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3159results about "Endoscopic cutting instruments" patented technology

Surgical stapler with universal articulation and tissue pre-clamp

A tool assembly for a surgical stapling device includes a channel member for supporting a staple cartridge therein and an anvil to deform a plurality of staples ejected from the staple cartridge thereagainst. The tool assembly also includes a sled which is movable to force the staples from the cartridge against the anvil to staple tissue disposed between the anvil and the staple cartridge. A dynamic clamping member is included which has a pin which movably engages the anvil and a flange which movably engages the channel assembly. The dynamic clamping member is mounted to and movable with the sled. The pin and the flange of the dynamic clamping member cooperating to oppose the forces associated with clamping and stapling tissue and also to maintain a substantially uniform gap between the anvil and the staple cartridge during stapling of the tissue.
Owner:COVIDIEN LP

Surgical stapling device with a curved cutting member

The present invention includes a surgical stapler having a curved end-effector which is configured to deploy staples in at least one curved staple line. The surgical stapler can include a staple cartridge configured to removably store staples therein, an anvil configured to deform the staples, and a cutting member having a cutting surface. The staple cartridge and / or anvil can include a curved slot configured for receiving and guiding the cutting member wherein at least a portion of the cutting member can be defined by a curvature that substantially matches the curvature of the slot. In these embodiments, the curved cutting member can be easily moved within the curved slot thereby reducing the possibility that the cutting member will become stuck within the slot.
Owner:CILAG GMBH INT +1

Surgical stapler end effector with tapered distal end

An end effector for a surgical stapler. Various embodiments include a channel configured to operably support a staple cartridge therein. A first tip portion is attached to or formed on a distal end of one of the channel and staple cartridge wherein the first tip portion may have a first upwardly extending curved outer surface. An anvil is movably coupled to the channel and is selectively movable between open and closed positions relative to the staple cartridge in response to opening and closing motions applied to the anvil. A second tip portion is attached to or formed on a distal end thereof. The second tip portion may have a second downwardly extending curved surface such that when the anvil is in the closed position, the second tip portion cooperates with the first tip portion to define a blunt end effector nose. In various embodiments, the end effector nose has a substantially paraboloid outer surface.
Owner:ETHICON ENDO SURGERY INC +1

Surgical apparatus and method

Surgical method and apparatus for resectioning tissue, preferably lumenal tissue, with a remaining portion of an organ being anastomized with staples or other fastening devices, preferably endolumenally. The apparatus may be inserted via a naturally occurring body orifice or a surgical incision and then advanced using either endoscopic or radiological imaging guidance to an area where surgery is to be performed. Under endoscopic or diagnostic imaging guidance the apparatus is positioned so tissue to be resected is manipulated into an inner cavity of the apparatus. The apparatus then cuts the diseased tissue after stapling and retains the diseased tissue within the apparatus. The rent resulting in a border of healthy tissue is anastomosed with surgical staples.
Owner:BOSTON SCI CORP

Stapling apparatus having a curved anvil and driver

Stapler, in particular for hemorrhoidal use, includes a body, an elongate, fixed jaw part connected to the body and including a curved anvil defining staple-forming pockets and a curved portion defining an opening bound on lateral and longitudinal sides, an actuating jaw part including a curved staple driver and optionally a cutting knife, a trigger coupled to the body for actuating the actuating jaw part and an adjustment mechanism for moving the actuating jaw part to vary a longitudinal dimension of the opening defined between a staple cartridge and the anvil. When the actuating jaw part is actuated by the trigger, the staple driver forces staple blanks in the staple cartridge into staple-forming pockets of the anvil to form staples in tissue retained in the opening, while the cutting knife, when present, amputates the tissue.
Owner:TOOLS FOR SURGERY

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 the shaft portion of the instrument from the handle portion. The handle has a distal receiver portion, and a shaft connector on said proximal motion member is selectively engageable with and releaseable from the receiver portion.
Owner:CAMBRIDGE ENDOSCOPIC DEVICES

Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus

ActiveUS7247161B2Promotes its utilizationFacilitate and promote ease and effectiveness of cleaning and sterilizationSleeve/socket jointsIncision instrumentsEngineeringIrrigation fluids
A powered surgical apparatus can be used with a source of irrigation fluid and a source of suction. The powered surgical apparatus can include a cutting blade assembly and a handle. The handle can include an upper portion defining a distal section connectable to the cutting blade assembly and a lower portion extending downwardly from the upper portion. The handle can be connectable to the source of irrigation fluid and the source of suction. The system can also include a manually actuable input device that provides at least one signal relevant to at least one operation of the system, and a controller that receives the at least one input signal and provides an output signal to perform the at least one operation of the system.
Owner:GYRUS ACMI INC (D B A OLYMPUS SURGICAL TECH AMERICA) +1

Articulating endoscopic accessory channel

Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and / or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.
Owner:CILAG GMBH INT +1

Rotary actuatable closure arrangement for surgical end effector

A surgical instrument may include an end effector, an input drive shaft, a closure drive, and / or a firing drive. The end effector may comprise a jaw assembly including a first jaw member and a second jaw member. The end effector may comprise an I-beam member axially translated between a proximal position and a distal position within the end effector. In one embodiment, the input drive shaft may selectively engage the firing drive and / or the closure drive. In one configuration, the closure drive is threadedly engaged with the firing drive allowing the input drive shaft, during a firing stroke, to simultaneously move the closure drive and the firing drive until the closure drive is disengaged from the firing drive. On a reverse stroke, the closure drive may be reengaged with the firing drive.
Owner:CILAG GMBH INT

Articulating endoscopic surgical apparatus

A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.
Owner:UNITED STATES SURGICAL CORP

Powered surgical tool with control module that contains a sensor for remotely monitoring the tool power generating unit

A powered surgical tool with a housing that contains a power generating unit such as a motor. A control module is disposed in a shell that is mounted in the housing. The control module contains a control circuit for regulating the actuation of the power generating unit. The power generating unit emits a signal representative of the operating state of the unit that is transmitted through the structural material forming the shell. Also internal to the control module shell is a sensor that monitors the signal emitted by the power generating unit. This signal output by the sensor is applied to the control circuit. The control circuit, based on the sensor signal regulates actuation of the power generating unit. Wherein the power generating unit is a motor, the signal emitted is the magnetic field that varies with rotor position. The sensor monitors the strength of this field.
Owner:STRYKER CORP

Surgical device with expandable member

A surgical device for manipulating tissue. The device includes an elongated shaft having a proximal end and a distal end extending therefrom. There is also an elongated end effector having a proximal end attached to the distal end of the shaft, a distal end extending therefrom. The end effector has first and second opposing jaws which are movable with respect to each other from an open position, wherein the jaws are spaced apart, to a closed position wherein the jaws are in close approximation to one another. At least one of the jaws has an expandable member disposed thereon for selectively increasing the size of the jaw in a direction perpendicular to the longitudinal axis so as to increase the rigidity of the end effector.
Owner:ETHICON ENDO SURGERY INC

Surgical instrument with stowing knife blade

A surgical instrument with a stowing knife blade includes an elongated shaft, an end effector coupled to the shaft and including two opposed jaws, a housing included in one of the jaws, a first member mounted in the housing and movable distally, a knife pivotally coupled with the first member, and a second member. The knife is configured to cut when advanced distally. The first and second members are moved distally at the same rate during a cutting motion of the knife and the second member blocks a rotation of the knife relative to the first member during the cutting motion of the knife. After moving through the first distance, relative movement between the first and second members occurs so as to permit or induce the previously blocked rotation of the knife so that the knife can be stowed.
Owner:INTUITIVE SURGICAL OPERATIONS INC

Surgical instrument soft stop

A surgical instrument includes a drive member movable by a drive motor between a home position and an end of stroke. A mechanical stop is disposed at or near the end of stroke and is structured to increase resistance to movement of the drive member from a first position to a second position. A control system detects a current spike associated with the increased resistance and interrupts power to the drive motor.
Owner:CILAG GMBH INT

Transwall visualization arrangements and methods for surgical circular staplers

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

Surgical instrument

A device for morcellating tissue within a body cavity of a patient comprises a stationary tube having a distal end portion, and a bipolar electrosurgical electrode assembly located at the distal end of the tube. The electrosurgical electrode assembly comprises first and second electrodes separated by an insulation member, the bipolar electrosurgical electrode assembly extending around the circumference of the distal edge of the tube. When an electrosurgical cutting voltage is applied to the electrode assembly, and relative movement is initiated between the tube and the tissue, a core of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. A tissue-pulling device such as a jaw assembly can be employed to pull tissue against the distal end of the tube.
Owner:GYRUS MEDICAL LTD

Guidewire exchange systems to treat spinal stenosis

Guidewire exchange systems, devices and methods, for positioning and actuating surgical devices in a desired position between two tissues in a patient's body are described. A guidewire may be coupled to a surgical device for positioning and actuating (e.g., urging against a target tissue). The guidewire may be exchanged between different surgical devices during the same procedure, and the guidewire and surgical devices may be releaseably or permanently coupled. The surgical device generally includes one or more guidewire coupling members. A system may include a guidewire and a surgical device having a guidewire coupling member. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures.
Owner:SPINAL ELEMENTS INC +1

Surgical apparatus with a manually actuatable assembly and a method of operating same

A surgical tool assembly and a method of operating same according to which a surgical tool is connected to a handpiece having an electrically operated motor; and a portable source of electrical energy is provided in a pedal assembly for controlling the tool. The source is electrically connected to the motor; and the pedal can be engaged for controlling the flow of the electrical energy from the source to the motor.
Owner:MEDTRONIC INC

Balloon-type actuator for surgical applications

An actuator for surgical applications includes an inflation fluid conduit extending from a proximal end which, when the actuator is in an operative configuration, remains outside a patient's body, to a distal end and an inflatable member coupled to the distal end of the inflation fluid conduit so that, when inflation fluid is supplied to the inflatable member via the inflation fluid conduit, the inflatable member is expanded from a collapsed configuration to an expanded configuration, wherein, when in the collapsed configuration, the inflatable member includes a fold extending substantially transverse to a longitudinal axis thereof so that, when inflation fluid is supplied thereto, the inflatable member expands substantially along the longitudinal axis.
Owner:BOSTON SCI SCIMED INC
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