3465results about "Surgical staples" patented technology

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 invention relates to a device for use in the transcatheter treatment of mitral valve regurgitation, specifically a coaptation assistance element for implantation across the valve; a system including the coaptation assistance element and anchors for implantation; a system including the coaptation assistance element and delivery catheter; and a method for transcatheter implantation of a coaptation element across a heart valve.

The invention discloses a thoracoscope minimally invasive cardiac surgery navigation system based on multi-modal image fusion, and the system comprises the steps: constructing a 5D heart digital twin containing an anatomical structure, a soft tissue boundary, metabolic activity and electrophysiological information through fusing preoperative CT, MRI, PET and intraoperative ultrasonic images; real-time dynamic registration is realized by using an electrocardio gating driven biomechanical model; superposing the multi-color coding navigation information to the visual field of the thoracoscope through a wavelength selection type spectroscope; a dynamic risk scoring model is constructed based on the distance, the speed and the tissue vulnerability, and three-level grading intervention is triggered; a miniature force feedback actuator is integrated to realize closed-loop control; and pre-operation virtual drilling and post-operation federal learning optimization are supported. The system remarkably improves the surgical precision and safety, and is suitable for high-difficulty heart minimally invasive surgeries such as mitral valve repair and atrial fibrillation ablation.

The present application relates to a kind of snare cutting knives for endoscope, including proximal handle, tube body assembly, cutting assembly and limiting component;Proximal handle is equipped with limiting sliding slot;The proximal end of tube body assembly is connected with proximal handle, and the distal end of tube body assembly is equipped with insulating protection tube;Cutting assembly includes cutting ring and cutting head, and cutting head is set to the distal end of cutting ring;Limiting component includes sliding part and limiting control wire, sliding part is slidably arranged in limiting sliding slot, and the proximal end of limiting control wire is fixedly connected with sliding part, and sliding part is used to drive limiting control wire axial movement;When limiting control wire moves to the distal end of insulating protection tube, cutting head and insulating protection tube abut each other and are fixed;When limiting control wire exits insulating protection tube, cutting head can continue to move relative to insulating protection tube.

The invention provides a digestive tract reconstruction device for protecting an anastomotic stoma, and relates to the field of medical instruments. The device comprises a nail anvil assembly, a nail bin assembly, a connection closing assembly and an anastomotic stoma protection assembly. A rotary guide mechanism is arranged in the nail bin assembly and drives the nail anvil assembly to rotate by a preset angle during axial movement, so that the short shaft of the oval nail anvil is aligned with the long shaft of the anastomotic stoma and exits without interference. And barbs are arranged in the cutting knife to hang and cut tissues, so that the nail anvil can be greatly overturned. The anastomotic stoma protection assembly comprises a degradable gasket and a folding flow guide tube, and the flow guide tube retreats and is unfolded along with the nail anvil to cover the anastomotic stoma and isolate pollutants. The mechanical injury of the anastomotic stoma when the nail anvil is withdrawn can be avoided, and the risks of infection, bleeding and leakage of the anastomotic stoma after operation are effectively reduced.

Surgical stapling instruments include mechanisms for identifying and / or deactivating stapler cartridge for use with the instruments. The stapling instrument includes a drive member for actuating a staple cartridge and a locking member movable from a disabled position permitting distal translation of the drive member through a staple firing stroke, to a locking position inhibiting distal translation of the drive member through the staple firing stroke. The staple cartridge may include a switch for maintaining the locking member in the disabled position. The switch may be further configured to operate as a reload detection mechanism for determining the type of reload present in the surgical stapling instrument.

An anvil buttress loading system includes an anvil assembly having a snap clip disposed on a tissue facing surface, a loading tool including a clip roller extending proximally from a support plate, and an anvil buttress including a buttress body. The snap clip is movable between closed and open positions having generally concave and convex shapes, respectively, relative to the tissue facing surface. The anvil buttress is releasably retained on the loading tool and is transferrable from the loading tool to the anvil assembly such that the buttress body is captured between the snap clip and the tissue facing surface of the anvil assembly. The snap clip is movable from the closed position to the open position by the clip roller when advancing the loading tool onto the anvil assembly and from the open position to the closed position when separating the loading tool from the anvil assembly.

A surgical stapling instrument is configured to dissect tissue, apply a linear staple line along one side of the tissue dissection and apply a suture, such as a purse string suture, to the other side of the tissue dissection. The instrument comprises an elongate shaft, first and second jaws configured to open and close and a cutting element. The instrument includes a first row of staples in each of the first and second jaws having a suture extending therethrough and a second row of staples in the second jaw. A drive member is configured to translate distally through the end effector to dissect tissue with the cutting element, drive the second row of staples into the tissue on one side of the dissection and to apply the first row of staples and suture in combination to form a purse string suture on the other side of the tissue dissection.

A staple cartridge including: a cartridge body; a staple pocket in the cartridge body, the staple pocket having an opening and containing an unformed staple including a first leg and a second leg, the staple pocket containing the first leg and the second leg of the unformed staple in an unfired position; and two or more guide surfaces in the staple pocket disposed adjacent the opening, wherein the guide surfaces are configured to deform the first leg of the unformed staple as the first leg exits the staple pocket at the opening during a firing of the unformed staple.

The embodiments of the present specification provide a clip device. The clip device comprises a sheath, a clip arm and a receiving tube, the receiving tube is releasably connected with the sheath, the clip arm comprises at least two clamping parts, the proximal ends of the at least two clamping parts are movably arranged in the receiving tube, the clip arm is opened when the clip arm moves distally relative to the receiving tube, the clip arm is closed when the clip arm moves proximally relative to the receiving tube, and the receiving tube is further used for locking the clip arm.

The invention discloses a control system capable of adjusting the cutting speed, a control method of the control system and an electric anastomat. The driving system is electrically connected with the power supply module; the moving assembly is connected with the driving system; the controller is electrically connected with the power supply module, and comprises a detection unit connected with the driving system and used for detecting current data of the driving system in real time; the data analysis unit is connected with the detection unit and is used for receiving the current data of the detection unit; the control unit is connected with the data analysis unit and the driving system, and the control unit is provided with a plurality of current threshold intervals; the data analysis unit compares the current data with a current threshold interval to obtain a comparison result, and the control unit is used for adjusting operation parameters of the driving system according to the comparison result, so that the cutting speed can be automatically reduced when thick tissue is cut, and the cutting and suturing effects are better.

The utility model discloses a hand-operated wrench assembly, a hand-operated knife return device and an electric anastomat, the hand-operated wrench assembly comprises a hand-operated wrench handle, a hand-operated wrench shaft sleeve and a hand-operated wrench rotating shaft, and the hand-operated knife return device comprises a hand-operated wrench assembly, a knife return gear shaft, a knife return transmission gear, a motor gear and a rack. The tool retracting gear shaft and the tool retracting transmission gear can be driven to move upwards by rotating the manual wrench assembly, the tool retracting transmission gear is separated from the motor gear, the rack can be driven to retract through the tool retracting transmission gear by continuously rotating the manual wrench assembly, manual tool retracting is achieved, and the electric anastomat comprises a manual tool returning device. By means of the mode, when the electric gear is rotated upwards through the lower half section of the wrench assembly, the middle section of the wrench is kept static, the tool retracting transmission gear can be easily pulled out, the wrench is further used as a torsion input tool after being pulled out, manual tool retracting is achieved, operation difficulty and failure risks are reduced, large torque is generated with small force, and the tool retracting transmission gear can be pulled out easily. And rapid manual tool retracting is achieved.

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.

The invention relates to the technical field of medical instruments, and provides a control method and a control system of an electric anastomat, and the control method comprises the following steps: executing a self-checking instruction; triggering the cutting knife to trigger the switch; detecting a motor operation rotating speed, a motor operation current and a motor operation voltage for driving the cutting knife in real time; calculating a motor operation torque according to the motor operation rotating speed, the motor operation current and the motor operation voltage; the cutting difficulty degree is judged according to the motor operation torque; and according to the cutting difficulty degree, the operation rotating speed of the motor is controlled. According to the control method of the electric anastomat, by setting the self-checking mode and indirectly calculating the running torque, the technical problems of high equipment production cost and high use cost are solved, and meanwhile it can be ensured that bleeding is reduced.

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 discloses a minimally invasive surgical instrument, and belongs to the technical field of medical instruments, the minimally invasive surgical instrument comprises a tail end tool, an operating part, a power transmission part and a connecting part, the connecting part comprises a linear part connected with the tail end tool, a bending part connected with the operating part and a spherical pair mechanism used for connecting the linear part and the bending part; the inner side of the spherical pair mechanism is provided with an inner path for smooth transition of a jaw wire, the spherical pair mechanism is provided with a rotary limiting shaft and a locking assembly, the rotary limiting shaft is configured to enable the bent part to do pitching rotation action relative to the linear part, the locking assembly comprises a locking unit and a control unit, and the locking unit is configured to provide locking force for the spherical pair mechanism. The control unit is a locking wire for connecting the locking unit and the locking operation part, and the locking operation part is reversely interlocked with the spherical pair mechanism. By adjusting the angle between the linear part and the bent part, the wrist of a doctor is located at a comfortable moving position, so that the flexibility of the wrist in the operation process is improved, and the fatigue feeling of the doctor is reduced.

A system for delivering an anti-migration anchor to an implantable device includes a locator system having a head portion adapted to mate with the neck portion of the device, a locator capsule coupled to the head portion, and a plurality of arms coupled to the head portion and the locator capsule, the arms having a collapsed and an extended configuration. The system includes a catheter having a distal portion coupled to and extending from the head portion. The system includes a handle coupled to a portion of the catheter, the handle having a mechanism to effect relative motion between an inner and an outer member of the catheter to cause the arms to transition from the collapsed to the extended configuration. The system includes a plurality of elongate elements having a distal end coupled to the arm and configured to facilitate the delivery of an anti-migration anchor to the arm.

An anastomotic coupler is provided. A ring is aligned with a cartridge in that at least a portion of the cartridge is disposed within a lumen of the first tubular structure and the ring is positioned external of the first tubular structure. The cartridge is operable to engage with the ring to secure the ring and the cartridge with the first tubular structure and allow a lumen of a second tubular structure to be in fluid communication with the lumen of the first tubular structure via a hole formed in a wall of the first tubular structure.

The utility model provides an endoscope clamping type arc-shaped needle puncture device, which is characterized in that a clamping control piece controls a matching space of a locking piece to be tightened, so that the locking piece is fixedly connected with an arc-shaped suture needle; the rotating control piece controls the connecting piece to rotate relative to the mounting frame from the initial position, and the connecting piece drives the arc-shaped suture needle to rotate relative to the shell so that the arc-shaped suture needle can penetrate through the mucosal tissue of the human body. After the connecting piece moves to the final position, reverse operation is carried out to enable the connecting piece to return to the initial position, and the operation is repeated for multiple times so that the arc-shaped suture needle can repeatedly rotate by 360 degrees to suture the mucosal tissue of the human body; due to the fact that the locking piece can be fixed to any position of the arc-shaped suture needle, the arc-shaped suture needle can be driven to rotate by any angle, the precision requirement for matching between the locking piece and the arc-shaped suture needle is lowered, and when the arc-shaped suture needle punctures a hard human mucosa tissue and is blocked or the rotating stroke is not enough, the arc-shaped suture needle can be driven to rotate by any angle. The locking piece can timely adjust the fixed position point so as to provide enough puncture force and rotation stroke for the arc-shaped suture needle.

A surgical staple is provided having a bridge and at least a first leg and a second leg. The bridge has a first end and a second end. The surgical staple has a first extension of the bridge adjacent the first end of the bridge and extending on an opposite side of the first leg relative to the second leg and a second extension of the bridge adjacent the second end of the bridge and extending on an opposite side of the second leg relative to the first leg. The bridge may also have a waisted or reduced width mid-section.

A surgical computing system may receive usage data associated with movement of a surgical instrument and user inputs to the surgical instrument. The surgical computing system may receive motion and / or biomarker sensor data from sensing systems applied to the operator of the surgical instrument. The surgical computing system may determine, based on at least one of the usage data and / or the sensor data, a control feature for implementation by the surgical instrument. The surgical computing system may communicate the determined control feature(s) to the surgical instrument. The surgical instrument may modify its operation based on the control features.

An apparatus (1000) includes an end effector (1200, 2200, 2300, 3200, 4200, 5200), a first flexible coil (508, 1508), a second flexible coil (510, 1510), and a pivoting lock (1270, 2270, 2370, 3270, 4270, 5270). The end effector includes a first jaw (1202, 2202, 2302, 3202, 4202, 5202), a second jaw (1202), and a knife (1206, 2206, 2306, 3206, 4206, 5206). The first and second flexible coils are operatively attached to an upper portion (1238, 2238, 2338, 3238, 4238, 5238) and a lower portion (1246, 2246, 2346, 3246, 4246, 5246) of the knife, respectively. The pivoting lock is pivotable from an unlocked configuration to a locked-out configuration about a pivot axis located vertically between the first and second flexible coils to inhibit distal actuation of the knife. The knife can move the pivoting lock relative to the first and second jaws along the firing stroke.

According to the method and device for the endoscope to automatically follow the instruments, the electronic equipment and the storage medium, the actual focusing center and the real-time video of the endoscope are firstly obtained, then the real-time video is processed, the current operation stage is recognized, the real-time position information and the weight of each instrument in the real-time video are obtained, and the real-time position information and the weight of each instrument in the real-time video are obtained; the weights of the instruments and the corresponding position information are subjected to weighted fusion, the semantic attention center of the endoscope is obtained, and finally the focus center of the endoscope is adjusted according to the actual focus center and the semantic attention center. According to the technical scheme, the weight and the semantic attention center of each instrument are calculated by fusing the multi-dimensional features of the basic data, and finally, the logic of the focusing center of the endoscope is dynamically adjusted, so that intelligent following in a multi-instrument collaborative scene is realized, the defects of single instrument tracking and lack of semantic adaptation in the prior art are overcome, and the tracking efficiency is improved. And the flexibility and the accuracy of the automatic following instrument of the endoscope are improved.

A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge is disclosed. The method includes causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument, deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment, monitoring a first tissue property in the first phase of the surgical treatment, switching from the first phase to the second phase if at least one of two conditions is met, setting a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment, and monitoring a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

A surgical computing system may receive measurement data from at least one sensing system. The measurement data may be associated with a set of patient biomarkers of a patient. A surgical computing system may obtain a set of patient parameters associated with the patient. A surgical computing system may generate vectorized patient data based on at least the measurement data and a set of patient-specific parameters. A surgical computing system may use a predictive model to predict an occurrence of a prolonged air leak (PAL) based at least on the vectorized patient data. A surgical computing system may generate a set of recommendations for preventing the PAL.

A control system for a surgical instrument. The control system includes an RFID scanner and a control circuit coupled to the RFID scanner. The control circuit is configured to receive data from RFID tags associated with devices and / or users, determine a type of the surgical instrument being utilized or surgical procedure being performed according to the received data, and determine an operational setting for the surgical instrument or another device within the surgical system, which may be tailored according to the particular user identity scanned by the RFID scanner.

Apparatus and methods are described for performing a procedure using a robotic unit. A sterile drape is placed around a drape plate, such that the sterile drape is sealed with respect to the drape plate and forms an interface between a non-sterile zone and a sterile zone, a tool mount being disposed within the sterile zone, and one or more robotic arms and a linear tool motor being disposed within the non-sterile zone. A tool-actuation arm, disposed within the non-sterile zone, is driven to move linearly to thereby move at least the portion of the tool linearly with respect to the end effector. A portion of the sterile drape that is configured to be disposed at an interface between the tool-actuation arm and the portion of the tool that is pushed has greater rigidity and / or wearability than other portions of the drape. Other applications are also described.

The invention discloses a film water collection negative pressure system for an antibacterial operation. The film water collection negative pressure system comprises a water collection main body, a waterproof film and a negative pressure drainage tube. The shape of the water collecting main body is configured to surround a water collecting area on the outer side of a surgical incision on the body surface of a patient, and microporous structures facing the stoma of the human body are distributed on the water collecting main body; the water collecting main body and the water collecting area are covered with the waterproof thin film, the waterproof thin film is provided with a surgical operation opening corresponding to the stoma of the human body in position, and the waterproof thin film is further provided with a liquid passing hole facing the micropore structure; the head end of a tube body of the negative pressure drainage tube is connected with the micropore structure in an attached mode. And the tail end of the tube body of the negative pressure drainage tube is communicated and connected with a negative pressure source. Sterile normal saline for lavage incision can be prevented from flowing to an operating table, a bed sheet and the ground along the body of a patient, the sterile environment of an operation area is guaranteed, the risks of low body temperature, postoperative infection and the like in the operation of the patient are reduced, and the experience of the patient in the perioperative period is improved.

The invention discloses a data processing method and device for a prosthesis fixing nail, a storage medium and electronic equipment. The method comprises the following steps: performing three-dimensional reconstruction according to medical image data of a target object and an acetabular cup prosthesis to obtain an initial three-dimensional model; according to a current nail hole of the acetabular cup prosthesis in the initial three-dimensional model, generating a first implantation parameter of a first fixing nail; according to the first implantation parameter, performing simulated implantation operation in the initial three-dimensional model to obtain a simulated three-dimensional model; and performing safety evaluation on the simulated three-dimensional model, and determining target implantation parameters of the fixing nails of the acetabular cup prosthesis according to the first implantation parameters under the condition that a safety evaluation result represents that the safety evaluation is passed. According to the method and the device, the problem that the accuracy of determining the implanting position and direction of the fixing nail is relatively low due to the fact that the implanting position and direction of the fixing nail of the acetabular cup are determined depending on artificial experience in related technologies is solved.