Entries |
Document | Title | Date |
20080208246 | MODULAR ELECTROSURGICAL ADAPTORS AND MULTI FUNCTION ACTIVE SHAFTS FOR USE IN ELECTROSURGICAL INSTRUMENTS - Forceps include a body, a surgical device, and a pair of handles. The surgical device is removably disposed within the body. The handles are pivotally attached to the handle body for articulating jaws on the surgical device, or grasping the forceps. The forceps accept monopolar, bipolar, or both monopolar and bipolar surgical devices. Wires are disposed within the surgical device for performing various types of electro-surgery. Additional wires are provided within the surgical device for providing the user with the ability to monitor various aspects of the surgical procedure. Spring contacts touch rings surrounding the surgical device for maintaining electrical contact with the surgical device while allowing the surgical device to rotate within the body. | 08-28-2008 |
20080208247 | IMPLANTABLE MEDICAL DEVICE SYSTEM WITH FIXATION MEMBER - A fixation device for a subcutaneous implantable medical device includes a deformable tip portion that reduces in width when coupled with a fixation tool such that implantation of the implantable medical device through tissue is facilitated. Upon release from the fixation tool, the fixation device returns to its initial shape and stably secures the position of the implantable medical device. | 08-28-2008 |
20080208248 | IMPLANTABLE MEDICAL DEVICE SYSTEM WITH FIXATION MEMBER - A fixation device for a subcutaneous implantable medical device includes a deformable tip portion that reduces in width when coupled with a fixation tool such that implantation of the implantable medical device through tissue is facilitated. Upon release from the fixation tool, the fixation device returns to its initial shape and stably secures the position of the implantable medical device. | 08-28-2008 |
20080243174 | Finger mounting for surgical instruments particularly useful in open and endoscopic surgery - A finger mounting for a surgical instrument includes a sleeve dimensioned to be received on the outer end of a finger of a user. The sleeve has an open proximal end for application to the outer end of the user's finger, an open distal end for exposing the outer tip of the user's finger when mounted thereon, and an inner diameter which decreases from the proximal end to the distal end for facilitating the application of the sleeve to the user's finger. The sleeve is formed of an elastic material and with a longitudinal split along its length to permit its diameter to be increased in order to accommodate fingers of different thicknesses. The longitudinal split is defined by two opposed edges having interengaging ribs and recesses of a length in the circumferential direction to accommodate a wide range of finger thicknesses without pinching The sleeve is also integrally formed at one side with a socket for receiving a surgical instrument, such as retractor or probe having a shank received within the socket, or a pair of forceps having one arm received in the socket. | 10-02-2008 |
20080255607 | Powered surgical instrument - A surgical instrument including a housing, an endoscopic portion, a drive motor, a drive tube, a firing rod and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a first longitudinal axis. The drive motor is disposed at least partially within the housing. The drive tube is disposed in mechanical cooperation with the drive motor and is rotatable about a drive tube axis extending through the drive tube. The firing rod is disposed in mechanical cooperation with the drive tube and at least a portion of the firing rod is translatable with respect to the drive tube. The end effector is disposed adjacent a distal portion of the endoscopic portion and is in mechanical cooperation with the firing rod so that the firing rod drives a surgical function of the end effector. | 10-16-2008 |
20080255608 | Tool with end effector force limiter - The invention provides surgical or diagnostic tools and associated methods that offer improved user control for operating remotely within regions of the body. In some embodiments these tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. A rotation lock provides for enablement and disablement of rotatability of the end effector. | 10-16-2008 |
20080262537 | Surgical instrument - The surgical instrument includes a distal tool, a rigid or flexible elongated shaft that supports the distal tool, and a proximal handle or control member, where the tool and the handle are coupled to the respective distal and proximal ends of the elongated shaft via distal and proximal bendable motion members. Actuation means extends between said distal and proximal members whereby any deflection of said control handle with respect to said elongated instrument shaft causes a corresponding bending of said distal motion member for control of said working member. A manually rotatable member is arranged adjacent to the control handle for manually rotating the instrument shaft and working member relative to the control handle. | 10-23-2008 |
20080262538 | ARTICULATING INSTRUMENT - The invention provides an articulating mechanism useful, for example, for remote manipulation of various surgical instruments and diagnostic tools within, or to, regions of the body. Movement of segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. The proximal and distal segments are connected by a set of cables in such a fashion that each proximal segment forms a discrete pair with a distal segment. This configuration allows each segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations. The articulating mechanisms may also be combined in such a way to remotely mimic finger movements for manipulation of an object or body tissue. | 10-23-2008 |
20080269799 | MEDICAL TOOL WITH RETRACTIBLE HEADS - A tool, such as a medical instrument that can provide a variety of different functions. Specifically, the present invention includes a variety of heads that each can allow the medical instrument to perform a different function. Each of the heads are operatively coupled to a holding apparatus of the medical instrument such as by the use of a sliding mechanism. In a preferred embodiment, the medical instrument is a forceps with heads operatively coupled to each arm. This coupling is done in such a way that a head can fully retract into a position such that no portion of the second medical head extends beyond the holding apparatus when not in use. This means that at most one of the heads extends from the holding apparatus of the medical instrument as any one time. As such, a doctor can use a single tool to perform multiple functions, and thus reduce time spent looking for and/or retrieving the appropriate tool. | 10-30-2008 |
20080294190 | Adjustable length forceps - An adjustable hand-held surgical instrument is provided and includes a first elongated member; and a second elongated member pivotally connected to the first elongated member. Each of the elongated members includes a handle portion selectively extendable from the proximal end of the elongated member; and a tool member selectively extendable from the distal end of the elongated member. | 11-27-2008 |
20080294191 | Surgical instrument - A surgical instrument that includes an instrument shaft having proximal and distal ends, a tool disposed from the distal end of the instrument shaft, a control handle disposed from the proximal end of the instrument shaft, a distal motion member for coupling the distal end of the instrument shaft to the tool, a proximal motion member for coupling the proximal end of the instrument shaft to the handle, actuation means extending between the distal and proximal motion members for coupling motion of the proximal motion member to the distal motion member for controlling the positioning of the tool and a locking mechanism for fixing the position of the tool at a selected position and having locked and unlocked states. | 11-27-2008 |
20080294192 | Dismantable Medical Forceps System - A dismantlable medical forceps system has a first force transmission element, which is designed to transmit a first maximum force, at least a second force transmission element, which is designed to transmit a second maximum force greater than the first maximum force, and at least a first grip, which has at least one movable grip part, the at least one first grip having a coupling device by means of which one of the force transmission elements can be connected with a force fit to the movable grip part, the first force transmission element having a first connection element and the at least second force transmission element having a second connection element for respective connection to the coupling device. The first connection element has a first cross section, which differs from a second cross section of the second connection element, and the coupling device has a first seat, which is designed for force-fit connection to the first connection element, and at least a second seat, which is designed for force-fit connection to the second connection element. According to another aspect, such a forceps system has a second grip, which has a second coupling device with a second seat for force-fit connection to the second connection element, which is designed such that the first connection element can be connected with a force lit to this seat. | 11-27-2008 |
20090005805 | Surgical Instrument and Method - The invention relates to a surgical instrument, e.g. forceps, and method to be used for suturing tissue, the surgical instrument comprising a first arm and a second arm that are spring-connected at a proximal end, while at a distal end the first arm and the second arm can be moved towards each other, and wherein at least the first arm and/or the second arm can be provided with a bullet that is suitable for receiving and affixing a surgical needle, wherein the bullet is designed for being positioned at the distal end, at an inside and/or lower side of the end of an arm. | 01-01-2009 |
20090005806 | Treatment Tool for Endoscope - A treatment tool ( | 01-01-2009 |
20090030446 | Tissue Manipulator - A needle for use in tissue manipulation is described. The needle can have first and second piercing arms joined by a resilient biasing member, such as a spring. The needle can be formed of a super elastic material, and can be deformed from a stored, unstressed configuration to a stressed, deployed configuration. | 01-29-2009 |
20090030447 | Method of Tissue Manipulation - A needle for use in tissue manipulation, and an associated method, are described. The needle can have first and second piercing arms joined by a resilient biasing member, such as a spring. The needle can be formed of a super elastic material, and can be deformed from a stored, unstressed configuration to a stressed, deployed configuration. | 01-29-2009 |
20090030448 | SURGICAL FORCEPS, IN PARTICULAR AN OPHTHALMOLOGIC MICROSURGICAL FORCEPS - The invention relates to a surgical forceps, in particular an opthalmologic microsurgical forceps. The invention includes a gripping part moulded in one piece from a plastic material. The gripping part has two arms connected to one another at one end thereof. There is a clamping part formed by metal tips inserted into the distal ends of the arms during the moulding of the gripping part. The distal part of the forceps is equipped with centering devices having a cylindrical finger solidly connected to one of the branches of the forceps and oriented towards the other branch. The centering devices also have a transfixing hole provided in the other branch opposite the finger. According to the invention, the centering devices are provided in the end portions of the plastic arms, in which the proximal portions of the metal tips are inserted. | 01-29-2009 |
20090030449 | MEDICAL MANIPULATOR AND CLEANING METHOD FOR MEDICAL MANIPULATOR - A medical manipulator and a cleaning method therefor are provided. The medical manipulator includes an operation command unit equipped with a motor, and a working unit, which is detachable with respect to the operation command unit. A connector of the working unit is connected to the operation command unit, and includes pulleys that engage with the motor, the connector serving to rotatably retain the pulleys therein. The connector has an elongate shape extending in the longitudinal direction of a connecting shaft, and a first cleaning hole is arranged in an end portion of the connector that is opposite to a side on which the connecting shaft is connected. A second cleaning hole opens into an interior cavity, in the vicinity of an end portion on the side where the connecting shaft is connected. The end portions are shaped substantially hemispherically. | 01-29-2009 |
20090048625 | Apparatus, Particularly for use in Laparoscopic Surgery - The present invention is constituted by an instrument ( | 02-19-2009 |
20090069842 | Surgical instrument - A medical instrument having a proximal control handle and a distal tool that are intercoupled by an elongated instrument shaft that is meant to pass internally of an anatomic body, proximal and distal movable members that respectively intercouple the proximal control handle and the distal tool with the instrument shaft, cable control means disposed between the movable members, an actuation member at the handle for controlling the distal tool through the movable members, and a coupler for selectively engaging or disengaging separable cable segments of the actuation member. | 03-12-2009 |
20090131974 | INSTRUMENT, PARTICULARLY FOR USE IN LAPAROSCOPIC SURGERY - A laparoscopic instrument ( | 05-21-2009 |
20090198272 | METHOD AND APPARATUS FOR ARTICULATING THE WRIST OF A LAPAROSCOPIC GRASPING INSTRUMENT - A medical instrument has a set of opposing jaws that can be articulated, both left and right, from centerline. The instrument has a proper bend radius and support for the jaw actuation member and cutter driving member. The bendable support for the drive members comprises tightly wound coil springs. Another embodiment of the invention controls the degree of articulation at the handle of the laparoscopic instrument. A further embodiment of the invention incorporates a locking mechanism to prevent motion of the wrist while the user performs other operations on the device. The locking mechanism also includes an indexing feature with which the user can index and choose the necessary amount of angle between preset angles. | 08-06-2009 |
20090198273 | Pedicle Screw - The present invention includes a pedicle screw made with a bone fastener and a rod coupling head, the rod coupling head comprising an upper rod coupling: the lower rod coupling having a lateral rod opening adapted to receive a permanent rod; an angled bore extends into the lateral rod opening; and a permanent rod fastener in the angled bore to engage a permanent rod in the lateral rod opening; and a upper rod coupling having an upper rod opening adapted to receive a temporary rod, wherein the upper rod opening is formed to receive a temporary rod fastener; wherein the upper rod coupling is detachable from the lower rod coupling at a transition and a temporary rod is temporarily affixed into the upper rod opening during a bone realignment and a permanent rod is positioned in the lateral rod opening and engaged by the permanent rod fastener upon final bone alignment. | 08-06-2009 |
20090259248 | SURGICAL GRIPPING FORCEPS - The invention relates to surgical gripping forceps with two gripping jaws movable relative to a main body, with each gripping jaw having a stationary pivot axis relative to the main body, and a lever arm, and with the lever arms being articulated via at least one push element. Each gripping jaw has its own pivot axis. The distance between the individual pivot axis and the midline of the main body is at least greater than 38% of the maximum width of the main body or the maximum diameter of the main body. The present invention also provides microsurgical gripping forceps that a substantial clamping force between the gripping jaws with customary force for actuating the forceps. | 10-15-2009 |
20090264918 | Clevis assemblies for medical instruments and methods of manufacture of same - Embodiments of the invention relate to endoscopic instruments. More particularly, embodiments of the invention relate to features on the clevis portion of endoscopic instruments. The devises may be formed from a sheet material to obtain a substantially cylindrical end and at least one clevis arm. The clevis features may include an axle having at least one flared end to engage a clevis arm, one or more U-shaped grooves on the clevis arms to receive an axle, and stiffening ribs to strengthen the clevis arms. | 10-22-2009 |
20090292308 | SPINAL FIXATION SYSTEM - A spinal fixation system includes a bone screw assembly, a low profile bone screw assembly, and a spinal rod. The bone screw assembly may include a separate locking structure. A laminar hook may be coupled to the rod. The spinal rod is operatively connected to the bone screw assembly and the low profile bone screw assembly. | 11-26-2009 |
20090318954 | SYSTEM AND METHOD FOR ACTUATING A LAPAROSCOPIC SURGICAL INSTRUMENT - The invention is directed to a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. This ensures that nothing catches on the blades or tips during grasper use and the shrink tubing found on the scissors would not be deformed. This can be done because the area for the slots is not needed. Moreover, the usable area for the drive slots on the blade or tip of the actuation rod is maximized to the overall diameter of the outer tube or shaft which provides additional leverage to the blades or tips. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut. More specifically, the surgical instrument of the invention comprises an elongate tube extending along an axis including an actuation rod coaxially slidable within the elongate tube, a first tip including a first pin formed on a proximal end surface of the first tip, and a second tip including a second pin formed on a proximal end surface of the second tip, the second tip pivotally connected to the first tip at a common pivot pin operably connected to the elongate tube to open and close the tips in response to movement of the actuation rod. The actuation rod has a slot to accept the pins of the first and second tips, the slot has camming surfaces for the pins to slide within the slot, and the proximal ends of the tips extend minimally outside the diameter of the elongate tube during actuation of the tips. | 12-24-2009 |
20100004677 | SHAFTED SURGICAL INSTRUMENTS FOR REMOTE ACCESS SURGICAL PROCEDURES - An instrument for endoscopic minimally invasive procedures has a shaft with a working end, such as a clamp, scissors, forceps, or the like. Handle portions extend in an opposed relationship and pivot relative to the shaft. When the handle portions are moved about respective pivot points, the working end of the surgical instrument is actuated. The first and second handle portions each have an indented grasping segment in which a surgeon's finger or thumb may rest. The grasping segments have rounded cross-sections to facilitate a surgeon rotating the handle with a finger and another finger or thumb. The indented portions form a narrow portion when the handle is in a closed configuration. There may be a 1:1 ratio between handle movement and that of the working end, and the balance point of the instrument may be at the distal end of the handle. | 01-07-2010 |
20100016883 | DOUBLE GRASPER AND TRIGGER CONTROL MECHANISM - This invention comprises an instrument with a unique trigger mechanism for approximating any tissues that can physically reach each other during a performance of any laparoscopic procedure. The user friendly double grasper comprises an elongated cannula having visually coded jaws at one end which cooperate with an intermediate member. The visually coded jaws are connected to control means within the cannula which are coupled to tacile coded control triggers mounted to a longitudinal handle. Each trigger is spring loaded to passively close a particular jaw after manually opening the jaw. Both triggers may be operated individually or simultaneously with the same operating digit. The triggers include a dimple on one trigger and a bubble on the other trigger so that an operator may recognize which trigger corresponds to which jaw and thus control the jaws by feel. The jaws are also coded for visual recognition with different color or letter. | 01-21-2010 |
20100016884 | Minimally Invasive Surgical Assembly and Methods - A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of approximately 2 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extend out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient. | 01-21-2010 |
20100042140 | Method of Transferring Pressure in an Articulating Surgical Instrument - An end effector for a surgical instrument includes a fixed bearing member with mounting surfaces for attachment to a distal end of the surgical instrument. At least one jaw member of the end effector is configured to move relative to an opposing jaw member between open and closed configurations, and a force transfer member is configured for longitudinal motion with respect to the fixed bearing member. The force transfer member includes a pivot channel therein. The end effector also includes a reactive member coupled between the fixed bearing member and the at least one jaw member. The reactive member is constructed from a thin strip of conformable material and extends through the pivot channel such that relative longitudinal motion between the fixed bearing member and the force transfer member causes the reactive member to flex and the at least one jaw member to move relative to the opposing jaw. | 02-18-2010 |
20100042141 | ROTATION ACTUATOR FOR ENDOSCOPIC DEVICES - Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position. | 02-18-2010 |
20100049242 | Medical Instrument - The invention relates to a medical instrument with a shaft, a handle mounted on the proximal end of the shaft, and a tool mounted on the distal end of the shaft and capable of being activated by means of the handle, where the handle and the tool are in active connection by means of at least one activation rod. To make it possible for the tool, in particular as a one-way tool, to be secured simply and rapidly on the activation rod, the invention proposes that the tool should have a tool shaft for securing it to the activation rod and that the tool shaft and the activation rod in order to be secured to one another should have protuberances and/or recesses, which can be engaged, at least partially as a form-locking connection, with corresponding recesses or protuberances of the other respective component. | 02-25-2010 |
20100076483 | MEDICAL MANIPULATOR - A medical manipulator includes an operating unit and a working unit. The operating unit has an actuator block with motors housed therein. The working unit is detachably mounted on the actuator block by a coupler. The working unit comprises a joint shaft that extends from the coupler, and a distal-end working unit mounted on a distal end of the joint shaft. The distal-end working unit has three axes, including a yaw axis, a roll axis about which the distal-end working unit is rotatable and which is positioned closer to a distal end of the distal-end working unit than the yaw axis, and a gripper axis about which a gripper is openable and closable and which is positioned on the distal end. The distal-end working unit can be operated about the roll axis by a motor, which is positioned closer to the distal end than the yaw axis. | 03-25-2010 |
20100094334 | PLICATION DEVICE WITH FORMABLE LINEAR FASTENER FOR USE IN THE DIRECT PLICATION ANNULOPLASTY TREATMENT OF MITRAL VALVE REGURGITATION - A system for the treatment of mitral valve regurgitation by reshaping the mitral valve annulus using one or more plications of annular tissue each fixed by a retaining clip is described. The system includes four devices to achieve such percutaneous direct plication annuloplasty. The first is a prolapsable crossing catheter. Second, a deflecting guide catheter is used to provide a means for guiding the plication device into proper position at the subvalvular region of the mitral valve annulus. The plication device is then used to make plications in the subvalvular region of the mitral valve annulus. Fourth, a formable linear retainer clip is deployed by the plication device in order to retain the plicated tissue in the plicated form. The formable linear retainer is formed into a reverse “C” clip by the jaws of the plication device acting in conjunction with a retainer pusher. | 04-15-2010 |
20100114154 | SURGICAL BONE CLAMP - The surgical bone clamp securely grasps and removes bone and other tissue during surgery, such as total knee replacement surgery. In one embodiment, the device includes a handle portion, a clamp portion, and a ratchet portion. The handle portion includes two handle arms that are pivotally connected, and the ratcheting portion permits the handle arms to be spaced at any one of a plurality of step settings. One of the handle arms provides a finger loop to engage the thumb, while the other handle arm provides a finger loop to engage at least one opposing finger. The clamp portion includes two serrated clamping jaws designed to engage the bone or other tissue surface and to provide adequate gripping force to allow for removal of the bone piece or tissue from the body cavity. The device provides significant mechanical advantage to the user, may be operated with one hand, and may include removable clamping jaws. | 05-06-2010 |
20100168787 | MEDICAL DEVICE WITH PIVOTABLE JAWS - A medical device with pivotable jaws and method of use thereof are disclosed. The device includes a pair of jaw members which are capable of being rotated independently of one another and spaced apart up to about 360°. Various gear arrangements are provided for enabling rotation of the jaws. The jaw members are disposed within a flexible slotted housing when advanced to a target tissue site, and thereafter rotated out of the housing a predetermined amount to contact target tissue. | 07-01-2010 |
20100174311 | Actuation Apparatus and Method - An endoscopic accessory medical device is provided. The device can include a handle, a flexible shaft, and an end effector. The handle can include an actuator for operating the end effector through a wire or cable pulling member that extends through the flexible shaft. The handle and actuator can be operable with a single hand, such that the operation of the end effector can be accomplished with the same hand that is used to hold the handle and advance the end effector through an endoscope. The handle can include an actuation mechanism that is decoupled from operation of the end effector when the actuator is in a first open position, which becomes operatively coupled to the end effector when the actuator is moved to a second position, such as by squeezing the actuator, and which operates the end effector when the actuator is moved further to a third position. | 07-08-2010 |
20100179587 | Providing Haptic Feedback To The Handle Of A Tool - Tools, such as surgical tools, are normally designed to interact with an object, such as a patient. As disclosed herein, one particular tool is implemented such that it comprises a handle having a feedback portion configured to contact one or more digits of a user's hand. The tool also includes a sensor positioned near or in contact with an object. The sensor is configured to measure a property of the object. Also, the tool includes a haptic output mechanism supported by the feedback portion of the handle. The haptic output mechanism is configured to communicate the measured property of the object to the user. | 07-15-2010 |
20100198253 | MEDICAL MANIPULATOR - A medical manipulator includes a wire movable in opposite directions, a driven wire having both ends thereof connected to the wire, an end effector of a distal-end working unit, a transmitting member, a crescent driven member integral with the transmitting member, and a return pulley. The transmitting member, the crescent driven member, and the return pulley are successively arranged in this order from the proximal end of the medical manipulator. When the driven wire is moved in opposite directions, the transmitting member also moves in opposite directions. At this time, the crescent driven member moves toward the return pulley, and the proximal-end portion of the return pulley enters a cavity of the crescent driven member. | 08-05-2010 |
20100204727 | Magnetic Surgical Device to Manipulate Tissue in Laparoscopic Surgeries or via Natural Holes Performed with a Single Trocar - The present invention is related to surgical instruments incorporating the usage of magnets for application in minimally invasive surgery to perform abdominal surgery with a single incision through the navel which is the most widely used, this incision can also be done through some natural hole like the vagina, mouth, etc. Generally, the invention comprises instruments to perform cholecystectomy (gallbladder removal), but they are also useful for all type of operation requiring mobilization, traction, counter-traction or also separation of abdominal organs. They can be used in several kinds of surgeries, such as laparoscopy, general, gynecological, and urologic surgery. | 08-12-2010 |
20100228283 | MEDICAL MANIPULATOR - A medical manipulator is provided. The medical manipulator includes an end effector that is configured to perform motions with respect to at least two different axes, and that is inserted in a body cavity during operation of the medical manipulator. The medical manipulator also includes at least two cylindrical motors that each include a longitudinal axis and that drive at least a part of the end effector. The motors remain outside a living body during operation of the medical manipulator and the motors are mounted on at least one bracket. A shaft interconnects the bracket and the end effector. A longitudinal axis of the shaft extends substantially parallel to each of the longitudinal axes of the motors. | 09-09-2010 |
20100249826 | FINGER MOUNTING FOR SURGICAL INSTRUMENTS PARTICULARLY USEFUL IN OPEN AND ENDOSCOPIC SURGERY - A finger mounting for a surgical instrument includes a sleeve dimensioned to be received on the outer end of a finger of a user. The sleeve has an open proximal end for application to the outer end of the user's finger, an open distal end for exposing the outer tip of the user's finger when mounted thereon, and an inner diameter which decreases from the proximal end to the distal end for facilitating the application of the sleeve to the user's finger. The sleeve is formed of an elastic material and with a longitudinal split along its length to permit its diameter to be increased in order to accommodate fingers of different thicknesses. The longitudinal split is defined by two opposed edges having interengaging ribs and recesses of a length in the circumferential direction to accommodate a wide range of finger thicknesses without pinching The sleeve is also integrally formed at one side with a socket for receiving a surgical instrument, such as retractor or probe having a shank received within the socket, or a pair of forceps having one arm received in the socket. | 09-30-2010 |
20100262180 | ARTICULATING MECHANISMS WITH BIFURCATING CONTROL - The invention provides an articulating mechanism useful, for example, for remote manipulation of various surgical instruments and diagnostic tools within, or to, regions of the body. Movement of segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. The proximal and distal segments are connected by a set of cables in such a fashion that each proximal segment forms a discrete pair with a distal segment. This configuration allows each segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations. The articulating mechanisms may also be combined in such a way to remotely mimic finger movements for manipulation of an object or body tissue. | 10-14-2010 |
20100280543 | SMALL CALIBER LAPAROSCOPE SURGICAL APPARATUS - A laparoscopic surgical instrument includes a shaft and a head having a distal end to which a variety of surgical instruments are attached. The laparoscopic surgical instrument also includes a flexible joint installed between the shaft and the head; a longitudinal-driving unit including a longitudinal-driving wire connected with both longitudinal ends of the head and a longitudinal-driving roller turning the longitudinal-driving wire and a transverse-driving unit including a transverse-driving wire connected with both transverse ends of the head and a transverse-driving roller turning the transverse-driving wire. The longitudinal-driving unit turns the flexible joint in the longitudinal direction, the transverse-driving unit turns the flexible joint in the transverse direction, and the shaft has a small diameter. | 11-04-2010 |
20100298864 | ARTICULATING RIGID GRASPER - An articulating grasper includes an elongate shaft having an articulating distal section and a pair of jaw members on the articulating distal section. A first actuation member is coupled to the articulating distal section and is longitudinally moveable to pivot the articulating distal section. A second actuation member is coupled to at least one of the jaw members and is longitudinally moveable to pivot at least one of the jaw member between open and closed positions. | 11-25-2010 |
20100324592 | SUTURE-TYING FORCEPS - A suture-tying forceps which are generally used in surgical operations. The suture-tying forceps comprises a forceps part, a body part and an adjusting part, with the forceps part consisting of an upper jaw part and a lower jaw part which have two through holes being connected through an internal tunnel and which are engaged with each other. The suture-tying forceps results in a successful watertight dural closure since it is possible to reliably tie a suture in an operation which is generally performed in a narrow, deep surgical field such as that in TSA, and can be widely applied to another surgical fields with similar situation which had difficulty of needle handling work like spinal surgery. | 12-23-2010 |
20100331878 | METHOD AND DEVICE FOR REMOVING A BALLOON FROM A BODY CAVITY - A balloon removing device is provided for removing a balloon from a body cavity through an access opening of said body cavity, in particular for removing a balloon of a radiation catheter from a body cavity left by surgical removal of cancerous or other tissue. The balloon removing device has an unstretchable elongated tool extending along a longitudinal axis and having a distal end with a distal opening, a proximal end with a proximal opening and a lumen extending from the distal opening along the longitudinal axis to the proximal opening. The dimensions of the distal opening and the lumen of the elongated tool allow the balloon to be accommodated therein in the deflated state, or the dimensions of the distal opening, the proximal opening and the lumen of the elongated tool are adapted to allow the balloon to be pulled through the lumen in the deflated state. | 12-30-2010 |
20100331879 | Articulating Surgical Hand Tool - A surgical instrument comprising a frame, a control-effector coupled to the frame, a shaft, and an end effector in fluid communication with the control-effector is disclosed. | 12-30-2010 |
20110046659 | Minimally Invasive Surgical Tools With Haptic Feedback - A minimally invasive surgical tool includes a sensor that generates a signal in response to an interaction with the tool. The tool further includes a haptic feedback system that generates a haptic effect in response to the signal. | 02-24-2011 |
20110071563 | LAMINECTOMY FORCEPS - The present invention relates to a laminectomy forceps ( | 03-24-2011 |
20110071564 | ENDOSCOPIC TREATMENT TOOL - An endoscopic treatment tool includes: a treatment part which is adapted to conduct treatment of tissue within a body cavity; an operation part which is adapted to operate the treatment part; an operation shaft member which connects the treatment part and the operation part; and a coil sheath part through which the operation shaft member passes so that the operation shaft member is capable of forward or backward movement, in which: the coil sheath part comprises: a first coil sheath around which wire is helically wound; and a second coil sheath that has a lower compressive resistance than the first coil sheath, and that has a higher rotation follow-up capability than the first coil sheath; the first coil sheath and the second coil sheath are disposed so as to coaxially and radially overlap; a first end part and a second end part of the second coil sheath are respectively connected to the treatment part and the operation part so as to be incapable of relative rotation around an axis of the second coil sheath; and at least one of the first end part and the second end part is capable of relative movement in an axial direction with respect to the first coil sheath. | 03-24-2011 |
20110082494 | Jaw, Blade and Gap Manufacturing for Surgical Instruments With Small Jaws - An endoscopic forceps includes an elongate shaft defining an instrument axis. An end effector includes first and second jaw members each supporting an opposed sealing surface for clamping tissue. At least one of the jaw members is movable relative to the instrument axis such that the jaw members are movable between a first spaced-apart configuration and a second closed configuration for grasping tissue. A cutting instrument includes a reciprocating blade translatable relative to the sealing surfaces to sever tissue clamped between the jaw members. The reciprocating blade contacts an undersurface of at least one of the jaw members when the jaw members are in the second configuration to define a gap distance between the sealing surfaces. A handle adjacent the proximal end of the elongate shaft is operable to induce motion in the jaw members, and an actuator is operable to selectively translate the reciprocating blade. | 04-07-2011 |
20110087265 | LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR - A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising jaws that open and close in response to the axial movement of the two arms when attached to the surgical end effector. | 04-14-2011 |
20110087266 | LOADER FOR EXCHANGING END EFFECTORS IN VIVO - A surgical device for use in combination with a percutaneous elongate shaft defining a longitudinal axis. The shaft comprises a distal end and a proximal end, the distal end comprising an attachment mechanism. A surgical end effector is selectively attachable in vivo and detachable in vivo to the attachment mechanism of the percutaneous elongate shaft. A percutaneous elongate loader comprises an articulating distal end. The distal end comprises a tube with an opening at the distal tip, the tube being dimensioned to receive the surgical end effector. The distal end further comprises an engagement feature capable of frictionally holding the surgical end effector in the tube during in vivo attachment to and in vivo detachment from the percutaneous elongate shaft. | 04-14-2011 |
20110087267 | METHOD FOR EXCHANGING END EFFECTORS IN VIVO - A laparoscopic surgical method comprises obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle. The distal end of the first instrument is passed through a percutaneous incision. A surgical end effector is obtained having a distal end with operable jaws and a proximal end selectively attachable to and detachable from the distal end of the first instrument. A second instrument is obtained comprising a distal end and a proximal end connected to a second handle. The surgical end effector is loaded ex vivo on the distal end of the second instrument. The distal end of the second instrument with the loaded surgical end effector is passed through a second incision spaced from the percutaneous incision. The proximal end of the surgical end effector is attached in vivo to the distal end of the first instrument. Tissue is manipulated by actuating the handle of the first instrument to operate the jaws of the surgical end effector. | 04-14-2011 |
20110087268 | FORCEPS FOR PERFORMING ENDOSCOPIC OR ARTHROSCOPIC SURGERY - Forceps for performing endoscopic or arthroscopic surgery include a body assembly, a tube assembly, and a pair of handles that pivot with respect to the body. The tube assembly is removably attached to the body assembly. The tube assembly includes a hollow tube and a tip assembly. The tip assembly includes an electrode or a blade for performing the surgery. The tip assembly and the blade are connected to the body and the handles by a cable. As the handles pivot, the cable slides within the tube to move the blade. When a different tube assembly (i.e., a bipolar or a monopolar electrode) or another style of tip assembly are desired, the installed one is removed and replaced by a new tube assembly or tip assembly as desired. | 04-14-2011 |
20110093005 | Single Port Instruments - Surgical tools that can be used in single port laparoscopic procedures can include a low-profile handle assembly to minimize tool interference adjacent the incision site. For example, a handle assembly for a surgical instrument can have a generally in-line configuration extending linearly along a central longitudinal axis of an elongate shaft of the instrument. A linkage mechanism including a trigger, an actuation link, and an actuation shaft can be positioned within the in-line handle. The linkage mechanism can be pivoted between an open position in which end effectors of the instrument are open and a toggle position in which the end effectors are locked closed. A locking mechanism such as a ratchet mechanism can also be used to lock the end effectors. A surgical dissector can include gripping jaws having a curved profile or an angled elongate shaft to minimize tool interference and maximize visibility within a procedure site. | 04-21-2011 |
20110106141 | ROBOT SYSTEM FOR ENDOSCOPIC TREATMENT - A robot system for endoscopic treatment includes a gripping unit, a manipulator unit, a treatment instrument drive unit, a gripping force detection unit, a control unit. The gripping unit is inserted into a body cavity along with an endoscopic apparatus and grips desired living tissue using gripping members. The manipulator unit includes a multi-joint structure that enables bending and stretching. The treatment instrument drive unit pulls and pays out wires. The gripping force detection unit detects gripping force provided by the gripping members. The control unit instructs the treatment instrument drive unit to pull and pay out the wires for the gripping operation so that the gripping force detected by the gripping force detection unit falls within a predetermined range when the gripping unit in the gripping state moves. | 05-05-2011 |
20110106142 | SUTURING INSTRUMENTS AND SUTURING SYSTEMS - A needle storage and disposal cartridge is loaded with a needle receptor, and or suture and needle. By insertion of a forceps arm into the cartridge the needle receptor can be affixed to an arm of the forceps, and similarly removed after use. The forceps may conveniently be used for gripping and retaining a needle during suturing. A number of alternative suturing forceps and needle receptors are disclosed. | 05-05-2011 |
20110106143 | MEDICAL INSTRUMENT - A medical instrument includes a handle on the proximal end and a shank rotatably arranged on the handle. A tool is arranged on the distal end of the shank. This tool is rotatable relative to the shank. An actuation element is arranged on the handle. The actuation element may be moved into at least two switch positions, wherein in a first switch position the actuation element is coupled in movement to the shank and in a second switch position the actuation element is coupled in movement to the tool. | 05-05-2011 |
20110106144 | Surgical instrument - In order to provide a surgical instrument which is particularly simple to manipulate and enables force to be transmitted particularly directly to at least two tool elements wherein the surgical instrument comprises said at least two tool elements which are movable relative to one another and are arranged at a distal end of a guide device of a surgical instrument, and also comprises a force transmission device for transferring an actuating force from a proximal end of the force transmission device to a distal end of the force transmission device for the purposes of moving at least one of the at least two tool elements relative to the guide device, it is proposed that the surgical instrument should comprise a coupling device for selectively coupling the force transmission device directly or indirectly to at least one of the at least two tool elements. | 05-05-2011 |
20110106145 | TOOL FOR MINIMALLY INVASIVE SURGERY - The present invention relates to an easy-to-control tool for minimally invasive surgery. In accordance with an aspect of the present invention, there is provided a tool for minimally invasive surgery comprising, an elongated shaft having a predetermined length, an adjustment handle manually controllable by a user, a first pitch axis part and a first yaw axis part positioned around one end of the elongated shaft for transferring motions in pitch and yaw directions following the operation of the adjustment handle, a second pitch axis part and a second yaw axis part positioned around the other end of the elongated shaft for operating corresponding to the operations from the first pitch axis part and the first yaw axis part, respectively, and an end effector controllable by the second pitch axis part and the second yaw axis part, wherein the first pitch axis part drives the second pitch axis part by at least one pitch axis actuating cable, and the first yaw axis part drives the second yaw axis part by at least one yaw axis actuating cable. | 05-05-2011 |
20110112568 | SURGICAL TOOL - Recent advances in minimally invasive surgical procedures have created a demand for smaller scale tools with improved performance characteristics. Attempts to scale down modern tools to the meso level (1-5 mm) have caused severe performance losses. Surgical tools of the present invention provide significant improvements in operable range and force application for both grasping and spreading when compared to currently used endoscopic forceps. | 05-12-2011 |
20110112569 | NAVIGATION AND TISSUE CAPTURE SYSTEMS AND METHODS - Navigation and tissue capture systems and methods for navigation to and/or capture of selected tissue using the innate electrical activity of the selected tissue and/or other tissue are described. In the context of left atrial appendage closure, the systems and methods can be used to navigate to the left atrial appendage and capture/control the appendage while a closure instrument (suture, clip, ring) is placed over the appendage and tightened down or a closure method (ablation, cryogenic procedures, stapling, etc.) is performed to close the left atrial appendage. The use of innate electrical activity for navigating devices may be used in connection with other tissues and/or areas of the body. | 05-12-2011 |
20110112570 | TISSUE TENSIONING DEVICES AND RELATED METHODS - Surgical devices configured to apply and hold a defined pre-set or pre-load tension to target tissue, such as, for example, a blood vessel, tendon or ligament during a surgical procedure. | 05-12-2011 |
20110118778 | END EFFECTOR WITH REDUNDANT CLOSING MECHANISMS - End effectors with redundant closing mechanisms, and related tools and methods are disclosed. The disclosed end effectors may be particularly beneficial when used for minimally invasive surgery. An example surgical tool comprises an elongate shaft having a proximal end and a distal end, a tool body disposed at the distal end of the shaft, a jaw movable relative to the tool body between a clamped configuration and an open configuration, a first actuation mechanism coupled with the jaw and operable to vary the position of the jaw relative to the tool body between the clamped configuration and the open configuration, and a second actuation mechanism coupled with the jaw. The second actuation mechanism has a first configuration where the jaw is held in the clamped configuration and a second configuration where the position of the jaw relative to the tool body is unconstrained by the second actuation mechanism. | 05-19-2011 |
20110118779 | Surgical Instrument Providing Haptic Feedback - A surgical instrument is disclosed having a distal end connected to a handle via an elongated mechanical linkage. The handle includes a first grip portion and a second grip portion pivotably coupled such that the distal end is controllable by manipulation of the handle. At least one sensor is coupled to the distal end of the surgical instrument, wherein the sensor detects a condition at the distal end. An actuator is coupled to one of the first and second grip portions is configured to provide haptic effects to the one of the first and second grip portions. A controller is electrically coupled to the sensor and electrically coupled to the actuator, wherein the controller controls operation of the actuator such that the haptic effects are feedback relating to the sensed condition. | 05-19-2011 |
20110130787 | MODULAR SURGICAL TOOL - The present disclosure relates to a minimally invasive surgical procedure device including a set for forming a modular surgical tool, the set including a carrier shaft and a plurality of functional modules, in which the each functional module has means for rigid connection to the carrier shaft and/or to another functional module and has dimensions suitable for insertion into the body of a patient through a trocar, wherein the device is characterized in that: —each functional module has at least one degree of rotational or translational freedom and/or a functional end-piece such as a forceps, hook or a scalpel, —the carrier shaft and/or the functional modules include means for actuating the functional modules according to the respective degree of freedom thereof and/or the respective function thereof, and in that the device includes an electromechanical interface capable of controlling the actuating of the assembled functional modules forming the tool. | 06-02-2011 |
20110137337 | Instrument for Minimally Invasive Surgery - The invention relates to an instrument, preferably for minimally invasive surgery, comprising a frame ( | 06-09-2011 |
20110152922 | TOOL FOR MINIMALLY INVASIVE SURGERY AND METHOD FOR USING THE SAME - The present invention relates to an easy-to-control tool for minimally invasive surgery and a method for using the same. In accordance with an aspect of the present invention, there is provided a tool for minimally invasive surgery and a method for using the same comprising, a main shaft, a first control shaft and a second control shaft positioned in sequence from one end of the main shaft, a first actuating shaft and a second actuating shaft positioned in sequence from the other end of the main shaft, an adjustment handle positioned around one end of the second control shaft, an end effector positioned around one end of the second actuating shaft, a pitch control part positioned around one position of the positions between the main shaft and the first control shaft, between the first control shaft and the second control shaft, and between the second control shaft and the adjustment handle, for transferring a motion of the adjustment handle in a pitch direction to the end effector, a first yaw control part and a second yaw control part positioned around the other positions of the positions between the main shaft and the first control shaft, between the first control shaft and the second control shaft, and between the second control shaft and the adjustment handle, respectively, for transferring a motion of the adjustment handle in a yaw direction to the end effector, a pitch actuating part positioned around one position of the positions between the main shaft and the first actuating shaft, between the first actuating shaft and the second actuating shaft, and between the second actuating shaft and the end effector, a first yaw actuating part and a second yaw actuating part positioned around the other positions of the positions between the main shaft and the first actuating shaft, between the first actuating shaft and the second actuating shaft, and between the second actuating shaft and the end effector, respectively, and a pitch cable, a first yaw cable, and a second yaw cable for transferring motions from the pitch control part, the first yaw control part, and the second yaw control part to the pitch actuating part, the first yaw actuating part, and the second yaw actuating part. | 06-23-2011 |
20110184458 | Medical Gripping Device - The present invention relates to an endoscope cap with a holding and withdrawal device for a tissue clip ( | 07-28-2011 |
20110190809 | DELIVERY DEVICE AND METHOD FOR COMPLIANT TISSUE FASTENERS - Devices, systems, and methods for closing the base of a left atrial appendage or other tissue structure comprise a device applicator having jaws, a shaft, and a handle. First and second triggers on a handle are configured to close the jaws and a closure device in a step-wise manner where tissue penetrating fasteners within the closure device are engaged by studs on the jaws, where the studs must be released prior to the opening of the jaws. | 08-04-2011 |
20110190810 | MEDICAL GRIPPER INSTRUMENT - A medical gripper instrument with two jaw parts which include distal gripping sections lying opposite one another. At least one of the jaw parts includes a proximal holding section which is elastically deformable in a manner such that the distal gripping sections of both jaw parts are capable of being moved to one another and away from one another by way of elastic deformation of the at least one holding section. | 08-04-2011 |
20110196418 | FLEXIBLE MEDICAL INSTRUMENTS - A flexible medical instrument includes an elongate shaft, a jaw tip on the distal end of the elongate shaft and a handle on the proximal end. The elongate shaft includes a coil tube having a distal end fixedly attached to a portion of the jaw tip and a proximal end fixedly attached to a rigid structure at the proximal end of the instrument. The coil tube is disposed within an outer sheath that includes a tubular braid. The elongate shaft and jaw tip are axially rotatable relative to the handle for rotational positioning of the jaws. An actuation element is longitudinally moveable within the shaft to open and close the jaws. The sheath prevents or restricts expansion of the coil tube during pushing of the actuation element. | 08-11-2011 |
20110208236 | MUSCLE BIOPSY CLAMP - A muscle biopsy clamp device may be used to measure sarcomere lengths in vivo where laser diffraction may not be possible. The clamp device includes a jaw having serrated markings for securing a muscle bundle in the clamp device as well as to provide markings for the muscle biopsy as reference for the sarcomere length measurement. | 08-25-2011 |
20110230910 | SURGICAL GRASPER WITH INTEGRATED PROBE - A surgical instrument for minimally invasive surgical procedures having a handle portion, an elongated body portion extending distally from the handle portion, an end effector movable between a first position and a second position, and an elongated tissue probe movably positioned within the elongated portion. The probe is movable between a retracted position and an advanced position, wherein movement of the probe moves the end effector from the first position to the second position. | 09-22-2011 |
20110238108 | Surgical instrument - A surgical instrument that includes an instrument shaft having proximal and distal ends; a tool disposed from the distal end of the instrument shaft; a control handle coupled from the proximal end of the instrument shaft; a distal bendable member for coupling the distal end of the instrument shaft to the tool; a proximal bendable member for coupling the proximal end of the instrument shaft to the control handle; actuation means extending between the distal and proximal bendable members for coupling motion of the proximal bendable member to the distal bendable member for controlling the positioning of the tool and a locking mechanism for fixing the position of the tool at a selected position. The locking mechanism includes a ball and socket arrangement disposed about the proximal bendable member and a locking member for locking the ball and socket arrangement and having locked and unlocked states. The ball and socket arrangement includes a compression ring supported from the control handle, having an outer surface for support of the locking member thereabout and having an inner surface defining an at least partially spherical shaped socket. The ball and socket arrangement further includes a hollow ball member having an internal hollow chamber and an outer at least partially spherical shaped surface which mates with the at least partially spherical shaped socket. | 09-29-2011 |
20110245864 | Medical Instrument - A medical instrument with a hollow shaft having a handle including at least two gripping members positioned on its proximal end and a tool positioned on its distal end, so that the tool may be actuated by the handle via an actuating element that is mounted so that it can slide axially in the shaft. A medical instrument that ensures simple structure and a direct and precise control of the tool having gripping members of the handle and the actuating element being actively interconnected by a stud-slit control device. | 10-06-2011 |
20110245865 | FORCEPS - The invention provides a forceps system comprising a pair of forceps members and force measurement means operable to measure compressive and traction forces exerted by the forceps when in use, and to output measurement signals indicative of such forces. Also provided is a method of measuring the compressive and traction forces exerted by a forceps system when in use. | 10-06-2011 |
20110257679 | Clamp Member, Clamp and Anastomotic Apparatus - The anastomotic apparatus is equipped, in a fork which extends in the stapling direction, with an organ gripping mechanism which has a first gripping teeth plate member, a second gripping teeth plate member, a housing, and a clamping teeth drive section connected to at least the aforementioned first gripping teeth plate member or the second gripping teeth plate member to move the first gripping teeth plate member and the second gripping teeth plate member relative to each other by one unit space in the longitudinal direction, and is configured to clamp near a section of an organ to be stapled; an extroverting mechanism configured to move the aforementioned organ gripping mechanism within a turn-out movement range; and a grip controlling mechanism. With the anastomotic apparatus, the burden on the organ tissue can be reduced. | 10-20-2011 |
20110264136 | SURGICAL INSTRUMENT - A surgical instrument is disclosed. The surgical instrument, which has an effector for engaging the surgical site joined to one end and a driving part for operating the effector joined to the other end, includes: a first shaft, which has one end joined with the driving part, and which extends along a first lengthwise direction; and a second shaft, which extends along a second lengthwise direction that forms a particular angle with the first shaft, and which has one end joined with the other end of the first shaft such that the second shaft is rotatable about an axis following the second lengthwise direction. Thus, it is possible to conduct surgery using several of such surgical instruments without having the instruments obstruct one another, and the surgical instrument can be made to have different usage modes according to what length it is set to. | 10-27-2011 |
20110264137 | Surgical instrument and loading unit for use therewith - A surgical instrument is disclosed. The surgical instrument includes a handle assembly, a drive assembly, an endoscopic portion, a pair of jaw members, a dynamic clamping member, and a tissue stop. The drive assembly is disposed in mechanical cooperation with a movable handle of the handle assembly. The endoscopic portion defines a first longitudinal axis. The jaw members are each longitudinally curved with respect to the longitudinal axis. The dynamic clamping member is disposed in mechanical cooperation with a distal portion of the drive assembly and includes an upper beam, a lower beam, and a vertical beam having a cutting edge on a distal portion thereof. At least a portion of the dynamic clamping member is longitudinally curved with respect to the longitudinal axis. The tissue stop is disposed adjacent a distal portion of the first jaw member and configured to impede tissue from distally escaping the jaw members. | 10-27-2011 |
20110276083 | BENDABLE SHAFT FOR HANDLE POSITIONING - Devices and related methods are disclosed that generally involve elongate surgical instruments that include at least one bendable region to allow the instrument to be bent for improved triangulation, visualization, comfort, and/or maneuverability. In one aspect, a surgical device is provided that includes an elongate body having a proximal end and a distal end, a handle coupled to the proximal end of the elongate body, and an end effector having movable jaws, the end effector being coupled to the distal end of the elongate body. The elongate body includes at least one non-resilient bendable region. | 11-10-2011 |
20110276084 | LAPAROSCOPIC DEVICES WITH FLEXIBLE ACTUATION MECHANISMS - Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that includes an elongate shaft having an end effector at a distal end thereof. The end effector can be configured to be movable between a first configuration in which the end effector is longitudinally aligned with or linear relative to the shaft and a second configuration in which the end effector is articulated at an angle beyond 45 degrees relative to the shaft. With the end effector in the first configuration or in the second configuration, the device can be configured to allow selective actuation of the end effector. | 11-10-2011 |
20110288579 | MANIPULATOR - Provided is a manipulator including a first forceps piece and a second forceps piece, which are connected by a pivotal axle and have a gripping part opened or closed on a leading end side thereof. The manipulator includes a manipulation member that is connected to a base end side of the pair of forceps pieces, and moves forward or backward in an axial direction to open or close the gripping part, a first buffer part that has a first spring constant, and undergoes elastic deformation to change a grasping force generated at the gripping part on the basis of the first spring constant and a pulling amount of the manipulation member, and a stopper that regulates the elastic deformation of the first buffer part. | 11-24-2011 |
20110295313 | Accurate Jaw Closure Force in a Catheter Based Instrument - A surgical instrument includes a housing, an end effector and an elongated shaft extending therebetween. The end effector is movable between open and closed configurations. The elongated shaft includes a distal portion that is movable between aligned and articulated configurations. The surgical instrument further includes a driving assembly that induces motion in the end effector between open and closed configuration and maintains a closure pressure in the range of about 3 kg/cm | 12-01-2011 |
20110295314 | MEDICAL GRIPPING TOOL - A medical gripping tool includes a synthetic body and a metallic layer on a surface of the synthetic body, whereby the synthetic body is configured to be elastically reshaped in its expected application. According to the invention, the gripping tool is configured so that the metallic layer is structurally reshaped in the expected application. | 12-01-2011 |
20110295315 | SYSTEM AND METHOD FOR RELEASABLY HOLDING A SURGICAL INSTRUMENT - The invention is directed to a system and method for releasably holding a surgical instrument ( | 12-01-2011 |
20120004684 | MEDICAL INSTRUMENT - A medical instrument with a shaft having a tool on a distal end including a movable jaw member and a handle on a proximal end with a movable gripping member, wherein the jaw and gripping members are in operational connection by a traction/compression element, and wherein a force-limiting device is positioned between the gripping and jaw members for limiting force transmitted from the gripping member onto components in operational connection with the gripping member. Upon exceeding a maximum load, the device reversibly severs the components that are coupled with one another. The force-limiting device includes a housing including two components that can slide with respect to one another with one component mounted rigidly in the housing and the other component positioned to slide axially in the housing against the force of a spring element, such that the two components are coupled by a force transmission element acting on both components. | 01-05-2012 |
20120004685 | Surgical Instrument - In a surgical instrument with two legs movable relative to each other, a tip inserted in a receiving space at the distal end of the leg being exchangeably held at the free end of the legs, with a fixing device for releasable fixation to the leg, the fixing device comprising on one of the two parts two locking arms which are arranged next to each other and are elastically bendable apart, and comprising on the other one of the two parts a locking projection extending into the leg transversely to the direction of insertion of the tip, the locking projection, when inserting the tip into the receiving space of the leg, engaging between the two locking arms, bending these elastically apart, and at the end of the inserting movement, entering a recess on the inner side of the locking arms, so that the locking arms approach each other again after they have been elastically bent apart, in order to simplify the structure and, in particular, to reduce soiling and risk of injury, it is proposed that the receiving space widen in the proximal direction from its insertion end. | 01-05-2012 |
20120010652 | Medical Instrument - A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed. | 01-12-2012 |
20120022583 | Surgical Tool with Crossbar Lever - A crossbar lever of a surgical tool has a bridge portion which extends forward and a transverse portion. The bridge portion is retained between the second and third fingers of the surgeon's hand, and this retention establishes greater control and stability of the surgical tool. The crossbar lever pivots relative to a handgrip of a handle assembly and a shaft assembly extends from the handle assembly. Tissue contacting or manipulating devices such as jaws are located at the forward end of the shaft assembly. The surgical tool is particularly useful in performing minimally invasive surgical procedures. | 01-26-2012 |
20120029554 | MEDICAL HAND TOOL - A medical hand tool ( | 02-02-2012 |
20120041478 | Instrument for Minimally Invasive Surgery - An instrument for minimally invasive surgery suitable for use with a manipulator comprising a tube provided at its first end with a mouthpiece wherein control means for the mouthpiece pass through the tube, and wherein at a second end of the tube opposite to the first end comprising the mouthpiece control organs are provided that are coupled with the control means for the mouthpiece that are passing through the tube. | 02-16-2012 |
20120059407 | MULTI-PRONG FORCEPS - A surgical forceps comprising a first repositionable arm that includes a first prong extending distally therefrom and a second repositionable arm that includes a second prong extending distally therefrom, wherein each prong includes a distal flange that points inward and an interior surface of each prong is sloped. The surgical forceps may include a plurality of prongs for each arm. And the arms may be repositioned to reposition the prongs in order to bring the prongs closer together or farther apart. In exemplary form, the surgical forceps are adapted to grasp a semispherical device. | 03-08-2012 |
20120078289 | REPOSABLE ENDOSCOPIC FORCEPS SYSTEM - Reposable endoscopic forceps systems are described. The forceps systems may be provided with one or more reposable elements that are intended to be interoperable therewith in various different combinations. By way of a non-limiting example, the reposable elements of the forceps system may be, without limitation: (1) a threaded reposable tip insert wherein the associated tube and adaptor are retained as reusable elements and may thus be permanently attached to a handle; (2) a cartridge system, including a jaw assembly operably associated therewith, a retaining tube, an activation shaft, and an adaptor; and (3) a threaded tip insert and a detachable tube, thus allowing thorough cleaning of both the insert and the tube. | 03-29-2012 |
20120083825 | DETACHABLE SHAFT - A surgical device comprising: a mechanical manipulation mechanism configured for transmitting a first set of control signals; and at least one mechanical slave cylinder coupled with the mechanical manipulation mechanism and positioned at a distal end of the surgical device, the at least one mechanical slave cylinder configured for receiving the first set of control signals, wherein the at least one mechanical slave cylinder comprises: a piston configured for responding to the first set of control signals by moving between a proximal end and a distal end of the mechanical slave cylinder; and a detachable shaft configured for detachably coupling with a distal end of the piston and for the moving with the piston. | 04-05-2012 |
20120083826 | SURGICAL DEVICE AND METHODS - A system and method for abdominal surgery is disclosed. The system can have one or more end effectors that can be attached to an introducer and/or tray and inserted into the abdomen through a large puncture through the patient's umbilicus. The end effector can have a surgical tool, such as a grasper. The system can have a manipulatable control arm that can be inserted into the abdomen through a small puncture through the patient's body wall. The end effector can be attached to the control arm and simultaneously or concurrently detached from the introducer or tray. The control arm can then manipulate the end effector to perform the surgery. | 04-05-2012 |
20120089175 | COMPRESSION TRANSMISSION COLLAR FOR FASTENING - A compression transmission collar apparatus ( | 04-12-2012 |
20120089176 | MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS - Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, first and second links pivotally attached to the jaws, and a driver. The housing, first and second jaws, and first and second links form a linkage mechanism that allows the jaws to engage tissue and be left in vivo. | 04-12-2012 |
20120101518 | DePond clamp - A first embodiment can be a clamp for gripping viscera comprising a pair of arms, each arm including a proximal handle and a distal tissue engaging member, pivot means interconnecting said arms, and a locking means carried by each arm interengaging when said members are in clamping engagement, and one member extended distally with a bulbous tip. | 04-26-2012 |
20120109184 | VIBRATORY MOTOR USE - Devices and methods are provided for reducing the effect of frictional forces on the operation of a surgical instrument, particularly when inserted within a tortuous body lumen. A vibratory mechanism coupled to the surgical instrument can be activated to vibrate the shaft and/or the actuator of the surgical instrument to reduce the effect of frictional forces generated between the shaft and the actuator of the surgical instrument, thereby reducing the force necessary to actuate the end effector. | 05-03-2012 |
20120109185 | PERCUTANEOUS TISSUE GRASPING APPARATUS AND METHOD - An improved percutaneous tissue grasping apparatus and method provide for reduced trauma to tissue associated with the insertion and advancement of the apparatus. In one aspect, the percutaneous tissue grasping apparatus may include a blunt nose that is flush with or extends beyond a distal end of an outer tubular member. As such, when advanced into and through tissue, tissue is prevented from advancing proximally into the outer member. As such, the trauma attendant with advancement of such apparatus into tissue of a patent may be reduced. | 05-03-2012 |
20120130420 | SURGICAL DEVICE - A surgical device includes a shaft portion coupled to a handle, the handle defining a longitudinal axis. The surgical device also includes a first driver configured to actuate a rotational movement via a first drive shaft and a second driver configured to actuate an articulation movement via a second drive shaft. The surgical device also includes a controller having a first dial and a second dial, the first dial actuated by the first driver and the second dial actuated by the second driver, the second dial positioned within the first dial. | 05-24-2012 |
20120143241 | Tissue Grasping Forceps & Localizing Needle Holder - A tissue grasping forceps and needle holder. A pair of movable arms are pivotably connected about a pivot connection, with each arm having a handle portion on one side and a working portion on the opposite side of the pivot connection. The working portions interengage when the handle portions are closed to a minimum spaced relation. The working portion has a clamp components and jaw component, with the clamp component comprising a plurality of synchronous teeth located to interlock when the handle portions are in the minimum spaced relation. The jaw component comprises a plurality of regularly spaced tines, with the tines being joined in pairs when the handle portions are in the minimum spaced relation with a gap between the tines, and an interstice between each spaced pair. | 06-07-2012 |
20120158043 | FORCEPS FOR ENDOSCOPE - A forceps for endoscope includes: a pair of first and second forceps members that is supported by a forceps rotary shaft so as to be relatively rotatable; an opening and closing wire that is moved forward and backward in the direction of the axis so that the first forceps member and the second forceps member are rotated relatively; a stopper that switches an angle in which the first forceps member and the second forceps member rotate relatively at first and second positions different from each other in the direction of the axis; an adjusting wire is moved forward and backward in the direction of the axis; and a sheath through which the opening and closing wire and the adjusting wire are inserted and in which the first forceps member, the second forceps member, and the stopper protrude from the front end thereof. | 06-21-2012 |
20120172924 | Combined Unilateral/Bilateral Jaws on a Surgical Instrument - A surgical instrument includes a housing supporting first and second actuators thereon, and an elongated shaft extending distally from the housing. First and second drive members extend through the elongated shaft to operatively couple respective actuators to respective jaw members such that independent manipulation of one of the actuators may induce pivotal movement of an individual jaw member. A locking member is operatively associated with the first and second drive members, and is selectively movable between locked and unlocked positions. When the locking member is in the locked position, the first and second drive members are coupled to one another and move concurrently to drive the jaw members in a bilateral manner. When the locking member is in the unlocked position, the drive members are decoupled from one another and move independently to permit operation of the instrument in a unilateral manner. | 07-05-2012 |
20120172925 | IN VIVO Attachable and Detachable End Effector Assembly and Laparoscopic Surgical Instrument and Methods Therefor - A method of performing surgery includes the steps of providing a forceps having a housing including a shaft that extends therefrom and at least one handle moveable relative to the housing and providing an end effector assembly configured to selectively engage a distal end of the shaft. The method also includes the steps of inserting the forceps through a first opening formed in a body; inserting the end effector assembly through a second opening formed in the body; engaging the end effector assembly with the distal end of the shaft in vivo; and actuating the end effector assembly by moving the handle relative to the housing. The method may also include the steps of providing a coupling at the distal end of the shaft, and engaging, via the coupling, the distal end of the shaft with the end effector assembly. | 07-05-2012 |
20120179197 | MEDICAL INSTRUMENT - A medical instrument with a shank consisting of pivotable jaw parts and a handle, the two jaw parts of the tool are pivotable relative to each other independently via the handle and each of the pivotable jaw parts is actuated via a separate drive. One drive is designed as a grip part mounted pivotably on the handle and is connected to one jaw part via a first push/pull element mounted in an axially displaceable manner in the shank, and the other drive is an adjusting wheel rotatable about a longitudinal axis of the shank and is connected to the other jaw part of the tool via a second push/pull element mounted in an axially displaceable manner in the shank. The push/pull element is designed as a push/pull rod, and the push/pull element which is coupled to the adjusting wheel is designed as a push/pull tube coaxially surrounding the push/pull rod. | 07-12-2012 |
20120184988 | Latch Mechanism for Surgical Instruments - A surgical instrument includes a pair of jaw members moveable between a spaced-apart and an approximated position. A drive bar is translatable between a distal and a proximal position for moving the jaw members between the spaced-apart and approximated positions. A lever is moveable between an initial position and an actuated position for translating the drive bar between the distal and proximal positions. A sleeve disposed about the drive bar includes an annular track having a substantially radial segment(s) and a substantially longitudinal segment(s). A collar interdisposed between the sleeve and the drive bar includes a stop member(s) extending radially outwardly therefrom. The stop member(s) is engaged within the track and is translatable from a first position, wherein the stop member is positioned within the longitudinal segment, to a second position, wherein the stop member is engaged within the radial segment, to lock the lever in the actuated position. | 07-19-2012 |
20120197291 | Surgical Clamp - A surgical clamp includes first and second supports respectively having first and second engagement sections. The first and second supports are pivotably connected at a connection by a pivotal portion such that the first and second supports are pivotable about a pivot axis extending through the connection. An opening is defined between the first and second engagement sections for receiving a bone of a patient. A connecting tube includes a first end fixed to the connection. A guiding tube includes an end connected to a second end of the connecting tube and is located in a central plane of the opening between the first and second engagement sections. The central plane includes the pivot axis and has equal spacing to the first and second engagement sections. A sliding rod is fixed to the connecting tube and includes a sliding groove slideably receiving a pole located on the pivotal portion. | 08-02-2012 |
20120203269 | MEDICAL MANIPULATOR SYSTEM - A medical manipulator system has an operating unit including a grip handle and a composite input unit, a working unit detachably mounted on the operating unit and including an end effector, and a controller for controlling the operating unit. The controller judges starting and ending of a surgical case and increments the usage count of the working unit based on a manner in which the working unit is mounted and dismounted, and the times at which the working unit is mounted and dismounted, and disables the working unit if the usage count of the working unit exceeds a preset count. | 08-09-2012 |
20120203270 | FLEXURAL LAPARASCOPIC GRASPER - A flexural grasper for use in laparoscopic procedures and the like includes an end effector with digits having rigid elements coupled by flexural bearings. The flexural bearings can be controlled to flex and straighten using cables deployed through the digits and tensioned remotely from a handle for the flexural grasper. | 08-09-2012 |
20120203271 | GUIDE TUBE CONTROL OF MINIMALLY INVASIVE SURGICAL INSTRUMENT - A telemanipulatively controlled guide tube acts as a wrist mechanism for a surgical instrument that extends through the guide tube. The instrument may be removed and replaced with another instrument. In some aspects the instruments are commercial, off the shelf minimally invasive surgical instruments. | 08-09-2012 |
20120203272 | Tonsil Forceps - A tonsil forceps having first and second intersecting and pivoting arm members, releasable locking members for securing the forceps in multiple positions and grasping members disposed on said arm members. In at least one of the locked positions, the tines on the grasping members do not cross. The grasping members have a concave interior surface, inwardly facing blunt interior projection members, flush lateral projection members and angled lateral projection members. The projecting members are non-contacting with each other even in the maximum closed forceps position. | 08-09-2012 |
20120209314 | Methods and Systems for Indicating a Clamping Prediction - End effectors with closing mechanisms, and related tools and methods are disclosed. The disclosed end effectors may be particularly beneficial when used for minimally invasive surgery. An example surgical tool comprises a first and second jaw movable between a closed grasped or clamped configuration and an open configuration. The tool further comprises a soft grip mode for grasping the tissue at a first force during which a separation parameter between the jaws is measured, and a therapeutic clamping mode in which the jaws clamp on the body tissue at a force greater than the grasping force. The methods comprise grasping the body tissue between jaw members, measuring the separation parameter between jaws, indicating on a user interface the separation parameter for comparison to a desired separation parameter, and then releasing the body tissue for repositioning or therapeutically clamping the body tissue in response to the separation parameter indication. | 08-16-2012 |
20120239080 | Laparoscopic Dual Grasper - Two laparoscopic graspers are merged, having one external sheath, one handle, two pairs of jaws, two actuating rods, and two controls. Two instruments may now be used in one hand, through one port, facilitating intra-corporeal knot tying. This new “laparoscopic dual grasper” is designed to enable the passing of one end of the suture around the opposite strand to make the required “throw”. This same instrument with the additional feature of the external shaft split into two halves, with a sliding connection, permits one of the two graspers to extend further, enabling two adjacent points on the same suture to be brought together, producing a loop, which is an alternate method of making the “throw” in the tying of a knot. | 09-20-2012 |
20120239081 | INTEGRATED MEDICAL APPARATUS FOR NON-TRAUMATIC GRASPING, MANIPULATING AND CLOSURE OF TISSUE - The integrated medical apparatus includes an operator handle end and a multi-prong grasping member positioned within and movable relative to a grasper lumen that extends from the handle end, wherein the grasping prongs are moved between an open and closed position by relative axial movement between the prongs of the grasping member and the grasper lumen. The medical apparatus includes a contractible snare and a plurality of axially moveable snare pushing arms. At least two of the snare pushing arms include a snare holding and release mechanism, wherein the snare pushing arms are configured to advance the snare in an open, encircling position to a final deployed position where the snare can be released through the activation of the holding and release mechanism of the pushing arms, and finally tightened in a conventional fashion, such as pulling on an end of the snare at the handle end. | 09-20-2012 |
20120259358 | HANDLING DEVICE FOR A MICRO-INVASIVE SURGICAL INSTRUMENT - A handling device for a micro-invasive surgical instrument includes a gripping device to manually hold and guide the handling device, a shaft coupling to detachably mechanically couple the handling device with a proximal end of a shaft, a rod coupling that can slide inside the handling device for detachable mechanical coupling with a proximal end of a transmission rod that can be slid inside a shaft coupled with the shaft coupling, and an orientation device to rotate a proximal end of a transmission rod, which has been inserted into the handling device, into a predetermined orientation or into one of several predetermined orientations. | 10-11-2012 |
20120265241 | Surgical Forceps and Method of Manufacturing Thereof - A forceps includes an end effector assembly having first and second jaw members. One or both jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both jaw members includes an insulator having at least one engagement knob extending therefrom and a tissue-sealing plate including at least one engagement aperture extending therethrough and defining a tissue-sealing surface. The aperture is configured to receive the knob therein upon positioning of the tissue-sealing plate atop the insulator such that a free end of the knob extends through the engagement aperture and extends from the tissue-sealing surface. The knob is deformable from a first configuration to a second configuration, wherein the free end of the knob is permanently inhibited from passing through the aperture, thereby engaging the insulator and the jaw frame to one another. | 10-18-2012 |
20120271346 | Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members. One (or both) of the first and second jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes a jaw frame a disposable jaw housing and an elastomeric ring member. The disposable jaw housing is releasably engageable with the jaw frame. The elastomeric ring member is removably positionable about a distal end of the jaw housing. The elastomeric ring member is configured to define a gap distance between the first and second jaw members upon movement of the first and second jaw members to the approximated position. | 10-25-2012 |
20120271347 | HANDLING DEVICE FOR A MICRO-INVASIVE SURGICAL INSTRUMENT - A handling device for a micro-invasive surgical instrument includes a gripping device to hold and guide the handling device, a shaft coupling to couple the handling device with a proximal end of a shaft, and a rod coupling that can slide linearly inside the handling device between a distal assembly position and a range of working positions for coupling with a proximal end of a transmission rod that can be slid inside a shaft coupled with the shaft coupling. The slidable rod coupling is configured, in the assembly position, to receive or release a proximal end of a transmission rod and to hold a proximal end of a transmission rod, in the range of working positions. The shaft coupling is configured to block a proximal end of a shaft in a position in which the proximal end of the shaft holds the rod coupling in the range of working positions. | 10-25-2012 |
20120277790 | POWERED SURGICAL INSTRUMENT - A surgical instrument including a housing, an endoscopic portion, a shaft portion and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion. | 11-01-2012 |
20120289999 | Medical Instrument For Grasping An Object, In Particular A Needle Holder - The present invention relates to a medical instrument for grasping an object, in particular a surgical needle holder, with two jaw parts arranged at a distal end of a shaft, at least one of the jaw parts being pivotable with respect to the other one of the jaw parts between a grasp state for grasping the object between the jaw parts and a release state for releasing the object, and with a latching mechanism comprising at least one latching element, wherein the latching element has an elongated opening to accommodate a connection pin for connecting the at least one pivotable jaw part with the latching element, and wherein the elongated opening is divided in several sections along its length by periodical projections, such that the at least one pivotable jaw part pivots stepwise from one stable latched position to another stable latched position. | 11-15-2012 |
20120296371 | Modular Shaft for Endoscopic Vessel Sealer and Divider - A modular shaft assembly for use with a variety of different endoscopic forceps each having a housing includes a handle assembly and one or more moveable handles. The modular shaft assembly also includes a shaft having proximal and distal ends and an end effector assembly including a pair of jaw members attached to the distal end thereof. The shaft and a universal drive assembly are attached at the proximal end of the shaft. The universal drive assembly is operably engageable with the handle assemblies of the variety of different endoscopic forceps such that actuation of the one or more movable handles of any of the variety of different forceps causes the universal drive assembly to actuate the jaw members to move between an open position wherein the jaw members are disposed in spaced relation relative to one another to a closed position for grasping tissue therebetween. | 11-22-2012 |
20120303055 | PERCUTANEOUS ROD DELIVERY TECHNIQUES AND SYSTEMS - There are disclosed techniques for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one extender removably engaged to the bone anchor. A connecting element is movable into the patient and guided by the at least one extender to a first position in the patient. A second bone anchor and extender is then inserted into the patient and engaged to a bony portion. The connecting element is then moved from the at least one extender to extend to the second bone anchor and second extender. The connecting element is then engaged to each of the bone anchors. | 11-29-2012 |
20120316601 | Lever Latch Assemblies for Vessel Sealer and Divider - A surgical instrument includes a housing and an end effector spaced from the housing and transitionable between first and second conditions. A drive bar is coupled to the end effector and extends into the housing. The drive bar is translatable between first and second positions for transitioning the end effector between the first and second conditions. A handle assembly is moveable between initial and actuateds position for translating the drive bar between the first and second positions. One or more linkages couple the drive bar, the handle assembly, and the housing to one another by at least first, second and third pivots. At least one of the pivots is fixed and at least one of the pivots is floating. The second pivot is movable relative to the first and third pivots between an unlatched position and an over-center latched position for latching the end effector in the second condition. | 12-13-2012 |
20120330351 | TISSUE CAPTURE AND OCCLUSION SYSTEMS AND METHODS - Systems and methods capture and/or occlusion of selected body tissue using various tissue characteristics and/or techniques are described. In the context of left atrial appendage closure, the systems and methods can be used to capture the left atrial appendage while a closure instrument (suture, clip, ring, etc.) is placed over the appendage and tightened down or a closure method (ablation, cryogenic procedures, stapling, etc.) is performed to close the left atrial appendage. | 12-27-2012 |
20130012983 | Surgical Instrument with Flexible Shaft - A surgical instrument includes an elongate body, an elongate shaft, a collar, and an end effector. In particular, the elongate body defines a longitudinal axis, a lumen therethrough and an aperture in communication with the lumen. The elongate shaft is disposed at least partially within the lumen of the elongate body. The collar is mounted at least partially on the elongate shaft. The effector is detachably coupled with the elongate shaft. The elongate shaft is transitionable between a first position in which the elongate shaft is aligned with the longitudinal axis and a second position in which a portion of the elongate shaft having the collar mounted thereon transversely bends and protrudes through an aperture, thereby causing the end effector to move along the longitudinal axis with respect to the elongate body. | 01-10-2013 |
20130018411 | Surgical ForcepsAANM Collings; ChaseAACI HaydenAAST IDAACO USAAGP Collings; Chase Hayden ID USAANM Sims; Grant T.AACI LittletonAAST COAACO USAAGP Sims; Grant T. Littleton CO USAANM Townsend; Jeffrey R.AACI LovelandAAST COAACO USAAGP Townsend; Jeffrey R. Loveland CO US - A forceps includes a pair of shafts each having a jaw member disposed at a distal end thereof. One (or both) of the shafts is moveable relative to the other about a pivot pin between a spaced-apart position and an approximated position to move the jaw members between an open position and a closed position. A knife assembly includes a knife blade mechanically keyed to the pivot pin and moveable between an initial position, wherein the knife blade is disposed within one of the jaw members, and an extended position, wherein the knife blade extends between the jaw members. An actuator arm(s) is mechanically keyed to the pivot pin and extends therefrom. The actuator arm(s) is moveable between an un-actuated position and an actuated position to rotate the pivot pin relative to the jaw members to move the knife blade between the initial position and the extended position. | 01-17-2013 |
20130023923 | Coaxial Coil Lock - A surgical instrument includes a housing and an elongated shaft extending distally therefrom. The elongated shaft includes a proximal portion, a distal portion and a flexible portion supported therebetween. The flexible portion permits pivotal movement of the distal portion of the elongated shaft and an end effector supported thereon. A locking mechanism is operatively associated with the flexible portion of the elongated shaft to selectively impede pivotal motion of the distal portion. The locking mechanism includes a locking coil disposed about an axis defined by the flexible portion of the elongated shaft. A distal end of the locking coil is coupled to the distal portion of the elongated shaft, and a proximal end of the locking coil is rotatable about the longitudinal axis to laterally approximate the locking coil to flexible portion, and thus frictionally engage the flexible portion of the elongated shaft to selectively impede articulating motion thereof. | 01-24-2013 |
20130023924 | Articulating Surgical Apparatus - An endoscopic instrument includes a housing having shaft. The shaft includes an articulating section disposed thereon. An end effector assembly operatively connects to a distal end of the shaft and is configured to treat tissue. A plurality of tendons operably couples to the articulating section and is translatable along a longitudinal axis to effect articulation of the shaft about the articulating section. Each of the tendons includes a respective locking ferrule disposed thereon. A locking catheter is disposed within the shaft and between the plurality of tendons to selectively engage each respective locking ferrule. The locking catheter is rotatable within the shaft from a first position to allow articulation of the shaft about the articulating section, to a second position to prevent articulation of the shaft. | 01-24-2013 |
20130023925 | Articulating Surgical Apparatus - An endoscopic instrument includes a housing having shaft extending therefrom that defines a longitudinal axis therethrough. The shaft includes an articulating portion disposed thereon. An end effector assembly operatively connected to a distal end of the shaft configured to treat tissue includes a pair of first and second jaw members. A locking tube is coaxially disposed on the shaft is movable along the longitudinal axis. The locking tube is movable along an outer surface of the shaft from a retracted position such that the shaft may be articulated transversely across the longitudinal axis, to an extended position such that the shaft is locked in a fixed position along the longitudinal axis. | 01-24-2013 |
20130035718 | FLEXIBLE FORCEPS WITH IMPROVED TORSIONAL RIGIDITY - An improved medical transmission apparatus for transmitting a flexible forceps through one of a plurality of lumens associated with an elongated composite scope assembly towards a surgical site presenting an increased torsional rigidity region for increased deflectional resistance of the forceps and being defined by a junction between a sheath associated with the forceps and a lumen extending cylindrically along the elongated composite scope assembly; a portal entry associated with the elongated composite scope assembly having a diameter sized for receiving and transmitting a distal tip section associated with said forceps therethrough and a cylindrical clearance positioned between an outer sidewall associated with said sheath and an inner surface associated with said lumen, the cylindrical clearance directing said forceps towards the surgical site. | 02-07-2013 |
20130046335 | Dural repair instruments and methods of using the same - A needle holder instrument and needle for use in dural repair is disclosed along with a method for using the same. The needle holder instrument includes a handle portion that is adapted to be held by a surgeon for manipulating the instrument, a needle holder portion adapted to temporarily hold a needle and an elongated central portion extending between and connecting the handle portion to the needle holder portion. The needle holder portion includes a needle holder comprised of an aperture passing entirely through the needle holder portion adjacent the distal end thereof. The aperture is tapered whereby the diameter thereof is wider at the opening adjacent the surface of the needle holder portion and is narrower as the depth of the aperture increases. The needle has a pointed tip at one end thereof and a base at the other end thereof. The base has a shape that is complementary to the shape of the aperture whereby the base can be inserted into the aperture and temporarily held therein. Also provided are forceps including opposed working jaws having non-smooth surfaces that are adapted to grasp and hold the needle. | 02-21-2013 |
20130046336 | MEDICAL INSTRUMENT WITH FLEXIBLE JAW MECHANISM - A medical instrument includes a unitary jaw structure having: a connector portion, a first jaw portion flexibly integral with the connector portion, a first arm portion integral with the first jaw portion, and an actuator portion flexibly integral with the first arm portion for causing rotating motion of the first jaw portion upon linear motion of the actuator portion. | 02-21-2013 |
20130046337 | Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members. One or both of the jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members includes a jaw frame and a replaceable component engageable with the jaw frame. The replaceable component includes one or more engagement members configured to engage a corresponding engagement member(s) disposed on the jaw frame to secure the replaceable component to the jaw frame. The engagement member(s) is transitionable from a new state to a used state, wherein, in the used state, the engagement member(s) is incapable of reengaging the corresponding engagement member(s). | 02-21-2013 |
20130046338 | TREATMENT INSTRUMENT FOR ENDOSCOPE - A treatment tool for an endoscope includes a sheath member, a treatment part, an operating part body, an operating wire, a slider, and a force limiting part. When a predetermined force is applied to the force limiting part with advance and refraction of the slider, the force limiting part engages a wall surface of the insertion passage of the operating wire and fixes the slider by being compressed in an advance-and-retraction direction and expanding in a radial direction. | 02-21-2013 |
20130060278 | SURGICAL INSTRUMENT INCLUDING HOUSING, A CUTTING ACCESSORY THAT EXTENDS FROM THE HOUSING AND ACTUATORS THAT ESTABLISH THE POSITION OF THE CUTTING ACCESSORY RELATIVE TO THE HOUSING - An instrument for treating tissue during a medical procedure includes a hand-held portion and a working portion. The hand-held portion is manually supported and moved by a user and the working portion is movably coupled to the hand-held portion. A tracking device is attached to the hand-held portion for tracking the instrument. The tracking device is in communication with a control system, which is used to keep the working portion within or outside of a boundary. A plurality of actuators are operatively coupled to the working portion. The control system instructs the actuators to move the working portion relative to the hand-held portion during the medical procedure in order to maintain a desired relationship between the working portion and the boundary. | 03-07-2013 |
20130072964 | Surgical Forceps for Phlebectomy - The invention relates to surgical forceps used for the extraction of varicose veins and having:—a body with an articulation plate ( | 03-21-2013 |
20130079810 | Surgical Devices and Mechanisms - An instrument for use in a medical procedure that includes a proximal end, a distal end, a handle adjacent to the proximal end of the instrument, a flexible elongated neck extending distally from a distal end of the handle, a jaw power screw extending from a distal end of the neck, a pair of moveable jaws operatively connected to the jaw power screw, and a handle power screw assembly operatively connected to a proximal end of the flexible neck within the handle, wherein manipulation of the handle will control movement of the jaws | 03-28-2013 |
20130110155 | GRASPING TREATMENT DEVICE | 05-02-2013 |
20130110156 | Device for Sheet Insertion | 05-02-2013 |
20130123837 | Surgical Forceps - An end effector of a forceps includes first and second jaw members movable between spaced-apart and approximated positions for grasping tissue. Each jaw member includes a tissue sealing plate that is selectively energizable. The tissue sealing plates are configured to conduct energy therebetween and though tissue to seal tissue. A knife includes a distal surface and an upper surface. The knife is selectively translatable between a retracted position and an extended position wherein the knife extends between the jaw members. The distal surface is configured for dynamic tissue cutting upon translation of the knife from the retracted to the extended position. The upper surface is configured for static tissue cutting with the knife in the extended position. The knife is selectively energizable and is configured to conduct energy between the knife and one or both of the tissue sealing plates and through tissue to electrically cut tissue. | 05-16-2013 |
20130158593 | SYSTEM AND METHOD FOR AN ARTICULATING GRASPER END-EFFECTOR - An endoscopic medical device system includes an elongated shaft assembly, a cam assembly and an articulating distal end assembly. The elongated shaft assembly extends along a main axis and includes first and second actuator rods arranged parallel to each other and the first actuator rod is longer than the second actuator rod. The cam assembly includes a cam, and the proximal ends of the first and second actuator rods are configured to be slidably attached to first and second locations of the cam, respectively, and the distal ends of the first and second actuator rods are positioned at the same distance from the cam center. The articulating distal end assembly extends along the main axis and is pivotally connected to the distal ends of the first and second actuator rods. Rotation of the cam around an axis perpendicular to the main axis provides angular displacement of the distal end assembly relative to the main axis. | 06-20-2013 |
20130211446 | Medical Instrument - A medical instrument having a force-limiting apparatus that, upon reaching the borderline force, ensures maintenance of the applied resistance force. It is proposed that the force-limiting apparatus should include a housing in which two components that can move in opposite directions to one another in the longitudinal direction of the housing are disposed in such a way that both components are disposed so that they can slide axially in the housing against the force of at least one spring element disposed in the housing, such that the two components are coupled with one another by at least one force transmission element that is acting on both components. | 08-15-2013 |
20130238016 | Articulating Surgical Apparatus - An endoscopic forceps is provided. The endoscopic forceps includes a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough. The shaft has a first tube with a bent portion having a contour. A second tube is disposed within the first tube. An end effector assembly operatively connected to a distal end of the first tube has a pair of first and second jaw members. The first and second jaw members including respective cam slots defined therein with a cam pin movable therein. The shaft is translatable along the longitudinal axis to straighten the bent portion of the first tube to move the bent portion of the first tube from an articulated configuration to a non-articulated configuration. The second tube is translatable along the longitudinal axis to move the first and second jaw members from the open configuration to the clamping configuration. | 09-12-2013 |
20130282050 | LAPAROSCOPIC TOOL FOR GRASPING TISSUE - A laparoscopic tool includes a base having a bore that receives the proximal end of an elongate outer tube having a lumen in axial alignment with the bore. An elongate inner rod is slideably mounted in the lumen and the bore. A clamp is detachably secured to a distal end of the elongate inner rod. A handle controlled by a user advances and retracts the inner rod. A nitinol clamp is connected to the distal end of the inner rod and an electrically conductive suture thread holds the clamp to the inner rod. A wedge block positioned at the proximal end of the inner rod has a slit that releasably engages the suture thread so that the suture thread is pulled until it is taut and wedged into the slit. The clamp closes when heated by an electrical current flowing through the suture thread and opens when the current stops. | 10-24-2013 |
20130282051 | MEDICAL MANIPULATOR - A medical manipulator is provided. The medical manipulator includes an end effector that is configured to perform motions with respect to at least two different axes, and that is inserted in a body cavity during operation of the medical manipulator. The medical manipulator also includes at least two cylindrical motors that each include a longitudinal axis and that drive at least a part of the end effector. The motors remain outside a living body during operation of the medical manipulator and the motors are mounted on at least one bracket. A shaft interconnects the bracket and the end effector. A longitudinal axis of the shaft extends substantially parallel to each of the longitudinal axes of the motors. | 10-24-2013 |
20130289616 | ENDOSCOPE TREATMENT TOOL - An endoscope treatment tool includes a treatment portion, a manipulation portion, and a manipulation wire connecting the treatment portion and the manipulation portion, the manipulation portion includes a manipulation portion main body, a shaft, a clutch plate having a through-hole into which the shaft is slidably inserted, a manipulation member slidably attached to the manipulation portion main body, and a force adjustment member compressed in accordance with manipulation of the manipulation member, and the clutch plate is inclined with respect to the shaft in accordance with compression of the force adjustment member, and thereby the manipulation member is fixed to the manipulation portion main body by the clutch plate which is fixed to the shaft so as not to slide with respect to the shaft. | 10-31-2013 |
20130289617 | ENDOSCOPE TREATMENT TOOL - An endoscopic treatment tool includes a sheath, a support portion which is attached to a distal end of the sheath, a pair of forceps members which are provided on the support portion, a linear portion which is inserted through the sheath so that the linear portion is capable of advancing and retracting, the linear portion causing facing surfaces each provided on the pair of forceps members to approach each other, and the linear portion separating the pair of facing surfaces from each other, an engaging portion which is provided in the support portion, an engaged portion which is provided in the linear portion, and a moving mechanism that moves the position of the distal end portion of the linear portion to a distal end position closer to the distal end side than the engaged portion. | 10-31-2013 |
20130296922 | Surgical Instrument With Stamped Double-Flag Jaws - A surgical instrument includes an elongated shaft having a distal portion and a proximal portion coupled to a housing. An inner shaft member extends at least partially through the elongated shaft and is selectively movable in a longitudinal direction. An end effector is supported by the distal portion of the elongated shaft. The end effector includes upper and lower jaw members pivotally coupled to the distal portion of the elongated shaft about a pivot axis and including a pair of laterally spaced flanges. The pairs of flanges of the jaw members are arranged in an offset configuration such that one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member. | 11-07-2013 |
20130296923 | Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members. Each of the jaw members includes a proximal flange extending therefrom. Each of the proximal flanges defines a bifurcated configuration having first and second spaced-apart flange components. The first flange component of the first jaw member is configured to pivotably engage the second flange component of the second jaw member via a first protrusion-aperture coupling. The first flange component of the second jaw member is configured to pivotably engage the second flange component of the first jaw member via a second protrusion-aperture coupling different from the first protrusion-aperture coupling. One or both of the jaw members is pivotable relative to the other about the first and second protrusion-aperture couplings between a spaced-apart position and an approximated position for grasping tissue therebetween. | 11-07-2013 |
20130304114 | Surgical Forceps Including Blade Safety Mechanism - A forceps includes first and second jaw members and at least one handle movable between an open position and a closed position for moving the jaw members between a spaced-apart position and an approximated position. A ratchet mechanism includes first and second ratchet components configured to engage one another upon movement of the at least one handle to the closed position to retain the jaw members in the approximated position. A knife is selectively movable between a retracted position and an extended position, wherein the knife extends between the jaw members to cut tissue therebetween. A safety mechanism is configured to inhibit extension of the knife when the jaw members are disposed in the spaced-apart position. Movement of the ratchet components into engagement with one another to retain the jaw members in the approximated position disengages the safety mechanism, thereby permitting extension of the knife. | 11-14-2013 |
20130304115 | TREATMENT TOOL - A treatment tool includes a long shaft member, a pair of grasping members installed at a distal end portion of the long shaft member, a driving force transmission member connected to the pair of grasping member, a driving manipulation member, and a switch unit having a first sliding section and a second sliding section, and configured to switch a ratio of a magnitude of a force for moving the driving force transmission member with respect to a magnitude of a force for moving the driving manipulation member when the driving manipulation member is manipulated to be moved by switching a position at which the driving manipulation member is slid between the first sliding section and the second sliding section. | 11-14-2013 |
20130304116 | PLUG - The fixed valve and the attachable and detachable valve are connected to each other via a connecting band, and both are integrally made of elastomer. A frame body is constituted of a rigid body made of plastic. A flange and a receiving portion are formed on an upper portion of the frame body. A second flange is formed on a lower end of the fixed valve. The fixed valve is installed on the frame body by engaging the second flange with flange. The second flange is prevented from being separated from the flange of the second flange by interposing a part of the second flange between the flange and the receiving portion. The fixed valve is securely installed on the frame body, whereby the fixed valve is prevented from uncoupling when removing a treatment tool. | 11-14-2013 |
20130325057 | LEVER LATCH ASSEMBLIES FOR SURGICAL IMPROVEMENTS - A surgical instrument includes a handle movable between first and second positions for transitioning an end effector assembly between states and to a third position for returning the handle. A latch arm coupled to the handle includes one or more engagement members. A latch block defines a guide track having a latching path configured to guide the engagement member(s) therealong, an engagement portion configured to engage the engagement member(s) to latch the handle in the second position, and a return path configured to guide the engagement member(s) therealong. A first step interdisposed between the latching path and engagement portion guides the engagement member(s) into engagement with the engagement portion and inhibits the engagement member(s) from returning along the latching path. A second step interdisposed between the engagement portion and the return path guides the engagement member(s) along the return path and inhibits the engagement member(s) from re-engaging the engagement portion. | 12-05-2013 |
20130345743 | HANDLE - A handle of a surgical instrument including a shaft, a handle body, a stationary handle lever, with a movable handle lever, with a receptacle that is disposed on the movable handle lever for a proximal end piece of an actuating rod that extends through the shaft, at the distal end of the shaft, an end effector, wherein the receptacle receives or releases, in the receiving position of the movable handle lever, the end piece for assembly or disassembly of the shaft, and with a handle spring that applies force to the movable handle lever when the actuating rod is not installed, and on a stop means on the movable handle lever. The handle includes a deactivation means that deactivates the application of force to the movable handle lever by means of the handle spring, when the actuating rod is installed on the handle. | 12-26-2013 |
20140005718 | MULTI-FUNCTIONAL POWERED SURGICAL DEVICE WITH EXTERNAL DISSECTION FEATURES | 01-02-2014 |
20140031860 | ENDOSCOPIC INSTRUMENT - An endoscopic instrument is provided and includes a housing including an elongated shaft assembly extending distally therefrom. The elongated shaft assembly includes inner and outer shaft members. The inner and outer shaft members are removably coupled to the housing and the outer shaft member is movable with respect to the inner shaft member. An end effector is operably supported at the distal end of the outer shaft member and includes a pair of jaw members configured for treating tissue. A bushing operably couples to the inner and outer shaft members of the shaft assembly and selectively and releasably couples to the housing. The bushing includes one or more mechanical interfaces configured to engage one or more slots defined through the inner shaft member and one or more slots defined through the outer shaft member to release the inner and outer shaft members from the housing. | 01-30-2014 |
20140046363 | SURGICAL FORCEPS - The present invention relates to a surgical device comprising first ( | 02-13-2014 |
20140066977 | MICROSURGICAL HANDLE AND INSTRUMENT - A microsurgical handle and instrument may include an actuation structure having an actuation structure distal end and an actuation structure proximal end, a plurality of actuation arms of the actuation structure, and an actuation structure base. A compression of the actuation structure may be configured to extend the actuation structure distal end relative to the actuation structure proximal end. A compression of the actuation structure may be configured to expand an extension joint of an actuation arm of the plurality of the actuation arms. A decompression of the actuation structure may be configured to retract the actuation structure distal end relative to the actuation structure proximal end. A decompression of the actuation structure may be configured to collapse an extension joint of an actuation arm of the plurality of actuation arms. | 03-06-2014 |
20140066978 | ERGONOMIC HANDLE AND ARTICULATING LAPAROSCOPIC TOOL - The present invention relates to a laparoscopic apparatus. The apparatus comprises a handle having a body portion, a top surface, opposite bottom surface, a proximal and distal end. The top surface of the base is contoured to compliment the natural curve of the palm. The apparatus further includes a shaft projecting from the distal end of the handle. The shaft has a proximal and distal end. A control sphere is located on the handle. The control sphere can be moved by one or more of a user's fingers to indicate direction. An end effector is located at the distal end of the shaft. The end effector is connected to the control sphere such that movements made to the control sphere control cause movement (articulation) of the end effector. | 03-06-2014 |
20140088637 | Magnetic Collet for Attaching End Effector - A surgical device comprises an elongate shaft comprising an outer tube and an inner rod positioned in the outer tube, the outer tube and inner rod each comprising a distal end and a proximal end. An actuator is operably connected to the proximal ends of the outer tube and the inner rod. An end effector is adapted for in vivo attachment to and detachment from the elongate shaft. The end effector comprises an outer casing comprising a mating feature adapted to attach to the distal end of the outer tube; an inner shuttle axially moveable relative the outer casing, the shuttle comprising a magnetic material providing provisional engagement to the distal end of the inner rod; a pair of surgical jaws having an opened position and closed position dependant on the relative axial position of the shuttle and casing. The surgical device may further comprise a collet on the distal end of the inner rod adapted to lock onto the shuttle. | 03-27-2014 |
20140100600 | SURGICAL FORCEPS - A forceps includes an end effector assembly having first and second jaw members disposed in parallel orientation relative to one another. One or both of the jaw members is movable along a first axis relative to the other jaw member between a spaced-apart position and an approximated position for grasping tissue therebetween. The first and second jaw members are configured to maintain the parallel orientation therebetween upon movement of the jaw members between the spaced-apart and approximated positions. A drive bar is coupled to one or both of the jaw members. The drive bar is selectively movable along a second axis that is different from the first axis between first and second positions for moving the jaw members between the spaced-apart and approximated positions. | 04-10-2014 |
20140135820 | DISPOSABLE CAPSULORHEXIS FORCEPS - Example forceps, including forceps formed from a polymeric material, are disclosed herein. The forceps may include a forceps tip having a pair of grasping surfaces formed at a first end of a tip body and movable between an open position and a closed position. A tip connector is provided at a second end of the tip body for connection of the forceps tip to a handle. A sleeve is received over the tip body and is movable therealong for moving the grasping platforms between the open and closed positions. | 05-15-2014 |
20140172009 | Device with Deflectable Distal End and Related Methods of Use - A deflecting method and deflecting apparatus allows the distal end of device, for example an endoscopic medical device, to be remotely and adjustably deflected from a straight configuration to a deflected configuration. Manipulating a proximal handle causes the deflection, controls actuation of an end effector assembly on the distal end, and straightens the deflecting apparatus back to its original configuration. | 06-19-2014 |
20140194923 | POWERED SURGICAL INSTRUMENT - A powered surgical apparatus, which is configured to engage tissue includes a handle assembly having proximal and distal portions, a movable portion operatively connected to the distal portion of the handle assembly, a tool assembly operatively coupled to the movable portion, a power source configured to supply electrical power, and a transmission system operatively associated with the power source. The movable portion is movable with respect to the handle assembly. The tool assembly is adapted to engage tissue. The transmission system is configured to transmit electrical power or signals between the handle assembly and the movable portion. | 07-10-2014 |
20140200610 | RIGID AND FLEXIBLE LAPAROSCOPIC TOOL SHAFTS AND METHODS USING SAME - Laparoscopic tool shafts and devices and methods for enhancing their rigidity in general or in specific directions are provided. Laparoscopic tool shafts having rigid external shafts and relatively rigid rods and laparoscopic tool shafts having flexible external shafts and relatively rigid rods are also provided. | 07-17-2014 |
20140207182 | ADAPTER LOAD BUTTON LOCKOUT - A surgical device is provided. The surgical device includes: a jaw assembly comprising a first jaw and a second jaw moveable relative to the first jaw and an elongated body removably coupled to a proximal end of the jaw assembly. The elongated body includes an actuation bar movable upon engagement of the jaw assembly with the elongated body to secure the jaw assembly thereto; a release button coupled to the actuation bar such that the release button is movable by the actuation bar upon engagement of the jaw assembly with the elongated body and the release button is configured to move the actuation bar to allow for removal of the jaw assembly from the elongated body; and a lockout button in mechanical cooperation with the release button, the lockout button configured to prevent actuation of the release button. | 07-24-2014 |
20140243887 | Surgical Operation by Wire Type Surgical Operation Apparatus - Disclosed herein is a surgical operation by wire (SOBW) type surgical operation apparatus including an end effector configured so as to remove or minimize configurations of a mechanical cable. The SOBW type surgical operation apparatus includes: a body part; an extension part having one end connected to the body part; and an end effector formed at the other end of the extension part, and receiving electrical energy transferred through the body part and the extension part and converting the electrical energy into mechanical energy. | 08-28-2014 |
20140277104 | GRASPER WITH MAGNETICALLY-CONTROLLED POSITIONING - Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may comprise a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further comprise a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper. | 09-18-2014 |
20140277105 | MATERIAL MANIPULATION METHOD AND APPARATUS - A method and apparatus for use in manipulating material during a medical procedure includes positioning the material in engagement with a major side surface on a distal end portion of a shaft. A gripper is operated to grip the material between a wire and a major side surface of the shaft by moving the wire along a longitudinal central axis of the shaft. Material is moved to a desired position relative to a patient's body while the material is gripped between the wire and the major side surface of the distal end portion of the shaft. The wire is then retracted along the longitudinal central axis of the shaft to release the material for movement relative to the end distal end portion of the shaft. | 09-18-2014 |
20140277106 | SURGICAL INSTRUMENT DRIVE ELEMENT, AND RELATED DEVICES, SYSTEMS, AND METHODS - A surgical instrument including a shaft, an end effector, and a push/pull drive element is provided. The push/pull drive element may include a head extending perpendicular to a push/pull direction of the push/pull element. The head of the push/pull drive element may have end portions each having a cross-section that differs from a cross-section of a main portion of the head between the end portions. The push/pull drive element may include an engagement portion in contact with the end effector to actuate the end effector. The engagement portion may have a first width and an end portion may have a second width, with the second width being greater than the first width. A surgical instrument is also provided that may include an electrical connector connecting at least one conduit providing electrical energy to the end effector. The end effector may be in sliding contact with a portion of the connector. | 09-18-2014 |
20140277107 | Medical Manipulator - A medical manipulator has a distal-end working unit including an end effector. The distal-end working unit has a rotor having a hollow tube rotatable in unison with the end effector and a rotational support tube having a posture variable with respect to the shaft. The rotor is rotatably supported by an inner circumferential surface of the rotational support tube. Engaging members that are disposed in side holes formed in the rotational support tube have inner ends inserted in an annular groove. | 09-18-2014 |
20140330307 | Surgical Passer and Retrieval Device - A manual surgical passer and retrieval Device and method are provided. The Device includes a flexible dual shaft passer and retriever. The Device is especially configured to aid in the retrieval and passage of various elements such as sutures encountered during a surgical procedure. | 11-06-2014 |
20140350597 | SURGICAL HAND GRIP AND A SURGICAL TUBULAR SHAFT INSTRUMENT WITH A SURGICAL HAND GRIP - A surgical hand grip for a surgical tubular shaft instrument is provided. The hand grip includes a coupling device for coupling to a tubular shaft tool having a tubular shaft and a force transmission element movable back and forth relative thereto. The coupling device has a coupling element for coupling to the force transmission element and a connecting element for connecting to the tubular shaft. A gripping device is connected to the coupling element and is transferable from a non-actuating disposition into at least one actuating disposition and vice versa thereby changing the mutual relative spacing between the coupling element and the connecting element. The hand grip has a guiding device with a guiding body for guiding the coupling element during the transfer from the non-actuating position into the at least one actuating position along a grip axis independently of the disposition of the gripping device during the transfer. | 11-27-2014 |
20150025570 | APPARATUS FOR PERFORMING AN ELECTROSURGICAL PROCEDURE - An endoscopic forceps includes a housing having a shaft extending therefrom for treating tissue. A longitudinal axis is defined through the shaft. An end effector assembly is operably coupled to a distal end of the shaft and includes a pair of first and second jaw members. A rotating assembly operably coupled to the shaft is configured to rotate the shaft and the end effector about the longitudinal axis. A drive assembly is configured to selectively and releasably engage the rotating assembly. Engagement of the rotating assembly with the drive assembly couples the rotating assembly to the shaft such that the shaft is rotatable about the longitudinal axis in a predetermined direction when the rotating assembly is rotated. And, disengagement of the rotating assembly from the drive assembly uncouples the rotating assembly from the shaft such that the shaft is non-rotatable about the longitudinal axis when the rotating assembly is rotated. | 01-22-2015 |
20150025571 | Medical Manipulator - This medical manipulator is provided with a distal-end moving section including an end effector. The distal-end moving section includes a rotating sleeve (a distal-end rotator) which is able to rotate integrally with the end effector about a roll axis and has a hollow cylindrical portion, and a distal-end fulcrum block (rotary support cylinder) which is provided so as to be able to change orientation in relation to the axial direction of a shaft and rotatably supports the rotating sleeve at an inner peripheral section. A part of an opening/closing driving transmission section (actuating means) for transmitting an opening/closing driving force to the end effector is disposed inside of the distal-end moving section. | 01-22-2015 |
20150032150 | Medical Manipulator - This manipulator is provided with: a shaft; a tip operation section having a gripper; and a handle that causes the operation of the gripper. The tip operation section is provided with: a bowing section that is provided between the gripper and the shaft and that causes the tip operation section to bow in a direction differing from the axial direction of the shaft by means of a bending-direction operating force transmitted from the handle; and a hollow tube that is provided to a position overlapping the bowing section, can bow following the bowing section, and transmits to the gripper operating force transmitted from the handle in the rotational direction rotating centered on the axis of the gripper, thus being able to unlimitedly rotate the gripper. | 01-29-2015 |
20150032151 | Medical Manipulator - This medical manipulator is provided with: an opening/closing drive transmission unit that transmits driving force for an opening/closing operation to a tip operation section from a handle side; and a rotary driving transmission unit that transmits rotary force for a rolling operation to the tip operation section from the handle. The rotary driving transmission unit has: a rolling drive transmission tube disposed rotatably within a shaft; a bevel gear provided to the joint between the shaft and the tip operation section; and a rotating sleeve that meshes with the bevel gear. A pull-wire having flexibility and configuring a portion of the opening/closing drive transmission unit extends through the inside of the joint to the inside of the tip operation section. | 01-29-2015 |
20150088191 | Detachable End Effectors - Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft. | 03-26-2015 |
20150088192 | TISSUE TENSIONING DEVICES AND RELATED METHODS - Surgical devices configured to apply and hold a defined pre-set or pre-load tension to target tissue, such as, for example, a blood vessel, tendon or ligament during a surgical procedure. | 03-26-2015 |
20150100080 | REDUCTION FORCEPS WITH DUAL 90.degree.-DEFORMATION FOR DISTRIBUTION AMONG TWO PLANES - The invention relates to a reduction forceps comprising a first rod and a second rod, which are supported on a swivel joint defining an axis of rotation such that they are pivotable relative to one another, the first rod comprising on one side of the swivel joint a first jaw and the second rod comprising, on the same side of the swivel joint, a second jaw provided for cooperation with the first jaw, both said jaws having defined thereon contact points for contacting a bone or a bone plate, said contact points being movable in a common pivoting plane, which comprises the swivel joint and in which the axis of rotation extends perpendicularly, and at least one of the jaws being sectionwise displaced in the direction of a plane extending parallel to the pivoting plane. | 04-09-2015 |
20150112381 | ADAPTER DIRECT DRIVE TWIST-LOCK RETENTION MECHANISM - A surgical device adapter for coupling an end effector to a handle assembly is disclosed. The surgical device adapter includes: a housing including a proximal end couplable to a distal end of a handle assembly; and a drive coupling assembly and selectively couplable to the handle assembly, the drive coupling assembly including a tubular clamping member having at least one flexible member, the tubular clamping member movable from a proximal position in which the at least one flexible member is disengaged from the distal end of the handle assembly to a distal position in which the at least one flexible member is engaged to the distal end of the handle assembly. | 04-23-2015 |
20150142047 | END EFFECTOR WITH REDUNDANT CLOSING MECHANISMS - End effectors with redundant closing mechanisms, and related tools and methods are disclosed. The disclosed end effectors may be particularly beneficial when used for minimally invasive surgery. An example surgical tool comprises an elongate shaft having a proximal end and a distal end, a tool body disposed at the distal end of the shaft, a jaw movable relative to the tool body between a clamped configuration and an open configuration, a first actuation mechanism coupled with the jaw and operable to vary the position of the jaw relative to the tool body between the clamped configuration and the open configuration, and a second actuation mechanism coupled with the jaw. The second actuation mechanism has a first configuration where the jaw is held in the clamped configuration and a second configuration where the position of the jaw relative to the tool body is unconstrained by the second actuation mechanism. | 05-21-2015 |
20150305761 | MOTION-COMPENSATED MICRO-FORCEPS SYSTEM AND METHOD - A motion-compensated micro-forceps system, including a manually-operable micro-forceps assembly having a plurality of moveable grasping elements; a motor assembly operatively connected to the plurality of moveable grasping elements; an optical detection system having an optical fiber attached to the manually-operable micro-forceps assembly at a fixed axial distance relative to a distal-most end of the plurality of moveable grasping elements; and a motor controller configured to communicate with the optical detection system and the motor assembly to provide motion compensation of the plurality of moveable grasping elements of the manually-operable micro-forceps, wherein the optical detection system is configured to output a signal for the determination of a distance of the plurality of moveable grasping elements of the micro-forceps to a target during operation, and wherein the motor controller is configured to provide feedback control signals to the motor assembly for motion compensation for both hand tremor and for hand-action-induced motions. | 10-29-2015 |
20150305762 | CONTOURED SURGICAL FORCEPS - A contoured forceps handle is presented having a first arm with a contoured surface and a second arm with a contoured surface to provide for rotation in the hand of a user. The forceps handle may be used with a forceps or may have tips attached. Contoured forceps onlays are also presented that may be attached to forceps. | 10-29-2015 |
20150313620 | MITRAL VALVE REPAIR DEVICES - This document provides devices and methods for repairing a prolapsing mitral valve leaflet using minimally invasive catheter based approaches. For example, percutaneous procedures that involve folding and securing a segment of a prolapsing leaflet onto or pulling and securing a segment of a prolapsing leaflet through part of the greater mitral valve leaflet are provided. In some cases, artificial chordae are installed to stabilize and maintain desired orientation of the leaflets. | 11-05-2015 |
20150359552 | SINGLE PORT INSTRUMENTS - Surgical tools that can be used in single port laparoscopic procedures can include a low-profile handle assembly to minimize tool interference adjacent the incision site. For example, a handle assembly for a surgical instrument can have a generally in-line configuration extending linearly along a central longitudinal axis of an elongate shaft of the instrument. A linkage mechanism including a trigger, an actuation link, and an actuation shaft can be positioned within the in-line handle. The linkage mechanism can be pivoted between an open position in which end effectors of the instrument are open and a toggle position in which the end effectors are locked closed. A locking mechanism such as a ratchet mechanism can also be used to lock the end effectors. A surgical dissector can include gripping jaws having a curved profile or an angled elongate shaft to minimize tool interference and maximize visibility within a procedure site. | 12-17-2015 |
20150359669 | OCT TRANSPARENT SURGICAL INSTRUMENTS AND METHODS - An ophthalmic instrument includes a shaft comprising a lumen. The instrument also includes a first arm extending from the lumen, the first arm having a first distal portion having a first flat tip. The instrument also includes a second arm extending from the lumen, the second arm having a second distal portion having a second flat tip that is positioned such that the second flat tip contacts the first flat tip when the first arm is forced towards the second arm. The first arm and the second arm comprise at least in part, a first material that is substantially transparent to electromagnetic radiation having a wavelength within a range of about 700-1200 nanometers (nm) and is substantially opaque to electromagnetic radiation having a wavelength within a range of about 400-700 nm. | 12-17-2015 |
20150366573 | INSTRUMENT, IN PARTICULAR MEDICAL-ENDOSCOPIC INSTRUMENT OR TECHNOSCOPE - An instrument, particularly a medical endoscopic instrument or technoscope, includes a shank ( | 12-24-2015 |
20160008019 | Surgical Device, in Particular for Minimally Invasive Surgery | 01-14-2016 |
20160051272 | ERGONOMIC LOCKING MECHANISM - The disclosed subjects matter relates to a surgical instrument handle for a surgical instrument, that includes a first handle element, which can be rigidly connected to one of a shaft component and an actuating element of a surgical instrument, wherein an index-finger rest and a ball-of-the-thumb rest are formed on the first handle element, and a second handle element, which is articulated to the first handle element and can be coupled to the other of the shaft component and the actuating element of the surgical instrument, wherein at least one further finger rest is formed on the second handle element. A locking element is rotatably attached to the first handle element, wherein the locking element has an actuation segment and a first locking member. A second locking member is provided on the second handle element, and the first locking member is elastically preloaded toward the second locking member. | 02-25-2016 |
20160066938 | ARTICULATING SURGICAL TOOLS AND TOOL SHEATHS, AND METHODS OF DEPLOYING THE SAME - A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable. | 03-10-2016 |
20160081714 | MANTLE TUBE AND TREATMENT TOOL - A mantle tube including a bendable member, which is formed in such a way as to be received in an elongate, annular, cylindrical member, includes two fixed sites that are fixed to the cylindrical member and a bendable site that is interposed between these fixed sites and bendable in a direction intersecting a longitudinal direction thereof, an angle adjustment member that is capable of adjusting a bending angle of the bendable site, and an angle holding mechanism that is capable of holding, at any desired bending angle, the bendable site bent by the angle adjustment member. | 03-24-2016 |
20160089124 | ENDOSCOPE APPARATUS - The endoscope is provided with the forceps elevator which is erectably provided in the distal end part of the insertion part of the endoscope and guides a treatment tool led out from the distal end part. The forceps elevator has an erecting motion range from a minimum angular position to a maximum angular position. If a state in which the treatment tool is not led out from the distal end part is assumed, the erecting operation lever for operating the movement of the forceps elevator has: a first operation range where the erecting operation lever is operated within the erecting motion range of the forceps elevator; and a second operation range where the erecting operation lever is operated beyond the first operation range. When the erecting operation lever is operated into the second operation range, the locking mechanism locks the movement of the erecting operation lever. | 03-31-2016 |
20160183960 | WRIST ASSEMBLY FOR ARTICULATING LAPAROSCOPIC SURGICAL INSTRUMENTS - An articulating laparoscopic instrument including a handle, an outer shaft, an end effector, and a wrist assembly. The wrist assembly connects the end effector to the shaft and includes torque and articulation mechanisms. The torque mechanism includes a plurality of links disposed over the rod and connected with one another in a pivotable yet rotationally locked fashion. The articulation mechanism includes a plurality of articulation member disposed over the rod to collectively define a deflection section. The links freely rotate relative to the articulation members, with the rod and links collectively bending in response to a change in shape of the deflection section. | 06-30-2016 |
20160192958 | AMBIDEXTROUS LOCKING CLAMP SYSTEM | 07-07-2016 |
20160249944 | SURGICAL INSTRUMENT WITH DISENGAGEABLE HANDLE | 09-01-2016 |
20180021052 | MICROSURGICAL HANDLE AND INSTRUMENT | 01-25-2018 |
20190142425 | Mechanical Tissue Coupling System, Applicator Therefor and Method of Use Thereof | 05-16-2019 |
20190142448 | GRASPER WITH INCREASED GRASPING SURFACE AREA | 05-16-2019 |
20190142449 | SURGICAL INSTRUMENT SYSTEMS COMPRISING FEEDBACK MECHANISMS | 05-16-2019 |