3226results about "Wound clamps" 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 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.

A ligation device includes a first arm, a second arm, a holding tube, an operation wire, a sheath, and a link mechanism having a first link and a second link which are connected to each other and engage the holding tube with the sheath, wherein the link mechanism is configured to be switch between a disengaged configuration in which engagement between the holding tube and the sheath is released and an engaged configuration in which the holding tube is engaged with the sheath due to the operation wire.

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.

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 relates to an adjustable electric intracavity cutting stitching instrument, and relates to the technical field of stitching instruments. The device comprises a handle, a rotating head, a suturing rod and a suturing head, the suturing rod is connected with the handle, the suturing rod is sleeved with an outer pipe, the handle is used for driving the outer pipe to move in the length direction of the suturing rod, and the rotating head is rotationally connected to the handle, fixed to the outer pipe and used for driving the outer pipe to drive the suturing rod to rotate. The sewing head is rotatably connected to the end, away from the handle, of the sewing rod through a rotating assembly, a driving assembly is arranged on the sewing rod, connected with the rotating assembly and used for driving the rotating assembly to rotate, a handle and a rotating motor are arranged on the rotating head, the rotating motor is connected with the driving assembly through an electromagnetic clutch, and the handle is rotatably connected to the rotating head. And the base is fixed with the driving assembly. According to the invention, manual or automatic adjustment can be carried out according to conditions so as to realize the effect of accurate control or rapid control.

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 anchor device for being anchored on the mucous membrane of the inner wall of the intestine, the device having a temporary anchor element presenting anchoring that can be modified in a controlled manner and having a first substantially cylindrical multiply-perforated wall presenting properties of radial elasticity whereby the first wall presents an outer diameter that can be varied in controlled manner, wherein a portion of the inner surface of the first wall is lined with an independent leakproof inner sheath having only its longitudinal ends fastened to the anchor element to define a suction chamber between the inner sheath and the first wall, the temporary anchor element being coupled to a flexible or semi-rigid tube extending outside the anchor element, an open end of the injection-suction tube opening out into the suction chamber enabling air to be injected into or sucked out from the suction chamber.

The invention discloses a manufacturing method of a ligation clip and the ligation clip, the ligation clip comprises a V-shaped ligation clip body, the ligation clip body is made of a high polymer material, the ligation clip body is provided with a first clip arm, a second clip arm and an elastic connecting part, the end part of the first clip arm is provided with a lock hook, and the end part of the second clip arm is provided with a lock catch; the ligature clip further comprises metal wires arranged in the first clip arm, the second clip arm and the elastic connecting portion, a plurality of grooves are formed in the outer surfaces of the metal wires, the ligature clip body wraps the metal wires through an injection molding process, and anchoring portions extending into the grooves are arranged in the ligature clip body. According to the ligation clamp, a rigid-flexible composite implementation mechanism is adopted, the metal wire serves as a rigid core, the ligation clamp body made of a high polymer material serves as a flexible base body, in addition, mutual movement of the ligation clamp body and the metal wire is effectively prevented through combination of the groove and the anchoring part, the mechanical property bottleneck of a traditional single-material ligation clamp is broken through, and the durability of the ligation clamp is improved.

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.

A clip and method provide for surgically minimizing or eliminating an atrial appendage of the patient using a clip. The clip includes first and second elongate beam. The clip includes a dual side spring assembly configured to urge the first and the second elongate beams from an open V-shaped position to a parallel closed position. The dual side spring assembly includes a right-side spring and a left-side spring having first and second terminal ends attached to distal sections respectively of the first and the second elongate beams. The right and the left-side springs extend proximally to a respective proximal bend connected by a lateral element that maintains alignment to resist lateral splaying movement of the first and the second elongate beams.

The utility model discloses a closing clip capable of preventing tissue from being torn, and belongs to the field of medical hemostatic clips. The closing clamp capable of preventing the tissue from being torn comprises a first clamping arm and a second clamping arm, the near ends of the first clamping arm and the second clamping arm are connected through a connecting part, and the far end of the first clamping arm and the far end of the second clamping arm are respectively provided with a locking structure which can be buckled and locked together. The clamping faces of the first clamping arm and the second clamping arm are each divided into an anti-skid tooth face and a clamping smooth face in the width direction, and the anti-skid tooth face and the clamping smooth face of the first clamping arm and the anti-skid tooth face and the clamping smooth face of the second clamping arm are arranged in a one-to-one correspondence mode or in a crossed correspondence mode. According to the utility model, the clamping surfaces of the two clamping arms of the closing clamp are divided into the anti-slip tooth surfaces and the clamping smooth surfaces, so that the clamping pressure of the closing clamp on vascular tissues during closing is reduced, unnecessary damage to the tissues in the process of closing the tissues is effectively avoided, and hemostasis failure caused by tearing of the vascular tissues is prevented.

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.

A device for treating tissue includes a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough, the capsule releasably coupled to a proximal portion of the device and clip jaws, proximal ends of which are slidably received within the channel of the capsule so that the clip jaws are movable between an open configuration and a closed configuration. Clip jaws are configured so that a distance between the distal ends of the clip jaws in an open configuration is between 15 and 18 millimeters. Clip jaws further include barbs extending from a distal portion thereof.

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 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, 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.

Disclosed are reducer instrument locking mechanisms. They can be located near a center pivot joint of the reducer, thereby eliminating a ratchet at the reducer proximal end. The locking mechanisms can include a pawl or latch that travels with one handle from an open position to a closed position. The pawl can fall into a groove formed in an opposing handle such that handles of the reducer can be locked relative to one another, at least with regard to movement of the handles away from one another. When falling into the groove, the pawl can create an auditory and / or tactile indication that a sufficient amount of rod reduction has been achieved to allow for set screw insertion. After set screw insertion, the reducer locking mechanisms can be released to clear it of the groove and allow the reducer to return to its open position.

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.

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 surgical anchor device for being anchored on the mucous membrane of the inner wall of the intestine, the device having a temporary anchor element presenting anchoring that can be modified in a controlled manner and having a first substantially cylindrical multiply-perforated wall presenting properties of radial elasticity whereby the first wall presents an outer diameter that can be varied in controlled manner, wherein a portion of the inner surface of the first wall is lined with an independent leakproof inner sheath having only its longitudinal ends fastened to the anchor element to define a suction chamber between the inner sheath and the first wall, the temporary anchor element being coupled to a flexible or semi-rigid tube extending outside the anchor element, an open end of the injection-suction tube opening out into the suction chamber enabling air to be injected into or sucked out from the suction chamber.

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.

A clip may be configured to close the portion of the heart, to reduce blood flow therethrough as well as passage of clots or other undesired materials. The clip may be configured to close the left atrial appendage (LAA). The closure of the LAA may reduce the possibility of stroke or other maladies stemming from fluid flow with the LAA. Delivery systems may comprise expansion apparatuses for a left atrial appendage clip. The expansion apparatuses may include retention mechanisms for retaining the clip.