3845results about "Surgical staples" 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.

An introducer sheath is described. The introducer sheath may include a tubular body. The tubular body may extend from a distal end toward a proximal end. The tubular body may include a lumen. The lumen may at least partially be defined by a wall. A channel may be disposed within the wall. The channel may be configured to receive a guidewire. The tubular body may include an expandable portion expandable to increase a cross-sectional area of the lumen.

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.

A surgical kit includes a stapling device and a powered actuation assist detachably couplable to the stapling device. The stapling device includes an anvil half section, a cartridge receiving half section, and a firing assembly including an actuation knob movable along a length of the cartridge receiving half section. The powered actuation assist includes a motor assembly, a lead screw operatively coupled to the motor assembly, a knob connector coupled to the lead screw, a battery pack, and a first switch electrically coupled to the motor to activate the motor. The knob connector is configured to detachably engage the actuation knob of the stapling device to impart axial displacement to the actuation knob. Actuation of the motor assembly imparts rotation to the lead screw, which, in turn, causes axial displacement of the actuation knob of the firing assembly.

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 discloses a surgical tool system based on a flexible arm and a minimally invasive surgical robot, the surgical tool system comprises a flexible arm sleeve assembly and a manual driving mechanism, a distal end of the sleeve assembly is provided with a tip, the tip is at least integrated with a surgical tool and an endoscope camera, and the proximal end of the sleeve assembly is connected with the manual driving mechanism; a regulating cable for controlling the tail end of the surgical tool to move is arranged in the sleeve assembly in a penetrating manner, and the near end of the regulating cable is connected with the manual driving mechanism; a rotating module, a push-pull module and a regulation and control cable control module are arranged in the manual driving mechanism, the rotating module is used for achieving overall rotation of the cannula assembly, the push-pull module is used for achieving bending of the far end of the cannula assembly, and the regulation and control cable control module is used for tensioning / loosening a regulation and control cable to achieve opening and closing of the tail end of the surgical tool. According to the minimally invasive surgery robot, the surgical tool can rotate, bend and open and close the tail end under the control of the manual driving mechanism, the minimally invasive surgery operation requirement is met, the minimally invasive surgery robot has multiple degrees of freedom, and the surgical tool can conveniently reach a deeper surgery area.

A surgical stapling device includes a tool assembly having an anvil assembly and a cartridge assembly, and a drive assembly. The cartridge assembly includes a staple cartridge having an actuation sled assembly and channel member that supports a lockout member. The lockout member includes a stop member that interacts with the drive assembly when the actuation sled assembly is not present within a proximal portion of the staple cartridge to prevent advancement of the drive assembly and firing of the stapling device.

An end effector of a surgical instrument may be equipped with a limited (e.g., minimal) number of electrical pads that provides useful tissue presence and positioning information using a limited number of signals communicated between the electrical pads and a controller located remotely from the end effector.

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.

The invention discloses a high-performance zinc alloy with a gradient structure and a preparation method and application thereof, and belongs to the technical field of metal material processing. The high-performance zinc alloy with the gradient structure is characterized in that the grain sizes of upper, middle and lower areas of the alloy are in fine-coarse-fine distribution, the grain sizes of the upper and lower areas are smaller than or equal to 2 microns, the grain size of the central area is 5-20 microns, and the grain size of a transition area between the upper and lower areas and the central area is 2-15 microns; meanwhile, all the areas are accompanied with MnZn13 nano precipitated phases with the size smaller than or equal to 50 nm. The alloy shows excellent deformation resistance and thermal mechanical stability, the elasticity modulus of the alloy can at least reach 125 GPa, meanwhile, the alloy shows excellent corrosion resistance, and the alloy is particularly suitable for biomedical implantation instruments such as intravascular stents and bone nails.

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 negative pressure suction sheath comprises a sheath tube, a negative pressure connector and an expander, the negative pressure connector comprises a main channel cavity and a negative pressure suction channel cavity located on one side of the main channel cavity, the near end of the sheath tube is connected with the far end of the main channel cavity, and the expander is inserted from the near end of the main channel cavity and extends out of the far end of the sheath tube. The main channel cavity is detachably connected with the main channel cavity; a side channel opening is formed in one side of the main channel cavity, and the negative pressure suction channel cavity communicates with the side channel opening. The cavity wall of the main channel cavity is further provided with a pressure adjusting opening, the pressure adjusting opening corresponds to the side channel opening or is located at the end, away from the sheathing canal, of the side channel opening, the negative pressure in the sheathing canal can be adjusted by adjusting the opening size of the pressure adjusting opening, and therefore an operator does not need to leave to adjust the negative pressure device to adjust the suction force in the sheathing canal. The negative pressure in the sheathing canal can be adjusted only by adjusting the size of the pressure adjusting opening in the handheld negative pressure connector.

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.

A surgical instrument includes an end tool rotatable in at least one direction, the end tool including a jaw unit having a first jaw configured to accommodate a cartridge, and a second jaw facing the first jaw, a working member configured to be movable in a lengthwise direction of the first jaw, and a first elastic member disposed on a proximal side of the first jaw and configured to restrict a movement of the working member depending on whether the cartridge is accommodated in the first jaw, wherein when the cartridge is disposed on the first jaw, one end of the first elastic member is supported by the cartridge and then elastically deformed, and the first elastic member releases the restriction on the movement of the working member.

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 an endoscope anastomat with a percussion protection mechanism, a main body is the endoscope anastomat, the far end of the endoscope anastomat is provided with a fixed part and a rotating part, and the rotating part is pivoted with the fixed part; a cutting knife group is also arranged in the endoscope anastomat; the rotating part is a nail propping seat and the fixed part is a nail bin seat, or the rotating part is a nail bin seat and the fixed part is a nail propping seat; a nail bin assembly detachably connected with the nail bin base is arranged on the nail bin base. A nail pushing block which slides forwards and backwards is arranged in the nail bin assembly; the nail pushing block is provided with a limiting part, and when the nail pushing block is located at the initial position, the limiting part extends out of the near end of the nail bin assembly. And a pushing piece is arranged between the rotating part and the fixed part, and the pushing piece always keeps pushing force for pushing towards the direction of the limiting part at the initial position. The nail bin protection device has the beneficial effects that a protection mechanism for an empty nail bin assembly or a protection mechanism for a used nail bin assembly is realized, and potential safety hazards caused by misoperation in actual operation of an operator are solved.

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.

Surgical stapling instruments include mechanisms for identifying and / or deactivating stapler cartridges 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 movable in a lateral direction to either maintain the locking member in the disabled position or to allow the locking member to move into the locking position. The instrument may further include a stapler cartridge including an annular pin configured to be engaged by a drive member at a an axial position to create a detectable resistance for reload detection by a control unit to identify the type of stapler cartridge present in the surgical stapling instrument.

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.

The invention provides an ultrasonic knife energy automatic control method and device, electronic equipment and a medium, and the method comprises the steps: obtaining a real-time frequency change rate in the working process of an ultrasonic knife, and when the real-time frequency change rate meets a preset abnormal frequency change rate range, starting the ultrasonic knife; the output energy of the ultrasonic knife in different abnormal working states is controlled based on a gain coefficient model, the gain coefficient model is established based on the abnormal frequency change rate and the gain adjustment coefficient of the ultrasonic knife in different abnormal working states, and the abnormal frequency change rate range is determined according to the abnormal frequency change rate. According to the method, the real-time frequency change rate of the ultrasonic knife is obtained, whether ultrasound is abnormal or not is determined based on the real-time frequency change rate range and the abnormal frequency change rate of the ultrasonic knife in the abnormal working state, and when the ultrasonic knife is abnormal, the energy output by the ultrasonic knife is adjusted according to the gain coefficient model. Balanced control of energy in the ultrasonic scalpel operation cutting process is achieved, the safety and reliability of ultrasonic scalpel equipment are improved, and the operation efficiency is improved.