable indication that will help limit or reduce wrong-site medical procedures. A surgical mat using a color-coded system or using visual indicia may be used to identify the medical procedure site to medical practitioners, in order to reduce wrong-site medical procedures. 1. A kit for identification of medical procedure sites , comprising:at least one surgical mat, and 'wherein the mat has at least one color that indicates a medical procedure site or a neutral site, and the marker has a first marking color that is the same color as the at least one color of the mat.', 'at least surgical marker,'}2. The kit of claim 1 , wherein the mat further comprises at least one visual indicium that indicates a medical procedure site or a neutral site.3. The kit of claim 1 , wherein the mat further comprises a second color.4. The kit of claim 1 , wherein the at least one color of the mat comprises red.5. The kit of claim 1 , wherein the at least one color of the mat comprises blue.6. The kit of claim 2 , wherein the visual indicia comprise a pinstripe pattern claim 2 , a diamond pattern or a prone body image.7. The kit of claim 1 , wherein the surgical marker comprises a dual end marker claim 1 , and the first end of the marker has the first marking color and the second end of the marker has a second marking color.8. The kit of claim 2 , wherein the visual ...

METHOD FOR MONITORING OBJECT FLOW WITHIN A SURGICAL SPACE DURING A SURGERY

One variation of a method for monitoring needle consumption in a surgical space during a surgery includes: accessing a sequence of images captured by a camera facing an inventory field within the surgical space; scanning the sequence of images for needle packages and needles; in response to detecting entry of a needle package into the surgical space in a first image, logging entry of the needle package, labeled as sterile, into the inventory field at a first time and incrementing a sterile packaged needle counter for the needle package according to a first quantity of sterile needles associated with a type of the needle package; and, in response to detecting removal of a first needle from the inventory field in a second image, incrementing a deployed needle counter at a second time succeeding the first time and decrementing the sterile packaged needle counter. 1. A method for monitoring needle consumption in a surgical space during a surgery includes:accessing a sequence of images of a surgical space captured by a set of optical sensors arranged in the surgical space;in response to detecting a needle package at a first location in a first image, in the sequence of images, captured at a first time, logging a first needle in a sterile packaged condition at the first location at the first time; scanning a second region of the second image depicting a distal end of the needle driver for features representative of the first needle; and', 'in response to detecting features representative of the first needle in the second region of the second image, logging the first needle in a sterile retained condition proximal the second location at the second time;, 'in response to detecting a needle driver at a second location in a second image, in the sequence of images, captured at a second time succeeding the first time scanning a third region of the third image depicting the distal end of the needle driver for features representative of a patient; and', 'in response to detecting ...

FOSSA OVALIS PENETRATION USING PROBING ELEMENTS

A method is provided for puncturing a fossa ovalis of a heart, the method including inserting a catheter into a right atrium of the heart, and advancing a distal portion of the catheter toward an interatrial septum of the heart. A flexible longitudinal member is slid through openings disposed at the distal portion of the catheter, such that the flexible longitudinal member is made to loop around a portion of an inside perimeter of the fossa ovalis. While the flexible longitudinal member is looped around the portion of the inside perimeter of the fossa ovalis, a hole is punctured in the fossa ovalis at a puncturing point. 1106-. (canceled)107. A method for puncturing a fossa ovalis of a heart , the method comprising:inserting a catheter into a right atrium of the heart;advancing a distal portion of the catheter toward an interatrial septum of the heart;sliding a flexible longitudinal member through openings disposed at the distal portion of the catheter, such that the flexible longitudinal member is made to loop around a portion of an inside perimeter of the fossa ovalis; andwhile the flexible longitudinal member is looped around the portion of the inside perimeter of the fossa ovalis, puncturing a hole in the fossa ovalis at a puncturing point.108212-. (canceled)213. The method according to claim 107 , further comprising stabilizing the catheter by pressing the flexible longitudinal member against the portion of the perimeter of the fossa ovalis claim 107 , before puncturing the hole in the fossa ovalis.214. The method according to claim 107 , wherein sliding the flexible longitudinal member through the openings comprises sliding the flexible longitudinal member through the openings claim 107 , such that the flexible longitudinal member is made to loop around most of the inside perimeter of the fossa ovalis.215. The method according to claim 107 , wherein sliding the flexible longitudinal member through the openings comprises sliding exactly one flexible ...

IMPLANTABLE MEDICAL LEAD INDICATORS

An implantable medical lead may include an electrode at a distal portion of the lead that is configured to monitor or provide therapy to a target site. The lead may include a visible indicator that is visible to the naked eye of a clinician at a medial portion of the lead that is configured to indicate when the electrodes of the lead are longitudinally and radially aligned properly to monitor or treat the target site. A clinician may insert the lead into the patient using an introducer sheath inserted to a predetermined depth into the patient and subsequently aligning the distal portion of the lead by orienting the indicator at an entry port of the introducer sheath. 1. A medical device system comprising: a distal portion;', 'a proximal portion;', 'a visible indicator located at a discrete longitudinal position and a discrete radial position on the implantable medical lead between the distal portion and the proximal portion; and', 'one or more electrodes on the distal portion configured to at least one of deliver electrical stimulation or sense electrical signals of a patient when implanted within the patient at a target site; and, 'an implantable medical lead includingan introducer sheath including a distal portion configured to be inserted into the patient to a predetermined depth and an entry port at a proximal portion of the introducer sheath, wherein the distal portion of the implantable medical lead is configured to be inserted into the entry port of the introducer sheath and moved towards the distal portion of the introducer sheath, wherein the visible indicator is configured to indicate a radial orientation of a distal portion of the implantable medical lead within the introducer sheath and indicate a depth of the distal portion of the implantable medical lead within the introducer sheath.2. The medical device system of claim 1 , wherein the visible indicator is located at the discrete longitudinal position on the implantable medical lead such that the ...

SYSTEMS AND METHODS FOR DATA CAPTURE IN AN OPERATING ROOM

The data from several sensors can be measured to provide improved measurement of surgical workflow. The data may comprise times at which needles are removed from suture packs and placed in receptacles. The surgical workflow data may comprise data from several instruments such as removal and placement time of surgical instruments and electrocautery devices. The data from several sensors can indicate vital statistics of a patient or environmental conditions of an operating room. The data from several sensors can indicate the presence, absence, arrival, or departure of one or more actors in a surgical workflow. The data from several sensors can be registered with a common time base and a report generated. The report can indicate a performance of individuals and groups of participants in a surgical workflow. 1. An apparatus to measure surgical workflow , the apparatus comprising:a processor configured with instructions to receive inputs corresponding to a plurality of surgical parameters related to surgery of a patient.2. The apparatus of claim 1 , wherein the plurality of inputs comprises a plurality of times corresponding to one or more of removal of needles from a suture pack or placement of needles in a needles receptacle.3. The apparatus of claim 1 , wherein the processor is configured to provide an alert when a first needle and a second needle have been removed from a suture pack without the first needle having been placed in a needle receptacle.4. The apparatus of claim 1 , wherein the processor is configured to provide an alert when a suture needle has been removed from a pack before the needle has been placed in a receptacle.5. The apparatus of claim 2 , wherein the plurality of inputs comprises a plurality of times at which each of a plurality of needles is removed from a suture pack.6. The apparatus of claim 2 , wherein the plurality of inputs comprises a plurality of times at which each of a plurality of needles is placed in a needle receptacle.7. The ...

Tamper proof circuit for surgical instrument battery pack

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

Personalized Tourniquet Apparatus

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

Catheter Tracking and Placement System Including Light Emitting Diode Array

A tracking system configured to track the movement of the medical device. The medical device can include a proximal portion that has a magnetic element attached thereto. The system can include a console with a display, and a TLS sensor. The TLS sensor can be disposed on a surface of the patient and can include an LED array. The LED array can indicate a proximity of the medical device to the TLS sensor. The LED array can provide different colors and/or project images to display information regarding the location, orientation, distance, or depth of the medical device. The display can be disposed on an upper surface of the TLS sensor and can be configured to show an image of the medical device disposed therebelow, along with additional information and imagery, thus providing a standalone unit.

Safety isolation bags for intra abdominal, endoscopic procedures, power morcellation and vaginal morcellation

A safety isolation bag is a pneumoperitoneum device for intra-abdominal, endoscopic procedures, power morcellation and vaginal morcellation for facilitating safe removal of body mass from within the abdominal cavity. It comprises of an expandable and collapsible enclosed internal space ( 5 ) having a neck portion ( 4 ) with mouth ( 3 ) having retractor means ( 2 ) and provided with markings, colour coded indicating how much the bag is to be pulled out for the removal of large, medium and small tissue mass, and also having one or more non-return valves ( 6 ) attached with long looped threads ( 8 ) on one of the surface in the wall of the safety isolation bag below the neck as a means for introducing the surgical instruments and accessories into the enclosed internal space at the right place and to close the puncture hole after the procedure. It is made of one or more layers of flexible biocompatible/medical grade plastic film.

End effector of surgical linear stapler

Disclosed is an end effector of a surgical linear stapler, which includes a staple cartridge, an anvil, a pusher unit, a driving wedge, a stabilizer unit and a blade unit, wherein the stabilizer unit is arranged on the staple cartridge while neighboring on the pusher unit and at least partially discharged from the staple cartridge by the driving wedge so as to hold tissue placed in between the staple cartridge and the anvil.

Guidance system, method and devices thereof

A guidance system, a method and a device for dynamically guiding a surgical needle catheter onto an organ to be surgically operated of a patient. In particular, the disclosure relates to a guidance system, a method and a device to aid in the percutaneous kidney puncture.

MEDICAL ABLATION SYSTEM AND METHOD OF USE

A probe for ablating tissue comprises an electrosurgical working end configured to provide a first plasma about a first surface location and a second plasma about a second surface location, the first plasma having first ablation parameters and the second plasma having second ablation parameters. The probe has a working end with a thickness below 3 mm and produces a low temperature plasma. 1. A probe for ablating tissue comprising an electrosurgical working end configured to provide a plasma about first surface region and a second surface region comprising a tissue abrasive.2. The probe of wherein tissue abrasive is configured to abrade cartilage.3. The probe of wherein tissue abrasive is configured to polish cartilage.4. The probe of wherein the tissue abrasive comprises an abrasive material.5. The probe of claim 4 , wherein the abrasive material comprises diamond dust.6. The probe of wherein the probe has a gap defined between the first surface region and the second surface region claim 1 , and wherein plasma is emitted through the gap.7. The probe of wherein the emitted plasma comprises a low temperate plasma.8. The probe of wherein the plasma has a temperature of less than 80° C. claim 7 , 70° C. claim 7 , 60° C. claim 7 , or 50° C.9. The probe of wherein the probe comprises a working end comprising a dielectric body having an interior chamber that is open to the plasma emitting gap10. The probe of wherein the gap comprises an annular gap.11. The probe of wherein one or more of the first or second surface regions are annularly-shaped.12. A medical probe comprising an elongated introducer extending along a longitudinal axis to an electrosurgical working end configured to provide a plasma about a surface region thereof and an observable indicator at least one side of the working for indicating a plasma-on or plasma-off condition.13. The probe of wherein the observable indicator comprises a window element exposed to plasma at the interior of the working end.14. The ...

METHOD OF HARVESTING TISSUE USING SEQUENTIAL SECTIONS OF A TWO DIMENSIONAL ARRAY OF NEEDLES

In one aspect, the present disclosure relates to a method for harvesting biological tissue. In some embodiments, the method includes providing a device having a plurality of segments of hollow tubes, each hollow tube having at least one point at the distal end of the hollow tube, the plurality of segments forming a two dimensional array of hollow tubes, wherein each segment can include a plurality of hollow tubes; positioning the two dimensional array of hollow tubes proximal to an upper surface of a biological tissue; advancing a first segment of the two dimensional array of hollow tubes into the biological tissue to sever portions of the biological tissue from the surrounding tissue; raising the first segment of the two dimensional array of hollow tubes such that the biological tissue remains in each of the hollow tubes of the first segment; advancing a second segment of the two dimensional array of hollow tubes into the biological tissue to sever portions of the biological tissue from the surrounding tissue; and raising the second segment of the two dimensional array of hollow tubes such that the biological tissue remains in each of the hollow tubes of the second segment. 1. A method for harvesting biological tissue , the method comprising:providing a device having a plurality of segments of hollow tubes, each hollow tube comprising at least one point at the distal end of the hollow tube, the plurality of segments forming a two dimensional array of hollow tubes, wherein each segment comprises a plurality of hollow tubes;positioning the two dimensional array of hollow tubes proximal to an upper surface of a biological tissue;advancing a first segment of the two dimensional array of hollow tubes into the biological tissue to sever portions of the biological tissue from the surrounding tissue;raising the first segment of the two dimensional array of hollow tubes such that the biological tissue remains in each of the hollow tubes of the first segment;advancing a ...

SURGICAL TOOLS AND SYSTEM FOR SAFELY ACCESSING BODY CAVITIES AND METHODS OF USING THE SAME

The application discloses a set of surgical instruments that may be used to access a human or animal body cavity for medical purposes without causing damage to internal tissues or organs therein, and methods of using the same. The instruments include a safety needle and flexible sheath that may be coupled together and used to establish a minimally invasive method to access a targeted body cavity while preventing or reducing damage to organs or tissues within the targeted cavity. Additional instruments are included within the invention that may be used to establish an access port in the wall of the targeted cavity. That port may be used to introduce catheters or other instruments into the body cavity. It may also be used as a drainage tube for draining or injecting gases and/or fluids from or into the targeted cavity. 1. A medical instrument kit , comprising:a. a flexible hollow sheath with a proximal end, a distal end, and an interior diameter; and i. an outer hollow needle having a proximal end, a sharp distal end, and an exterior diameter that is substantially equal to said interior diameter of said flexible sheath, wherein said outer hollow needle can be snuggly inserted into said flexible sheath, and', 'ii. an inner stylet having a proximal end and a blunt distal end, said inner stylet extending through said outer hollow needle, wherein said needle assembly includes a biasing structure for biasing said stylet to a position where said blunt distal end of said stylet extends beyond said sharp distal end of said outer hollow needle., 'b. a safety needle assembly fitting closely within said hollow sheath and having'}2. The instrument kit of claim 1 , wherein said safety needle assembly further includes a first connector for reversibly coupling to said flexible sheath.3. The instrument kit of claim 2 , wherein said flexible sheath comprises a second connector for reversibly coupling to said first connector.4. The instrument kit of claim 1 , further comprising a ...

Intraoperative surgical event summary

Systems and methods for generating decision support data for surgical videos are disclosed, the system may include at least on processor configured to implement a method. The method may include receiving video footage of a surgical procedure performed by a surgeon on a patient in an operating room and implementing a model on the received video footage to determine an existence of a surgical decision-making junction. The model may be trained to detect decision-making junctions using training data based on historical video footage depicting surgical situations. The method may include accessing, in a data structure, a correlation between an outcome and a specific action taken at the decision-making junction, and, based on the existence of the decision-making junction and the correlation, outputting a recommendation to at least one of a user device or a user interface related to the specific action.

Biological Specimen Collection Apparatus

A biological specimen collection apparatus may include markings for facilitating and positioning a sheet of material relative to an opening of a toilet seat so as to assist a user to properly depositing a biological specimen in the apparatus. The apparatus may also include a plurality of volumetric markings. 1. A biological specimen collection apparatus comprising at least one sheet of material configured for disposal above a toilet bowl so as to collect a biological specimen and a marking disposed on at least one sheet of material for aligning the material relative to an opening in a toilet seat.2. The apparatus of claim 1 , wherein at least one sheet of material comprises a plurality of volumetric markings.3. The apparatus of where in at least one sheet of material comprises a first lower layer and second upper layer having an opening at one end configured to enable the toilet seat to be slid between the lower layer and the upper layer.4. The apparatus of claim 1 , wherein the marking is generally ovular in shape.5. The apparatus of claim 4 , wherein the at least one sheet of material comprises a first lower layer and a second claim 4 , upper layer claim 4 , the second upper layer having a hole inside of the marking.6. A system for capturing biological fluid claim 4 , the system comprising:an upper layer having sides, a distal end, and a proximal end, and defining a hole therethrough; anda lower layer having sides, a distal end, and a proximal end;wherein the sides and distal end of the upper layer are connected to the sides and distal end of the lower layer, and the proximal end is generally open.7. The system of claim 6 , wherein the upper layer and lower layer are formed from a single piece of material.8. The system of claim 6 , wherein the proximal end is configured to be mounted on a toilet seat.9. The system of claim 6 , wherein the lower layer comprises a plurality of volumetric markings.10. The system of claim 9 , wherein the upper layer comprises one or ...

Device and method for asissting laparoscopic surgery - rule based approach

A surgical controlling system comprising: at least one location estimating means to real-time locate the 3D spatial position of at least one surgical tool, at least one movement detection means in communication with a movement database and with the location estimating means and a controller, which controls the position of at least one surgical tool, in communication with a movement database, a control database and the movement detection means. The movement database stores the 3D spatial position of each surgical tool at the present time and at at least one previous time; a tool has moved if its present position is different from its previous position. The control database stores rules to identify a movement of a tool as either an allowed movement or a restricted movement. Examples of rules include a maximum speed rule, a virtual zoom rule, a virtual rotation of scene rule, and position of tool rule.

POLARITY OF HALL MAGNET TO DETECT MISLOADED CARTRIDGE

A surgical stapling system including a shaft assembly transmits actuation motions from an actuator and an end effector compresses and staples tissue. The end effector comprises an channel; an anvil having a staple forming surface is moveable relative to the channel between open and closed positions; the anvil having a magnet at the distal end; and a staple cartridge removably positionable within the channel. The staple cartridge comprises a body supported for a confronting relationship with the anvil in its closed position; a plurality of staple drivers located within the cartridge body support a staple; a Hall effect sensor located at the distal end of the body; and a microprocessor in communication with the Hall effect sensor. The Hall effect sensor and microprocessor receive power when the staple cartridge is positioned within the channel, and the system is operable to identify the staple cartridge. 1. A surgical stapling system comprising:an elongated shaft assembly configured to transmit actuation motions from an actuator; andan end effector for compressing and stapling tissue, the end effector operably coupled to the elongated shaft, the end effector comprising:an elongated channel;an anvil having a staple forming surface thereon, the anvil moveable to relative to the elongated channel between an open position and a closed position; the anvil having a magnet located at the distal end; anda staple cartridge removably positioned within the elongated channel, the staple cartridge comprising:a cartridge body supported for a confronting relationship with the anvil when the anvil is in the closed position;a plurality of staple drivers located within the cartridge body, wherein each one of the plurality of staple drivers supports a staple;a Hall effect sensor located at the distal end of the cartridge body; anda microprocessor in communication with the Hall effect sensor;wherein the Hall effect sensor and microprocessor receive power when the staple cartridge is ...

TIP AND DEVICE FOR APPLYING AND SPREADING A LIQUID, GEL OR PASTE PRODUCT

The invention concerns an application tip for a device for applying and spreading a liquid, gel or paste product on a given surface configured to allow a volume of product to be transformed and spread over a surface according to a predetermined calibration (C) comprising, internally, a flow control means,—internally, at least one buffer volume, means for controlled dispersion of the product, and a device for applying and spreading a liquid, gel or paste product on a given surface comprising means for storing the product and an application tip according to the invention 1. An application tip for a device for applying and spreading a liquid , gel or paste type product on a given surface characterized in that it is configured for allowing a volume of product to be transformed and spread on a surface according to a predetermined calibration comprisinginternally, a means for regulating the flow rate,internally, at least one buffer volume, andmeans for controlled dispersion of the product.2. The tip according to characterized in that the means for controlled dispersion of the product consist of at least one transverse groove on a surface at the end of the application tip.3. The tip according to claim 1 , characterized in that the tip comprises means for standardizing the dispersion of the product.4. The tip according to claim 3 , characterized in that the means for standardizing the dispersion of the product consist of dispersion grooves arranged in the form of a cross.5. The tip according to claim 1 , characterized in that the buffer volume is disposed upstream of the means for regulating the flow rate.6. The tip according to claim 1 , characterized in that the buffer volume is disposed downstream of the means for regulating the flow rate.7. The tip according to claim 1 , characterized in that the tip comprises a cylindrical shaped connection part and a cylindrical shaped application and spreading part of greater diameter than that of the connection part.821. The tip ...

Surgical visualization with proximity tracking features

A surgical visualization system is disclosed. The surgical visualization system is configured to identify one or more structure(s) and/or determine one or more distances with respect to obscuring tissue and/or the identified structure(s). The surgical visualization system can facilitate avoidance of the identified structure(s) by a surgical device. The surgical visualization system can comprise a first emitter configured to emit a plurality of tissue-penetrating light waves and a second emitter configured to emit structured light onto the surface of tissue. The surgical visualization system can also include an image sensor configured to detect reflected visible light, tissue-penetrating light, and/or structured light. The surgical visualization system can convey information to one or more clinicians regarding the position of one or more hidden identified structures and/or provide one or more proximity indicators.

System and method for inhibiting injury to a patient during laparoscopic surgery

This group of inventions provides means and methods for preventing the damaging portions of surgical tools, such as laparoscopic devices, from adversely contacting tissues and organs that are not in the desired field of surgery. As such, the present disclosure pertains to any form of a warning or positioning device or methods, including those that are facilitated via software that are adapted and arranged for use in tracking portions of surgical instruments during laparoscopic surgery or other medical procedures. Such systems include those that are adapted and arranged to provide a warning to the surgeon or other medical personnel regarding the positional status of an instrument, and those that are adapted and arranged for disabling or attenuating the portions of those instruments that might be dangerous to a patient when a dangerous portion of the instrument is near or outside the desired, or denominated, field of surgery. Data relating to the position and orientation of the instrument and of the position of a safe zone within which the instrument can be kept safely is optionally (preferably) stored throughout a medical procedure for later playback for training purposes or for ensuring that a patient was not injured during a medical procedure.

SELECTIVELY LOCKABLE HOLDING ARRANGEMENT FOR A SURGICAL ACCESS SYSTEM

Selectively lockable holding arrangements for a surgical access assembly are disclosed. One holding arrangement includes a proximal body portion, a distal body portion, a retaining member, and a rotation brake. The distal body portion is adjacent the proximal body portion and configured to be selectively rotated relative to the proximal body portion. The retaining member is at a distal end of the distal body portion. The rotation brake extends from the proximal body portion to the distal body portion and is selectively operable to lock the distal body portion against rotation with respect to the proximal body portion. 1. A selectively lockable holding assembly for a surgical access assembly , comprising:a proximal body portion;a distal body portion adjacent the proximal body portion; anda rotation brake joining the proximal body portion to the distal body portion, wherein the distal body portion is configured to be selectively rotated relative to the proximal body portion when the rotation brake is in an unlocked configuration; wherein the rotation break is selectively operable to lock the distal body portion against rotation with respect to the proximal body portion.2. The holding assembly of claim 1 , further comprising a retaining member at a distal end of the distal body portion.3. The holding assembly of claim 2 , wherein the retaining member further includes a treated section that is configured to reduce glare.4. The holding assembly of claim 1 , wherein the rotation brake includes a socket secured to the proximal body portion and a ball secured to the distal body portion claim 1 , the ball selectively rotatable about the socket.5. The holding assembly of claim 4 , wherein the rotation brake includes a flange configured to engage the socket to lock the ball against rotation with respect to the socket.6. The holding assembly of claim 5 , wherein the flange engaging the socket causes the socket to exert a compressive force upon the ball to lock the ball against ...

Treatment device and treatment system

A treatment device which applies energy to a biological tissue to treat the biological tissue, includes: an interlocking mechanism that regulates at least one of a closing time until first and second jaws reach a closed state from an opened state when one operation is input into an operating body for a handle, and a unit closing amount from the opened state toward the closed state, interlocks at least one of the first and second jaws with the operating body, and is interposed between the operating body and the handle; and an elastic member that is disposed in the interlocking mechanism, couples the operating body with the handle, pulls the operating body toward the handle at a constant load or a constant pressure, and regulates the closing time until the closed state is reached from the opened state.

APPARATUS AND METHODS FOR TISSUE CLOSURE

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

SYSTEMS AND METHODS FOR ONSCREEN IDENTIFICATION OF INSTRUMENTS IN A TELEOPERATIONAL MEDICAL SYSTEM

A method comprises obtaining, for one or more medical instruments coupled to a teleoperational medical system, one or more corresponding medical instrument positions relative to a field of view of at least one imaging instrument coupled to the teleoperation medical system. The method also comprises initiating, for a selected medical instrument of the one or more medical instruments, generation of a corresponding indicator to a user. The corresponding indicator may be based on a position of the selected medical instrument relative to the field of view. 120-. (canceled)21. A method comprising:obtaining, for one or more medical instruments coupled to a teleoperational medical system, one or more corresponding medical instrument positions relative to a field of view of at least one imaging instrument coupled to the teleoperation medical system; andinitiating, for a selected medical instrument of the one or more medical instruments, generation of a corresponding indicator to a user, wherein the corresponding indicator is based on a position of the selected medical instrument relative to the field of view.22. The method of claim 21 , wherein obtaining the one or more corresponding medical instrument positions relative to the field of view comprises:determining, based on a position and orientation of the at least one imaging instrument, the field of view of the at least one imaging instrument; anddetermining, for the one or more medical instruments, the one or more corresponding medical instrument positions relative to the field of view based on a kinematic model for the teleoperation medical system.23. The method of claim 21 , wherein obtaining the one or more corresponding medical instrument positions relative to the field of view comprises:determining, based on a position and orientation of the at least one imaging instrument, the field of view of the at least one imaging instrument; anddetermining, for the one or more medical instruments, the one or more corresponding ...

SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES

A surgical cutting and fastening instrument. The instrument comprises a handle and an end effector connected to the handle. The end effector comprises upper and lower opposing jaw members, wherein the upper jaw member comprises a plurality of co-linear, separately actuatable, RF electrodes. 1. A surgical cutting and fastening instrument comprising:a handle;an end effector connected to the handle comprising upper and lower opposing jaw members, wherein the upper jaw member comprises a plurality of co-linear, separately actuatable, RF electrodes.2. The surgical cutting and fastening instrument of claim 1 , wherein the handle is connected to the end effector by a shaft.3. The surgical cutting and fastening instrument of claim 1 , wherein the handle is connected to the end effector by a flexible cable.4. The surgical cutting and fastening instrument of claim 1 , further comprising:a RF source;a multiplexer having an input connected to the RF source and having a number of outputs, each output connected to one of the RF electrodes; anda controller connected to the multiplexer for controlling the multiplexer so that the RF electrodes are activated according to a sequence.5. The surgical cutting and fastening instrument of claim 1 , wherein the upper jaw member comprises a plurality of insulators claim 1 , each insulator insulating one of the RF electrodes from a metallic portion of the upper jaw member.6. The surgical cutting and fastening instrument of claim 5 , wherein the insulators comprise a ceramic material.7. The surgical cutting and fastening instrument of claim 6 , wherein the ceramic material insulators are sputter coated onto the upper jaw member.8. The surgical cutting and fastening instrument of claim 7 , wherein the RF electrodes are sputter coated onto the ceramic material insulators.9. The surgical cutting and fastening instrument of claim 8 , wherein the RF electrodes comprise silver.10. The surgical cutting and fastening instrument of claim 1 , wherein ...

Tissue Ablation Cannula Assembly

An assembly for radiofrequency ablation of tissue. A cannula includes a cannula hub and a cannula body including a cannula bend, a lumen, and side opening within an outer side of the cannula bend. An electrode includes an electrode hub and an electrode body dimensioned to be inserted within the lumen of the cannula body in at least first and second rotational orientations as indicated by registration of respective indicia on the cannula and electrode hubs. A distal section of the electrode body extends past the side opening of the cannula body in the first rotational orientation, and the distal section extends through the side opening in the second rotational orientation. The indicia of the cannula hub and the electrode hub may be indicative of the orientation of the cannula bend and an electrode bend, respectively. Methods of performing radiofrequency ablation of the tissue with the assembly are also disclosed. 1. An assembly for radiofrequency ablation of tissue , said assembly comprising: a cannula hub comprising indicia;', 'a cannula body comprising a cannula proximal section including a cannula proximal end coupled to said cannula hub, a cannula distal section including a cannula distal end opposite said cannula proximal end with said cannula distal section comprising electrically conductive material for ablating the tissue, a cannula bend between said cannula proximal and distal sections, a lumen extending between said cannula proximal and distal ends, and a side opening within an outer side of said cannula bend and opening into said lumen;, 'a cannula comprising an electrode hub comprising a first indicia and a second indicia; and', 'an electrode body coupled to said electrode hub and dimensioned to be inserted within said lumen of said cannula body in at least a first rotational orientation and a second rotational orientation relative to said cannula body such that, when said electrode body is inserted within said cannula body in said first rotational ...

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.

Tourniquet With Audio Instructions

A tourniquet with audio instructions comprising: a tourniquet with a belt, clip, securing strap, and instruction module; a release switch can be activated when the tourniquet is put in use so that audio instructions are provided to the user for using the tourniquet. The invention can include the instruction module being carried by a holster that also carries the tourniquet. The instruction module can be activated when the tourniquet is removed from the holster, unfolded or manually actuated. The tourniquet can be retained in a holster and the instruction module is activated when the tourniquet is removed from the holster.

Transosseous suture anchor

Examples of the invention include implants, instruments and methods for surgical transosseous attachment to a bone. More particularly, examples of the invention relate to knotless suture anchors.

APPLICATOR INSTRUMENTS FOR DISPENSING SURGICAL FASTENERS HAVING DISTAL END CAPS WITH CASTLING FOR ENGAGING OPPOSING SURFACES

An applicator instrument for dispensing surgical fasteners includes a housing having an actuator and an elongated shaft extending from the housing. The applicator instrument includes a top stamping disposed within the elongated shaft, and a bottom stamping disposed within the elongated shaft that opposes the top stamping. The applicator instrument has a firing system for dispensing at least one surgical fastener from the distal end of the elongated shaft. An end cap is assembled with the distal ends of the top stamping, the bottom stamping, and the elongated shaft for stabilizing the distal end of the applicator instrument. The end cap has a distal end face with castling for engaging an opposing surface such as surgical mesh overlying tissue. The castling prevents the distal end of the applicator instrument from sliding or moving relative to the opposing surface. 1. An applicator instrument for dispensing surgical fasteners comprising:a housing;an elongated shaft extending from said housing, said elongated shaft having a proximal end coupled with said housing and a distal end remote therefrom;a firing system for dispensing surgical fasteners from the distal end of said elongated shaft;an end cap assembled with the distal end of said elongated shaft, said end cap having a distal end face with castling for engaging an opposing surface.2. The applicator instrument as claimed in claim 1 , further comprising:a top stamping having a proximal end and a distal end and being disposed within said elongated shaft;a bottom stamping having a proximal end and a distal end, said bottom stamping opposing said top stamping and being disposed within said elongated shaft;said end cap being assembled with the distal ends of said top stamping and said bottom stamping for stabilizing the distal end of said elongated shaft.3. The applicator instrument as claimed in claim 2 , wherein said end cap comprises:a top assembly flange extending proximally from a proximal end of said end cap that ...

Magnetically Activated Arteriovenous Access Valve System and Related Methods

In one aspect, an arteriovenous access valve system may generally include a first valve configured to be positioned at or adjacent to an end of arteriovenous graft and a second valve configured to be positioned at or adjacent to an opposite end of the arteriovenous graft. In addition, the system may include an actuator assembly in fluid communication with the first and second valves. The actuator assembly may include a housing, a driver assembly positioned within the housing and a drive magnet positioned within the housing. The drive magnet may be rotatably coupled to the driver assembly such that, when the drive magnet is rotated, the driver assembly is configured to be rotatably driven so as to supply fluid to the first and second valves or to draw fluid out of the first and second valves depending on a rotational direction of the driver assembly.

Reload assembly with spent reload indicator

A reload assembly is disclosed that includes a proximal body portion having an indicator that is movable from a retracted position to an advanced position to provides a visual indication to a clinician of the state of the reload assembly, i.e., whether the reload assembly is loaded with staples and ready for use or depleted of staples. A tool assembly of the presently disclosed reload assembly may also include a cartridge assembly, an anvil and a drive assembly. In embodiments, one or both of the cartridge assembly, the anvil, and/or the drive assembly may support an illuminating device. In embodiments, the illuminating device, which may be an LED, is adapted to change color when the reload assembly has been fired to provide an indication to a clinician that the reload assembly is spent. Since the illuminating device is illuminated when reload assembly is in both the unused and spent states, the illuminating device also improves visualization during placement and use of the reload assembly.

Medical instrument displays and medical instrument display programs

A medical instrument display includes an image storage that stores a plurality of image data of a medical instrument, a data analyzer that searches a plurality of image data stored in the image storage on a certain condition, and a display controller that causes a display to display a first medical instrument image that has been selected from thumbnail images, the thumbnail images being based on a plurality of the image data obtained by the search, and a second medical instrument image in good order, the second medical instrument image being different from the first medical instrument image.

Closure joint engagement for surgical tool

The disclosed embodiments relate to systems and methods for a surgical tool or a surgical robotic system. A coupling device driven by a plurality of drive disks corresponds to a first motor and a second motor. One or more processors are configured to send a low torque command to a first motor, send the low torque command to a second motor, determine whether the first motor and the second motor meet one or more hold engagement criteria, send a high torque command to the first motor in response to the first motor and the second motor meeting the one or more hold engagement criteria, and send the high torque command to the second motor in response to the first motor and the second motor meeting the one or more hold engagement criteria.

Admittance compensation for surgical tool

The disclosed embodiments relate to systems and methods for a surgical tool or a surgical robotic system. An actuator or a motor of a tool driver is configured to operate a joint of a tool. One or more processors are configured to receive an initial joint command for the joint of the tool, determine a joint torque based on motor torque of the motor or actuator as well as motor to joint torque mapping, calculate a tip force based on an effective length associated with the joint and based on the joint torque, compare the tip force to a predetermined threshold, calculate an admittance control compensation term in response to the tip force exceeding the predetermined threshold, and generate a command for the motor or actuator based on the admittance control compensation term and the initial joint command.

SYSTEM AND METHOD FOR SCAFFOLDING OF ANASTOMOSES

Embodiments of the invention provide systems and methods for using a tissue scaffold to facilitate healing of an anastomosis. One embodiment provides a tissue scaffold for placement at an anastomotic site within a body lumen comprising a radially expandable scaffold structure having lateral and mid portions, at least one retention element coupled to each lateral portion and a barrier layer. The retention element engages a luminal wall when the scaffold structure is expanded to retain the structure and exert a compressive force on the anastomosis. The mid portion has a greater radial stiffness than the lateral portions such that when the structure is expanded, the lateral portions engage tissue prior to the mid portion. The barrier layer is configured to engage a luminal wall when the structure is expanded to provide a fluidic seal at the anastomosis. The barrier layer may also include releasable biological agents to promote anastomotic healing. 1. A method for healing of an anastomosis in a target body lumen , the method comprising:positioning a prosthetic scaffold at an anastomotic site in the target body lumen;radially expanding the prosthetic scaffold to engage a wall of the target body lumen;utilizing the prosthetic scaffold to apply a compressive force on the wall of the target body lumen to maintain opposing like tissue layers of the anastomosis in substantial alignment; andretaining the prosthetic scaffold at the anastomotic site during a period of anastomotic healing.2. The method of claim 1 , wherein the prosthetic scaffold includes a barrier layer claim 1 , the method further comprising:engaging the barrier layer with the wall of the target body lumen to form a fluidic seal between the anastomosis and the barrier layer.3. The method of claim 1 , wherein the prosthetic scaffold includes a biological agent claim 1 , the method further comprising:delivering the biological agent to the anastomotic site to facilitate healing of the anastomosis.4. The method of ...

ELECTROSURGICAL (RF) MEDICAL INSTRUMENTS FOR CUTTING AND COAGULATING TISSUE

An electrosurgical device is disclosed. The electrosurgical device includes a handle, a shaft extending distally from the handle, and an end effector coupled to a distal end of the shaft. The end effector comprises a first electrode and a second electrode. The second electrode includes a first position and a second position. The second electrode is configured to move from the first position to the second position when a force is applied to the end effector by a tissue section. The first electrode and the second electrode define a treatment area when the second electrode is in the second position. 1. An electrosurgical instrument comprising:a pencil-grip handle;a shaft coupled to the pencil grip handle; and a body;', 'a source electrode; and', 'one or more return electrodes,, 'an end effector coupled to the shaft, wherein the end effector compriseswherein the source electrode and the one or more return electrodes are configured to provide an electrosurgical signal to a tissue.2. The electrosurgical instrument of claim 1 , wherein the electrosurgical signal comprises a radio frequency (RF) signal.3. The electrosurgical instrument of claim 1 , wherein the pencil-grip handle comprises a power source and is cordless.4. The electrosurgical instrument of claim 1 , wherein the source electrode is disposed on a center portion of the body and the one or more return electrodes are disposed on a lateral portion of the body.5. The electrosurgical instrument of claim 1 , wherein the body defines an oval shape.6. The electrosurgical instrument of claim 1 , wherein the one or more return electrodes each comprise a first return electrode and a second return electrode.7. The electrosurgical instrument of claim 6 , further comprising an electrosurgical generator coupled to the end effector claim 6 , wherein the electrosurgical generator is configured to produce the electrosurgical signal comprising a first phase claim 6 , a second phase claim 6 , and a third phase claim 6 , wherein ...

Chomically Indicating Sterile Wipes

Aspects of the present disclosure generally relate to sanitizing wipe that provides a visual indication that a sufficient amount of abrasive scrubbing has occurred for a given period of time to properly sterilize various medical devices and medical equipment including needless intravenous hub-and-port systems. The sanitizing wipe can change color when used to properly sanitize medical equipment. The sanitizing swab can comprise a plurality of layers of non-woven material (e.g., cotton) in addition to an indicating film disposed between two layers of non-woven material. The indicating film can comprise a polymeric film and a plurality of microencapsulated dyes incorporated into the polymeric film. The microencapsulated dyes can be adapted to burst upon sufficient force being applied thereto, and the bursting of the microencapsulated dyes can cause the sanitizing wipe to undergo a change in visual state (e.g., change color).

SURGICAL SAW BLADE

A surgical saw blade is disclosed for improved resection and cutting of tissue. The surgical saw blade may include a front side, an opposite back side, a top side, an opposite bottom side, a right side, and an opposite left side. The surgical saw blade may further include a cutting tooth extending from the back side and having a cutting edge oriented toward one of the right side and the left side, the cutting tooth associated with an aperture through the saw blade between the front and back sides. The back side may be a single direction cutting side and the front, top, bottom, right, and left sides may be non-cutting sides. The surgical saw blade may further include a saw connection feature near the bottom side.

Endoscopic reposable surgical clip applier

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

Variable Compression Bone Staple System

A bone staple and integral insertion device that provides biocompatibility, increased strength, and cost effectiveness is disclosed. Once the bone staple is inserted the desired depth into the bone, the arms of the insertion device are spread apart thereby applying the desired amount of compression to the bone staple. The insertion device can then be broken free from the bone staple, and removed from the patient. In this manner, the amount of compression between the broken ends of the bone can be regulated directly by the surgeon during implantation of the bone staple. 1. A bone staple system comprising:a bone staple; andan insertion device integral to the bone staple and comprising a pair of arm components, wherein the pair of arm components are repositionable to apply compression to the bone staple during implantation.2. The system of claim 1 , wherein the bone staple comprises a bridge component and a pair of legs claim 1 , wherein said pair of legs further comprise an anti-migratory protrusion at a proximal end of said pair of legs.3. The system of claim 2 , wherein the pair of legs of the bone staple further comprises a tapered angle at a distal tip of the pair of legs.4. The system of claim 1 , wherein both the bone staple and the insertion device are laser cut from a single piece of titanium alloy.5. The system of claim 4 , wherein the titanium alloy is Ti 6 Al 4 V-ELI.6. The system of claim 1 , wherein the pair of arm components comprise a break-off point at their proximal end.7. The system of claim 6 , wherein the bone staple is detachable from the insertion device at the break-off point.8. The system of claim 1 , wherein the pair of arm components further comprises a drill guide component secured to a proximal end of each of said pair of arm components.9. The system of claim 8 , wherein the drill guide component comprises a plurality of serrations on a tip of the drill guide component.10. The system of claim 1 , wherein the bone staple and the insertion ...

Surgical instrument with improved stop/start control during a firing motion

A surgical instrument. The surgical instrument includes an elongated channel, an anvil pivotably connected to the elongated channel, a closure member mechanically coupled to the anvil, an electric motor mechanically coupled to the closure member, a motor controller electrically coupled to the electric motor and a control circuit electrically connected to the motor controller. The control circuit is configured to monitor a first predefined event, monitor a second predefined event, provide a stop signal to the motor controller to stop a closing motion of at least one of the elongated channel and the anvil after an occurrence of the first predefined event, and provide a start signal to the motor controller to start the closing motion of the at least one of the elongated channel and the anvil after an occurrence of a second predefined event.

Firing member retraction devices for powered surgical instruments

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

Secondary battery arrangements for powered surgical instruments

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

SAMPLE COLLECTION DEVICES

A sample collection device for collecting a fluid sample is provided. The device includes a sample collection chamber, for collecting a sample therein, having a first end and a second end and a sample collection conduit, for conveying a sample from a user into the sample collection chamber. The sample collection conduit includes an inlet for receiving a sample and wherein in at least a first position the sample collection conduit extends from within the sample collection chamber out through the first end such that at least the inlet is outside of the sample collection chamber. The device further includes a plunger configured to expel the sample out of the sample collection chamber through the second end of the sample collection chamber. 1. A sample collection device , for collecting a fluid sample , comprising:a sample collection chamber, for collecting a sample therein, having a first end and a second end;a sample collection conduit, for conveying a sample from a user into the sample collection chamber, wherein the sample collection conduit comprises an inlet for receiving a sample and wherein in at least a first position the sample collection conduit extends from within the sample collection chamber out through the first end such that at least the inlet is outside of the sample collection chamber; anda plunger configured to expel the sample out of the sample collection chamber through the second end of the sample collection chamber.2. The sample collection device as claimed in claim 1 , wherein the sample collection conduit and plunger are operatively linked such that movement of the sample collection conduit causes movement of the plunger.3. The sample collection device as claimed in claim 1 , further comprising a seal arranged to close second end of the sample collection chamber claim 1 , and wherein the sample collection conduit and/or the plunger is configured to break the seal when moved towards a second position in which the sample collection conduit is ...

Fastener cartridge comprising non-uniform fasteners

A fastener cartridge can comprise fastener cavities arranged in longitudinal rows. A first fastener having a first configuration and a second fastener having a second configuration can be stored within a longitudinal row. First fasteners having a first configuration can be stored within a first longitudinal row and second fasteners having a second configuration can be stored within a second longitudinal row. Each first fastener can have a proximal leg, or leg portion, extending at a first proximal angle and a distal leg, or leg portion, extending at a first distal angle and each second fastener can have a proximal leg, or leg portion, extending at a second proximal angle and a distal leg, or leg portion, extending at a second distal angle. The first proximal angle can be different than the second proximal angle and/or the first distal angle can be different than the second distal angle.

Integrated power unit (ipu)

A power supply unit for a surgical instrument operated by an electric motor includes a battery-receiving housing separate and spaced apart from the surgical instrument. A fastening means or retainer fastens or retains the power supply unit to a body part of an operator. At least one power supply unit supplies power to at least one motor system. A control and monitoring device performs and/or monitors at least one function. A cable connection connects a cable for electrically coupling the power supply unit to a surgical instrument for operating the motor system thereof and/or for transmitting data and/or operating parameters.

SYSTEMS AND METHODS FOR INCREASED OPERATING ROOM EFFICIENCY

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle. 1. An apparatus for storing a needle , the apparatus comprising:a housing having an upper outward facing surface and a lower outward facing surface;a needle slot within the housing and located between the upper surface and the lower surface, the needle slot configured to receive the needle into the housing and comprising a secure zone configured to store the needle therein; anda needle driver slot extending a distance along the housing and the needle slot, the needle driver slot also extending through the housing, from the upper surface to the lower surface, wherein the needle driver slot is configured to receive a needle driver therethrough as the needle driver advances the needle along the needle slot and into the secure zone.2. The apparatus of claim 1 , wherein the housing comprises an upper structure and a lower structure that are coupled together.3. The apparatus of claim 2 , wherein the upper outward facing surface is a surface of the upper structure and the lower outward facing surface is a surface of the lower structure.4. The apparatus of claim 1 , wherein the needle driver slot intersects the needle slot.5. The apparatus of claim 1 , wherein the needle driver slot is configured to allow viewing of said needle in the secure zone ...

Tamper proof circuit for surgical instrument battery pack

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

Temporary Aortic Occlusion Device

A temporary aortic occlusion device is disclosed, having an expandable locator portion and an expandable occlusion portion. The expandable locator portion assists a user in determining whether the distal end of the device has been advanced within a patient's aorta, and the occlusion portion is expanded to occlude the patient's aorta, preferably below the renal arteries. 1. A temporary aortic occlusion device , comprising:an elongated device body having a distal end and a proximal end;a locator portion fixed near said distal end of said elongated device body; said locator portion being radially expandable from said proximal end of said device to a diameter less than or equal to a diameter of an aorta;an occlusion portion fixed near said distal end of said elongated device body and adjacent to said locator portion; said occlusion portion being radially expandable from said proximal end of said device to a diameter equal to or greater than said diameter of said aorta so as to cause occlusion of said aorta.2. The temporary aortic occlusion device of claim 1 , wherein said locator portion is a first plurality of braided wires.3. The temporary aortic occlusion device of claim 2 , wherein said locator portion further comprises a first polymer coating disposed over said first plurality of braided wires.4. The temporary aortic occlusion device of claim 2 , wherein said occlusion portion further comprises a second plurality of braided wires.5. The temporary aortic occlusion device of claim 4 , wherein said occlusion portion further comprises a second polymer coating disposed over said second plurality of braided wires.6. The temporary aortic occlusion device of claim 4 , wherein said occlusion portion further comprises an inner layer inverted from an outer layer of said second plurality of braided wires.7. The temporary aortic occlusion device of claim 4 , wherein said occlusion portion further comprises a plurality of biased struts within an interior of said occlusion ...

Systems and methods for increased operating room efficiency

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.

SYSTEMS, APPARATUS, METHODS AND COMPUTER-READABLE STORAGE MEDIA FACILITATING SURGICAL PROCEDURES UTILIZING AUGMENTED REALITY

Techniques facilitating augmented reality-assisted surgery are provided. In one example, a method is provided that includes receiving, by a first device including a processor, image data associated with an external portion of a tool located within a body of a patient, wherein the image data includes first information indicative of a first fiducial marker on the external portion of the tool. The method also includes determining one or more relative positions of an internal portion of the tool within the body relative to one or more anatomical structures of the body based on the image data and a defined configuration of the tool. The method also includes generating one or more representations of the tool within the body relative to the one or more anatomical structures based on the one or more relative positions and the defined configuration of the tool. 1. A medical device comprising:an elongated shaft comprising a distal end and a proximal end, wherein the distal end is configured for insertion into a body of a patient;a handle coupled to the proximal end of the elongated shaft;one or more fiducial markers located on the elongated shaft; andan orientation unit comprising an accelerometer configured to collect orientation information regarding an orientation of the medical device and provide the orientation information to another device, wherein an orientation and position of the medical device relative to the body of the patient are determined based on the orientation information and image data captured by one of the one or more fiducial markers.2. The medical device of claim 1 , wherein the one or more fiducial markers are configured to facilitate optical tracking of one or more positions of an internal portion of the elongated shaft inside the body of the patient.3. The medical device of claim 2 , wherein the one or more fiducial markers are located on an outer surface of the elongated shaft near the proximal end.4. The medical device of claim 3 , wherein the one ...

Medical device for guiding a surgical instrument

The present invention relates to a medical device ( 100 ) for guiding and controlling movement of a surgical instrument ( 102 ). The medical device ( 100 ) includes a hollow tube ( 104 ) through which the surgical instrument ( 102 ) passes through to penetrate an anatomical structure, a plurality of ultrasonic probes arranged circumferentially at a distal end of the tube ( 104 ), the plurality of ultrasonic probes ( 108 ) adapted to move along a longitudinal axis of the surgical instrument ( 102 ) to accommodate one or more irregularities of a surface of the anatomical structure, a controller ( 110 ) adapted to process signals obtained from each of the plurality of ultrasound probes ( 108 ) and detect the one or more irregularities and depth of the surface of the anatomical structure, and a locking mechanism ( 112 ) to allow movement of the surgical instrument ( 102 ) toward the anatomical structure based on processing of the signal by the controller ( 110 ).

Systems and Methods for Selecting Artificial Femoral Components

A method of determining a size of a femoral component to be implanted in a patient, includes positioning a distal cutting block on a distal end of a patient's femur, the distal cutting block having a first saw blade slot associated therewith. A saw blade is positioned in the first saw blade slot and an axial cut surface is formed on the distal end of the patient's femur. At least a portion of the axial cut surface extends through the medial condyle. A maximum distance of the axial cut surface is measured across the medial condyle. A femoral component is selected based on the maximum distance measured. 1. A method of determining a size of a femoral component to be implanted in a patient , comprising:positioning a distal cutting block on a distal end of a patient's femur, the distal cutting block having a first saw blade slot associated therewith;positioning a saw blade in the first saw blade slot and forming an axial cut surface on the distal end of the patient's femur, at least a portion of the axial cut surface extending through the medial condyle; andmeasuring a maximum distance of the axial cut surface across the medial condyle;selecting a femoral component based on the maximum distance measured.2. The method of claim 1 , wherein measuring the maximum distance includes measuring using nominal sizing indicia carried by the saw blade used to form the axial cut surface.3. The method of claim 2 , wherein the nominal sizing indicia carried by the saw blade increments negatively from an anterior top of concavity of the medial condyle to a posterior top of concavity of the medial condyle claim 2 , when the saw blade is positioned on the axial cut surface of the patient's femur.4. The method of claim 2 , wherein the nominal sizing indicia carried by the saw blade includes incremental indicia correlating to nominal sizes of femoral components.5. The method of claim 2 , wherein the nominal sizing indicia is carried on a first side of the saw blade claim 2 , and further ...

Circuitry and sensors for powered medical device

An end effector is disclosed. The end effector comprises a first jaw member comprising a magnetic sensor; a second jaw member pivotally coupled to the first jaw member such that the first jaw member is pivotally moveable between an open position and a closed position, wherein the second jaw member is configured to receive a staple cartridge therein; a staple cartridge removably coupled to the second jaw member, the staple cartridge further comprising an upper surface facing the first jaw member; and a magnet positioned to be in an opposing relationship to the magnetic sensor when the first jaw member is in the closed position. The magnetic sensor is operable to detect the magnetic field of the magnet, and wherein the detected magnetic field is indicative of the distance between the anvil and the staple cartridge.

ENDOSCOPE CONNECTING TUBE, LIQUID FEEDING APPARATUS, AND ENDOSCOPE REPROCESSING METHOD

An endoscope connecting tube includes a liquid feeding index including: an exterior; an exposure hole provided on the exterior; and a flow path; and a movable member that is brought into a convex warp state toward a surface direction of the exterior when an inner pressure of a flow path reaches a predetermined value or higher, and remains in the convex warp state even when the inner pressure of the flow path reaches less than the predetermined value; and a marker that projects from the exposure hole by the movable member being brought into the convex warp state; a releasing portion that releases the convex warp state of the movable member by causing the marker to slide and push the movable member; and an insertion path into which the releasing portion is inserted. 1. An endoscope connecting tube comprising:a tube;a first connector provided to a first end portion of the tube, and configured to be connected to an endoscope pipe sleeve;a second connector provided to a second end portion of the tube, and configured to be connected to a liquid feeding apparatus;a liquid feeding index arranged to at least one of the first connector and the second connector, the liquid feeding index comprising: an exterior; an exposure hole formed on the exterior; a flow path arranged in the exterior and communicated with the tube; a movable member arranged in the exterior, the movable member being brought into a convex warp state toward a surface direction of the exterior when an inner pressure of the flow path reaches a predetermined value or higher, the movable member remaining in the convex warp state even when the inner pressure of the flow path reaches less than the predetermined value; and a marker arranged so as to contact the movable member, the marker being configured to project from the exposure hole by the movable member being brought into the convex warp state;a releasing portion configured to release the convex warp state of the movable member by causing the marker to slide ...

Method and System for Harvesting Biological Tissue

In one aspect, the dual bevel needle can include a hollow tube having a proximal end, a distal end, a first lateral side, and a second lateral side opposite the first lateral side; a first needle point at the distal end of the hollow tube; a second point at the distal end of the hollow tube; a first bevel on each of the first lateral side and the second lateral side, the first bevel comprising a first bevel angle relative to a longitudinal axis of the tube; and a second bevel on each of the first lateral side and the second lateral side, the second bevel having a second bevel angle relative to the longitudinal axis of the tube, wherein the first and second bevels each form a portion of an ellipse, the ellipse having an inner cutting edge and terminating in the first and second needle points at the distal end of the tube, the second bevel angle being shallower than the first bevel angle, the second bevel being located adjacent the proximal end of the first bevel, and the inner cutting edge converging to a narrow heel.

ENDOSCOPIC ULTRASOUND FINE NEEDLE FIDUCIAL SYSTEM

Methods, apparatuses and systems are described for implanting a plurality of fiducial markers into a tissue. Systems include a needle, a stylet sized to slide within a lumen of the needle, and a multi-stop stylet spacer having stopping features configured to engage with the stylet to stop the distal end of the stylet at one or more predetermined distances from the distal end of the needle. Methods for implanting a plurality of fiducial markers into a tissue are described and include inserting a needle preloaded with fiducial markers into a tissue, adjusting a multi-stop stylet spacer from a safety position to a first deployment position, deploying a first fiducial marker into the tissue, adjusting the stylet spacer from the first deployment position to a second deployment position, and deploying a second fiducial marker into the tissue. 1. (canceled)2. A method for implanting a plurality of fiducial markers into a tissue , comprising:inserting a needle into the tissue, wherein the needle comprises a stylet sized to slide through a lumen of the needle, and wherein the stylet comprises a proximal hub attached to a proximal end of the stylet;adjusting a multi-stop stylet spacer from a safety position to a first deployment position by translating, relative to the stylet, the multi-stop stylet spacer in a plane orthogonal to a longitudinal axis of the stylet, wherein in the safety position, a first stopping feature of the multi-stop stylet spacer engages with the proximal hub and prevents distal movement of the stylet, and wherein in the first deployment position, the first stopping feature disengages from the proximal hub allowing distal movement of the stylet;deploying a first fiducial marker into the tissue by advancing the stylet distally until the proximal hub engages a second stopping feature of the multi-stop stylet spacer;adjusting the multi-stop spacer from the first deployment position to a second deployment position by further translating, relative to the ...

Flow Diverter for Bone Cement Delivery Systems

A bone cement delivery system includes a plunger configured to selectively displace bone cement from a cement reservoir through an exit port. Additionally, the system includes a flow diverter comprising a diverter inlet, a first diverter outlet, and a second diverter outlet. The system also includes a cannula coupler configured for connection to a delivery cannula for directing the bone cement to a target site, and a drool accumulator defining a drool volume for receiving residual bone cement. The flow diverter includes a valve arranged for selective movement between a first configuration where fluid communication is established between the cement reservoir and the drool volume; and where fluid communication is interrupted between the cement reservoir and the cannula coupler; and a second configuration where fluid communication is established between the cement reservoir and the cannula coupler; and where fluid communication is interrupted between the cement reservoir and the drool volume. 1. A bone cement delivery system comprising:a plunger movably disposed in a cement reservoir having an exit port, said plunger configured to selectively displace bone cement from the cement reservoir through said exit port;an extension tube coupled to said exit port of said cement reservoir, said extension tube having a length sufficient to enable an operator of the system to avoid radiation exposure;a flow diverter comprising a diverter inlet, a first diverter outlet, and a second diverter outlet, said diverter inlet being coupled to and downstream of said extension tube;a cannula coupler configured for connection to a delivery cannula for directing the bone cement to a target site, said cannula coupler having a cannula coupler inlet and being downstream of said flow diverter;a drool accumulator defining a drool volume for receiving residual bone cement, said drool accumulator having a drool inlet and being downstream of said flow diverter;said first diverter outlet coupled to ...

HEMOSTATIC DEVICE AND ITS METHODS OF USE

A hemostatic device includes a first tube defining a first lumen configured to channel a fluid therethrough, and a second tube housing at least a portion of the first tube and at least partially defining a second lumen configured to retain a hemocoagulant agent therein. The second tube is moveable with respect to the first tube, such that the hemocoagulant agent is at least substantially retained within the second lumen when the second tube is in a first position, and the hemocoagulant agent is at least partially exposed when the second tube is in a second position. 1. A method for sealing a puncture of a vessel using a hemostatic device that includes a first tube defining a first lumen , and a second tube housing at least a portion of the first tube and at least partially defining a second lumen , said method comprising:retaining a hemocoagulant agent in the second lumen defined by the second tube, wherein the second tube is in a first position with respect to the first tube;advancing the first tube into the vessel until a fluid is channeled through the first lumen defined by the first tube; andselectively moving the second tube towards a second position with respect to the first tube, such that the hemocoagulant is at least partially exposed.2. A method in accordance with claim 1 , wherein selectively moving the second tube further comprises selectively moving a first carrier within a cavity defined by a housing claim 1 , wherein the first carrier is coupled to the second tube.3. A method in accordance with claim 2 , wherein selectively moving a first carrier further comprises selectively rotating a rotating mechanism claim 2 , wherein the rotating mechanism is coupled to the first carrier.4. A method in accordance with further comprising selectively moving a second carrier within a cavity defined by the first carrier to move a plunger with respect to the second tube claim 2 , wherein the second carrier is coupled to the plunger.5. A method in accordance with ...

Tamper proof circuit for surgical instrument battery pack

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

SYSTEM AND METHOD FOR INCREASED OPERATING ROOM EFFICIENCY

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle. 1. An apparatus for storing a needle , the apparatus comprising:a housing comprising an upper outward facing surface and a lower outward facing surface;a needle slot within the housing and located between the upper surface and the lower surface, the needle slot configured to receive a needle into the housing and comprising a secure zone configured to store the needle therein; anda needle driver slot extending a distance along the housing and the needle slot, the needle driver slot also extending through the housing, from the upper surface to the needle slot, wherein the needle driver slot is configured to receive a needle driver therethrough as the needle driver advances the needle along the needle slot and into the secure zone.2. The apparatus of claim 1 , wherein the housing comprises an upper structure and a lower structure that are coupled together.3. (canceled)4. The apparatus of claim 1 , wherein the needle driver slot intersects the needle slot.5. The apparatus of claim 1 , wherein the needle driver slot is configured to allow viewing of said needle in the secure zone through the needle driver slot.6. The apparatus of claim 1 , wherein needle slot is further configured and dimensioned to receive the needle in a lateral orientation.7. ...

SURGICAL CONSOLE AND HAND-HELD SURGICAL DEVICE

A surgical system and method includes a surgical instrument configured to wirelessly transmit identifying data specific to the surgical instrument and a console configured to receive the identifying data. The console is configured to register the surgical instrument based on the identifying data, establish a wireless two-way communication link between the surgical instrument and the console, receive at least one of operational data and commands from the surgical instrument, and provide operational feedback data to a user of the surgical instrument during an operation of the surgical instrument based on the at least one of operational data and commands. 1. An adapter assembly for selectively interconnecting a surgical end effector configured to perform a surgical function and a surgical device configured to actuate the end effector , the end effector including a force receiving drive member , and the surgical device including a rotatable drive shaft , the adapter assembly comprising:a housing configured to selectively couple to the rotatable drive shaft of the surgical device;an outer tube having a proximal end coupled to the housing and a distal end configured to selectively couple to the force receiving drive member of the end effector;a drive assembly configured to interconnect the rotatable drive shaft of the surgical device and the force receiving drive member of the end effector, the drive assembly further configured to convert a rotational movement of the rotatable drive shaft of the surgical device to a linear movement of the force receiving drive member of the end effector; anda circuit board supported in the housing and storing at least one of an operating parameter or a life cycle information pertaining to the adapter assembly.2. The adapter assembly according to claim 1 , wherein the operating parameter is selected from the group consisting of:identification information relating to the adapter assembly;a dimension of the adapter assembly;a designation for ...

Surgical drape for a robotic device

Some embodiments relate to a two-portion drape for a surgical device, comprising:I. a first drape portion formed of a thin sheet of flexible material defining an elongated hollow sleeve, the first drape portion comprising: an open end on a first side of the sleeve; a partially closed end on a second, opposing side of the sleeve; an elongated sleeve body extending between the open end and the partially closed end; and an accessible opening which extends from the partially closed end to an adjacent portion of the sleeve body;II. a second drape portion configured for deployment over the first drape portion, the second drape portion formed of a thin sheet of flexible material, the second drape portion shaped and sized to cover the accessible opening at least in part.

ACTUATION LOCKOUT FOR A SURGICAL INSTRUMENT

Embodiments of a surgical instrument including an actuation lockout system as well as its method of use are disclosed. In one embodiment, a surgical instrument includes a trigger and a driveshaft coupled to the trigger such that actuation of the trigger causes the driveshaft to move from a first position to a second position, thereby resulting in deployment of a surgical fastener. An actuation lockout system restrains distal movement of the driveshaft until a force greater than or equal to a threshold force is applied to the trigger. 118-. (canceled)19. A method of operating a surgical instrument , the method comprising:restraining movement of a driveshaft operatively associated with a trigger using an actuation lockout system;applying a force greater than or equal to a threshold force to the trigger of the surgical instrument to move the actuation lockout system from a locked configuration to an unlocked configuration, wherein the threshold force is greater than or equal to an actuation force to actuate the surgical instrument; anddisplacing the driveshaft from a first position to a second position when the actuation lockout system is in the unlocked configuration.20. The method of claim 19 , wherein the first position is a proximal most position and the second position is a distal position.21. The method of claim 19 , wherein the first position is a first rotational position and the second position is a second rotational position.22. The method of claim 19 , wherein moving the actuation lockout system to the unlocked configuration includes camming a second camming surface out of a path of movement of a first camming surface operatively associated with the driveshaft.23. The method of claim 22 , further comprising biasing the second camming surface to a locked configuration claim 22 , wherein the second camming surface blocks movement of the first camming surface in the locked configuration.24. The method of claim 22 , wherein the first camming surface has a curved ...

Surgical stapling instrument

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Electrosurgical (rf) medical instruments for cutting and coagulating tissue

An electrosurgical device is disclosed. The electrosurgical device includes a handle, a shaft extending distally from the handle, and an end effector coupled to a distal end of the shaft. The end effector comprises a first electrode and a second electrode. The second electrode includes a first position and a second position. The second electrode is configured to move from the first position to the second position when a force is applied to the end effector by a tissue section. The first electrode and the second electrode define a treatment area when the second electrode is in the second position.

Locator and closure device and method of use

The present invention is directed to a method for sealing a puncture in a wall of a lumen of a body comprising the steps of deploying a deployment member of a sealing device through an elastic membrane adjacent the wall of the lumen and the puncture, wherein the sealing device includes a sealing element; positioning the sealing element adjacent the wall of the lumen; retracting the deployment member relative to the sealing element to stretch the membrane away from the wall of the lumen; retracting the deployment member relative to the sealing element to allow the elastic nature of the membrane to force the sealing element against the puncture; and retracting the device from the puncture.

Wind up deployment mechanisms for surgical instruments

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

STAPLER ANVIL WITH COMPLIANT TIP

A surgical stapler is provided that includes a first jaw and a second jaw. The first jaw includes a proximal end portion and a distal end portion. The second jaw includes a proximal end portion and a distal end portion. The proximal end portion of the first jaw is pivotally mounted to the proximal end portion of the second jaw. A flexible guide is secured to the distal end portion of the first jaw. 1. A surgical stapler comprising:a first jaw that includes a proximal end portion and a distal end portion;a second jaw that includes a proximal end portion and a distal end portion, wherein the proximal end portion of the first jaw is pivotally mounted to the proximal end portion of the second jaw; anda flexible guide secured to the distal end portion of the first jaw.2. The surgical stapler of claim 1 , wherein the flexible guide includes:a base portion secured to the distal end portion of the first jaw; anda tip portion distally spaced apart from the distal end portion of the first jaw.3. The surgical stapler of claim 1 , wherein the flexible guide includes:a base portion secured to the distal end portion of the first jaw; anda tip portion distally spaced apart from the distal end portion of the first jaw, wherein the flexible guide has a tapered contour between the base portion and the tip portion.4. The surgical stapler of claim 1 , wherein the flexible guide includes:a base portion secured to the distal end portion of the first jawa tip portion distally spaced apart from the distal end portion of the first jaw, wherein the tip portion is more flexible than the base portion.5. The surgical stapler of claim 1 , wherein the flexible guide includes:a base portion secured to the distal end portion of the first jaw;a tip portion distally spaced apart from the distal end portion of the first jaw, wherein a cross section of the tip portion is narrower than a cross section of the base portion, wherein a section of the tip portion comprises less mass than a section of the ...

SAFETY URETERAL ACCESS SHEATH AND INTERVENTIONAL CATHETER INSERTION WITH INTRINSIC AND EXTRINSIC FORCE METERS

The invention relates to medical devices and methods of use thereof, such as for example, ureteroscopy. In one embodiment, the device is a safety ureteral access sheath and interventional catheter insertion with a force meter and a force disengagement mechanism. In another embodiment, the invention provides a method of examination or treatment for a condition in a subject, comprising providing a device comprising a ureteral access sheath (UAS) operably linked to a force meter and a force disengagement mechanism, and using the device to examine or treat the subject. 1. A device , comprising:a ureteral access sheath (UAS) operably linked to a force meter and a force disengagement mechanism.2. The device of claim 1 , further comprising a catheter insertion.3. The device of claim 1 , wherein the UAS provides passage of an endoscope.4. The device of claim 1 , wherein the UAS provides passage of an endoscope.5. The device of claim 1 , wherein the UAS provides passage of a ureteroscope.6. The device of claim 1 , wherein the force meter is intrinsic to the device.7. The device of claim 1 , wherein the force meter is extrinsic to the device.7. The device of claim 1 , wherein the force meter is spring loaded.8. The device of claim 1 , wherein the degree of force applied to the UAS corresponds to a color marking system in the force meter.9. The device of claim 1 , wherein the degree of force applied to the UAS corresponds to one or more chime sounds.10. The device of claim 1 , wherein the disengagement mechanism is a magnetic disengagement mechanism.11. The device of claim 1 , wherein the disengagement mechanism is a crumpling disengagement mechanism.12. The device of claim 1 , wherein the force disengagement mechanism disengages a ring from the UAS if an excessive force is applied.13. The device of claim 12 , wherein the excessive force is 8 Newtons or more.14. The device of claim 12 , wherein the excessive force is 7 Newtons or more.15. The device of claim 1 , wherein the ...

ENDOSCOPIC SURGICAL CLIP APPLIER AND HANDLE ASSEMBLIES FOR USE THEREWITH

A handle assembly for use with a surgical instrument includes a housing defining a contact wall, a movable handle, a plunger, a linkage, and a feedback mechanism. The plunger is disposed at least partially within the housing and defines a longitudinal axis. The linkage interconnects the movable handle with the plunger such that actuation of the movable handle results in longitudinal translation of the plunger relative to the housing. The feedback mechanism is configured to provide audible feedback to a user, and includes an indicator snap wire and a track defined by a wall of the housing. The snap wire is configured to move along the track in response to longitudinal translation of the plunger. The snap wire is configured to engage the contact wall of the housing to create a sound that is audible to a user when the movable handle has been actuated a predetermined amount. 1. A handle assembly for use with a surgical instrument , the handle assembly comprising:a housing defining a contact wall;a movable handle pivotably mounted to the housing;a plunger disposed at least partially within the housing and defining a longitudinal axis, wherein distal translation of the plunger relative to the housing is configured to affect a function of the surgical instrument;a linkage interconnecting the movable handle with the plunger such that actuation of the movable handle results in longitudinal translation of the plunger relative to the housing; anda feedback mechanism configured to provide audible feedback to a user, the feedback mechanism including an indicator snap wire and a track defined by a wall of the housing, the snap wire configured to move along the track in response to longitudinal translation of the plunger, and the snap wire configured to engage the contact wall of the housing thereby creating a sound that is audible to a user when the movable handle has been actuated a predetermined amount.2. The handle assembly according to claim 1 , wherein the snap wire is ...

DILATION SYSTEM WITH ILLUMINATING ORIENTATION INDICATOR FEATURES

An apparatus includes a body and a dilation catheter operatively coupled with the body and configured to translate between proximal and distal positions. The dilation catheter includes a dilation member configured to dilate an anatomical passageway when the dilation catheter is in the distal position. A guide catheter is coupled to the body and defines a longitudinal axis. The guide catheter is selectively positionable in a plurality of rotational orientations about the longitudinal axis relative to the body, and is configured to guide the dilation catheter therethrough between the proximal and distal positions. The apparatus further includes at least one illuminating indicator feature configured to emit light to facilitate positioning of the guide catheter in one or more of the rotational orientations. 1. An apparatus comprising:(a) a body;(b) a dilation catheter operatively coupled with the body, wherein the dilation catheter is configured to translate relative to the body between proximal and distal positions, wherein the dilation catheter includes a dilation member configured to dilate an anatomical passageway when the dilation catheter is in the distal position;(c) a guide catheter coupled to the body and defining a longitudinal axis, wherein the guide catheter is selectively positionable in a plurality of rotational orientations about the longitudinal axis relative to the body, wherein the guide catheter is configured to guide the dilation catheter therethrough between the proximal and distal positions; and(d) at least one illuminating indicator feature configured to emit light to facilitate positioning of the guide catheter in one or more of the rotational orientations.2. The apparatus of claim 1 , wherein the at least one illuminating indicator feature is arranged on at least one of the body or the guide catheter.3. The apparatus of claim 1 , wherein the at least one illuminating indicator feature includes at least one illuminating indicator element arranged ...

INTERCHANGEABLE TOOLS FOR SURGICAL INSTRUMENTS

A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom. 1. A surgical tool for use with a surgical instrument having a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion thereof and an elongated body operably supporting a control rod therein for transferring the drive motions , said surgical tool comprising:a housing removably couplable to said elongated body;a drive assembly operably supported in said housing and removably couplable to said control rod; anda pair of non-staple forming jaws operably coupled to said drive assembly such that upon application of a said drive motion to said drive assembly in a first direction causes said pair of non-staple forming jaws to each simultaneously move in a closing direction toward each other and upon application of another said drive motion in a second direction, said non-staple forming jaws each simultaneously move in an opening direction away from each other.222-. (canceled)23. A surgical tool for use with a ...

Tapered membrane removing forceps

A tapered membrane removing forceps may include a first tapered forceps jaw and a second tapered forceps jaw. Each tapered forceps jaw may include a forceps jaw distal end, a forceps jaw proximal end, a superior face, and a medial face. Each superior face may include a tapered portion having a tapered angle. Each tapered angle may be an angle in a range of 19.0 to 23.0 degrees. Each tapered forceps jaw may be at least partially disposed in a hypodermic tube wherein the tapered forceps jaw distal ends extend from a distal end of the hypodermic tube. A compression of an actuation structure may be configured to extend the hypodermic tube relative to each tapered forceps jaw.

TOOL SETTING DEVICE AND METHOD OF TRANSFERRING SCALED SETTING INFORMATION TO A TOOL

A tool setting device includes a base body having longitudinally opposite base top and bottom surfaces laterally bounded by at least one base side surface. At least one setting aperture extends from the base top surface longitudinally downward at least partially through the base body. An elongate setting support slidably fits into a corresponding setting aperture. The setting support includes indicia and a tool engaging feature. A support holding feature is provided for maintaining a longitudinal position of the setting support with respect to the setting aperture. The tool engaging feature is positioned at a predetermined longitudinal distance above the base top surface. The predetermined longitudinal distance bears a direct relationship to the indicia. The tool engaging feature is maintained at the predetermined longitudinal distance through engagement of the setting support with the support holding feature. A method of transferring numerical setting information to a tool is also provided. 1. A tool setting device , comprising:a base body having longitudinally opposite base top and bottom surfaces laterally bounded by at least one base side surface;at least one setting aperture extending from the base top surface longitudinally downward at least partially through the base body;an elongate setting support, slidably fit into a corresponding setting aperture, the setting support including indicia and a tool engaging feature; anda support holding feature for maintaining a longitudinal position of the setting support with respect to the setting aperture;wherein the tool engaging feature is positioned at a predetermined longitudinal distance above the base top surface, the predetermined longitudinal distance bearing a direct relationship to the indicia, and the tool engaging feature is maintained at the predetermined longitudinal distance through engagement of the setting support with the support holding feature.2. The tool setting device of claim 1 , wherein the base ...

Apparatuses, indicators, methods and kits with timed color change indication

An apparatus, method and kit includes one or more use protocol indicators having a color changeable dye, the dye being translucent or having a first color upon immediate exposure to an environment and for a defined time thereafter and the dye changing color after exposure to the environment for the defined time. A dual environment indicator includes a first indicator color changeable dye being translucent or having a first color upon immediate exposure to a first environment and changing color after exposure to a second environment and a second indicator color changeable dye being translucent or having a first color upon immediate exposure to the second environment and for a defined time thereafter and changing color after exposure to the second environment for the defined time. A time exposure indicator comprises at least one color changeable dye disposed to change color in a sequential manner.

Extended reality visualization of range of motion

A computing system obtains motion data describing a movement of an appendage of a patient. Additionally, the computing system determine, based on the motion data, a range of motion of the appendage. Furthermore, the computing system generates, for display by an extended reality visualization device, an extended reality visualization of the range of motion of the appendage superimposed on an image of the patient or an avatar of the patient.