4002results about "Surgical forceps" patented technology

The invention discloses an endoscope with a built-in grabbing mechanism, and relates to the technical field of medical instruments. According to the technical scheme, the device comprises a clamp assembly, a driving outer pipe and a driving inner wire; the grabbing mechanism further comprises a grabbing mechanism shell, a first moving seat and a second moving seat, wherein the first moving seat and the second moving seat are arranged in the grabbing mechanism shell. The near end of the driving outer tube is connected with the first moving seat, and the near end of the driving inner wire is connected with the second moving seat; when the second moving seat is fixed relative to the grabbing mechanism shell, the first moving seat moves towards the far end direction relative to the grabbing mechanism shell so as to control the clamp assembly to execute the clamping action. According to the invention, the clamping action is carried out while forward extension is carried out, so that high-precision operation is facilitated, and tissues can be accurately clamped; and moreover, the grabbing mechanism is integrated in the endoscope handle, so that accurate single-hand control is facilitated, meanwhile, the clamping action is controlled in a button mode, the human engineering is met, and operation is convenient.

Systems and subsystems for closing an end effector of a stapler are disclosed. More specifically, the present disclosure relates to systems, devices, and subsystems for attachments for robotic surgeries. The surgical instrument is a robotic attachment. The surgical instrument includes a closure subsystem that moves independently of other subsystems that are operable independently of each other.

The present disclosure provides a staple cartridge for a surgical instrument, such as a tissue sealing instrument. The staple cartridge includes a housing and one or more staple assemblies within the housing. The staple assemblies each include one or more staple pushers and associated staples. The staple pushers and housing include coupling elements configured to cooperate with each other to retain the staple assemblies to the housing prior to use in surgery. The coupling elements, along with other components of the cartridge and instrument, result in a smaller staple cartridge relative to conventional devices, allowing for a more compact and maneuverable surgical instrument.

The present disclosure provides a staple cartridge for a surgical instrument having a staple and a staple pusher. The staple pusher has a recess forming a pocket in its top surface for receiving at least the backspan of the staple. The pocket is at least partially surrounded by a circumferential 5 supporting element in the staple pusher body to support the backspan. The pocket provides additional vertical space and support for the staple such that a smaller staple cartridge may provide a substantially similar performance as conventional staple cartridges, allowing for a more compact and maneuverable surgical instrument. In addition, the pocket in the staple pusher allows for a staple having a larger bend radius than conventional staples, thereby providing additional support 10 for the staple and minimizing malformation of the staple during use.

An apparatus (1000) includes an end effector (200), a motor (1100), a sensor (1104), and a controller (1150). The end effector includes first and second jaws (202, 204) and a knife (206). The controller obtains using the sensor a first force value exerted by the motor as the knife is contacting the ramp surface. The controller determines whether the first force value exerted by the motor exceeds a first predetermined force threshold as the knife is contacting the ramp surface. The controller is configured to alter travel of the knife. Altering the travel of the knife includes at least one of: pausing the knife for a predetermined amount of time, pausing the knife until a second force value exerted by the motor obtained from the sensor is below the first predetermined force threshold, or advancing the knife at a second speed that is less than the first speed.

An exemplary embodiment provides a steering gear (13) for a surgical instrument (1), which can be arranged at the proximal end (3) of a shaft (2) that defines a longitudinal axis (B) and has a bending mechanism (9) at the distal end (5). The steering gear (13) has two controllable and adjustable motorised drives and is designed to transfer the adjustment angles of the two controllable and adjustable motorised drives to a spatial alignment of a swash plate (14) which is designed to control the distal bending mechanism (9) of the surgical instrument (1). The swash plate (14) is arranged in a steering ring (19), and each of the two controllable and adjustable motorised drives has a drive shaft (17a, 17b) driven by a motor (17, 17′), each of which is connected to the steering ring (19) directly and operatively connected via a force transmitter (16, 16′), wherein the two force transmitters (16, 16′) which are arranged on the drive shafts (17a, 17b) each define a drive axis (C, C′), directly contacting the steering ring (19) at an effective section (W). The steering ring (19) is cardanically suspended on a fastening device which has position sensors (23, 24, 25) on its cardan axes. Furthermore, a surgical instrument (1) with a steering gear (13) and a method for controlling the position of a steering ring (19) of a steering gear (13) are disclosed.

The utility model relates to the technical field of medical instruments, in particular to a pair of anti-slip rotatable bent three-blade forceps with a suction function for laparoscopic surgery, which comprises a forceps seat, blades, an opening mechanism, a forceps tube, a rotating mechanism, an inner tube, a rotating wheel, a pull rod, a pull wire, a handle and a suction tube, the blade is connected with the clamp seat through an opening mechanism, a rotating opening is formed in the head end of the clamp pipe, the clamp seat is installed on the rotating opening, the inner pipe is located in a pipe cavity of the clamp pipe, a rotating hole is formed in the tail end of the clamp pipe, the inner pipe penetrates through the rotating hole, the head end of the inner pipe is connected with the clamp seat through a rotating mechanism, and the rotating axis of the clamp seat is perpendicular to the rotating axis of the inner pipe. The utility model has the advantages that the front end of the blade is provided with the arc-shaped hook claw, so that deep pelvic tissues can be firmly grasped, and slipping can be effectively avoided; the rotating wheel is operated to adjust the angle of the clamp seat at the rotating opening through the inner pipe and the rotating mechanism, so that the traction effect of the blades is improved; a special suction channel is arranged in the forceps tube and used for sucking smoke, blood and interstitial fluid generated in the operation process.

A system for cutting leaflet tissue at a cardiac valve may comprise a guide catheter having a proximal end and a distal end, wherein the distal end of the guide catheter is steerable to a position above a cardiac valve. The system may also include a handle coupled to the proximal end of the guide catheter, the handle comprising at least one control configured to steer the guide catheter to the position above the cardiac valve. Finally, the system may comprise a cutting mechanism routable through the guide catheter and able to be positioned at the distal end of the guide catheter, the cutting mechanism configured to cut a portion of leaflet tissue of the cardiac valve.

An embodiment of the present invention discloses an electrocoagulation surgical instrument, which uses a pulling portion and a first operating arm to form a first electrical path, and uses a sheath portion and a second operating arm to form a second electrical path, so as to apply a coagulation current to biological tissue. Thus, on the one hand, the electrocoagulation surgical instrument is configured as a detachable electrocoagulation component and a drive component, which fully utilizes the multiple incisions of laparoscopic surgery, so that the electrocoagulation component and the rod can be respectively inserted into the cavity from different incisions, reducing the size of the wound corresponding to the rod and improving the patient's postoperative recovery speed. On the other hand, during the assembly process of the electrocoagulation component and the drive component, the pulling portion can pull the electrocoagulation component and the drive component toward each other to facilitate the assembly of the two. At the same time, the pulling portion can further pull the first operating arm and the second operating arm closer to each other, so as to realize the electrocoagulation operation of the first operating arm and the second operating arm on the biological tissue, thereby simplifying the surgical operation.

The invention discloses a shapeable surgical instrument with a locking device, relates to the technical field of medical instruments, and is particularly suitable for single-port endoscopic surgery. The device comprises an outer rod assembly, an inner rod assembly and a handle assembly, the outer rod can be shaped into any continuous space curve by hands and keep the shape, and the problems that a traditional straight rod instrument cannot reach a narrow operation area, and a pre-bending instrument cannot be shaped secondarily are solved. The inner rod is a flexible force transmission element, the far end is connected with the tong head assembly, and the near end is connected with the handle assembly through a detachable locking device. The locking device drives a radial movable block (a sphere or a cylinder) to clamp the inner rod through an axial movable block, so that quick disassembly and assembly are realized; and the tong head can be synchronously driven to rotate (through the rotating wheel) and open and close (through the rear handle) in cooperation with the handle assembly. According to the design, the instrument is divided into three independent parts, namely the handle, the outer rod and the inner rod, an inner hole of the outer rod is thoroughly exposed, the problem that postoperative cleaning and sterilization are not thorough is solved, and the infection risk is reduced.

Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and / or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and / or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

A cooling tower for evaporative cooling of water is contained within an ISO-compliant shipping container frame, permitting stacking of cooling towers for transport and for certain industrial applications. A volume of fill media is contained within the frame. Spaced apart troughs underlie the fill media, running substantially the length of the fill media and connecting to a basin. Baffles are connected to one upper edge of the troughs, while an air flow space is positioned over the other upper trough edge. A water distribution system, with variable flow nozzles positioned closely above the fill media, sprays water over the upper surface of the fill media, where it moves by gravity down into the troughs. Fans atop the fill media move air vertically upward through the fill media.

A steering gear for a surgical instrument includes two motorized drives designed to spatially align a wobble plate via the adjustment angle of the two drives, which is designed to control a distal angling mechanism of the surgical instrument. A first of the two drives has a first motor, which drives a drive pinion via a driveshaft, which engages with a lateral toothing of a first toothed rack, driving a first transmission pinion of a first double gear. A second of the two drives has a second motor driving a drive pinion via a driveshaft, which engages with a lateral toothing of a second toothed rack and drives a second transmission pinion of a second double gear wheel. The wobble plate is arranged between the two bevel gear rims, which are facing one another and lie on a common axis.

A surgical instrument designed to operate with a robotic platform is disclosed. The surgical instrument assembly includes a shaft, an end effector, a knife firing subsystem to actuate functions of the end effector, an articulation subsystem that is actuatable to articulate the end effector, an articulation joint about which the end effector articulates, a roll subsystem to roll the shaft, and a housing that couples to the robotic platform. A maypole tube is further provided, around which one or more articulation cables can wrap when the end effector is rotated.

The invention relates to the technical field of medical instruments, discloses a surgical instrument, and particularly relates to a shapeable surgical instrument suitable for single-port endoscopic surgery, which comprises an inner rod assembly, an outer rod assembly and a handle assembly. The outer rod assembly is made of annealed metal (such as pure copper or copper alloy), can be shaped by hands and is kept in a bent form; the inner rod is a nickel-titanium alloy multifilament or a stranded rope, and low-resistance rotation in a bending state is achieved. The handle rotating wheel drives the inner rod to rotate and is matched with the axial push-pull of the rear handle, so that the 360-degree real-time angle adjustment and opening and closing actions of the working part (forceps piece / scissors) are controlled by a single hand, and the forceps piece / scissors do not need to be taken out of a body. The problems that a traditional straight rod instrument cannot reach a narrow area, a pre-bending instrument cannot be adjusted in an operation, and an existing shaping instrument needs in-vitro angle adjustment of two hands are solved, the operation efficiency is improved, and the cleaning and sterilizing time is shortened.

The invention relates to the technical field of surgical instruments, in particular to operating forceps for temporal-mandibular arthroscopic glide membrane chondroma surgery, which comprise a forceps head assembly, a rotating sleeve, a fixed block, an arc-shaped rod, a gas-driven unit and an adjustable elbow, the forceps head assembly is a working end of the operating forceps; the rotating sleeve is of a cylindrical structure and is fixedly arranged at the tail of the tong head assembly. The fixed block is fixedly arranged at one end of the rotating sleeve away from the tong head assembly; one end of the arc-shaped rod is fixedly connected with the fixed block, and the axis of the arc-shaped rod and the axis of the rotating sleeve are collinear; the gas driving unit is arranged on one side of the arc-shaped rod and used for driving the arc-shaped rod to rotate around the axis of the arc-shaped rod. The adjustable bent pipe is arranged on the side, away from the tong head assembly, of the rotating sleeve. The device can meet the path requirement of a complex anatomical space, can improve the lesion tissue removal efficiency through angle adjustment, greatly reduces the secondary operation frequency, and gives consideration to the operation flexibility and the removal accuracy at the same time.

A steering gear for a surgical instrument includes an angling mechanism which can be controlled by a spatially adjustable wobble plate. The steering gear has a first and a second drive wheel with a respective associated motor, and the second drive wheel is arranged offset by 180° relative to the first drive wheel on an axis of rotation in common with the first drive wheel and perpendicular to the longitudinal axis. The wobble plate is mounted between the first drive wheel and the second drive wheel in a steering ring. A retaining bracket rotatably about the common axis of rotation of the drive wheels, wherein the steering ring is mounted in the retaining bracket an rotatable about the axis of rotation of the third gear wheel, such that the engagement between the third gear wheel and the drive wheels is secured.

The invention discloses an auxiliary instrument for a soft endoscope, which comprises an operating part and a working part, the working part comprises a sheath tube part, a bending part and a forceps head part which are sequentially connected from a near end side to a far end side, and the auxiliary instrument is characterized in that the operating part comprises a steering control mechanism and a forceps head control mechanism; wherein the steering control mechanism can control the bending part to conduct multi-degree-of-freedom surrounding bending so as to drive the plier head part to be bent, and the plier head control part can control the plier head part to be opened and closed; the steering control mechanism comprises four steering traction wires, a steering push rod, a guide hemisphere, a hemisphere seat, a ball rod, a supporting frame, a balance spring, a pressing ring, a locking ring and an O-shaped ring,

A surgical instrument for applying surgical clips to tissue comprises an end effector having first and second jaws that are movable between open and closed positions and configured to receive first and second rows of clips in the open position. The instrument further includes an actuator coupled to the end effector and configured to move the jaws into the closed position and to discharge the first and second rows of clips. This allows an operator to apply multiple rows of clips to tissue with a single instrument insertion, which obviates the need to remove the surgical instrument from the cannula to manually reload a new cartridge, thereby reducing the overall time of the surgical procedure.

An extremely-miniature surgical operation instrument belongs to the field of medical instruments and comprises an outer rod component, a forceps head component and an outer tube inner pull rod, the outer rod component and the forceps head component can be detached from each other, and the outer tube inner pull rod is mounted in the outer rod component in a penetrating manner. The forceps head is driven to be opened or closed under the mechanical movement of the forceps seat inner pull rod, the outer rod assembly and the forceps seat are detachably installed, the outer inner pull rod and the forceps seat inner pull rod are detachably installed, the outer rod assembly comprises a first outer pipe and a reinforcing pipe embedded in the first outer pipe, and the reinforcing pipe is connected with the first outer pipe. The rigidity and the toughness of the micro-rod instrument are considered through the combination of the reinforcing tube and the outer tube.

The embodiment of the utility model provides an instrument, an auxiliary device and an operation part. The instrument comprises a sheathing canal and an end instrument located at the far end of the sheathing canal, the sheathing canal comprises a sheathing canal body part and a deflection part, and the deflection part is located in the far end area of the sheathing canal.

A method of performing an operation, e.g. a spinal operation, on a patient using a retractor comprising a pair of blade assemblies which are adapted to open about a set of axes that are not parallel to a third spatial axis, and further comprising a pair of arms, which are adapted to move the pair of blade assemblies apart from one another in the third spatial axis. In the method, the blade assemblies are closed to assume a low profile, inserted into a relatively small incision, and stretched apart from each other, thereby stretching the skin about the incision to form an aperture longer than the incision. The blade assemblies are then opened by rotating the blades about the set of axes, stretching the skin around the incision in a second direction that is substantially perpendicular to the first direction (i.e. the direction of the incision.)

Systems and methods of controlling instruments include first and second actuators configured to actuate a degree of freedom (DOF) in first and second directions using respective transmission mechanisms and a control unit. The control unit is configured to determine positions of the first and second actuators; determine an actuation command based on the positions of the first and second actuators, and a desired state of the DOF; determine respective actuation levels of the first and second actuators so as to maintain tensions in the transmission mechanisms above respective minimum tensions by: using a model based on the force or torque command, the minimum tensions, and the first and second actuator positions; and command actuation of the first and second actuators at the respective actuation levels. The model compensates for an external disturbance on the DOF and for dynamics of the first and second actuators.

A method of manufacturing a surgical instrument that includes a tissue contacting surface operable to apply ultrasonic energy or RF energy to tissue. The method includes applying a hydrophobic coating that includes silicone to a base surface of the tissue contacting surface to form an applied coating layer having a coating application thickness. The method also includes removing portions of the applied coating layer with a resiliently biased mechanical coating removal tool to form a plurality of removed portions of coating. A removal depth of each removed portion of the plurality of removed portions can each be from 50% to 100% of the coating application thickness such that from 10% to 50% of the applied coating layer is removed from the base surface.

A suturing system for a scope having a scope shaft includes a drive shaft extending along the scope shaft, a mounting ring attached to a distal end of the scope shaft to receive the drive shaft, a pinion gear attached to the distal end of the drive shaft, a ring gear rotatably mounted to the mounting ring in engagement with the pinion gear, and a needle attached to the ring gear. A method includes coupling a suturing device to a distal portion of an endoscope shaft, rotating a drive shaft extending along the endoscope shaft to the suturing device, rotating a suturing element with the drive shaft, moving the suturing element to grasp a suture anchor connected to the suture material, tensioning the suture material with the suturing element, aligning tissue with the suturing element, and pushing the suture anchor and suture material through the tissue.

An self-actuating grasping device and corresponding method of using the grasping device for retrieving a foreign object from a location in a patient's body. The grasping device has a handle with a self-actuating mechanism, an actuator on the handle coupled to an actuator wire, an elongated shaft member extending distally from the handle with the actuation wire coaxially disposed therein and opposing jaws at a distal end of the elongated shaft member that are coupled to the actuation wire and pivot between open and closed configurations. The self-actuating mechanism has a bias that imparts a closing force to the opposing jaws through the actuation wire. Actuation of the actuator is configured to impart an opening force to the opposing jaws through the actuation wire.

A steerable arm for use in an endoscopic surgical procedure. The steerable arm is cut from a nitinol tube to provide flexibility and elasticity by a structure formed by cutting the tube. Typically, the cut tube includes a helical coil whose annuluses contact at one lateral side of the tube and the tube bends to separate the annuluses at the other lateral side. The material from which the tube is made is capable of maintaining memory for bending. This provides bias for restoring the tube to a bent state whenever the force causing the tube to bend is removed.

A fluidic artificial muscle actuator may include at least one inflatable bladder defining a first inflatable segment coupled to a first member and to a second member arranged at opposite ends of the first inflatable segment, and a second inflatable segment coupled to a third member and to a fourth member arranged at opposite ends of the second inflatable segment, and an effector coupled to the first inflatable segment and to the second inflatable segment for providing an actuator output. The first inflatable segment is configured to contract in a longitudinal direction with increase in fluid pressure in the first inflatable segment and the second inflatable segment is configured to extend in the longitudinal direction with increase in fluid pressure in the second inflatable segment.

A fastening device may comprise a flexible longitudinal body including a central longitudinal axis and a distal end; an anvil extending distally from the distal end of longitudinal body; and a distal body extending distally from the distal end of the longitudinal body. The distal body may be configured to removably receive a cartridge having a plurality of fasteners. At least one of the anvil and the distal body may be flexible and may have a first configuration with a distal portion of the at least one of the anvil and the distal body extending radially outward from the central longitudinal axis and a second configuration with the distal portion closer to the central longitudinal axis than in the first configuration.

A current supply arrangement (22) is used for electrical supply of two electrodes (18, 19), as well as for mechanical force transmission in a thermofusion instrument. Due to the configuration of the two electrical conductors (23, 28) as upright arranged flat parts and the force concerned coupling thereof in an interlocking section (32), the electrical conductors (23, 28) can be used as mechanical stiffening elements, whereby a filigree, gap-free, easily and reliably sterilizable configuration is achieved. The current supply of the instrument (10) is provided via one single cable (20) only, which is provided only on one of the two jaws (11, 12).