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INSTRUMENTS

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606 - Surgery

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Class / Patent application numberDescriptionNumber of patent applications / Date published
606053000 Orthopedic instrumentation 9768
606032000 Electrical application 4209
606191000 Internal pressure applicator (e.g., dilator) 2204
606167000 Cutting, puncturing or piercing 1890
606002000 Light application 1766
606139000 Suture, ligature, elastic band or clip applier 1673
606151000 Surgical mesh, connector, clip, clamp or band 1363
606130000 Stereotaxic device 1184
606213000 Sutureless closure 1088
606232000 Suture retaining means (e.g., buttons) 740
606159000 Blood vessel, duct or teat cutter, scrapper or abrader 566
606020000 Cyrogenic application 465
606129000 Electrode guide means 370
606205000 Forceps 370
606201000 External pressure applicator 367
606027000 Heat application 365
606107000 Means for removing, inserting or aiding in the removal or insertion of eye lens material 355
606131000 Means for removal of skin or material therefrom 319
606228000 Suture or ligature 312
606108000 Means for inserting or removing conduit within body 298
606127000 Means for concretion removal 253
606110000 Means for removing tonsils, adenoids or polyps 223
606119000 Obstetric or gynecological instruments 151
606234000 Oral pacifier 133
606222000 Suturing needle 97
606237000 Chiropractic or osteopathic implement 86
606190000 Blunt dissectors 75
606166000 Corneal cutter or guide for corneal cutter 63
606162000 Means for cleaning eye, ear or nose 40
606138000 Means for removing suture, clip, staple or ligature 36
606161000 Optic, otic or oral scrapper or abrader 27
606210000 Tweezers 20
606117000 Means for applying animal identification device 17
606116000 Means for marking animals 12
606106000 Means for removing foreign objects from the throat or connected passageways (e.g., probang) 10
606233000 Suture supported from engagement with incision (e.g., suture bridge) 5
20080228224Device For Securing A Surgical Suture To A Bone - A device for securing a surgical suture to a bone comprises a first element, which can be introduced into a bone, and a second, movable element, which can be introduced into said bone in such a way that it meets said first element. A channel being formed in said bone as a result of introducing said first and said second elements into that bone. One of said two elements carries a surgical suture. A suture catcher is arranged within that element of the two elements not carrying said suture, by means of which suture catcher said suture can be taken hold of and said suture can be withdrawn via said element not carrying said suture.09-18-2008
20090149884SYSTEM AND METHOD FOR BRIDGE ANCHOR TENDON ATTACHMENT - A tendon attachment system may include two fasteners forming a fastener assembly. The first fastener may comprise a capture body with suture apertures and a threadable capture body hole, two sharpened legs attached to the capture surface, and a tendon channel. The suture may be secured to a tendon, and slid through the apertures guiding the first fastener to the fixation site. The two sharpened legs may be driven into the bone. The capture body may provide security of the tendon to the bone and the sutures may be secured to the first fastener. The second fastener may comprise a head portion, and a threadable portion which may pass through the capture body hole and threadably engage with the bone, further advancing the first fastener toward the bone. The suture may be further secured by the engagement of the second fastener to the first fastener.06-11-2009
20120158054SUTURE-PLATE SCAR REDUCTION SURGICAL DEVICE AND METHOD - A method and device comprising a plate with attached suture, the plate made at least partially of silicone, are provided for wound closure. The silicone in the plate inhibits scarring in the healing wound, and the device provides for improved wound closure.06-21-2012
20130178901COMPOSITE INTERFERENCE SCREWS AND DRIVERS - The present disclosure relates to an anchor. The anchor includes a suture bridge having a proximal end and distal end. The distal end of the suture bridge has a thickness greater than a thickness of the proximal end of the suture bridge. At least two ribs extend from the proximal end of the suture bridge to a proximal end of the anchor. At least one open helical coil wraps around the at least two ribs and extends, substantially, from the proximal end of the suture bridge to the proximal end of the anchor. The at least one open helical coil defines an internal volume communicating with a region exterior to the anchor through apertures between turns of the at least one open helical coil. The at least two ribs are engagable with a grooved shaft of a driver.07-11-2013
20140222073EXTERNAL SUTURE SECUREMENT DEVICES AND METHODS - Described are devices, methods and systems for securing sutures external to the body. In certain aspects, a suture securement device includes a housing member defining an internal cavity and a wedge member moveable within the cavity between a suture-release position to a suture-retention position. The wedge member defines a suture aperture extending therethrough. At the suture-retention position, the housing member is configured to compress the wedge member to clamp the suture, thereby substantially preventing the suture from moving within the aperture.08-07-2014
606135000 Means for, or to assist in mammalian sterilization 3
20150359550SURGICAL FORCEPS - This application presents a bifurcated, optimally-angled surgical forceps. In one example, this surgical forceps may enable a more natural maneuver for initial clamping of the vas deferens through the scrotal skin. This may be more comfortable for users and easier to maintain, and may provide greater tactile surface contact between the thumb and vas deferens. This device also may provide the surgeon with an entire segment of vas deferens upon which the vasectomy may be performed, thus reducing the need for frequent repositioning of instruments. The device may also be applied to other surgical procedures that may benefit from the features of the device and where a section of a tubular anatomical structure may need clamping at two points along its length. Examples include blood and lymphatic vessels, ducts of the digestive system, and large nerves or nerve bundles.12-17-2015
20110046640Tool to assist use of animal ligation device - A ring to assist in use of an animal ligation device has an inner diameter dimensioned for easy passage around a part of an animal to be removed by the ligation device, an outer diameter of the ring having an outer peripheral groove dimensioned for receipt of a ligature of the ligation device so as to assist in use of the ligation device relative to the animal. The ring is preferably made from a plastic material having the groove dimensioned for easy removal of the ligature after positionment of the ligature relative to the animal, so that completion of use of the ligation device is facilitated.02-24-2011
20120209295STERILISATION DEVICE - Apparatus for sterilisation of a female mammal comprising at least one separation member for separation of a fallopian tube from a uterine cavity of the female mammal, a circulation assembly which is operatively connected to said at least one separation member, and at least one sterilisation lumen which is operatively connected to said circulation assembly and debouching at a distal side of said at least one separation member, said at least one sterilisation lumen being adapted for injection in use of a tissue necrotising fluid capable of necrotising a lining of at least a part of said fallopian tube, wherein said circulation assembly is adapted to circulate said tissue necrotising fluid within said sterilisation lumen and said fallopian tube. The apparatus allows quick, simple, safe and reliable sterilisation.08-16-2012
606212000 Hoof crack repair 1
20100114155APPLIANCES FOR TREATING HOOFED ANIMALS - A support for treating a cloven hoof of an animal including a sole providing elevation, to one toe of a hoof of the animal. A toe securing structure (TSS) is joined to the sole. A foot securing means is connected in one end to the sole, while the other ends of the securing means are fastened together such that the sole is tightly secured to the animal cloven hoof. In another aspect of the present invention, in order to treat hoof disorders such as fungal infection, which typically plague the area between the toes of a cloven hoofed animal, a medical composition is delivered from a bandage. After use, the bandage can be discarded without being touched. The bandage is preferably made of degradable and environment-friendly materials.05-06-2010
Entries
DocumentTitleDate
20080208175IRIS VALVE WITH CONTROL RING - A laparoscopic surgical access device comprises a first frame and a second frame having relative axial positions. A flexible and resilient iris valve is connected to the first and second frames and has a closed position and an opened position based on the relative angular position of the first and second frames. A lock is connected to the first and second frames, the lock being selectively operative to prevent relative rotational movement in a first rotational direction. One embodiment uses a ratchet and pawl mechanism operable with a control ring. Another embodiment uses a ratchet and pawl mechanism operable with a button. Yet another embodiment uses a wedge track and ball mechanism.08-28-2008
20080234664HANDPIECE CALIBRATION DEVICE - A calibration device for a milling instrument. The calibration device may be a burr guard which may be attached to the milling instrument. The calibration device may calibrate the milling instrument to provide a predetermined depth of alteration to an anatomical structure.09-25-2008
20080234665DEVICES AND METHODS FOR STABILIZING MEDICAL INSTRUMENTS - Embodiments of a device, and method of use thereof, are described for stabilizing a medical instrument, the medical instrument contacting a patient's body at a point of contact, the method using a plurality of support members for stabilizing the medical instrument, each support member comprising an instrument end and a patient end and an elongate support member body extending therebetween, the method comprising: independently coupling the instrument end of each of the plurality of support members to the medical instrument; and independently attaching the patient end of each of the plurality of support members to a surface of the patient's body for stabilizing the medical instrument.09-25-2008
20080243105Surgical Footswitch with Movable Shroud - The present invention provides a surgical footswitch with a movable shroud. The footswitch is capable of controlling different kinds of surgical instruments and is adaptable by moving the shroud to meet the convenience and safety requirements of each kind of surgical instrument.10-02-2008
20080243106DETACHABLE END EFFECTORS - Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft. For example, a surgeon can actuate an actuation mechanism on the proximal end of the shaft to mate one of the end effectors to the distal end of the shaft without assistance from other tools and devices. After use of the end effector, the end effector can be released and another end effector can be remotely attached to the distal end of the shaft.10-02-2008
20080255544System for Guiding Instruments Having Different Sizes - A system and procedure for using the system are disclosed for guiding instruments of varying sizes. The instruments can be guided into various portions of the anatomy for performing a procedure, providing a treatment, measuring a physiological response, or the like. Two or more instruments of varying sizes can be driven or guided relative to one another with the same system.10-16-2008
20080262479MEDICAL DEVICE FOR PREVENTING PASSIVE REGURGITATION - The present invention includes a medical device including a base member having a receiving element and an engagement member connected to the base member. In the various embodiment described below, the engagement member includes a user end, an engagement end, and a locking mechanism. The locking mechanism is adapted to interface with the receiving element in response to a user input such that the engagement end engages a tracheal region of a patient thereby substantially prohibiting flow through the esophagus of the patient. In other embodiments of the present invention, the medical device further includes a retaining strap adapted to secure the base member about a neck region of the patient, thus prohibiting movement of the base member relative to the tracheal region of the patient.10-23-2008
20080262480INSTRUMENT ASSEMBLY FOR ROBOTIC INSTRUMENT SYSTEM - A robotic medical instrument system for driving a segment of a catheter or other instrument. A segment, such as the distal end, of a catheter may be axially and/or rotatably driven. Drive elements include an internal and retractable catheter drive shaft, an actuation element coupled to an internal portion of the catheter body and including an internal guide in which a pin can move to drive a gear and rotate the catheter, a harmonic drive element, a wobble plate drive element, and a planetary gear drive element.10-23-2008
20080269727Surgical instrument guide device - An instrument guide device comprises an elongated guide shaft having proximal and distal ends and including an instrument lumen for receiving therethrough a manually operated instrument having an instrument shaft. A distal bendable member is disposed at the distal end of the guide shaft and a proximal bendable member is disposed at the proximal end of the guide shaft. Actuation means extends between the distal and proximal bendable members and provides a bending of the distal bendable member controlled from the proximal bendable member. The proximal bendable member is controlled from the manually operated instrument to cause a corresponding bending of said distal bendable member.10-30-2008
20080275431Anchor Assembly and Method of Use - The present teachings provide a flexible member securing assembly. The flexible member securing assembly includes a shaft, an arm extendable from the shaft, an anchor, and a flexible member grasper formed on a distal end of the arm. Methods of securing a flexible member are also provided.11-06-2008
20080281299ENDOSCOPIC TOOL ASSEMBLY - A surgical tool assembly is provided having a surgical tool, a scope; and a detachable clip which couples the tool and scope. The clip includes a first grip which engages a peripheral surface of the tool and a second grip which engages a peripheral surface of the scope. Additionally, the first and second grips may be formed continuously with one another.11-13-2008
20080281300Methods and devices for ostium measurement - Devices and methods are provided which shield at least one turbinate from trauma or damage during sinus surgery that could be caused by direct contact with diagnostic and therapeutic devices. The devices and methods provided are particularly useful for protecting nasal turbinates during FESS and FTIS procedures.11-13-2008
20080281301Personal Surgical Center - A personal surgical center embodied as a general purpose computer (e.g. laptop) with wireless technology for monitoring the operation of an independent surgical center and/or handheld instruments. The computer tracks procedures in the operating room and instruments used during those procedures, and accounts for billing, supply management, and payment options. The monitoring of the instruments used during the surgery is conducted by the personal surgical center while actual control of the settings of those instruments is via the independent surgical center or via controls included in the instruments themselves. The monitored information is stored in a log file which is then transmitted to a hospital server for generating reports, inventory control, billing, and the like. Other information generated during the procedure (e.g. doctor notes) is also stored in the log file. The personal surgical center may also access the hospital server or local data storage device for retrieving a surgeon's specific surgery parameters, obtaining patient files, and the like.11-13-2008
20080281302DETACHABLE ANEURYSM NECK BRIDGE - In one embodiment, a neck bridge for bridging the neck of an aneurysm includes a junction region, a number of radially extending array elements attached to the junction region, and a cover attached to one or both of the junction region and an array element. The array elements are configured to be positioned within the aneurysm after the neck bridge is deployed from a delivery device. In a second embodiment, the neck bridge includes a junction region and a braided or mesh-like structure secured to the junction region. The braided or mesh-like structure is made from an elastic material.11-13-2008
20080287923Loading a Tissue Closure Device onto a Delivery Device - A compression tool is configured to compress one or more components of a delivery device, such as a closure element and one or more flanges of a pusher tube. The compression tool includes clamping means configured to close or release with rotation of actuating means (e.g., rotating means). In a closed position, the clamping means can sufficiently compress the one or more components of the delivery device so that a technician can easily position a garage tube about the compressed delivery device components. The assembled delivery device (or assembled garage tube) can then be removed from the compression tool upon reverse rotation of the actuating means, and subsequent opening of the clamping means.11-20-2008
20080287924Hospital Operating Room Re-Design - An improved operating room design is disclosed. Interfering connection devices, such as wires, cables, and hoses, are eliminated from the working area by use of disappearing floor pods mounted between a sub-floor and a finished floor. The floor pods recess flush with said finished floor, thereby allowing floor cleaning by a robotic device that incorporates disposable, sterile cleaning cartridges. Movable carts, such as an anesthesiology cart, are adapted for docking with said pods on the upper surface of said pods with connectors presented underneath said carts. Said pods provide numerous utility connections such as gas, vacuum, and electric. Gas and vacuum lines are preferably supplied from a universal adaptor. A surgical table is mounted on the sub-flooring of the operating room. AU utilities are fed to the table from underneath the floor. The surgery operating room has a wall with an array of built-in compartments for carrying medical supplies that allows access to personnel both in and outside the operating room. The operating room preferably also includes a ceiling with focusing, “shadow-less” lights and/or a mounted imaging C-arm. Flat panel monitors are also embedded in one or more walls for real-time displays of information. In addition, the operating room walls provide a calming, ambient light by way of surfacing with translucent materials which are backlit.11-20-2008
20080287925HANDHELD MEDICAL DEVICE - A handheld medical device comprises an internal flow passage that is in axial alignment with an output drive shaft. The drive shaft is powered by a motor assembly that is offset from the internal flow passage and the output drive shaft. The drive shaft and the motor assembly can be connected by a gear train. A collet mechanism can be used to secure a surgical implement to the handheld medical device. A first button assembly and a second button assembly can be positioned on diametrically opposed portions of the handheld medical device.11-20-2008
20080287926Multi-Purpose Minimally Invasive Instrument That Uses a Micro Entry Port - A multi-purpose minimally invasive instrument having a small diameter elongated rod with a distal end that receives different interchangeable tools for a variety of uses, and also a handle used by an operator to control the interchangeable tool by manipulating the electricity it receives from a generator. The rod enters a cavity through a very small diameter telescopic port, which provides it with added support during its use. Interchangeable tools comprising imaging/surgical/sensing/electromagnet/radiofrequency/laser/heat-generating probes and/or other devices enter the cavity, supported by an introducer removed after tool attachment, one-at-a-time through a regular-size port that is concurrently used by an endoscope/camera. The instrument is adaptable for therapeutic, investigative, and/or other applications, in any space. An important medical benefit is the usage of many tools simultaneously while employing only one regular-size port and a very small diameter port for each additional tool used, which expedites patient recovery with excellent cosmetic outcome.11-20-2008
20080294149Corneal Viewing Chamber - Viewing chamber for preserving a corneal tissue. The cornea viewing chamber has a container and a lid. The container includes a corneal basket formed by a plurality of prongs for supporting the corneal tissue. The prongs are dimensioned such, that they accommodate corneas ranging in size from large to small. The lid has raised protrusions on its underside, which prevent the corneal tissue from being suctioned onto the lid. The protrusions also serve as a dimension gauge that indicates the size of the tissue stored in the container. Lid and container are threaded. A tapered plug in the lid, as well as the use of an O-ring, enhances the seal when lid is screwed onto the container, ensuring a leak-tight seal. The threaded connection has a thread-stop, to prevent over-torquing of the threaded connection.11-27-2008
20080300579Surgical stapling and cutting instrument with articulatable end effector - A surgical instrument that has an articulatable end effector. Various types of passive articulation joints are disclosed for interconnecting a proximal frame portion to the end effector to facilitate pivotal travel of the end effector relative to the proximal frame portion of the instrument.12-04-2008
20080300580Pneumatically powered surgical cutting and fastening instrument with electrical feedback - A status module for use with a pneumatically powered surgical instrument includes at least one sensor and a housing structured and arranged to releasably connect to the pneumatically powered surgical instrument. At least one contact is connected to the pneumatically powered surgical instrument. Each individual contact is structured and arranged to be in electrical communication with a different sensor when the housing is connected to the pneumatically powered surgical instrument. The at least one sensor is fluidically coupled to the pneumatically powered surgical instrument. A circuit is in electrical communication with the least one contact and at least one of a plurality of indicators.12-04-2008
20080319426System for Clearing Modes of Operation on a Multicomponent Medical Instrument - A system is provided for clearing modes of operation on a multicomponent medical instrument with a basic instrument (12-25-2008
20090030405Universal medical device control console - A control consol is disclosed for controlling one or more medical devices. The control consol communicates to at least one medical device, and at least one peripheral module associated with the medical device if needed. The control consol has a microprocessor for processing data to direct an operation of the medical device.01-29-2009
20090036876Gel Cap Loading Tool - A medical device, gel-cap loading tool. The loading tool facilitates the insertion of a component of a medical device, such as the esophageal flange of a voice prosthesis, within a dissolvable gel cap. The gel cap is disposed in a cavity with the component collapsed therein. A gel cap is disposed in the cavity and is axially aligned with the medical device. An engaging member engages with at least one of the gel cap and the medical device to cause relative movement between the gel cap and the medical device which causes the component to be inserted into the gel cap.02-05-2009
20090036877SPRING DETACH JOINT FOR DELIVERING A DETACHABLE IMPLANTABLE DEVICE - Methods and systems for delivering an implantable device to a target site, using a detachable link. The system can include an embolic coil mated to a delivery wire via a detachable link comprising first and second engaging members. When the detachable link is delivered through a catheter, the first and second engaging members are configured to self-detach.02-05-2009
20090048585BRUSH DEVICE FOR GRASPING AND MANIPULATING TISSUE - A brush-like element can be housed within a vacuum sleeve for advancement through a natural orifice to tissue, such as an appendix or gall bladder or diverticulum, to be inverted pursuant to resolution of a malady associated with the tissue. The brush is advanced out of the sleeve into the tissue and if desired rotated, and vacuum may also be drawn through the sleeve to further grip the tissue. The brush is then retracted into the sleeve to clamp or trap the tissue for inversion or other manipulation.02-19-2009
20090054878Introduction device for a medical instrument - The invention relates to a device for introducing a medical instrument into a closed container (02-26-2009
20090069793Cool tip junction - A conduit junction for use with an electrosurgical system includes a body having a lumen defined therein and at least one positioning structure. The lumen is configured to receive to receive at least a portion of a tubular structure. The tubular structure includes at least one of a conductor and a conduit of an electrosurgical system. The positioning structure is disposed in mechanical cooperation with the lumen and is adapted to position at least one of the conductor and the conduit within the body of the conduit junction. The body of the conduit junction may include a first section and a second section pivotably connected to each other. The positioning structure may include at least one rib pocket.03-12-2009
20090099554Elongate Flexible Torque Instruments And Methods Of Use - Torque shafts and other related systems and methods are described herein. In one embodiment, the torque shafts are both flexible and capable of transmitting torque. An apparatus for transmission of torque includes an elongate body, comprising a plurality of joint segments, each joint segment configured to pivot with respect to an adjacent segment and being further configured to have at least two link elements.04-16-2009
20090099555REDUCTION OF RF INDUCED TISSUE HEATING USING CONDUCTIVE SURFACE PATTERN - The present invention provides, among other things, means to suppress AC current propagation along elongated medical devices incorporating long conductive structures. AC currents in the frequency range from approximately 10 MHz to 3 GHz can be substantially suppressed without altering the low and DC frequency response of the medical device.04-16-2009
20090099556TUNNEL MEASURING DEVICE FOR LIGAMENT RECONSTRUCTION - Measuring devices and methods of determining the appropriate graft length for reconstructive surgery, for example for an all-inside ACL reconstruction ligament repair. The measuring device accurately determines the graft length based on the total length between the femoral and tibial tunnels (sockets) plus the intraarticular space between them. The measuring device may comprise two small, cannulated beads (preferably polished metal) and three strands (for example, three suture strands). The beads may have a diameter of about 5 mm and the three sutures may preferably have distinct and different colors.04-16-2009
20090105695DEVICE FOR TREATMENT OF HUMAN OR ANIMAL TISSUE BY MEANS OF A MAGNETICALLY MOVABLE INSTRUMENT - A device for the treatment of human or animal tissue by means of a movable instrument is disclosed. The device comprises means for generating a magnetic stator field, in which the tissue is located. For example, the means for generating the magnetic stator field may be a magnetic resonance tomograph (MRT). At least one conductor loop is provided on or in the instrument, and a generator is provided for generating a current that flows through the conductor loop in order to generate a magnetic useful field, which, in conjunction with the stator field, generates a resulting action for applying a useful force to the instrument.04-23-2009
20090118712Flexible transoral endoscopic gastroesophageal flap valve restoration device and method - A transoral gastroesophageal flap valve restoration device has sufficient flexibility and dimension to be passed through the mouth, throat, and esophagus of a patient into the patient's stomach. The device includes a first member and a second member hingedly coupled to the first member. The first and second members are configured to flex in a direction to follow the esophageal path into the stomach and to be substantially rigid when forming the restored gastroesophageal flap valve.05-07-2009
20090118713Tissue cleaning apparatus - A portable tissue cleaning apparatus comprising a housing with a base member and side walls mounted to the base member and a top cover having a motor contained within a housing. A manually operable switch assembly is mounted on the housing and is operable to control operation of the motor. A connector connects the motor to a rotatable basket assembly having a cylindrical container. A perforated basket is mounted in the cylindrical container and a cover mounted on the cylindrical container to provide a sealed fluid containment chamber. The perforated basket is cylindrical and has an impeller mounted on its bottom to direct fluid in a predetermined path when the same is rotated, and a divider comprising a tube with external slots formed therein and fin members mounted in the slots with the fin members extending outward towards an inner wall surface of the cylindrical perforated container to divide the perforated basket into sections. The motor rotatably drives the cylindrical container and perforated basket in sequential clockwise and counter clockwise directions a predetermined number of revolutions to clean tissue held therein.05-07-2009
20090118714Surgical console information display system and method - A surgical console is disclosed, comprising a processing module operable to direct operations of and receive inputs from devices operably coupled to the processing module, at least one memory device operably coupled to the processing module, wherein the at least one memory device is operable to store multimedia content, and a user interface, wherein the user interface is operable to display representations of surgical console functions and to display selected portions of the multimedia content during a non-surgery mode.05-07-2009
20090131920STENT CRIMPING APPARATUS - A device for crimping stents onto a catheter is described, comprising two opposing pressure walls. The walls are angled towards each other and provide surfaces that move in opposite directions so that a stent on a catheter placed between the surfaces is rotated while a force is applied to the stent. The stent is moved toward a narrower dimension between the pressure walls, to emerge from the walls fully crimped onto the catheter.05-21-2009
20090143771FILTER REMOVAL DEVICE - A device for removing a filter element from a retrieval catheter is provided. The device includes a core member which has a diameter corresponding to a filter element; a handle at a proximal end of the core member; and an engagement portion, formed at a distal end of the core member, for engaging the filter element. Alternatively, the device includes a first member including a core wire, a core wire handle; and an engagement portion, and a second member including a hypotube; and a hypotube handle, wherein the core wire is moveably disposed coaxially inside of the hypotube, such that when a distal end of the core wire handle is pressed against a proximal end of the hypotube handle, the engagement portion of the first member extends beyond a distal end of the hypotube. Alternatively, the device includes a partially cylindrical member, a handle; and at least one blade.06-04-2009
20090157059Surgical instrument navigation system - The disclosure pertains to a surgical system. In an embodiment, the system comprises one or more sensors operably responsive to physical boundary limitations of an operating field. Furthermore, the one or more sensors provide information regarding the physical boundary limitations of the operating field. In another embodiment, the system comprises a surgical instrument that is configured to respond to the information by either activation or inactivation. In another aspect the disclosure includes generating an anatomical image or anatomic positional reference data from one or more anatomical objects. Additionally, the method includes creating haptic feedback signals based at least partly on the anatomical image or anatomic positional reference data, and determining a position or orientation of a surgical instrument. Furthermore the method includes activating or inactivating the surgical instrument based at least partly on the haptic feedback signals.06-18-2009
20090157060Multi-functional medical device - An embodiment of a medical device includes a proximal handle, a distal end effector, an elongate member connecting the end effector to the handle, and a sheath enclosing at least a portion of the elongate member. The handle may include a first mechanism coupled to one of the sheath and the elongate member to move the sheath relative to the elongate member, a second mechanism coupled to the elongate member to rotate the elongate member relative to the handle, and a locking mechanism coupled to the first mechanism to hold the first mechanism in a default position. Embodiments also include methods of positioning the medical device to perform a medical procedure.06-18-2009
20090187168SLIDE MEMBER ADVANCING/RETRACTING MECHANISM - A slide member advancing/retracting mechanism includes an outer sheath; a slide member installed in the outer sheath to be slidable in an axial direction without rotating relative to the outer sheath; and an operating portion which can be freely rotated relative to, and about a common axis of, the outer sheath and the slide member. The operating portion can be operated so as to linearly advance/retract the slide member within the outer sheath.07-23-2009
20090192501DYNAMOMETRIC TOOL FOR MEDICAL USE - The present invention relates to a dynamometric tool for medical use with a longitudinal axis AA comprising: 07-30-2009
20090204107Apparatus and process for delivering a silicone prosthesis into a surgical pocket - A tapered sleeve is provided that includes a lubricating coating on an inner surface. An implant (e.g., a pre-filled silicon breast implant) is introduced into a large end of the sleeve and extruded into a surgical pocket of minimal access incision size through a small-sized end of the apparatus.08-13-2009
20090204108DEVICE FOR INTRODUCING AND POSITIONING SURGICAL INSTRUMENTS AND CORRESPONDING METHOD - This invention relates to a device (08-13-2009
20090209946INTERCHANGEABLE TOOLS FOR SURGICAL INSTRUMENTS - A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom.08-20-2009
20090209947INTERCHANGEABLE TIPS AND TOOL BOX FOR ASSISTING SURGICAL PROCEDURES - A toolbox system for interchanging a variety of interchangeable working tips within a body cavity, comprising: 08-20-2009
20090247991Operating room instrument - The present invention is directed to an instrument for use in operating rooms/theatres during surgical procedures, which enables a sterile technician to assemble, mount and utilize a sterilized instrument, such as a magnifier, without the assistance of a non-sterile technician. The instrument is comprised of one or more clamps pre-mounted to a lower portion of operating tables within the operating theatre and a series of rods that can be quickly assembled and inserted into the clamps to create a stand and, separately, an arm for receiving a variety of different tools useful during surgery.10-01-2009
20090247992DEVICES AND METHODS FOR ALTERING EATING BEHAVIOR - A device for modifying an eating behavior of a subject is provided. The device includes a device body which is attachable to GI tract tissue of a subject and functions in altering an eating behavior thereof.10-01-2009
20090247993ROBOTIC CATHETER SYSTEM - A robotic catheter system including one or more robotic catheter manipulator assemblies supported on a manipulator support structure. The robotic catheter manipulator assembly may include one or more removably mounted robotic catheter device cartridges and robotic sheath device cartridges, with each cartridge being generally linearly movable relative to the robotic catheter manipulator assembly. An input control system may be provided for controlling operation of the robotic catheter manipulator assembly. A visualization system may include one or more display monitors for displaying a position of a catheter and/or a sheath respectively attached to the robotic catheter and sheath device cartridges.10-01-2009
20090247994Medical Instrument With A Lockable Bend Control Mechanism - A medical instrument comprises a shaft whose distal end is bendable. Arranged at the proximal end of the shaft there is a handle on which a bend control mechanism for controlling the bending movement is arranged. The bend control mechanism has a pivotable control element. The pivotable control element runs over a friction element, and an actuating element is provided via which the friction element can be brought out of a locking engagement with the control element.10-01-2009
20090247995Medical Instrument With A Detent - A medical instrument comprises a shaft which is connected at the proximal end to a handle, and it also comprises an insert which is guided along the shaft and which is connected at the proximal end to a movable grip part of the handle. At its distal end, the insert has a tool which can be actuated by pivoting of the grip part. A lock is also provided which can be brought into locking engagement with the movable grip part. To cancel the lock function, a detent is provided which can be brought between lock and movable grip part, such that the lock function can be cancelled by the detent.10-01-2009
20090264871Nerve Elevator and Method of Use - A nerve elevator tool is disclosed for the recovery of nerve tissue from living or cadaveric donors with minimal or no damage to internal tissues or the external integrity of the body. The elevator tool includes a dissecting head affixed to a shaft with a handle. Advancing the dissecting head through the body with the attached shaft and handle causes the elevator to “strip” tissues and structures from around the nerve and transect or rupture nerve branches with minimal avulsion, which then pass over and around the dissecting head. Once a sufficient section of nerve has been stripped, the second end of the nerve can be transected to completely free the nerve section, which can then be removed.10-22-2009
20090287192MEDICAL DIAGNOSTIC INSTRUMENT HAVING PORTABLE ILLUMINATOR - A portable medical diagnostic instrument includes an instrument head and a handle portion having an open-ended receiving cavity. A compact illuminator defined by a housing retaining a miniature light source and a power supply is releasably fitted within the open-ended receiving cavity of the handle portion wherein the light source of the illuminator is optically coupled with the instrument on assembly therewith. The handle portion can be integral with the instrument or releasably attached. The handle portion according to at least one version is made from a plastic or other suitable material, permitting disposability and/or single patient use. In one version, the handle portion is flexibly deformable, at least partially, to facilitate release of the portable illuminator.11-19-2009
20090299343STIFFENING ASSEMBLY - A stiffenable structure is made of longitudinal beams that are positioned around a longitudinal axis. In one state, the longitudinal beams are bendable so that the structure is bendable. As the structure bends, the longitudinal beams slide longitudinally with reference to one another. In a second state, the beams are clamped in a fixed position relative to one another so that the structure is stiffened. In some aspects the longitudinal beams are made of two or more longitudinal laminar elements. As each beam bends, the laminar elements slide longitudinally with reference to one another. Each beam, and accordingly the structure, is stiffened by preventing the laminar elements from sliding longitudinally relative to one another.12-03-2009
20090299344Surgical instrument guide device - An instrument guide device comprises an elongated guide shaft having proximal and distal ends and including an instrument lumen for receiving therethrough a manually operated instrument having an instrument shaft. A distal bendable member is disposed at the distal end of the guide shaft and a proximal bendable member is disposed at the proximal end of the guide shaft. Actuation means extends between the distal and proximal bendable members and provides a bending of the distal bendable member controlled from the proximal bendable member. The proximal bendable member is controlled from the manually operated instrument to cause a corresponding bending of said distal bendable member. A locking mechanism has locked and unlocked positions and includes a ball and socket arrangement disposed about the proximal bendable member and a cinch member for locking the ball and socket arrangement.12-03-2009
20090312748Rotational detachment mechanism - A handle for use with an implantable medical device deployment system that guides and deploys the medical device at a target location within a body vessel. The handle includes a rotatable member, rotation of which causes movement of a control member of the deployment system in an axial direction. An actuator in a handle may include a threaded portion which has at least two different pitch sizes.12-17-2009
20090318904Devices and methods for maintaining collateral channels in tissue - The devices and methods of placement of such devices disclosed herein are directed to altering gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having Chronic Obstructive Pulmonary Disease. More particularly, these devices produce and maintain collateral openings or channels through the airway wall so that oxygen depleted/carbon dioxide rich air is able to pass directly out of the lung tissue to facilitate both the exchange of oxygen ultimately into the blood and/or to decompress hyper-inflated lungs. The medical kits disclosed herein are also directed to produce and maintain collateral openings through airway walls. 12-24-2009
20090318905Treatment Devices and Methods - A tissue treatment selection device that has at least one treatment delivery member, a delivery setting circuit that is coupled to the treatment delivery member that is adapted to be deployed into tissue to deliver therapeutic energy to a target tissue zone, and the processing circuit is operable to set treatment parameters in the delivery setting circuit that is operable to set treatment parameters in the delivery setting circuit. The processing circuit is operable to transmit a test signal through the deployed treatment delivery member and to determine deployment status. The treatment selection device has a processing circuit adapted to send a message to a display device that indicates that the deployed treatment delivery member has been determined to be compensable and contains a suggested change in the treatment parameters. Also presented herein is a method of treating a tissue of a patient using the treatment delivery device.12-24-2009
20090326518DEVICES AND METHODS FOR MANIPULATING TISSUE - The present invention provides new minimally invasive interventional devices and methods for conveniently moving, lifting, positioning, retracting or otherwise manipulating body tissues or organs, while avoiding damage or trauma to these tissues or organs. A manifold is inserted into the patient's body that is deployed and positioned in surface contact with both the target tissue/organ to be manipulated and another moveable structure. The manifold is has at least one evacuation space in communication with at least a portion of the surfaces of each of the target tissue/organ and the moveable structure. A vacuum source external to the patient's body is activated and temporarily and releasably adheres, attaches or otherwise joins the target tissue/organ and moveable structure together. By subsequently manipulating the moveable structure, the target tissue/organ is thereby simultaneously manipulated in the desired manner.12-31-2009
20090326519MULTIPLE LUMEN SENSOR ATTACHMENT - A cranial bolt secured to a skull of a patient includes a threaded portion and a lumen portion. Threaded portion has an inner surface forming a central passageway which extends throughout the threaded portion. The inner surface includes a connector mating with the lumen portion. The threaded portion has an outer surface having a plurality of threads for engaging a hole formed in the patient's skull. The lumen portion includes a stem portion that enters the central passageway and engages the mating connector. A fluid tight seal is formed between the inner surface of the threaded portion and the stem portion. At least two lumens are disposed through the stem portion and the base portion. The lumens have a proximal end opening outside the skull and a distal end opening inside the skull. One embodiment includes sensor lumens diverging from the centerline and another allows lumen portion to rotate independent of threaded portion.12-31-2009
20100016840IMPLANT ASSIST APPARATUS FOR ACOUSTICALLY ENABLED IMPLANTABLE MEDICAL DEVICE - Devices, systems and methods for delivering and positioning an implantable medical device and for evaluating an acoustic communication link are disclosed. An illustrative system includes a catheter adapted to contain an implantable device with a biosensor and an acoustic transducer configured to transmit an acoustic signal, and an implant assist device in acoustic communication with the implantable device via an acoustic communication link. The implant assist device includes an acoustic transducer adapted to receive the acoustic signal transmitted by the implantable medical device, and control/processing circuitry configured to evaluate a performance of the acoustic link.01-21-2010
20100030200SYSTEM AND METHOD FOR MECHANICALLY POSITIONING INTRAVASCULAR IMPLANTS - An intravascular implant delivery system carries an implant by retaining an engagement member engaging the implant in a position proximal of an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by a cord that obstructs the movement of the engagement member through the aperture. The engagement member is free to rotate and move within an area defined by the delivery system, allowing the implant to react to forces imparted to the implant by the movement of the delivery system and implant through a delivery catheter. Once the implant is in a desired implant position, the cord is moved away from an aperture and the engagement member is allowed to move away from the delivery system.02-04-2010
20100042076Surgical Aimer - The present disclosure relates to a surgical aimer including a shaft having a proximal portion and a distal portion and a handle coupled to the proximal portion of the shaft. The handle includes a mechanism for coupling the shaft to the handle and releasing the shaft from the handle.02-18-2010
20100042077SURGICAL INSTRUMENT - A surgical instrument includes a surgical section that performs a predetermined procedure on a target organ in a body cavity, and an insertion section that includes an active movable section and a switchable tube section, the active movable section being provided with the surgical section at a top end of the active movable section, and the switchable tube section being selectively switchable between a pliable state and a rigid state.02-18-2010
20100042078INTRA-BODY-CAVITY INSERTION INSTRUMENT GUIDE AND INTRA-BODY-CAVITY INSERTION INSTRUMENT GUIDE SYSTEM - An intra-body-cavity insertion instrument guide includes an insertion section that is inserted into a body cavity, and a guide section that is formed at the insertion section and guides an intra-body-cavity insertion instrument for obtaining a space for operating on an organ in the body cavity, to a side opposite to an insertion hole into which the insertion section is inserted, in relation to the organ.02-18-2010
20100094262REAL-TIME SURGICAL REFERENCE INDICIUM APPARATUS AND METHODS FOR SURGICAL APPLICATIONS - Described herein are apparatus and associated methods for the generation of at least one user adjustable, accurate, real-time, virtual surgical reference indicium. The apparatus includes one or more real-time, multidimensional visualization modules, one or more processors configured to produce real-time, virtual surgical reference indicia, and at least one user control input for adjusting the at least one real-time virtual surgical reference indicium. The associated methods generally involve the steps of providing one or more real-time multidimensional visualizations of a target surgical field, identifying at least one visual feature in a pre-operative dataset, aligning the visual features with the multidimensional visualization, and incorporating one or more real-time, virtual surgical reference indicium into the real-time visualization. In exemplary embodiments, the apparatus and methods are described in relation to ocular surgery, more specifically capsulorrhexis.04-15-2010
20100094263Connector Hub Assembly - The present disclosure relates to a connector hub assembly. The connector hub assembly includes a housing and a retention device. The housing has a connector bank having one or more input ports and one or more output ports, that are defined therein. The input ports are configured to operably connect to one or more first conduits and the output ports are configured to operably connect to one or more second conduits. The retention device is operably coupled to the housing. The retention device includes a flexible membrane that has one or more slits defined therethrough that form flexible segments in the membrane. The flexible segments are configured to selectively secure the connector hub assembly to a sheet-like material when the sheet-like material is fed through the slits.04-15-2010
20100100080System and method for voice activation of surgical instruments - The present invention provides a system and method for operating a surgical console and/or a device attached to the surgical console, and embodiment of the method comprising the steps of: enabling a voice command channel at the surgical console; receiving a voice command trigger; receiving a voice command; confirming the voice command; and causing the surgical console to execute one or more actions associated with the voice command. The surgical console may include a microprocessor, memory, procedural recorder, a user interface and interface(s) through which peripheral devices couple to the console. The microprocessor may direct operations of the surgical console and of peripheral devices that couple to the surgical console. The memory in addition to containing instructions which the microprocessor uses to direct the operation of the surgical console and peripheral devices may also store recorded surgical procedures. The user interface allows users to initialize and control operation of the surgical console via spoken commands. The surgical console can comprise a voice command module operably coupled to the user interface and the microprocessor for processing voice commands and causing the surgical console or a peripheral device to execute one or more functions associated with the voice command.04-22-2010
20100100081INTEGRATION OF SURGICAL INSTRUMENT AND DISPLAY DEVICE FOR ASSISTING IN IMAGE-GUIDED SURGERY - The invention relates to a surgical instrument comprising a handle portion or mounting portion and a functional portion and/or tip, wherein a display device is provided on the instrument and includes or enables displays which serve to assist in image-guided and/or navigation-assisted surgery. It also relates to a method for navigating a surgical instrument, wherein its position is determined and tracked by means of a medical tracking system and the position data is processed within the framework of medical navigation by means of a medical navigation system, wherein displays for navigation assistance and/or for assisting in image-guided surgery are provided on the instrument or on an element which is positionally assigned to the instrument or fastened to the instrument.04-22-2010
20100100082SURGICAL OPERATION APPARATUS - A surgical operation apparatus comprises an operation apparatus main body having a control section, a plurality of switches which is provided in the operation apparatus main body and operated by a user, a switch detection circuit which is connected to the control section and also connected to the switches and which detects the switch operable by the user among the switches, light emitting units which are provided in the switches themselves or on the periphery of the switches and which light the switches, and a light emitting circuit which is connected to the control section and also connected to the light emitting units and which causes the light emitting unit of the operable switch among the switches to emit light on the basis of a signal from the switch detection circuit.04-22-2010
20100121316RISK INDICATION FOR SURGICAL PROCEDURES - The invention relates to a system (05-13-2010
20100130964Wireless foot controller - The invention includes systems and methods for controlling devices including surgical instruments using a wireless footswitch. The systems of the invention include a wireless footswitch, a footswitch adapter, and an electric console for powering and controlling surgical instruments. The systems of the invention further include a wireless footswitch for controlling battery powered surgical instruments. The methods of the invention include syncing a wireless footswitch with a controlled device or a wireless footswitch adapter using a lower power wireless mode, then signaling the controlled device or wireless footswitch adapter using a higher power wireless mode. The systems and methods of the invention include using a wireless device or wireless footswitch adapter to monitor transmissions from other wireless devices to prevent syncing with the wireless footswitch adapter using the same channel or network identification as other wireless devices or wireless footswitch adapters.05-27-2010
20100137845Tool Having Multiple Feedback Devices - Disclosed herein are systems and methods for managing how signals, which are sensed on a tool, are presented to an operator of the tool. According to one example of a method for managing signals, the method comprises allowing an operator to manipulate a tool having a plurality of output mechanisms mounted thereon. The method also includes sensing a property of an object located near or adjacent to a distal portion of the tool and processing the sensed property to obtain one or more output signals. Furthermore, the method includes applying the one or more output signals to one or more of the output mechanisms.06-03-2010
20100168721LUBRICATING TENDONS IN A TENDON-ACTUATED SURGICAL INSTRUMENT - A flexible surgical instrument employs sheaths around tendons that actuate an end effector or other mechanisms in the instrument. A liquid lubricant can be introduced in the sheaths to reduce friction. Disclosed combinations of tendon, sheath, and lubricant compositions reduce friction to suitable levels for operation of a minimally invasive instrument and are not harmful or toxic to a patient.07-01-2010
20100168722Surgical Instrument - A surgical instrument that includes an instrument shaft having proximal and distal ends, a tool disposed from the distal end of the instrument shaft, a control handle disposed from the proximal end of the instrument shaft, a distal motion member for coupling the distal end of the instrument shaft to the tool, a proximal motion member for coupling the proximal end of the instrument shaft to the handle, actuation means extending between the distal and proximal motion members for coupling motion of the proximal motion member to the distal motion member for controlling the positioning of the tool and a locking mechanism for fixing the position of the tool at a selected position and having locked and unlocked states.07-01-2010
20100168723END EFFECTOR WITH RELEASE ACTUATOR - An end effector is disclosed that includes a tool including a drive configured to be coupled to and drive an engaging member for engaging a workpiece and a release member configured to be displaced to permit decoupling of the engaging member from the drive. The end effector also includes a housing configured to receive at least a portion of the tool and a release actuator disposed at least partially outside of the housing and coupled to the housing to permit movement between a first position and a second position to displace the release member to permit decoupling of the engaging member from the drive.07-01-2010
20100191224MAGNETIC DETENT MECHANISM FOR MEDICAL INSTRUMENTS - A medical instrument includes a channel, a first interacting structure, a slider, and a control member. The first interacting structure can extend along at least a portion of the channel. At least a portion of the slider can also be disposed in the channel, so as to move in the channel. The slider can additionally have a first attraction portion. The control member can be rotatably coupled to the slider, and have a second interacting structure and a second attraction portion. The second interacting structure can engage the first interacting structure so as to move the slider in the channel when the control member is rotated. The second attraction portion can be disposed such that a distance between the second attraction portion and the first attraction portion changes as the control member is rotated relative to the slider.07-29-2010
20100191225SURGICAL INSTRUMENT HANDLE - A surgical instrument handle including a base, a lever, and an actuator rod. The base defines opposed upper and lower faces, a proximal region, a distal region, an intermediate region, and a bend along the lower face at a transition from the intermediate region to the distal region. The lever defines a leading end, a trailing end, and opposed first and second major faces. The lever and the base are juxtaposed relative to each other, with the trailing end of the lever being pivotally connected to the proximal region of the base such that the lever pivots between an open position and a closed position. The rod includes a first end connected to the lever and a second end distal the base. With this configuration, a user grips the handle in a pistol grip-like fashion, with the bend promoting ergonomically correct handling.07-29-2010
20100198197Process of use of a device for Cornea Transplantation - The object of this patent belongs to the field of opthalmology and is a surgical instrument (08-05-2010
20100204684METHODS AND SYSTEMS FOR PERFORMING NEUROINTERVENTIONAL PROCEDURES - A system of devices for treating cerebral artery disease or the brain includes an arterial access sheath adapted to be introduced into a common carotid, internal carotid, or vertebral artery through a penetration in the artery and receive blood from the artery. The system further includes a shunt fluidly connected to the arterial access sheath, wherein the shunt provides a pathway for blood to flow from the arterial access sheath to a return site, and a flow control assembly coupled to the shunt and adapted to regulate blood flow through the shunt. A treatment device is adapted to be introduced into the artery through the arterial access sheath and is configured to treat the cerebral artery or brain.08-12-2010
20100204685Method for operating a surgical power tool - A surgical power tool has an actuation assembly which comprises a force sensor and a switch. The force sensor is provided to determine an actuation force produced by the user, and the switch is transferred by the actuation force from a first switching state to a second switching state. A combined evaluation of the force sensor signal and of the switching state enables, for example, a plausibility check for increasing the operational reliability of the power tool.08-12-2010
20100211051System and method for descemet's stripping automated endothelial keratoplasty (DSAEK) surgery - The system for donor cornea implantation includes a preparation base having a well for receiving a posterior lamellar donor corneal lenticule, a cartridge disengageably mounted on the base adjacent the well, and a handle for disengageable attachment to a posterior end portion of the cartridge. In drawing the donor lenticule from the well into and through a bore or chamber of the cartridge, from the posterior end, the lenticule is caused to assume a double coil configuration. After attachment of the handle, removal of the assembly from the preparation base, and insertion of blade and adjacent body portions of the cartridge through an incision in the cornea, the coiled donor lenticule is pulled from the cartridge bore through its forward end, to uncoil automatically within the anterior chamber of the recipient's eye.08-19-2010
20100211052FORCED DEPLOYMENT SEQUENCE - A fixed sequence activation handle is described that forces a predetermined activation sequence. Such handles are suitable for use in the delivery of medical devices or for other application that require a fixed sequence of activations.08-19-2010
20100211053END EFFECTOR IDENTIFICATION BY MECHANICAL FEATURES - According to one aspect of the present disclosure, a surgical instrument is disclosed. The instrument includes a handle portion, a body portion extending distally from the handle portion and defining a first longitudinal axis and a loading unit. The loading unit includes a tool assembly, the loading adapted to be coupled to the body portion. The instrument also includes a sensor tube movably positioned within the body portion, the sensor tube adapted to engage the loading unit and a load switch coupled to a microcontroller. The load switch is adapted to be actuated by the sensor tube when the sensor tube is engaged by the loading unit being inserted into the body portion.08-19-2010
20100217245Surgical Instrument Having a Magnetically Driven Detachable Tool Assembly - A medical instrument for use on a patient. The medical instrument includes a housing having a proximal end and a distal end, an electric motor mounted to the housing having a drive shaft rotatable about a drive axis, a drive magnet fixed to the drive shaft of said motor which rotates with the drive shaft about the drive axis, and a tool assembly coupled to the housing via a tool mount. The tool mount orients the tool assembly relative to the housing whereby guided rotational, translational, and/or oscillary motion of a tool within the tool assembly is achieved via the structure of the tool mount in conjunction with a magnetic coupling between magnets attached to both the motor and the tool.08-26-2010
20100217246Surgical Instrument Holder - Disclosed are various embodiments for holding and organizing surgical instruments in a surgical environment. In one embodiment, a surgical instrument holder comprises an elongated body portion including a plurality of slots. Each of the slots may be configured so as to retain a surgical instrument in a fixed position. The elongated body portion may have a base surface configured to contact a table surface.08-26-2010
20100222771Method for Controlled Electrospinning - An electrospinning apparatus and methodology is described that produces medical devices, such as scaffolds that induce the formation of a natural fibrous structure (primarily collagen and elastin) in a tissue-engineered medical device. The apparatus uses collection surfaces designed to manipulate or change the electrostatic field so that the electrospun fibers are arranged in desirable patterns that are similar to or mimic the fibrillar structure of an animal tissue. The manipulation results in fibers that are preferentially oriented in a predefined pattern. In addition, the interfiber space between the fibers and the fiber diameter are consistently within a predefined range. Using these techniques in conjunction with controlling polymer properties enables the production of a scaffold that has the structural and mechanical characteristics similar to the native tissue.09-02-2010
20100222772METHOD FOR ANCHORING A MEDICAL DEVICE - A method and apparatus for anchoring a medical implant device after the device has been brought to rest at a desired position within a blood vessel or other body passageway. An anchor delivery system is provided which houses one or more uniquely configured expandable anchors which are connected to the medical implant device. The anchors remain housed in a non expanded configuration until after the medical implant device has come to rest in a desired position within the body, and then the anchors are positively propelled through a body wall from a first side to a second side where each anchor expands outwardly from an anchor shaft. In one configuration, the anchors are each formed in the shape of a compressible closed loop which extends outwardly from an anchor shaft and loops back to cross over and extend beyond the anchor shaft. To positively propel the anchors, a drive shaft for the anchor shafts extends back to a triggering unit which, when activated, causes the drive shaft to drive the anchor shafts in a direction which results in propulsion of the anchors through the body wall.09-02-2010
20100228235Surgical instrument - The surgical instrument includes a distal tool, an elongated shaft that supports the distal tool, and a proximal handle or control member, where the tool and the handle are coupled to the respective distal and proximal ends of the elongated shaft via distal and proximal bendable motion members. Actuation means extends between said distal and proximal members whereby any deflection of said control handle with respect to said elongated instrument shaft causes a corresponding bending of said distal motion member for control of said working member. The proximal bendable member comprises a ball and socket assembly supported between the handle and instrument shaft and constructed and arranged for three dimensional motion.09-09-2010
20100234831ARTICULATING MECHANISM WITH FLEX-HINGED LINKS - The invention provides articulating mechanisms, and flexible members and flexible segments that can form such articulating mechanisms. The mechanisms are useful, for example, for remote steering, guidance and/or manipulation of various instruments and tools at a targeted location. The mechanisms, members or segments include links connected by flexible hinges. The proximal and distal ends of the mechanisms are connected by at least one set of cables in such a fashion that a proximal active flexible segment forms a discrete pair with a distal active flexible segment. Movement of active flexible segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. This configuration allows each flexible segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations.09-16-2010
20100241105SYSTEM FOR INTRODUCING IMPLANTS - In one embodiment, an introducer system includes an introducer needle having a proximal end and a distal end and defining an inner lumen, the introducer needle further having an opening that provides access to the inner lumen, and a snare having an implant coupling element, the snare being configured to be positioned within the inner lumen of the introducer needle, wherein the snare is extendable from the introducer needle opening to an extended position in which the implant coupling element is positioned outside of the inner lumen and retractable to a retracted position in which the implant coupling element is positioned within the inner lumen.09-23-2010
20100241106Multiple Portal Guide - The present disclosure relates to a guide assembly. The guide assembly includes a guide having a body having a first set of marks and a joint including at least one through hole, the joint configured for sliding along the length of the body; and a first surgical device having a second set of marks, wherein the guide is coupled to the first surgical device and a longitudinal axis of the through hole is co-radial with a mark of the second set of marks when the joint is located at a mark of the first set of marks. Other guides are also disclosed.09-23-2010
20100249758METHODS AND DEVICES FOR PREPARING AND IMPLANTING TISSUE SCAFFOLDS - Methods and devices are provided for preparing and implanting tissue scaffolds. Various embodiments of scribing tools are provided that are configured to mark one or more predetermined shapes around a defect site in tissue. The shape or shapes marked in tissue can be used to cut a tissue scaffold having a shape that matches the shape or shapes marked in tissue. In one embodiment, the scribing tool used to mark a shape in tissue can also be used to cut the tissue scaffold.09-30-2010
20100249759LINK SYSTEMS AND ARTICULATION MECHANISMS FOR REMOTE MANIPULATION OF SURGICAL OF DIAGNOSTIC TOOLS - Articulating mechanisms, link systems, and components thereof, useful for a variety of purposes including, but not limited to, the remote manipulation of instruments such as surgical or diagnostic instruments or tools are provided. The link systems include links wherein at least two adjacent links are pivotable relative to one another around two distinct pivot points. Mechanisms for locking the links are also provided.09-30-2010
20100262127MEDICAL OR SURGICAL HANDPIECE - A medical or surgical handpiece for driving a medical tool comprises a housing, a drive train accommodated therein and a motor. The motor includes a first drive shaft and a second shaft, the second shaft being at least partially arranged in the first drive shaft and mounted to rotate freely relative to the first drive shaft via at least one bearing, so that the second shaft is rotatable independently of the first shaft.10-14-2010
20100268201Implant Delivery System - In one embodiment, the present invention relates to a mechanically releasable delivery system. More specifically, this embodiment includes an implantable device secured by tether at a distal end of the delivery system. The tether is fixed to the implantable device and looped around a selectively slidable mandrel. When the mandrel is retracted to expose its distal end, the looped tether slides off the mandrel, freeing the implantable device. Alternately, the tether can be fixed to the delivery system, wrapped around a portion of the implantable device and looped on to the slidable mandrel. Preferably, movement of the mandrel is controlled by an actuation control on the handle of the delivery system, allowing the user to selectively release the implantable device during a medical procedure.10-21-2010
20100274230Axial-Force Limiting Torque Wrench for Use with Implantable Medical Devices - Embodiments of the invention are related to tools for coupling leads to header assemblies for implantable medical devices, amongst other things. A wrench is configured so that if an axial force exceeding a first threshold is applied to a handle housing, then the housing handle will rotate with respect to a shaft. Other embodiments are also included herein.10-28-2010
20100286669DEVICES FOR INTERFACING BETWEEN MANIPULATORS AND SURGICAL TOOLS - A device, system and method for interfacing between an end effector of a manipulator and a surgical tool. Embodiments may include an upper tool holder element and a lower tool holder element. Embodiments may also include a drape between the end effector and the manipulator. Embodiments may also include two force sensors and a coupling arranged in a force sensor system for use with an end effector that includes a tool roll driver.11-11-2010
20100286670SURGICAL TOOL KIT - A tool kit for interchanging tools within an at least partially closed area is provided. The tool kit includes at least one tool, each tool being preferably provided within a tubular housing, and adapted to pivot out from the tool kit so that they can be attached to a receiving tool. The tool is designed to be returned to the tool kit after use, and if desired, switched with a different tool. In one embodiment, a surgical system permitting surgical tools to be interchanged within a patient's body is provided. A method of interchanging surgical tools within a patient's body is also provided.11-11-2010
20100286671SURGICAL INSTRUMENT HOLDER - An apparatus for holding a surgical instrument relative to a base is provided having a mounting portion configured and dimensioned to engage a portion of a base, a jaw assembly including first and second jaw members which define a retaining area therebetween configured and dimensioned to retain the shaft of a surgical instrument therein and thereby fix the length of the instrument shaft relative to the base and an operative site, and an instrument position adjustment mechanism which includes an adjustment member rotatably disposed in relative to the mounting portion to facilitate selective position adjustment of the jaw assembly with respect to the mounting portion.11-11-2010
20100292675SURGICAL INSTRUMENT ASPIRATION VALVE - A surgical instrument includes a movable member having a proximal portion, the movable member defining an opening at the proximal portion. The instrument includes a stationary member defining an aperture. The stationary member is arranged relative to the movable member with a close fit between the stationary member and the movable member such that aspiration occurs through the movable member substantially only during a portion of a repetitive motion of the movable member. The instrument includes a surgical handpiece coupled to the movable member and the stationary member to provide suction and motion to the movable member. A method of regulating aspiration through a surgical instrument includes providing a close fit between a moving member having an opening at a proximal portion and a stationary member having an aperture such that aspiration occurs through the moving member substantially only during a portion of a repetitive motion of the movable member. The moving member and the stationary member are coupled to a surgical handpiece to provide suction and motion to the moving member.11-18-2010
20100298817SYSTEMS, DEVICES, AND METHODS FOR MINIMALLY INVASIVE PELVIC SURGERY - The invention, in various embodiments, provides systems, devices, and methods for treating urinary incontinence.11-25-2010
20100305552ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLE THAT CAN ARTICULATE WITH RESPECT TO THE SHAFT - A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.12-02-2010
20100324541SYSTEM AND METHOD FOR CALIBRATING A SURGICAL INSTRUMENT - A calibration system for a surgical instrument. The calibration system includes an actuator, such as a motor system and a flexible shaft. The calibration system also includes a surgical instrument actuatable by the actuator. The calibration system also include calibration data corresponding to the surgical instrument. A processor is configured to process the calibration data for determining a position of the surgical instrument. The calibration system may include a sensor configured to provide a signal corresponding to a movement of the actuator, the processor being further configured to process the signal for determining a position of the surgical instrument.12-23-2010
20100331828HAND-HELD MEDICAL INSTRUMENT - The invention relates to a hand-held medical instrument, in particular a hand-held surgical or dental instrument, comprising a component that generates mechanical vibrations during operation, and a particle damping element which has at least one hollow space that is designed to receive the mechanical vibrations and is filled at least in part with a plurality of granular particles which dampen the mechanical vibrations by means of dissipative shocks between the granular particles and/or between the granular particles and a wall surrounding the hollow space.12-30-2010
20110004199TOOL AND METHOD FOR EXTERNAL FIXATION STRUT ADJUSTMENT - The present disclosure includes a method for adjusting the orientation of a first external fixator support member relative to a second external fixator support member, wherein a plurality of adjustable struts connect the first and second external fixator support members. The method include providing a programmable tool, and storing, in a memory unit of the tool, instructions for adjusting the length of each of the plurality of adjustable struts to a desired length. The method further includes receiving identification information corresponding to a first adjustable strut and retrieving, from the memory unit, the instructions for adjusting the length of the first adjustable strut. The method also includes activating an actuator of the tool to adjust the length of the first adjustable strut according to the retrieved instructions. Various embodiments of the programmable tools are also included in the present disclosure.01-06-2011
20110009850HANDLE FOR A SURGICAL INSTRUMENT AND SURGICAL INSTRUMENT ASSEMBLY01-13-2011
20110022032BATTERY EJECTION DESIGN FOR A SURGICAL DEVICE - A power head for a surgical apparatus is disclosed having at least one battery-retaining structure defining a battery ejection path. The battery-retaining structure is configured to receive at least one battery. The power head further includes at least one sealing member extending around the one or more battery-retaining structures and configured to enable ejection of at least one battery from the structure along the battery ejection path. The power head may include a handle assembly that includes the battery-retaining structure. The sealing member extends around the structure such that the sealing member is configured to enable ejection of at least one battery from the battery-retaining structure by one hand of a user. The power head may include at least one energy storage mechanism that enables ejection by one hand of a user of at least one battery.01-27-2011
20110022033System and Method for Wearable User Interface in Computer Assisted Surgery - A computer assisted surgery system includes a display for visual rendering of surgical data, a processor for receiving a control signal and performing operations associated with the control signal and for controlling the surgical data rendered by the display, and a wearable input device in communication with the processor. The wearable input device in one embodiment includes a mounting surface on a first side of the input device for mounting to a body portion of a user and a sensor assembly located on the side of the input device opposite the mounting surface.01-27-2011
20110022034SYSTEM AND METHOD FOR POSITIONING A LAPAROSCOPIC DEVICE - A system for positioning a laparoscopic device includes a curvilinear articulating arm and a holder. The holder has at least two rotational regions and a clamping portion for receiving the laparoscopic device, and the holder is coupled to the curvilinear articulating arm. The at least two rotational regions are permitted to articulate. In addition, a method of positioning a laparoscopic device in a skin port of a mammal includes: securing the laparoscopic device to a holder having at least two rotational joints; coupling the holder to a curvilinear articulating arm; disposing the laparoscopic device partially within the skin port; positioning the laparoscopic device by selectively articulating the curvilinear articulating arm and selectively rotating portions of the holder with respect to one another.01-27-2011
20110028946Medical Instrument Surgical Display Device - A re-usable medical instrument surgical display device is provided for supporting medical instruments during a surgical procedure.02-03-2011
20110028947Surgical instrument handle with adjustable actuator position - A surgical instrument handle operates a microsurgical instrument on a surgical instrument head by manipulation of the instrument handle. The instrument handle has an elongate center rod with a ring mounted on the rod for reciprocating movement. The ring is operatively associated with the surgical instrument head for operation of the microsurgical instrument of the head. A plurality of resilient arms extend along the length of the rod and engage against a sliding surface of the ring. The inward and outward movement of the plurality of arms reciprocates the ring on the handle rod to cause operation of the surgical instrument head.02-03-2011
20110034910SYSTEM AND METHOD FOR PREVENTING REPROCESSING OF A POWERED SURGICAL INSTRUMENT - A surgical instrument is disclosed. The instrument includes a microcontroller coupled to a memory, the microcontroller is configured to control the surgical instrument and a usage counter stored in the memory that is incremented when the surgical instrument is activated, wherein the microcontroller is further configured to prevent actuation of the surgical instrument when the usage counter is above a predetermined threshold.02-10-2011
20110046612MULTI-FUNCTION SURGICAL INSTRUMENT TOOL ACTUATOR ASSEMBLY - A tool actuating assembly for a multi-function surgical instrument is disclosed. The tool actuating assembly of the present invention can be utilized in a variety of differently configured multi-function surgical instruments and can be embodied in various physical configurations. The tool actuating assembly of the present invention provides for more efficient use of the tools of the instrument by the surgeon who is utilizing the instrument.02-24-2011
20110046613TISSUE ACCESS GUIDEWIRE SYSTEM AND METHOD - A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.02-24-2011
20110054449SURGICAL TOOL CALIBRATING DEVICE HAVING ELECTRONIC SENSING MODULE - A surgical tool calibrating device having an electronic sensing module is provided. The surgical tool calibrating device includes a calibration block, an electronic sensing module, and a signal communication module. The calibration block has at least one tool inserting portion, and the electronic sensing module is disposed on the bottom of the said tool inserting portion for generating an activating signal. The signal communication module is electrically connected to the electronic sensing module for transmitting the activating signal. With the electronic sensing module being provided in the calibration block, the activating signal is generated immediately when a surgical tool is inserted into the calibration block and makes contact with the electronic sensing module. Thus, the surgical tool calibrating device is activated in real time so as to determine the length of and the suitable bore diameter for the surgical tool.03-03-2011
20110054450DIAMOND MEDICAL DEVICES - Masked and controlled ion implants, coupled with annealing or etching are used in CVD formed single crystal diamond to create structures for both optical applications, nanoelectromechanical device formation, and medical device formation. Ion implantation is employed to deliver one or more atomic species into and beneath the diamond growth surface in order to form an implanted layer with a peak concentration of atoms at a predetermined depth beneath the diamond growth surface. The composition is heated in a non-oxidizing environment under suitable conditions to cause separation of the diamond proximate the implanted layer. Further ion implants may be used in released structures to straighten or curve them as desired. Boron doping may also be utilized to create conductive diamond structures.03-03-2011
20110066142WIRE AND DEVICE FOR VASCULAR TREATMENT - A wire for use with a vascular treatment device may have a proximal end, a distal end, and a main shaft extending therebetween. The distal end may have a distal free end and a first segment. The first segment may extend from the main shaft and may be biased to a first included angle that is defined between the main shaft and the first segment and less than 180 degrees.03-17-2011
20110071508RETROGRADE INSTRUMENT - A minimally invasive surgical instrument includes a U-turn mechanism that transmits actuating forces around a U-turn. The U-turn mechanism is coupled between segments of the instrument and has a bend radius that is smaller than flexible arms having a similar cross section diameter. The actuating forces transmitted by the U-turn mechanism are used to move distal components of the instrument, such as an end effector and a wrist mechanism.03-24-2011
20110087198FLEXIBLE TRANSORAL ENDOSCOPIC GASTROESOPHAGEAL FLAP VALVE RESTORATION DEVICE AND METHOD - A transoral gastroesophageal flap valve restoration device has sufficient flexibility and dimension to be passed through the mouth, throat, and esophagus of a patient into the patient's stomach. The device includes a first member and a second member hingedly coupled to the first member. The first and second members are configured to flex in a direction to follow the esophageal path into the stomach and to be substantially rigid when forming the restored gastroesophageal flap valve.04-14-2011
20110087199MULTIFUNCTION CARBASUS FOR LAPAROSCOPIC OPERATION - A special carbasus for laparoscopic operations belongs to surgical instruments for laparoscopic operations. A carbasus is needed to perform many handlings in laparoscopic operations. However, a self-made carbasus strip currently used in clinic is inconvenient in use and has just single function. To solve the above-mentioned problems, the present invention provides a carbasus which is folded in a folding-fan-shaped manner with both ends folded toward inside and fixed to form compact obtuse ends, provided with a tantalum wire having length scales and cut with vertical and horizontal openings, such that the carbasus can be easily put in and taken out through a channel on the abdominal wall conveniently and have functions of measurement, X-ray development, barrier separation, transportation of small specimens and instruments, rope and separators in laparoscopic operations.04-14-2011
20110092962SEMI-AUTOMATIC DEVICE CALIBRATION - A method and apparatus for calibrating a medical device operable in at least one axis of movement, such as a footpedal or footswitch, is provided. The design includes instructing a user to operate the device to a first predetermined position in a first axis of movement while concurrently monitoring movement of the device to establish a set of movement responses, prompting the user to indicate when the first predetermined position in the first axis is attained modifying the set of movement responses when movement response irregularities are detected, thereby establishing a modified set of movement responses, and employing the modified set of movement responses during a medical procedure.04-21-2011
20110092963DEFLECTABLE INSTRUMENT PORT - An instrument port for a medical instrument includes an elongate access tube having a deflectable distal portion and a lumen for receiving a medical instrument. An actuator for deflecting the distal portion includes a distal actuator portion coupled to the access tube, a proximal actuator portion, and a coil spring extending between the distal and proximal actuator portions. An elongate actuation element such as a pull cable has a first end attached to the distal portion of the access tube and a second end coupled to the proximal actuator portion. When a medical instrument is disposed through the instrument port, with its distal end extending from the lumen and its proximal end disposed outside the body cavity, movement of the proximal end of the instrument moves the proximal actuator portion relative to the distal actuator portion to bend the spring and retract the pull cable, causing deflection of the deflectable distal portion of the elongate access tube, steering the distal end of medical instrument.04-21-2011
20110098687Cam Action Detachment for Tracheostomy Tube - There is provided a mechanism for gently detaching a loading catheter from a tracheostomy tube once the tube is placed in the trachea of a patient. After dilating the trachea, a loading catheter is inserted into a tracheostomy tube with which it desirably engages. Once the loading catheter and tracheostomy tube are attached to each other, the entire unit is passed through the stoma until the flange of the tracheostomy tube is in contact with the throat. The loading catheter may then be removed by rotating or twisting the loading catheter handle. The loading catheter and tracheostomy tube have a cam-action mechanism that gently forces the two parts apart as they are rotated relative to each other. This “cam action” disengagement allows for the removal of the loading catheter without subjecting the trachea or throat to undue pressure or forces that might cause trauma or increase recovery time. Other accessories like cannulas and obturators may attach and detach from the tracheostomy tube in a like manner.04-28-2011
20110098688COUPLING DEVICE BETWEEN THE DRIVE SHAFT OF A SURGICAL INSTRUMENT AND A TOOL - Coupling device between a drive shaft (04-28-2011
20110106065Surgical instrument - The invention relates to a surgical instrument, in particular a sliding shaft instrument, with a main part, and a moveable part relative thereto, with a handle attached to the main part, comprising a fixed grip and a grip actuating the moveable part, with at least one guide, through which, in relation to the main part, the moveable part is moveable between an initial position and a working position, and with a sliding surface attached to the movable part and pointing towards the main part, the sliding surface being slid along a guide surface attached to the main part and pointing towards the sliding surface, with at least the sliding surface or the guide surface are assigned to each other for the formation of a washable gap. (Hereto FIG. 05-05-2011
20110112517Surgical instrument - A medical instrument having a proximal control handle and a distal tool that are intercoupled by an elongated instrument shaft that is meant to pass internally of an anatomic body, proximal and distal movable members that respectively intercouple the proximal control handle and the distal tool with the instrument shaft, cable control means disposed between the movable members, an actuation member at the handle for controlling the distal tool through the movable members, a coupler for selectively engaging or disengaging separable cable segments of the actuation member, and the handle housing being provided in separate sections providing a rear opening for receiving the instrument shaft portion.05-12-2011
20110112518APPARATUS FOR SEALING ELECTRONICS FROM ENVIRONMENT IN DC POWERED ARTHROSCOPIC SURGICAL HANDPIECE WITH PUSHBUTTON ACTUATION - A button for actuating a switch in a surgical handpiece. The button is sealed to a bezel, and the bezel is sealed to the handpiece. The button, bezel, and handpiece create a sealed enclosure surrounding the switch to prevent external substances from contacting the switch. Further, a control board for controlling the handpiece is embedded in a cable endcap instead of being housed within the handpiece.05-12-2011
20110118706 Device Suitable for Use During Deployment of a Medical Device - A medical assembly comprises a soft tissue implant (05-19-2011
20110118707WRIST ARTICULATION BY LINKED TENSION MEMBERS - Surgical tools having a two degree-of-freedom wrist, wrist articulation by linked tension members, mechanisms for transmitting torque through an angle, and minimally invasive surgical tools incorporating these features are disclosed. An elongate intermediate wrist member is pivotally coupled with a distal end of an instrument shaft so as to rotate about a first axis transverse to the shaft, and an end effector body is pivotally coupled with the intermediate member so as to rotate about a second axis that is transverse to the first axis. Linked tension members interact with attachment features to articulate the wrist. A torque-transmitting mechanism includes a coupling member, coupling pins, a drive shaft, and a driven shaft. The drive shaft is coupled with the driven shaft so as to control the relative orientations of the drive shaft, the coupling member, and the driven shaft.05-19-2011
20110118708DOUBLE UNIVERSAL JOINT - Surgical tools having a two degree-of-freedom wrist, wrist articulation by linked tension members, mechanisms for transmitting torque through an angle, and minimally invasive surgical tools incorporating these features are disclosed. An elongate intermediate wrist member is pivotally coupled with a distal end of an instrument shaft so as to rotate about a first axis transverse to the shaft, and an end effector body is pivotally coupled with the intermediate member so as to rotate about a second axis that is transverse to the first axis. Linked tension members interact with attachment features to articulate the wrist. A torque-transmitting mechanism includes a coupling member, coupling pins, a drive shaft, and a driven shaft. The drive shaft is coupled with the driven shaft so as to control the relative orientations of the drive shaft, the coupling member, and the driven shaft.05-19-2011
20110118709SURGICAL TOOL WITH A TWO DEGREE OF FREEDOM WRIST - Surgical tools having a two degree-of-freedom wrist, wrist articulation by linked tension members, mechanisms for transmitting torque through an angle, and minimally invasive surgical tools incorporating these features are disclosed. An elongate intermediate wrist member is pivotally coupled with a distal end of an instrument shaft so as to rotate about a first axis transverse to the shaft, and an end effector body is pivotally coupled with the intermediate member so as to rotate about a second axis that is transverse to the first axis. Linked tension members interact with attachment features to articulate the wrist. A torque-transmitting mechanism includes a coupling member, coupling pins, a drive shaft, and a driven shaft. The drive shaft is coupled with the driven shaft so as to control the relative orientations of the drive shaft, the coupling member, and the driven shaft.05-19-2011
20110118710SHAFT CONNECTOR - A shaft connector configured to connect a shaft that has to be partly inserted through the skull of patient to the skull of the patient, the shaft connector comprising a skull connecting part, a shaft bush with a shaft clamp to fixate a shaft within the shaft bush, a bush clamping device to fixate the shaft bush relative to the skull connecting part so that a settable direction of the bush channel axis relative to the central axis is fixated as desired, an operating provision including a first and a second handle configured and arranged to be engaged by a single hand, the operating provision being configured to bring the bush clamping device from the release position in the clamping position by movement of the first handle relative to the second handle without exerting a force on the skull via the skull connecting part.05-19-2011
20110125138SURGICAL CONSOLE AND HAND-HELD SURGICAL DEVICE - A surgical system and method includes a surgical instrument configured to wirelessly transmit identifying data specific to the surgical instrument and a console configured to receive the identifying data. The console is configured to register the surgical instrument based on the identifying data, establish a wireless two-way communication link between the surgical instrument and the console, receive at least one of operational data and commands from the surgical instrument, and provide operational feedback data to a user of the surgical instrument during an operation of the surgical instrument based on the at least one of operational data and commands.05-26-2011
20110137298ULTRASOUND ABLATION APPARATUS WITH DISCRETE STAGGERED ABLATION ZONES - An ablation apparatus comprises an ultrasonic transducer which includes a piezoelectric element having a cylindrical shape; a plurality of external electrodes disposed on the outer surface of the piezoelectric element; and at least one internal electrode disposed on the inner surface of the piezoelectric element. The at least one internal electrode provides corresponding internal electrode portions that are disposed opposite the external electrodes with respect to the piezoelectric element, the external electrodes and the at least one internal electrode to be energized to apply an electric field across the piezoelectric element. The ultrasonic ablation zones of the external electrodes are distributed in a staggered configuration so as to span one or more open arc segments around the longitudinal axis, and the ultrasound ablation zones of all external electrodes projected longitudinally onto any lateral plane which is perpendicular to the longitudinal axis span a substantially closed loop around the longitudinal axis.06-09-2011
20110152844DOCKING STATION WITH TEMPERATURE CONTROL AND ELECTRONIC IDENTIFICATION SYSTEM - Disclosed is an exemplary surgical system employing a temperature controlled docking station. The surgical system may include an articulating arm that is selectively moveable within a range of positions. A tray for receiving items used in performing a procedure may be attached to the articulating arm. The docking station may be attached to the tray. The docking station may include a heating element for selectively heating the docking station, a temperature sensor for monitoring a temperature of the docking station, and a reader configured for collecting information associated with an article placed in the docking station. The surgical system may also include a controller operably connected to the heating element, the temperature sensor, and the reader. The controller may be configured to adjust a heat output of the heating element in response to a signal received from the temperature sensor and/or the reader.06-23-2011
20110166555CARRIER FOR AN INSERTABLE MEDICAL DEVICE, INSERTION TOOLS, METHODS OF USE, AND KITS - Disclosed are device carriers for insertable medical devices. The device carrier holds an insertable medical device in a desired orientation to allow it to be grasped by an insertion tool. Additionally, the device carrier may be used to store and to protect the insertable medical device prior to the device being implanted at a target site in a patient. Also described are insertion tools that may be used with the device carrier for grasping the insertable medical device from the carrier, and inserting the medical device at the target site in the patient. Methods of using the device carriers and the insertion tools of the invention, and kits for practicing the methods of the invention are also disclosed.07-07-2011
20110166556TISSUE-ANCHORED DEVICES - A therapeutic or diagnostic device is provided. The device includes a device body which is positionable within a lumen or passageway within a body and a tether which is attachable at a first end to the device body and at a second end to a tissue region not anatomically associated with the lumen or passageway.07-07-2011
20110172647SURGICAL INSTRUMENT - The invention concerns a surgical instrument with a base part, which has a shaft and a stationary handle branch. A working part is guided movably on the shaft and a swiveling handle branch is arranged on the base part, which is mounted able to swivel in an opening of the base part in order to activate the working part by means of a pivot pin. The pivot pin engages with a through opening in the swiveling handle branch, and for the purpose of separating the swiveling handle branch from the working part, the pivot pin can be entirely lifted out axially from the swiveling handle branch and is captively secured to the base part. The swiveling handle branch in the position separated from the working part is captively secured to the base part.07-14-2011
20110172648TOOL FOR MINIMALLY INVASIVE SURGERY AND METHOD FOR USING THE SAME - The present invention relates to an easy-to-control tool for minimally invasive surgery and a method for using the same. In accordance with an aspect of the present invention, there is provided a tool for minimally invasive surgery and a method for using the same comprising, a main shaft, a first control shaft and a second control shaft positioned in sequence from one end of the main shaft, a first actuating shaft and a second actuating shaft positioned in sequence from the other end of the main shaft, an adjustment handle positioned around one end of the second control shaft, an end effector positioned around one end of the second actuating shaft, a pitch control part positioned around one position of the positions between the main shaft and the first control shaft, between the first control shaft and the second control shaft, and between the second control shaft and the adjustment handle, for transferring a motion of the adjustment handle in a pitch direction to the end effector, a first yaw control part and a second yaw control part positioned around the other positions of the positions between the main shaft and the first control shaft, between the first control shaft and the second control shaft, and between the second control shaft and the adjustment handle, respectively, for transferring a motion of the adjustment handle in a yaw direction to the end effector, a pitch actuating part positioned around one position of the positions between the main shaft and the first actuating shaft, between the first actuating shaft and the second actuating shaft, and between the second actuating shaft and the end effector, a first yaw actuating part and a second yaw actuating part positioned around the other positions of the positions between the main shaft and the first actuating shaft, between the first actuating shaft and the second actuating shaft, and between the second actuating shaft and the end effector, respectively, a first pitch cable and a second pitch cable for transferring motions from the pitch control part, the first yaw control part, and the second yaw control part to the pitch actuating part, the first yaw actuating part, and the second yaw actuating part, respectively, and a yaw cable for transferring a motion from the first yaw control part to the first yaw actuating part with the first pitch cable and the second pitch cable.07-14-2011
20110178508Systems and Methods for Minimally Invasive Surgical Tools with Haptic Feedback - Systems and methods for minimally invasive surgical tools with haptic feedback are disclosed. One disclosed embodiment of a system includes an insertion sheath configured to be partially inserted within a patient's body, the insertion sheath configured to receive a surgical tool; a roller disposed at least partially within the insertion sheath, the roller configured to contact a surgical tool inserted within the insertion sheath; and an actuator coupled to the roller, the actuator configured to receive an actuator signal and to output a haptic effect based on the actuator signal.07-21-2011
20110184390DEVICE FOR THE CONTROLLED TRANSLATIONAL DISPLACEMENT OF AN ELONGATE ELEMENT - A device for controlled translational displacement of an elongated element that terminates in a frontal functional end, in particular an instrument or a tool that is designed to be brought to an internal site in a patient, more particularly an exploratory instrument or a surgical tool placed in a catheter or in an operating channel or working channel of a flexible endoscope, whereby the device includes a linear actuator that acts at the rear end of the elongated element that is located opposite its frontal functional end. Device (07-28-2011
20110190738POWERED SURGICAL INSTRUMENT - A surgical instrument including a housing, an endoscopic portion, a shaft portion and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion.08-04-2011
20110196348COUPLING DEVICES FOR INTERVENTIONAL DELIVERY SYSTEMS AND METHODS OF USING SUCH COUPLING DEVICES - A coupling device, set to be linked to an interventional delivery system, for coupling and releasing a medical implant. The coupling device comprises a generally tubular channel sized and shaped to be conducted in an intravascular catheter and a pivot extended in and along the generally tubular channel having a distal end comprising a lower surface for applying pushing force a medical implant and an upper surface, mounted above the lower generally tubular surface and having at least one niche for receiving at least one anchoring element of the medical element so that a tip of each the anchoring element is placed between the lower and upper surfaces.08-11-2011
20110196349DETECTABLE HAND SWITCH AND SURGICAL HANDPIECE - A handpiece and system having a surgical handpiece adapted to perform an operation on a patient, the surgical handpiece having a primary circuit being driven by an applied signal. A controller is operatively coupled to supply operating power to the surgical handpiece. A hand switch is operatively coupled in conjunction with the surgical handpiece to at least partially control an operation of the surgical handpiece. The switch has a secondary resonant circuit receiving the applied signal from the primary circuit and couples a response signal back to the primary circuit. Detection circuitry, operatively coupled to primary circuit, is responsive to a characteristic parameter of the response signal indicative of the presence of the hand switch in proximity of the surgical handpiece.08-11-2011
20110202042APPARATUS AND METHODS FOR PROGRAMMING A SHAPE-MEMORY MEDICAL DEVICE IMPLANT - A medical device implant made with a shape-memory material is originally produced in a “permanent” configuration. The implant is then “programmed” into a temporary (typically smaller sized) configuration to facilitate implantation, after which, an external stimulus activates the implant to return to its permanent configuration. Apparatus and methods include inserting a first portion of the implant into an aperture of a compression fixture base, heating the implant, and then driving and compressing the remaining portion of the implant, which has a different, typically larger profile than that of the first portion, into the aperture with a compression fixture cover to “program” the remaining portion. The resulting programmed implant has first and remaining portions that have identical, or substantially identical, profiles.08-18-2011
20110202043SURGICAL COUPLING DEVICE - The present invention relates to a surgical coupling device for detachably connecting a handpiece end to a portion of a surgical instrument, the handpiece end being provided with a recess into which a coupling portion of the instrument can be detachably slid, an interior wall of the recess having formed thereon a locking recess with which a snap type element can be brought into detachable engagement that is supported on the instrument, characterized in that the snap type element is formed on a double-sided rocker which extends substantially in axial direction and has one end on which the snap type element is arranged and has its other end in engagement with a pivot element.08-18-2011
20110208169SINGLE REVOLUTION SNAP ACTION DRIVE FOR SURGICAL FASTENERS - There is provided a device for the delivery of surgical fasteners. The device improves the penetration of the fasteners and reduces the effort required for a surgeon to hold opposing pressure in order to deploy the fastener. The device comprises a lever in mechanical cooperation with a resilient element for storing energy; a drive mechanism which cooperates with at least one surgical fastener; and a release mechanism for rapidly releasing stored energy from the resilient element to the drive mechanism. In certain embodiments, at least partial depression of the lever stores energy in the resilient element while release of the lever from the at least partial depressed position does not release the stored energy from the resilient element. Additionally, the drive mechanism converts stored energy from the resilient element upon activation of the release mechanism to deliver the at least one surgical fastener.08-25-2011
20110208170Surgical drive unit, surgical instrument and surgical drive system - In order to so improve a surgical drive unit of a surgical instrument, comprising a motor with at least two motor windings, and a memory device for storing data characterizing the drive unit and/or the motor, that the reliability of drive units, instruments and drive systems of the kind described at the outset is enhanced, it is proposed that the drive unit comprise a first transmitting and receiving device, which is connected to the memory device, and a second transmitting and receiving device, which is connected to at least two connection contacts of the motor, and that the first and second transmitting and receiving devices be configured and interact in such a way that data are transferable between them in a contactless manner.08-25-2011
20110213346ROLL-PITCH-ROLL SURGICAL TOOL - A robotic surgical tool includes an elongate shaft having a working end and a shaft axis, and a pair of linking arms each having a proximal end and a distal end. The proximal end is pivotally mounted on the working end of the shaft to rotate around a first pitch axis to produce rotation in first pitch. A wrist member has a proximal portion pivotally connected to the distal end of the linking arm to rotate around a second pitch axis to produce rotation in second pitch. An end effector is pivotally mounted on a distal portion of the wrist member to rotate around a wrist axis of the wrist member to produce rotation in distal roll. The wrist axis extends between the proximal portion and the distal portion of the wrist member. The elongate shaft is rotatable around the shaft axis to produce rotation in proximal roll. At about 90° pitch, the wrist axis is generally perpendicular to the shaft axis. The proximal roll around the shaft axis and the distal roll around the wrist axis do not overlap. The use of the linking arms allows the end effector to be bent back beyond 90° pitch. The ability to operate the end effector at about 90° pitch and to bend back the end effector renders the wrist mechanism more versatile and adaptable to accessing hard to reach locations, particularly with small entry points such as those involving spinal, neural, or rectal surgical sites.09-01-2011
20110213347SURGICAL INSTRUMENT - A surgical instrument that includes an instrument shaft having proximal and distal ends, a tool disposed from the distal end of the instrument shaft, a control handle disposed from the proximal end of the instrument shaft, a distal motion member for coupling the distal end of the instrument shaft to the tool, a proximal motion member for coupling the proximal end of the instrument shaft to the handle, actuation means extending between the distal and proximal motion members for coupling motion of the proximal motion member to the distal motion member for controlling the positioning of the tool, a rotation knob disposed adjacent the control handle and rotatable relative to the control handle for causing a corresponding rotation of the instrument shaft and tool and a locking mechanism for fixing the position of the tool at a selected position and having locked and unlocked states. The rotation knob has a first position in which the locking mechanism is controlled to be in its locked state and a second position in which the locking mechanism is released to its unlocked state so as to allow tool positioning.09-01-2011
20110218521ERGONOMIC SURGICAL INSTRUMENT HANDLE - Instrument handles isolate the functions of supporting the instrument and actuating controls on the instrument. An instrument handle may be grasped and supported by the less dexterous digits and palm of a human hand, and controls mounted on the instrument handle may be actuated by the more dexterous digits. The instrument handle may couple to an end effector so that the hand, wrist, elbow, and shoulder remain in a comfortable position when the end effector is positioned to act effectively on a selected portion of a workpiece, such as a surgical site.09-08-2011
20110218522FLEXIBLE SHAFT EXTENDER AND METHOD OF USING SAME - An extender for use in an electro-mechanical surgical system that includes a surgical attachment that may be detachably coupled to an electro-mechanical driver device via a flexible shaft. The extender is a substantially rigid extender that includes a proximal end that may be detachably coupled to a distal end of the flexible shaft. The extender also includes a distal end that may be detachably coupled to the surgical attachment. The extender also includes at least one rotatable drive shaft configured to engage and be secured with a respective rotatable drive shaft of the flexible shaft such that rotation of the respective rotatable drive shaft of the flexible shaft by the electro-mechanical driver device causes the at least one rotatable drive shaft of the extender to rotate, thereby rotating a complementary connector of the surgical attachment so as to operate the surgical attachment. The extender may include a memory unit and a data cable that transfers data from the memory unit to an electro-mechanical driver device. Additionally or alternatively, the extender may include a data cable that transfers data from a memory unit in the surgical attachment to the electro-mechanical driver device. Advantageously, the extender is autoclavable.09-08-2011
20110224654Surgical Instrument - In order to further develop a surgical instrument with an energy-driven operating device, an energy storage device as well as a control device for driving the operating device as required and supplying it with energy from the energy storage device such that an optimum utilization of the capacity of the energy storage device is achieved without any risk for the surgeon or the patient, in particular in view of the different energy requirements of the individual operating processes, it is suggested that when a predetermined state of residual charge of the energy storage device is reached and/or it is fallen below for the first time the control device make its residual charge available for returning the tool into a rest position.09-15-2011
20110224655CENTRAL CORE MULTIFUNCTIONAL CARDIAC DEVICES - Intracardiac devices that can provide a plurality of functions (e.g., pacing, defibrillation, cardiac assist, or valve replacement) via a single support member and control means.09-15-2011
20110230866DELIVERY DEVICE FOR IMPLANTABLE MONITOR - A system, device, and method for placing a capsule for sensing one or more parameters of a patient by anchoring the capsule to a tissue at a specific site and releasing the capsule from the device, using a single actuator operated during a single motion. As an example, a delivery device may anchor the capsule to the tissue site and release the capsule from the delivery device during a single motion of the actuator. This allows a user to place the capsule by interacting with only a single actuator through one type of motion, thus making delivery of the capsule more reliable and user-friendly.09-22-2011
20110230867LAPAROSCOPIC NEEDLE HOLDER - A laparoscopic needle holder includes a shaft embodied as a tube, at the distal end of which clamping jaws are arranged. The clamping jaws can be actuated by a rod running through the shaft, the rod is longitudinally displaceable by a handle arranged on the proximal end of the shaft. The laparoscopic needle holder is characterized in that the shaft has a straight proximal shaft section and a curved distal shaft section, and the two sections are detachably attached to one another.09-22-2011
20110230868REMOTE-CONTROLLED ACTUATOR - A remote-controlled actuator includes a spindle guide section of an elongated shape, a distal end member fitted to a distal end of the spindle guide section for alteration in attitude and rotatably supporting a tool, and a drive unit housing having a base end of the spindle guide section connected therewith. A rotary shaft for transmitting rotation of a tool rotation drive source within the drive unit housing to the tool and an attitude altering member for altering the attitude of the distal end member by the drive of an attitude altering drive source within the drive unit housing are accommodated within the spindle guide section. A cutting force estimator is provided for estimating the magnitude of at least one component force of a principle force, a radial force and a feed force in a cutting force which the tool applies to a work to be processed.09-22-2011
20110230869SURGICAL INSTRUMENT EQUIPMENT APPROPRIATE FOR MINI-INVASIVE SURGERY - Equipment of surgical instruments suitable for minimally invasive surgery, comprised by a multivalve device with adjustable separator to enter the patient's body and with at least one access simultaneous port for a number of components which includes an operative surgical device comprised by a control, a movement transmission element and an operative mounting clamp of a needle plier comprised by a control, a head connecting sheath, with a connecting needle lodged in its interior and the operative head; and a cauterization device comprised by a control, a movement transmitting element and the cautery.09-22-2011
20110238043ATTACHMENT DEVICE FOR ATTACHING A RIGID BODY TO AN ARBITRARY MEDICAL INSTRUMENT - The invention relates to an attachment adapter for attaching additional functions to a surgical tool. The attachment adapter provides a joint or a coupling between two instruments, e.g. a surgical tool and a navigation marker. The attachment adapter comprises an attachment body for attaching a surgical tool to the attachment adapter and a mounting seat with a mechanical coupling for fastening an add-on device to the attachment adapter. The attachment body comprises an elongate part adapted to receive the winding of a line and provided with at least two legs adapted to fit in an astride position on an elongate part of a surgical tool. It also comprises a line securing means adapted for securing a line, wound around the attachment body to join the attachment adapter to the surgical tool, in a locking position.09-29-2011
20110238044SURGICAL INSTRUMENT, HANDLE FOR A SURGICAL INSTRUMENT AND SURGICAL INSTRUMENT SYSTEM - A surgical instrument (09-29-2011
20110245811Handy scratcher - The Handy Scratcher is essentially tubular in shape. The proximal end of the Handy Scratcher, where it is held, consists of a rubberized grip to facilitate a secure hold while the unit is in use. In addition, a sliding clip mechanism is featured, which serves to extend and retract the scratching component. As such, the latter features a three-tier connection system, which allows it to be extended outward from and retracted into the housing. The distal end of the Handy Scratcher is the scratcher itself. A thin, hard plastic component, the scratcher is approximately the size of a cotton swab, small enough to sufficiently attend to an itch without moving a hair out of place. Simple in design yet effective in application, the Handy Scratcher is put to work in a matter of seconds. Before heading out, the user simply places the compact device in a purse or even a pocket. Should she feel an itch, she need only retrieve the Handy Scratcher, extend the distal end, and insert the tip into the hair to scratch. Returning the unit to its storage space, the user feels confident that she has taken care of an annoying itch, and her hair still looks as good as it did when she left the house.10-06-2011
20110245812MEDICAL INSTRUMENT FOR MICROINVASIVE SURGICAL INTERVENTIONS - A shaft for a medical instrument for a minimally invasive procedure includes a proximal end that is mechanically connectable or connected with an operational device and a distal end that is connectable or connected with a tool, whereby the shaft comprises a bent portion and whereby no plane exists from which the center points of all cross-sections of the shaft are at a lesser distance than one-third of a diameter of the shaft.10-06-2011
20110245813TREATMENT TOOL - A treatment tool of the invention includes: a treatment part that can swing about a predetermined swing axis in order to perform treatment to a biological tissue; a plate-like wire-connecting part provided at the treatment part, the wire-connecting part having a predetermined thickness and a through hole formed therein in its thick direction; a linear swing manipulation wire, on one end side whereof are formed a first contacting part that is inserted into the through hole and contacts one face of said wire-connecting part in the thickness direction thereof, and a second contacting part that contacts another face of said wire-connecting part in the thickness direction thereof; a securing member, secured on said one end side of said swing manipulation wire, that holds the first contacting part and the second contacting part such that the first contacting part slides along the face, and the second contacting member slides along the other face; and a manipulating part, provided at another end of the swing manipulation wire, that extends and retracts the swing manipulation wire to make the treatment part swing.10-06-2011
20110251597NEURAL-MONITORING ENABLED SLEEVES FOR SURGICAL INSTRUMENTS - A neural monitoring enabled insulating sleeve for use with a surgical instrument during a surgical procedure on a patient in patient body tissue includes a tubular portion having a proximal end, a distal end, and a bore extending therethrough. The bore is configured to receive the surgical instrument. The tubular portion being formed of a material that electrically insulates the surgical instrument from the patient body tissue and having a flexible portion configured to flex between a locked and an unlocked condition. A camming component is configured to interface at the proximal end of the tubular portion. It is configured to cam the flexible portion between the locked and unlocked condition.10-13-2011
20110251598INSTRUMENT OF PATTERNING CUSP FOR CARDIAC VALVE RECONSTRUCTION AND COMPONENT THEREOF - In a case of repairing an aortic valve, etc. by forming a valve cusp with a biomembrane or the like, the shape and the size of a valve cusp can be determined easily.10-13-2011
20110251599DEFLECTABLE INSTRUMENT SHAFTS - Deflectable instrument shafts are formed of alternating segments, each of which has a first end or face contacting an adjacent segment along a first plane, and a second end or face contacting an adjacent segment along a second plane that is transverse to the first plane. In some embodiments, the alternating segments are first and second segments having differently shaped contacting ends/faces. In other embodiment the alternating segments are identical to one another but are positioned such that segments having their first contacting end/face facing distally are alternated with segments having their second contacting ends/faces facing distally.10-13-2011
20110257633MAGNETIC DOCKING SYSTEM AND METHOD FOR THE LONG TERM ADJUSTMENT OF AN IMPLANTABLE DEVICE - An implantable device for controlling the circumference of internal anatomic passages corrects physiologic dysfunctions resulting from a structural lumen which is either too large or too small. Implants are disclosed which employ various means for adjusting and maintaining the size of an orifice to which they are attached. Systems permit the implants to be implanted using minimally invasive procedures and permit final adjustments to the circumference of the implants after the resumption of normal flow of anatomic fluids in situ. The invention may include an adjustment tool for making the final adjustments to the circumference that locks onto the adjustment means of the device with magnets. Methods are disclosed for using the implants to treat heart valve abnormalities, gastroesophageal abnormalities, anal incontinence, and the like.10-20-2011
20110257634ELECTRO-MECHANICAL SURGICAL DEVICE - A flexible shaft includes a flexible, elongated outer sheath, at least one drive shaft disposed within the outer sheath and a moisture sensor disposed within the outer sheath configured to detect moisture within the outer sheath. Another flexible shaft includes a flexible, elongated outer sheath, at least one flexible drive shaft disposed within the outer sheath and a coupling connected to a distal end of the outer sheath configured to couple to a surgical attachment.10-20-2011
20110257635MOISTURE-DETECTING SHAFT FOR USE WITH AN ELECTRO-MECHANICAL SURGICAL DEVICE - A flexible shaft includes a flexible, elongated outer sheath, at least one drive shaft disposed within the outer sheath and a moisture sensor disposed within the outer sheath configured to detect moisture within the outer sheath. Another flexible shaft includes a flexible, elongated outer sheath, at least one flexible drive shaft disposed within the outer sheath and a coupling connected to a distal end of the outer sheath configured to couple to a surgical attachment.10-20-2011
20110257636ELECTRO-MECHANICAL SURGICAL DEVICE - A flexible shaft includes a flexible, elongated outer sheath, at least one drive shaft disposed within the outer sheath and a moisture sensor disposed within the outer sheath configured to detect moisture within the outer sheath. Another flexible shaft includes a flexible, elongated outer sheath, at least one flexible drive shaft disposed within the outer sheath and a coupling connected to a distal end of the outer sheath configured to couple to a surgical attachment.10-20-2011
20110257637INSTRUMENT FOR LAPAROSCOPIC SURGERY - In an instrument for laparoscopic surgery, with an operating handle, a rectilinear first shaft section connected to the operating handle, a flexible second shaft section arranged at the distal end of the first shaft section and having an end part located at the distal tip of the second shaft section, wherein the second shaft section can be moved from a rectilinear extension position to a curved position in a predetermined plane of curvature with the aid of a tensioning means engaging on the end part, provision is made for a flexible connecting means to extend between the first shaft section and the end part, and the flexible connecting means has a restoring function with which the flexible second shaft section can be restored automatically to a rectilinear or predetermined extension position.10-20-2011
20110264078Ring form surgical effector - The present invention is a surgical ring form structure including a surgical ring where the surgical ring is a circular structure adapted to receive a surgical implement rigidly affixable with respect to the surgical patient and the surgical ring, an electrical circuit allowing the surgical implement to be electrically communicable with a remote controller, a surgical implement as an effector unit, an effector unit configurable to operate a laser, ultrasound device, lights, camera, and other imaging and monitoring devices capable of two-dimensional and three-dimensional capture, a circular rail respective to the surgical ring whereupon controlled motion of the surgical implement or effector unit is provided, remote display and interfacing capabilities with the surgical implements, remote controlling interfaces for controlled motion of the surgical implements with respect to the surgical ring and the patient, and an electrical circuit having contacts extending along the periphery of the surgical ring.10-27-2011
20110264079MEDICAL INSTRUMENT - A medical instrument with a proximal instrument part and a distal instrument part that are connected with one another by an elongated shaft. The distal instrument part includes a pivot element that is mounted to pivot with respect to the shaft and that can pivot by a translationally moveable actuation element. The pivot element is coupled with the actuating element by a coupling element, so that the coupling element is in a hinged connection with the pivot element by a first hinged connection and with the actuation element by a second hinged connection. The second hinged connection is controlled by at least one nonlinear control device formed by the distal instrument part in such a way that the pivot element can pivot both in the one pivot direction and in the other pivot direction. The actuating element is configured to be suitable for control by the nonlinear control device.10-27-2011
20110264080Medical Devices Having Extremely High Radiopacity Containing Ytterbium Compound - A medical device, such as a catheter, exhibiting high radiopaque properties as well as optical transparency is disclosed. Further, radiopaque materials and process conditions to produce such a material as well as a medical device, such as a catheter, exhibiting high radiopaque and optically transparent properties are also disclosed.10-27-2011
20110270234ENDOSCOPIC SURGICAL INSTRUMENT - A series of integrally formed segments 11-03-2011
20110270235CRIMP AND RELEASE OF SUTURE HOLDING BUTTRESS MATERIAL - A mechanism is provided for crimping and releasing a suture securing a strip of buttress material to an end effector. The mechanism includes a retention member movably mounted within the end effector. The retention member is movable from a first position crimping the suture to the end effector to a second position releasing the suture from the end effector. The mechanism additionally includes a follower member, engageable with the retention member, and movable in response to actuation of a surgical instrument to move the retention member between the first and second positions. A lock mechanism is also provided to secure the retention member in the first position. The follower member operates to disengage the lock mechanism.11-03-2011
20110276038METHOD AND SYSTEM FOR INTRACAVITARY AND EXTRACAVITARY PROCEDURES - Embodiments include a method of performing a medical procedure in a patient. The method includes inserting a first working instrument and a second working instrument through an opening in the patient, creating an incision in body tissue inside the patient using at least one of the first and second working instruments, and advancing the second working instrument through the incision to position the second working instrument at a work site inside the patient. The method also includes positioning the first working instrument at the work site without advancing the first working instrument through the incision and performing a procedure at the work site inside the patient using the first and second working instruments.11-10-2011
20110276039METHOD AND APPARATUS FOR A PROCESS CREATING AN INTERNAL TISSUE GRAFT FOR ANIMAL AND HUMAN RECONSTRUCTIVE PURPOSES - A method and apparatus is provided for creating an internal reconstruction tissue graft. Templates may be used to create a multitude of patterns in a variety of tissue reconstruction grafts. An apparatus may be used to create an internal tissue graft for reconstruction through either compression and/or removal of segments. An apparatus may be used, through either compression and or removal of segments of a preformed template made of synthetics and or metal that mirrors a template that can be used as an internal tissue graft for reconstruction. In a method, such as using software analysis and an apparatus, the physical properties of the tissue graft and its pre- and post-operative properties and appearance may be measured.11-10-2011
20110276040ELASTIC STRAND FOR USE IN KINESIOLOGY TAPE - One example embodiment includes an elastic strand for use in kinesiology tape. The elastic strand includes an elastic core. The elastic core is configured to elongate under an external force and return to its original size after an external force is removed. The elastic strand also includes at least one outer strand, where the outer strand is wound around the elastic core.11-10-2011
20110276041MANUALLY ARTICULATING DEVICES - Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.11-10-2011
20110282329SURGICAL INSTRUMENTS EMPLOYING SENSORS - According to an aspect of the present disclosure, a surgical instrument for operating on tissue is provided. The surgical instrument includes an end effector including a first tissue engaging member and a second tissue engaging member in juxtaposed relation to the first tissue engaging member; a gap determination element operatively associated with each of the first tissue engaging member and the second tissue engaging member for measuring a gap distance between the first tissue engaging member and the second tissue engaging member; and a tissue contact determining element operatively associated with a respective tissue contacting surface of at least one of the first tissue engaging member and the second tissue engaging member. The present disclosure also relates to methods of using the surgical instrument.11-17-2011
20110288536MEDICAL MANIPULATOR - The medical manipulator includes an arm formed in a tubular shape having a bending portion capable of bending; an insertion portion that is formed having channels, with the base end of the arm being connected to the distal end of the insertion portion so that lumens of the arm and the channels are in communication; an operation portion for operating the bending portion; and transmission members that are capable of advancing and retracting in a longitudinal direction with respect to the insertion portion such that a movement of the operation portion is transmitted to the bending portion and the bending portion is bent and that connect the bending portion and the operation portion; an opening portion provided at the operation portion and communicated with the channel; and a guide member that guides the movement of the operation portion within a predetermined range and that holds the transmission members to prevent the transmission members from moving in the longitudinal direction with respect to the movement of the operation portion within a portion of the predetermined range.11-24-2011
20110295242ROBOTICALLY-CONTROLLED ENDOSCOPIC ACCESSORY CHANNEL - Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.12-01-2011
20110301577Medical Instrument Having A Detachable Handle - The invention relates to a medical instrument for removing tissue, in particular a shaver, drill, or morcellator, having a tool that can be set in rotation and a motorized drive for driving the tool, and having an elongate body and a handle that projects laterally from said elongate body. The handle is fastened in a detachable manner to the body.12-08-2011
20110301578SURGICAL TOOL ARRANGEMENT HAVING A HANDPIECE USABLE WITH MULTIPLE SURGICAL TOOLS - A surgical tool arrangement a handpiece which is capable of accepting and operating a number of different surgical tools or instruments adapted for use with the handpiece, each having one or multiple functions. The handpiece incorporates a coupling arrangement located at a distal end thereof which serves to attach the desired surgical instrument to the hand-piece via a locking mechanism, and also provides an electrical contact arrangement to support the functioning of an electrosurgical probe as well as a combined mechanical cutting and electrosurgical tool. Additionally, the handpiece accepts a conventional cutter which only requires power for driving a movable cutting element.12-08-2011
20110301579Retraction Mechanism with Clutch-less Drive for Use with a Surgical Apparatus - A retraction mechanism allows the full distal retraction of the firing drive from various positions. The retraction mechanism has been developed for use with a hand held surgical apparatus. An embodiment of the retraction mechanism includes a drive member, a first pulley, a second pulley, and a firing drive. The drive mechanism is configured to be driven by a motor. The first pulley is configured to rotate when the motor drives the drive mechanism. The second pulley is movable relative to the first pulley between a proximal position and a distal position. The firing drive is movable relative to the first pulley between proximal and distal positions. In operation, the first pulley rotates in a first direction in response to a distal translation of the firing drive and wherein the firing drive moves proximally upon rotation of the first pulley in a second direction.12-08-2011
20110301580METHODS AND DEVICES FOR ARYTENOID REPOSITIONING - Methods and devices for repositioning the arytenoid cartilage of a human subject are disclosed.12-08-2011
20110306952SURGICAL DEVICE WITH REUSABLE HANDLE - A laparoscopic surgical device is provided, including a removable tool-comprising shaft having an outer shaft and an inner actuation rod that may be removably or permanently connected together. A handle of the device includes a two-button mechanism for engaging and releasing the removable tool-comprising shaft. The two-button mechanism is configured to engage overlapping corresponding apertures of the outer shaft and the inner rod that extends through the outer shaft.12-15-2011
20110306953MULTIFUNCTIONAL DEVICE FOR EXPLORATION AND/OR INTERVENTION, ESPECIALLY FOR MEDICAL USE - The invention relates to a multifunctional device for exploration and/or intervention, especially for medical use, comprising a hollow handle, which is continued by a main catheter, and a carriage which is mounted so as to slide along the handle and which is coupled to an instrument by a mechanical connection extending inside the main catheter. According to the invention, at least one intermediate carriage is mounted so as to slide along the handle, each of said intermediate carriages having an attachment housed in the handle via a longitudinal slot, in the continuation of which there is a secondary catheter extending inside the main catheter. Moreover, an auxiliary carriage is mounted so as to slide along each intermediate carriage, each of said auxiliary carriages being coupled to an instrument by a mechanical connection extending inside the secondary catheter.12-15-2011
20110313405SURGICAL INSTRUMENT WITH ELECTRICAL CONNECTOR - A surgical instrument shaft roll drive mechanism includes an electrical conductor that electrically couples the surgical instrument shaft to an electrical connector. The electrical conductor is routed adjacent to a roll drive tendon between a roll drive input capstan and a roll drive output capstan on the shaft. The electrical conductor allows an electrically conductive instrument shaft to be electrically coupled to surgical equipment for use, e.g., as a shield for electrocautery equipment.12-22-2011
20110313406HEMOSTATIC PATCH - The present disclosure relates to a surgical patch and methods of using the same. The surgical patch includes a body having a substrate, a longitudinal slit bisecting at least a portion of the body, and at least one additional slit extending from the longitudinal slit defining a retractable section. The surgical patch of the disclosure may be used, for example, to provide hemostasis at a site of anastomosis. The present disclosure also provides kits including such surgical patches, as well as templates that permit one to cut the patch to a desired size and/or shape.12-22-2011
20110319873Adaptive Patient Interface - A patient interface for an ophthalmic system can include an attachment module, attachable to the ophthalmic system, and a contact module, configured to accommodate a viscoelastic substance between the patient interface and a procedure eye. The viscoelastic substance can include a fluid, a liquid, a gel, a cream, an artificial tear, a film, an elastic material, or a viscous material. The refractive index of the viscoelastic substance can be within a range of approximately 1.24-1.52 at an operating wavelength of the ophthalmic system. The patient interface can further include input ports, output ports, and a suction system. It can be an integrated design or a multi-piece patient interface. The viscoelastic substance can be provided by injection, on the cornea, at the contact module, or in a space bounded by soft elastic films or membranes, such as in a bag.12-29-2011
20120004647STEERABLE SURGICAL SNARE AND METHOD OF USE - Apparatus, assemblies, systems, and methods for inserting a snare into a body and capturing objects. A surgical snare device includes a steerable deflection portion with a steerable distal tip. An interface is linked to the steerable deflection portion to selectively manipulate the distal tip. A snare loop disposed at the distal tip can have a length that remains substantially constant as the distal tip is deflected and the snare loop moves in concert with the distal tip. A snare loop having a width larger than an internal width of the body lumen may be collapsed using a loop collapsing mechanism that reduces the width of the snare loop prior to, or during, insertion of the snare loop into the body lumen.01-05-2012
20120004648SURGICAL INSTRUMENT - A surgical instrument is disclosed that includes: a handle; a shaft coupled to the handle and extending in one direction; a bending part formed on a portion of the shaft; a driving part mounted on the handle and configured to generate a particular driving power; and a power transmission mechanism configured to transmit the driving power generated by the driving part to the bending part such that the bending part is bent. By mounting a driving part onto the surgical instrument and enabling the shaft to bend by a simple manipulation on a controller, it is possible to readily change the direction of the effector even when holding the instrument in one hand. Also, since the shaft is bent while the instrument is held, the reaction force applied on the effector when changing the direction of the effect can be felt by the user, providing a “haptic feedback”.01-05-2012
20120004649SWITCHING CONTROL DEVICE AND MANIPULATING PART FOR A MEDICAL INSTRUMENT - A switching control device for a medical instrument such as an electrode used in HF surgery. The switching control device comprises a connection line, designed as a switching control module for controlling various electrical operating modes of the instrument with a three-dimensionally and pressure-tightly sealed housing that is resistant to sterilization temperatures, an actuating element and fixing means to be releasably mounted within or on a manipulating part of the instrument, and module contacting means for interacting with device- or instrument-contacting means that are connected to the connection line to perform a switching control function.01-05-2012
20120010601ORTHOPEDIC CEMENT AND USE OF SAME IN RADIATION THERAPY - A method of treating diseased tissue in a patient, the diseased tissue being proximate a hardened previously implanted bone cement including relatively high atomic number elements in a patient. The method includes generating a photon beam and directing the generated photon beam into the patient in a direction such that at least a portion of the photon beam impinges on the hardened bone cement and generates Compton interaction knock-out electrons from the high atomic number elements included in the hardened bone cement as a result of interaction of the at least a portion of the photon beam with the bone cement, wherein the direction of the photon beam is such that the at least a portion of the photon beam impinges on the hardened bone cement so that at least some of the Compton interaction knock-out electrons impinge upon the diseased tissue.01-12-2012
20120010602SMALL GAUGE SURGICAL INSTRUMENT WITH SUPPORT DEVICE - A small gauge surgical instrument assembly is shown with advantages such as diminished “play” at the tip. A surgical instrument assembly is also shown with support along a length of the instrument that can be selected by the surgeon. In particular, very small and flexible instruments for vitreous surgery are shown with selectable stiffness, thus providing control as well as access to all parts of the vitreous cavity. Embodiments as shown are safer, and increase the variety of cases for which these instruments can be used.01-12-2012
20120022507DELIVERY SYSTEM, METHOD, AND ANCHOR FOR MEDICAL IMPLANT PLACEMENT - A delivery system and method for placing a medical implant, such as for diagnosing, monitoring and/or treating cardiovascular diseases. The delivery system includes a hollow catheter, an anchor coupled to the catheter, and an implant secured within the anchor. The anchor has a base portion with first and second longitudinal ends and a cage therebetween. The anchor further has flexible arms, flexible legs, features for securing the medical implant within the cage of the base portion, and a coupler portion connected to and spaced apart from the second longitudinal end of the base portion. Surfaces of the arms and legs are adapted to clamp the anchor to a wall. The system further includes a pusher wire adapted to cause the anchor to acquire a stowed configuration in which the legs axially extend from the base portion, permitting the anchor to be retrieved after its deployment.01-26-2012
20120022508METHOD AND ORIENTATION DEVICE FOR MARKING A PREDETERMINED GUIDE PATH OF A MEDICAL INSTRUMENT - In a method for marking a predetermined guide path of a medical instrument in particular a needle, at least one guide path having an angle relative to vertical is indicated by means of at least one adjustable indicator unit such as a light source, and a one-dimensional or two-dimensional inclination sensor is used to adjust the at least one indicator unit with regard to the angle relative to vertical.01-26-2012
20120022509TREATMENT APPARATUS - A treatment apparatus includes a rotor which is provided between a distal-end treatment section and a flexible tube section and which is rotatable together with the distal-end treatment section in the periaxial directions with respect to the flexible tube section, a rotational operation wire which is configured to be pulled or loosened by a rotational operation section to rotate the distal-end treatment section, and a wire fixing portion which is provided to the rotor or to a part to the distal-end direction side of the rotor and to which a distal end of the rotational operation wire is fixed. The treatment apparatus includes a direction change portion which is configured to change an extending direction of the rotational operation wire extended on an outer peripheral surface of the rotor from the wire fixing portion, and configured to lead out the rotational operation wire to the rotational operation section.01-26-2012
20120029488ADJUSTABLE DEVICE FOR DELIVERING IMPLANTS AND METHODS OF DELIVERING IMPLANTS - A medical device includes an elongate member having a proximal end portion and a distal end portion. The distal end portion is configured to be inserted into a body of a patient. The elongate member is configured to be associated with a bodily implant. The distal end portion of the elongate member is configured to move from a first position to a second position such that distal end potion of the elongate member may be inserted into the body of the patient in its second position and is moved to its first position while disposed within the body of the patient.02-02-2012
20120035596Disposable Drive Interface for Longitudinal Movement of an Elongate Medical Device - A disposable drive interface kit is provided for controlling longitudinal movement of an elongate medical device such as a catheter. The kit includes a detachable housing configured for removable attachment to a drive housing from which a driving member projects. The detachable housing has inner side that faces the drive housing upon attachment to the drive housing and an outer side defining a channel having a bottom and first and second opposed sides extending from the bottom and configured to receive the elongate medical device. A driven member configured for movement by the driving member and an idler member extend into the channel on the first and second sides, respectively, and define first and second opposed surfaces configured to engage the elongate medical device.02-09-2012
20120046652FORCED DEPLOYMENT SEQUENCE HANDLE ASSEMBLY WITH INDEPENDENT ACTUATING MECHANISM - A handle assembly for use in the deployment of a medical device via a plurality of deployment lines that extend through a catheter. The handle assembly includes a plurality of removable members for deployment or actuation of the medical device. The handle assembly also includes an actuating mechanism for displacing a wire extending through the catheter for actuating the medical device independently of the plurality of removable members.02-23-2012
20120059359Double Offset Surgical Tool Handle Assembly Having A Locking Linkage Aligned Along Two Different Planes - A surgical tool handle for releasable connection to a surgical tool is described. The tool handle comprises a housing providing a linkage chamber extending from a proximal housing grip end to a distal housing tool end for receiving a surgical tool. A tool linkage is partially housed within the housing linkage chamber comprising an axial handle region extending along axis A-A and a radiused housing region curving about a focal point. That way, a locking pawl of the tool linkage changes planes from its proximal end to a distal extending hook end. This provides a relatively short connection to a surgical tool that is optimum in the tight space requirements of a minimally invasive hip surgery.03-08-2012
20120059360SURGICAL POWER TRANSMISSION ADAPTER AND MEDICAL MANIPULATOR SYSTEM - A surgical power transmission adapter is interposed between a surgical instrument and a power unit configured to drive the surgical instrument. The adapter connects the surgical instrument to the power unit. The adapter includes a power transmission unit. The power transmission unit includes a first region which is in contact with a clean region that is subjected to sterilization processing and a second region which is in contact with an unclean region that is not subjected to the sterilization processing. The unit makes translatory movement to transmit power generated in the power unit to the surgical instrument. A range of the translatory movement of the power transmission unit is set in such a manner that the first region is placed in the clean region and the second region is placed in the unclean region even if the power transmission unit makes the translatory movement.03-08-2012
20120059361MULTIPLE PURPOSE SURGICAL INSTRUMENTS - A multiple-purpose surgical instrument having a reflecting, rendering, and sizing tool to increase visibility and provide three-dimensional depth perception of a surgical site so that realization of a condition of the surgical site and safety are enhanced during an arthroscopic or laparoscopic procedure.03-08-2012
20120059362INSTRUMENT FOR TREATING PATIENT WITH SEMICIRCULAR CANAL INJURY AND METHOD FOR PRODUCING SAME - Disclosed is an instrument for treating a patient with semicircular canal injury, which is an instrument in the form of an exact enlarged model of human three semicircular canals having a structure wherein a liquid and a plurality of otolithic models, having a specific gravity larger than the specific gravity of said liquid, are enclosed within a hollow annular member made of a transparent resin and equipped with a screen at the position corresponding to the cupula in each of the three semicircular canals. Therein, said screen has such a mesh size as allowing the passage of said liquid but not allowing the passage of the otolithic models. Thus, an instrument for treating a patient with semicircular canal injury, whereby physical and mental pains can be alleviated in treating a patient with semicircular canal injury such as benign paroxysmal positional vertigo, is provided.03-08-2012
20120065627Non-Clumping Unit For Use With A Magnetic Surgical System - A surgical device comprises an ex vivo magnet and an in vivo sled magnetically attracted to the ex vivo magnet. The sled can be positioned and anchored within a patient by moving the ex vivo magnet. The sled defines a longitudinal axis. An arm extends from the sled. The arm is moveable relative the sled between a retracted position and an extended position. The arm comprises an end effector. A locking mechanism operatively connected to the arm to lock the arm in the retracted and extended positions. The mechanism may include a rack that both rotates about a pinion and translates tangentially about the pinion.03-15-2012
20120065628MEDICAL APPARATUS - A medical apparatus includes a distal end portion provided at a distal end of an insertion portion that has functions of performing inspection, treatment or observation, a bending portion provided with first and second ends and configured so as to bend in two or more directions by connecting the first end to the distal end portion and connecting a plurality of bending pieces, a bending portion operation unit provided in an operation section connected to a proximal end of the insertion portion that causes the bending portion to perform bending operation and a neutral position restoring elastic member fixed to the first end side and the second end side that generates elasticity for causing the bending portion to restore to a neutral position.03-15-2012
20120071862DOUBLE OFFSET SURGICAL TOOL HANDLE ASSEMBLY HAVING A LOCKING LINKAGE ALIGNED ALONG TWO DIFFERENT PLANES - A surgical tool handle for releasable connection to a surgical tool is described. The tool handle comprises a housing providing a linkage chamber extending from a proximal housing grip end to a distal housing tool end for receiving a surgical tool. A tool linkage is partially housed within the housing linkage chamber comprising an axial handle region extending along axis A-A and a radiused housing region curving about a focal point. That way, a locking pawl of the tool linkage changes planes from its proximal end to a distal extending hook end. This provides a relatively short connection to a surgical tool that is optimum in the tight space requirements of a minimally invasive hip surgery.03-22-2012
20120071863Surgery robot system, surgery apparatus and method for providing tactile feedback - A surgery robot system provides tactile feedback. The surgery robot system includes a master robot and a slave robot mounted with a surgery tool including at least one tactile sensor that generates a tactile signal upon contact with a surgery region. The master robot is adapted to generate a control signal to control operation of the surgery tool and to receive and reproduce the tactile signal from the slave robot.03-22-2012
20120071864MULTI-BENDABLE MEDICAL DEVICE - A medical device for multiple bends, includes a distal-side traction member which is inserted through the distal-side bending portion and the proximal-side bending portion, which is configured to bend the distal-side bending portion in the bending orientation, and which includes a distal-side fixing portion fixed to the distal end of the distal-side bending portion in the axial direction, and a proximal-side traction member which is inserted through the proximal-side bending portion, which is configured to bend the proximal-side bending portion in the bending orientation, and which includes a proximal-side fixing portion fixed to the distal end of the proximal-side bending portion in the axial direction. The proximal-side fixing portion is disposed at substantially the same position as the distal-side fixing portion in a circumferential direction.03-22-2012
20120078236Surgical Navigation System - A surgical navigation system is disclosed including a camera that is fixedly attached to a patient. The camera space merges with the patient space and thereby eliminates the need for a separate patient tracker. The surgical navigation system calculates the position of a surgical tool with a tracking device in view of the camera and shows on a display device the position of the surgical tool with respect to the patient superimposed and in correlation with a scan image of the patient.03-29-2012
20120078237TIP FOR MEDICAL IMPLANT DELIVERY SYSTEM - A delivery system for delivering and deploying a medical implant, such as a prosthetic heart valve, includes an elongated support member, a sheath, and a tip. The sheath is movable relative to the elongated support member between a distal position overlying the medical implant and a proximal position exposing the medical implant for release from the delivery system. The tip is attached to the elongated support member and is positioned at a distal end of the sheath when the sheath is in the distal position. The tip has a compressed condition and an expanded condition, and a maximum diameter in the expanded condition that is larger than the outer diameter of the sheath.03-29-2012
20120078238BREAST MARKER - Tissue markers, systems for marking tissue, and methods of using tissue markers. A tissue marker may have a body with a first surface and a second surface, a plurality of coupling sites, and a plurality of elongate members. The tissue marker may include a remotely visible material. The tissue marker may have a delivery configuration that is different from a deployed configuration.03-29-2012
20120083768DETACHABLE HANDLE MECHANISM FOR USE IN INSTRUMENT POSITIONING - A detachable control handle of a surgical device for use in positioning an instrument for use in a surgical procedure. The detachable control handle comprises: a handle assembly configured for communicating with a mechanical positioning mechanism via a connector, wherein said mechanical positioning mechanism is configured to couple with said instrument outside of a patient's body and to move said instrument relative to said patient's body, said handle assembly comprising: a control handle; a detaching mechanism coupled with said control handle, said detaching mechanism configured for detachably coupling said control handle with said mechanical positioning mechanism, wherein said control handle and said mechanical positioning mechanism are sealingly coupled with a first and second portion of a drape interface mechanism of a sterile drape, respectively, wherein said sterile drape is configured for isolating a portion of said surgical device within a sterile environment.04-05-2012
20120083769Double Offset Surgical Tool Handle Assembly To Provide Greater Offset From The Coronal Plane - A surgical tool handle for releasable connection to a surgical tool is described. The tool handle comprises a housing providing a linkage chamber extending from a proximal housing grip end to a distal housing tool end for receiving a tool. A tool linkage is partially housed within the linkage chamber. That way, manipulation of the tool linkage causes a locking pawl to pivot with respect to the housing from an open configuration ready to receive a tool for attachment to the housing to a closed configuration engageable with the tool supported at the distal housing tool end.04-05-2012
20120083770SURGICAL INSTRUMENT - The invention relates to a surgical instrument (04-05-2012
20120089131HAND HELD SURGICAL HANDLE ASSEMBLY, SURGICAL ADAPTERS FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS, AND METHODS OF USE - Adapter assemblies are provided for selectively interconnecting a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector, wherein the end effector includes a first axially translatable drive member and a second axially translatable drive member, and wherein the surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.04-12-2012
20120095449METHODS AND DEVICES FOR GUIDING AND SUPPORTING SURGICAL INSTRUMENTS - Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.04-19-2012
20120095450Elongated and retractable sterile marker apparatus - An elongated and retractable sterile marker apparatus includes a handle assembly, an elongated marker operating assembly a top portion of which is connected to the handle assembly, and a sterile marker assembly which is connected to a bottom portion of the elongated marker operating assembly. Preferably, the sterile marker assembly includes a felt marker tip. The elongated and retractable sterile marker apparatus is particularly useful in pain management procedures to mark needle locations. Preferably, the handle assembly includes a pair of finger-reception members which are connected to an outside portion of the elongated marker operating assembly. A thumb-reception member is received in the elongated marker operating assembly for operating the elongated marker operating assembly. Preferably, a return spring is provided to return the tip of the sterile marker portion into a marker unit housing when the tip is no longer being used for marking.04-19-2012
20120095451TOOL WITH ARTICULATION LOCK - The invention provides surgical or diagnostic tools and associated methods that offer user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. A rotation lock provides for enablement and disablement of rotatability of the end effector.04-19-2012
20120101482CATHETER PATCH APPLICATOR ASSEMBLY - In accordance with aspects of the present invention, an applicator assembly suitable for application of a catheter patch with one hand comprises an upper arm with a proximal end and a distal portion, a lower arm with a proximal end and a distal portion, and a hinge member fixedly joining the proximal ends of the upper arm and the lower arm, wherein an upper surface of the upper arm distal portion abuts a lower surface of the lower arm distal portion. In accordance with another aspect of the present invention, a catheter patch assembly may be secured against a lower surface of the upper arm distal portion. The distal portion of the lower arm may include a securing mechanism for securing the catheter patch assembly to the applicator assembly. A method of applying a catheter patch is provided.04-26-2012
20120101483MEDICAL INSTRUMENT - The invention relates to a medical instrument comprising an elongated element, which is preferably configured for transoral placement in a stomach, and an end effector (04-26-2012
20120101484SURGICAL JAW INSTRUMENT HAVING A SLIDE SYSTEM - A surgical jaw instrument having two jaw pieces mounted at the distal end section of a shaft for relative reciprocal displacement, whereby at each displaced jaw piece a sliding rod is fastened at an incline to the axis of the shaft, to which a displaceable sliding element can be connected parallel to the axis of the shaft in such a way that upon displacement of the sliding element, the jaw pieces are relatively reciprocally displaced wherein a second sliding element is mounted at the first sliding element, diametrically opposed relative to the sliding rod.04-26-2012
20120116361Axially Reciprocating Microsurgical Instrument with Radially Compressed Actuator Handle - A microsurgical instrument has a pair of operative surgical surfaces that are moved relative to each other in shearing or grasping procedures performed by the instrument. The instrument has a handle containing an elongate center rod with a ring mounted for reciprocating movement on the rod. A tube is secured to the ring and a shaft extends through the tube and is secured to the rod. The handle also includes a plurality of resilient arms that extend along the length of the rod and engage against a sliding surface of the ring on the rod. The plurality of actuator arms are alternatively manually compressed radially inwardly by the surgeon's hand and released by the surgeon's hand to allow the arms to flex radially inwardly and outwardly. The inward and outward movement of the plurality of arms reciprocates the ring on the handle rod and causes the tube and shaft to move axially relative to each other.05-10-2012
20120116362SINGLE PORT LAPAROSCOPIC ACCESS WITH LATERALLY SPACED VIRTUAL INSERTION POINTS - A system for performing single port laparoscopic procedures includes a transcutaneous seal and a plurality of tools. The tools comprise a substantially rigid tubular seal having a core which is translatably and rotatably disposed in the sleeve. The handle at the proximal end of the tool controls an end effector at the distal end of the tool. The sleeves of the tools are locked in the transcutaneous seals so that they remain in a fixed geometric relationship which prevents the tools from interfering with each other during laparoscopic procedures.05-10-2012
20120116363SURGICAL INSTRUMENT HANDPIECE WITH RESILIENTLY BIASED COUPLING TO MODULAR SHAFT AND END EFFECTOR - An ultrasonic surgical instrument includes a reusable handle assembly and a removable and disposable transmission assembly. The handle assembly includes a trigger, a housing having a distal aperture formed in a distal end of the housing, a button disposed on a top surface of the housing, and a biasing member in communication with the button. The transmission assembly includes a proximal shaft, a rotator knob having a coupling feature, a distal shaft assembly extending distally from the proximal shaft, and an end effector at the distal end of the distal shaft assembly. The biasing member of the handle assembly is adjustably coupled to the coupling feature of the transmission assembly. Another version includes a movable yoke configured to engage an inner tube of the transmission assembly. Yet another version includes a waveguide of the transmission assembly non-threadably coupled to a transducer via a biasing force.05-10-2012
20120116364USER FEEDBACK THROUGH HANDPIECE OF SURGICAL INSTRUMENT - A surgical instrument includes a handpiece having a user input feature and a user feedback feature. A shaft assembly extends distally from the handpiece. An end effector is disposed at a distal end of the shaft assembly. The end effector includes an active feature responsive to actuation of the user input feature. The active feature is operable to operate on tissue in response to actuation of the user input feature. The user feedback feature is operable to provide feedback to the user that indicates information relating to operation of the end effector. The feedback may include haptic, visual, and/or auditory feedback.05-10-2012
20120116365SURGICAL INSTRUMENT SAFETY GLASSES - A surgical instrument includes a handle assembly housing a wireless circuit board. The wireless circuit board transmits a signal to a set of safety glasses worn by a surgeon using the surgical instrument during a procedure. The signal is received by a wireless port on the safety glasses. One or more lighting devices on a front lens the safety glasses change color, fade, or glow in response to the received signal to indicate information to the surgeon about the status of the surgical instrument. The lighting devices are disposable on peripheral edges of the front lens to not distract the direct line of vision of the surgeon.05-10-2012
20120116366SELECTIVE ACTIVATION OF ELECTRONIC COMPONENTS IN MEDICAL DEVICE - A surgical instrument comprises a body, a transmission assembly, and a switch. The body comprises a control unit and an integral power source. The power source is operable to selectively deliver power to the control unit. The transmission assembly extends distally from the body. The transmission assembly also includes an end effector driven by the control unit. The switch is in communication with the control unit and the power source. The transmission assembly is operable to actuate the switch to enable delivery of power from the power source to the control unit.05-10-2012
20120116367MEDICAL DEVICE USAGE DATA PROCESSING - A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.05-10-2012
20120116368SURGICAL INSTRUMENT WITH ADD-ON POWER ADAPTER FOR ACCESSORY - A surgical instrument system includes a surgical instrument, an accessory, and an adapter. The surgical instrument includes a housing, a shaft extending from the housing, and a tool assembly operably coupled to the shaft. The accessory is operably couplable to the surgical instrument. The adapter is operably coupled to the surgical instrument and includes an energy storage device to provide power to the accessory when the accessory is operably coupled to the surgical instrument.05-10-2012
20120116369SURGICAL INSTRUMENT INCLUDING ACCESSORY POWERING FEATURE - A surgical instrument system includes a surgical instrument, an accessory, and an energy device. The surgical instrument has a housing, a shaft extending from the housing, and a tool assembly operably coupled to the shaft. The accessory is selectively couplable to the surgical instrument. An energy device is operably coupled to the accessory when the accessory is coupled to the surgical instrument such that the energy device powers the accessory.05-10-2012
20120116370Surgical Instrument - The invention relates to a surgical instrument, for example, surgical scissors, having a casing and a core that is slidable in the casing. The invention proposes arranging a flushing connection at the distal end, in order to be able to clean the casing completely for the entire length thereof, starting at the distal end.05-10-2012
20120123395FLEXIBLE SURGICAL DEVICES - A surgical device can include a tube comprising a wall having a plurality of slits oriented generally transverse to a longitudinal axis of the tube. Each of the slits may be defined by opposing surfaces. The surgical device can further include a force transmission element coupled to the tube. In a flexible state of the tube, at least some of the opposing surfaces defining respective slits are separated from one another, and in a stiffened state of the tube, a force exerted on the force transmission element causes the opposing surfaces of each slit to contact one another.05-17-2012
20120123396SURGICAL INSTRUMENT - A surgical instrument is provided, comprising proximal and distal end sections each comprising an area of articulation, as well as a flexurally rigid central section arranged therebetween. The proximal end section can be connected to an actuating device. A tool which can be driven by means of a drive element can be connected to the distal end section. To provide greater flexibility and a greater working area, the instrument further comprises outer and inner hollow cylindrical shafts and a control element which is arranged between the shafts. Two or more longitudinal elements extend at least substantially from the proximal to the distal area of articulation of the instrument and transfer traction and/or pressure forces. The longitudinal elements are arranged at essentially regular angular distances in a circumferential direction of the instrument and are connected to one another in the circumferential direction at their proximal and distal ends.05-17-2012
20120130354HAEMOSTATIC VALVE DEVICE - A haemostatic valve device (05-24-2012
20120130355MANIPULATOR WITH MANUAL HOLD AND COMFORTABLE ARTICULATION - A manipulator includes a control unit (05-24-2012
20120130356HAND-HELD MANIPULATOR WITH SYMMETRICAL GRIP - A hand-held manipulator includes a handle (05-24-2012
20120143172Assembly For Use With Surgery System - The present disclosure provides systems, assemblies and methods for surgery (e.g., robotic surgery). More particularly, the present disclosure provides systems and methods for releasably securing or attaching an assembly for use in a surgical procedure with respect to a user-operable surgical device. In general, the present disclosure provides systems and methods for releasably securing or attaching an assembly with respect to and for use with a user-operable surgery system. Systems and methods for releasably securing or attaching an assembly (e.g., imaging assembly) having a receiver member with respect to a user-operable grasper member of a surgery system are provided.06-07-2012
20120143173SURGICAL TOOL - A surgical tool for minimally invasive surgery. The surgical tool in one embodiment includes a manipulator as a user interface, a proximal universal joint mounted to the manipulator, a hollow elongated member such as a tube mounted to the proximal universal joint, and a distal universal joint mounted to the other end of the elongated member. An end effector is mounted to the distal universal joint second end. Pivoting of the first end of the proximal universal joint causes the second end of the distal universal joint to move in a corresponding motion, and cabling operatively couples the proximal and distal universal joints. The proximal and distal universal joints may each include two yokes and a center block. Cabling may include four cables that each engage two round elements at the proximal and distal universal joints mounting locations to the center block.06-07-2012
20120143174SURGICAL INSTRUMENT - A surgical instrument utilized in a minimally invasive surgery is provided. The surgical instrument includes an end effecter configured to conduct a surgical operation, a piezoelectric driver configured to generate motive power, a power transmitting unit configured to transmit the motive power generated by the piezoelectric driver to the end effecter to operate the end effecter, and a housing which encloses the power transmitting unit and the at least one piezoelectric driver.06-07-2012
20120143175SURGICAL INSTRUMENT - A surgical instrument is provided having proximal and distal end sections and a central section extending therebetween. An hollow outer shaft extends from the proximal to the distal end section. A drive element is rotatably mounted in the outer shaft and a tool is coupled to the drive element at the distal end section. The drive element comprises a flexible section arranged between the proximal and distal end sections which consists of a plurality of ring segments each of which has a first and a second end region. The first end region comprises projections which protrude in the axial direction and the second end region comprises recesses for accommodating the projections. The ring segments intermesh in an articulated manner by means of the projections and recesses. The outer shaft comprises an articulation zone which connects the distal end section and the central section together in an articulated manner.06-07-2012
20120150154DECOUPLING INSTRUMENT SHAFT ROLL AND END EFFECTOR ACTUATION IN A SURGICAL INSTRUMENT - Surgical assemblies and related methods are disclosed that provide for decoupling of instrument shaft roll and end effector actuation. A surgical assembly includes a base, an instrument shaft rotationally mounted to the base, an end effector supported at a distal end of the instrument shaft and including an actuation mechanism driven by a rotational motion, a drive shaft rotationally coupled with the actuation mechanism and configured to provide the rotational motion to the actuation mechanism, and a differential rotationally coupled to the drive shaft and receiving a first input motion and a second input motion. The differential combines the first and second input motions to generate an output motion that rotates the drive shaft. The first input motion is rotationally coupleable to an actuation source. The second input motion is coupled to rotation of the instrument shaft relative to the base.06-14-2012
20120150155Instrument Control Device - Embodiments include an instrument including an end effector located near a distal end of the instrument, an elongated member connected to the end effector, and a handle located near a proximal end of the instrument. The instrument also includes a ball and socket joint including a ball rotatable in a socket. The ball and socket joint connects the elongated member to the handle, and the handle is configured to move with respect to the elongated member via the ball and socket joint. The instrument further includes a control member connected to one of the ball or the socket, and the control member extends through the elongated member and connects the ball and socket joint to the end effector to control movement of the end effector.06-14-2012
20120165797Method of Transferring Rotational Motion in an Articulating Surgical Instrument - An endoscopic surgical instrument includes an elongated shaft, which may be articulated to facilitate positioning of an end effector. The instrument accommodates reactionary forces associated with closing the end effector without substantial disruption to the position of the end effector. The instrument includes an elongated shaft housing generally defining distal and proximal shaft axes, and a torsion member extending through the shaft housing. The torsion member transmits rotational displacement from a handle portion of the instrument to the end effector to selectively move the end effector between open and closed configurations. The torsion member comprises a flexible shaft exhibiting a plurality of generally radial slots spaced longitudinally along a length of the flexible shaft.06-28-2012
20120172849PNEUMATIC SURGICAL INSTRUMENT DETECTION SYSTEM - A system detects whether a pneumatic surgical instrument is attached to a surgical system. A drive valve has an input for connection to a source of pressurized air, an output for connection to the surgical instrument, and an exhaust for exhausting pressurized air during operation of the surgical instrument. A pressure transducer in communication with the exhaust senses a pressure profile of air flow from the exhaust. A first sensed pressure profile indicates that the surgical instrument is connected to the output and a second sensed pressure profile indicates that the surgical instrument is not connected to the output. A detection circuit connected to an output of the pressure transducer detects whether the surgical instrument is attached to the surgical system based on the sensed pressure profile.07-05-2012
20120172850INSTRUMENT HOLDER - A support mechanism for a medical device may include an adjustable support that includes a plurality of elongate members movable relative to one another. The support mechanism may also include a bracket coupled to the adjustable support. The bracket may be adapted to be coupled to a first medical device that extends along a longitudinal axis. The support mechanism may also include an instrument holder that extends along a central axis. The instrument holder may be movably coupled to the bracket and adapted to be coupled to a second medical device. The bracket and the instrument holder may be oriented such that central axis of the instrument holder intersects the longitudinal axis at an angle.07-05-2012
20120179146CANNULATED GUIDE TOOLS - According to a first configuration, a hand tool is configured to include a shaft, a handle disposed at a proximal end of the shaft, and a tubular tip disposed on a hinge at a distal end of the shaft. The tubular tip pivots about the hinge, providing a way to steer a resource to a specific location in a medical site. In accordance with a second configuration, a hand tool includes a flexible section of tube, a flexible sheathing, and a link. The flexible sheathing encases the flexible section of tube. At least a portion of the link resides between an outer surface of the flexible section of tube and an inner surface of the flexible sheathing. One end of the link is affixed to a distal tip of the flexible section of tube. Pulling on the link causes the flexible section of tube to arc.07-12-2012
20120179147ADAPTABLE THERAPEUTIC, DIAGNOSTIC OR SURGICAL GUIDE - The present invention relates to an adaptable therapeutic, diagnostic or surgical guide for an intra-operative adjustment of a guidance element to a pre-planned position. An advantage and innovation of the present invention is that it provides a template or guide that adapts in a controlled way to a changed intra-operative anatomical situation compared to the default planned situation. This adaption maybe purely positional but it may also include force feedback. Feedback, either visual feedback or force feedback that results in an adjustment of a guidance element is also an aspect of the present invention. For example, the feedback can contain information either about the fit of the guide or template onto a bone (in case the guide or template fits onto one bone) or about the relative position of two bones of bone fragments (e.g. ligament tension between the femur and tibia).07-12-2012
20120179148ROTATIONAL COUPLING DEVICE FOR SURGICAL INSTRUMENT WITH FLEXIBLE ACTUATORS - Rotational couplers for use with surgical devices that are actuated by semi-flexible actuators such as wires and the like. The couplers enable the actuators to apply various actuation motions to actuation features on the surgical device as well as other actuators to apply axial and rotational motions to the surgical device to manipulate the device into various orientations relative to an elongate shaft to which the device is movably attached.07-12-2012
20120184946ERGONOMIC SURGICAL INSTRUMENTS - A surgical instrument comprising a trigger configured to be actuated by a proximally directed force and by a distally directed force. The trigger may comprise a proximal trigger portion having a first length and a distal trigger hook comprising a distal portion having a second length. The second length may be less than the first length. The distal trigger hook may be coupled to the proximal trigger portion.07-19-2012
20120191075METHOD AND DEVICES FOR PULLING A TETHER THROUGH AN ORGAN WALL - A medical device is disclosed which can be utilized to access a surgical site within a patient. The medical device is equipped with an electronic tether having a connecting member at its free end. The connecting member has a free end and a body portion positioned between the free and the electronic tether. A tip at the free end of the connecting member has a smooth non-piercing leading end and surface contours suitable for engagement with a medical instrument. The body portion of the connecting member having a plurality of conductors, each conductor being separated from the adjacent conductor by one of a plurality of insulating members. At least one conductor transfers power from an external power source to the medical device and at least one conductor transferring information signals from the medical device to an external receiver.07-26-2012
20120191076SURGICAL INSTRUMENT WITH SELECTIVELY RIGIDIZABLE FEATURES - Mechanisms for altering the shape of a cell or chamber of a shaft or an actuation drive of an instrument are provided. The mechanisms may selectively rigidize the shaft of surgical or diagnostic instruments. The shaft assembly includes a shaft operatively connectable to a control member, at least one cell or a set of cells defined within the shaft, a shape altering material contained within the cell or cells, and, an activation link operatively connectable to a source of activation energy for delivering activation energy to each cell for activating the shape altering material to selectively rigidize or unrigidize the shaft. An actuator for producing work is also provided that includes an element within a housing that defines a cell or a set of cells. The shape altering material is contained within the cells, and a source of activation energy operatively connected to each cell for activating the shape altering material to expand or contract the cell. The element is operatively connectable to a driving member of an instrument such that the change in the cell is translated to the driving member to facilitate the production of work.07-26-2012
20120197239ENDOSCOPIC MEDICAL DEVICE WITH ARTICULATING JOINTS - An endoscopic device may include an elongate section extending from a proximal end to a distal end along a longitudinal axis. The elongate section may be configured to transmit a desired torque about the longitudinal axis without relative rotation between the proximal end and the distal end. The device may also include a plurality of bend elements positioned on the elongate section. The plurality of bend elements may include a first articulating joint configured to bend the elongate section in a first bending plane, and a second articulating joint configured to bend the elongate section in a second bending plane different from the first bending plane.08-02-2012
20120197240ARTICULATION SECTION WITH LOCKING - This invention is directed to a flexible device, a first elongate member configured to move the flexible device in a first direction, and a second elongate member configured to move the flexible device in a second direction. The flexible device can include a plurality of articulation links, wherein at least one of the plurality of articulation links can include a body configured to receive the first elongate member and the second elongate member. A cinching element may engage the first elongate member to substantially limit movement between the plurality of articulation links when a tensile force is applied to the first elongate member and may disengage the first elongate member to permit movement between the plurality of articulation links when a tensile force is applied to the second elongate member.08-02-2012
20120197241ARTICULATION JOINTS FOR TORQUE TRANSMISSION - The invention can include an articulation link having a body with a first surface located proximate a first end of the body and a second surface located proximate a second end of the body opposite the first end. A cavity can extend from the first surface to a cavity contact surface located between the first surface and the second surface. A protrusion can extend from the second surface away from the first surface to a protrusion contact surface. The protrusion contact surface can be generally curved to engage a cavity contact surface of an adjacent link. A protrusion sidewall can engage a cavity sidewall of the adjacent link.08-02-2012
20120203213ACTIVATION FEATURE FOR SURGICAL INSTRUMENT WITH PENCIL GRIP - An exemplary surgical instrument comprises a handpiece, an end effector, and an activation and control feature that is operable to selectively activate an end effector and select an energy level for the end effector. One version of the activation and control feature includes a “floating” button feature where activation and control is accomplished based on the displacement of the button from a home position. In some versions the activation and control feature is sealed within the handpiece, but controllable by the user's touch with the handpiece. The sealed configuration can allow the handpiece to be sterilizable, e.g., using steam sterilization. The activation and control feature may comprise capacitive switches, resistive sensors, resonant cavity switching technology, infrared sensing technology, technology that uses a resonant standing wave on a surface that is perturbed by the presence of a finger, and/or any other suitable type of technology.08-09-2012
20120203214ENDOSCOPIC TREATMENT INSTRUMENT - An engaging mechanism, which restricts rotation of a cutter section about an axis of a sheath, is provided. In accordance with an advancing/retreating operation of an operation wire by an operation slider, switching is made between a rotation restriction position where rotational restriction of the cutter section is effected by the engaging mechanism and a restriction release position where the cutter section is released from the rotation restriction position and is made rotatable about the axis of the sheath relative to the sheath.08-09-2012
20120209253JOINTED LINK STRUCTURES EXHIBITING PREFERENTIAL BENDING, AND RELATED METHODS - In accordance with various exemplary embodiments of the present teachings, a surgical device can include a first pair of articulably coupled links, a second pair of articulably coupled links, and a tension member coupled to the first pair of links and the second pair of links such that altering tension in the tension member exerts a force tending to articulate the first pair of links and the second pair of links so as to bend the first pair of links and the second pair of links. The surgical device can be configured such that the first pair of links has a lower resistance to bending than the second pair of links upon altering the tension in the tension member.08-16-2012
20120209254ADJUSTABLE LAPAROSCOPIC INSTRUMENT HANDLE - Instrument handles are adjustable relative to an end effector of the instrument. The handles may be releasably locked in selected positions and/or orientations relative to the end effector. When the lock is released, the handles may be moved to a different position and/or orientation relative to the end effector, and locked in place. The handles may pivot relative to the end effector around one or more joints. The handles may pivot about an axis of a hinge joint or a point of a ball and socket joint. The axis of the hinge joint may be aligned parallel or perpendicular to a center longitudinal axis of the end effector, or of a shaft between the handles and the end effector.08-16-2012
20120209255MEDICAL INSTRUMENT - A medical instrument with a hollow shaft and a handle mounted on the proximal end of the shaft, such that the shaft can be rotated around its longitudinal axis by a power drive, and such that the power drive is configured as an adjusting wheel that can both be rotated around the longitudinal axis of the shaft and also moved in the longitudinal direction of the shaft. To provide a medical instrument whose power drive makes simple and secure operation of the shaft rotation possible, the power drive can be actuated in every working position in one-handed operation, independently of any other actuation of the handle.08-16-2012
20120215206Skin Graft Applicator - A skin graft applicator with a handle member and a roller member is described for use in applying a skin graft to a patient. The skin graft applicator has a manipulator pad for positioning the skin graft, and a roller member for forcing air and fluid from underneath the skin graft ensuring the proper bond between graft and tissue.08-23-2012
20120220987SURGICAL INSTRUMENT WITH IMPROVED HANDLEABILITY - A surgical instrument comprises a tool part and a grip part connected to each other via a ball and socket joint or other double-axis joint. The double axis joint allows the surgeon to work in a non-fatiguing, ergonomic and sensitive manner. The tool on the tool part can be activated e.g., mechanically by an actuation member. Additional actuation elements such as, e.g., electrical switches, can be arranged on the grip part to activate the tool. The transmission connection between the grip part and the tool can be achieved via rigid levers and connecting pieces or also via flexible elements (e.g., a traction cord), or rigid components with an integral hinge. To uncouple a pivoting movement of the grip part towards the tool part from an actuation of the tool, at least one joint of the transmission is arranged in the center of the joint.08-30-2012
20120220988Surgical Instrument Having A Plastic Surface - A surgical instrument including a handle portion, a body portion, a movable handle, a tool assembly, a drive beam and a closure apparatus is disclosed. At least one of the closure apparatus and a contact surface of the tool assembly include a plastic surface. The body portion extends distally from the handle portion. The movable handle is located on the handle portion and is in mechanical cooperation with a drive member. The tool assembly includes an anvil, a cartridge assembly and a contact surface. The drive beam includes a proximal engagement portion and is configured to engage a portion of the drive member. The closure apparatus is configured to engage the contact surface of the tool assembly. At least a partial actuation of the movable handle moves the closure apparatus distally into engagement with the contact surface to approximate the anvil and the cartridge assembly.08-30-2012
20120220989POWERED SURGICAL INSTRUMENT - A surgical instrument including a handle assembly, a first endoscopic portion, a motor, and a first end effector is disclosed. The first endoscopic portion is selectively connectable to a distal portion of the handle assembly and defines a longitudinal axis. The first endoscopic portion includes a housing adjacent its proximal portion and includes an actuation member. The motor is disposed in mechanical cooperation with the housing of the first endoscopic portion and is operatively connected to the actuation member for moving the actuation member substantially along the longitudinal axis. The first end effector is selectively connectable to a distal portion of the first endoscopic portion and is configured to perform a first stapling function.08-30-2012
20120220990DISPOSABLE TIP WITH SHEATH - A disposable tip (08-30-2012
20120226266LAPAROSCOPIC APPARATUS - The present invention provides a laparoscopic apparatus having an elongated barrel connected to a handle case with a fixed handle and a movable handle. A rotatable conduit is connected to a rotatable wheel with a movable rod disposed inside the elongated barrel, which is operable by the rotatable wheel. An end-effector with wrist-like movement is connected to an articulation assembly of the fixed handle in conjunction with a universal joint. The laparoscopic apparatus of the present invention with the end-effector assembly provides a wrist-like lateral movement. The laparoscopic surgical apparatus of the present invention has an improved articulation and an extra degree of freedom, while retaining its existing surgical functions.09-06-2012
20120232530SURGICAL INSTRUMENT - A surgical instrument including an elongate portion arranged, in use, to be inserted through a restricted opening into a body, the elongate portion being movable from a first configuration to a second, different configuration in which two parts of the instrument that are spaced from each other in the first configuration at least partially cross each other in the second configuration.09-13-2012
20120232531PROCESS FOR PRODUCING PLASTIC RODS - A process for producing a plastic rod, in particular round rods, suitable for machining is provided. The process includes extruding a plastic profile of a first plastic molding composition which forms the outermost layer of the plastic rod, and inserting a second plastic molding composition as a rod core into the profile within a calibrator downstream of the extruder. The first plastic molding composition contains at least 50% by weight of a semicrystalline thermoplastic and the first plastics moulding composition has the following properties: a) crystallite melting point T09-13-2012
20120232532LOCKING MECHANISM - Provided herein are a locking mechanism including a male extension including a straight portion and a graduated step portion; and a female extension configured to receive the male extension, and including a pair of protruding tabs, which are spaced apart to allow the straight portion of the male extension to pass through a space between the protruding tabs, and which contact the graduated step portion if the male extension is inserted a first predetermined distance into the female extension.09-13-2012
20120232533DEVICE AND METHOD FOR TENSIONING AN ELONGATE MEMBER - An elongate member having a fixed end is passed through a plurality of grippers that impart tension in the elongate member and prevent the tension from being released. At least one gripper is movable while at least one other can be fixed. The movable gripper travels along the elongate member toward the fixed end then reverses direction, grips the elongate member, and carries the elongate member away from the fixed end, thereby creating tension in the elongate member. At least one gripper prevents the tension from being released. In some embodiments, the elongate member passes through a rotatable shaft with a lumen. The shaft can be in communication with a crank, whereby operation of the crank rotates the shaft.09-13-2012
20120239008APPARATUS FOR ROTATING MEDICAL DEVICES, SYSTEMS INCLUDING THE APPARATUS, AND ASSOCIATED METHODS - A rooter includes a rotatable element, an actuator for causing the rotatable element to rotate, and a coupling feature for rotatably coupling an elongated medical instrument to the rotatable element. The rotatable element may be at least partially contained within the interior of a housing or another element that remains substantially stationary as the actuator causes the rotatable element to rotate. The rooter may be used with a variety of elongated medical instruments, such as needles, drill bits, trocars, wires, catheters, tubes, and other elongated instruments that are used to enable or effect medical procedures within the body of a subject. The rooter may be used for a variety of purposes, including, without limitation, the introduction of an elongated medical instrument into the body of a subject or its removal from the subject's body; removing, breaking up, or eliminating obstructions (e.g., blood clots, plaques, etc.) from the body of a subject; and obtaining samples from a subject's body.09-20-2012
20120239009SURGICAL INSTRUMENTS WITH ARTICULATABLE AND ROTATABLE END EFFECTOR - Hand-held surgical instruments that have and end effector attached to an elongate shaft are disclosed. The end effector is articulatable and rotatable relative to the shaft by a nozzle arrangement supported by a handle from which the elongate shaft extends. In various embodiments, the nozzle is operable by the same hand that is used to support the handle.09-20-2012
20120239010MODULAR SURGICAL TOOL SYSTEMS - Modular surgical instruments are disclosed. In various embodiments, a modular surgical instrument t is disclosed for use with a plurality of interchangeable surgical tool heads that are configured to perform different surgical actions. The instrument is configured to apply a plurality of different rotary drive motions and axial drive motions depending upon the type of surgical tool head attached thereto.09-20-2012
20120239011MEDICAL TREATMENT TOOL AND MANIPULATOR - This medical treatment tool includes: an end effector which has a first forceps piece and a second forceps piece; an operating member that the pair of forceps pieces to rotate and opens/closes; and a link member whose distal end portion is coupled to the forceps piece, and whose proximal end portion is coupled to the operating member; wherein the drive axis of the proximal end portion is parallel with the axis of the operating member; the distance between the distal end portion and the drive axis of the proximal end portion is shorter than the length of the link member; and the length of projection on the drive axis is shorter than the length of projection on the drive axis of a line segment which connects the distal end portion and the center of rotation.09-20-2012
20120239012MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY - A motor-driven surgical instrument having a control assembly for controlling a switch of the instrument. The surgical instrument may comprise a motor control circuit, a drive member, and a slider. The drive member comprises a first shoulder at a first position and a second shoulder at a second position. A first portion of the slider interfaces the drive member such that the slider is moveable in a direction of movement of the drive member when either the first shoulder or the second shoulder of the drive member engages the first portion of the slider. A second portion of the slider actuates a switch of the motor control circuit when the drive member moves the slider to a first position relative to the first switch. In various embodiments, the switches of the control circuit are not embodied as a part of an IC.09-20-2012
20120245567SURGICAL INSTRUMENT - A surgical instrument that includes an instrument shaft having proximal and distal ends, a tool disposed from the distal end of the instrument shaft, a control handle disposed from the proximal end of the instrument shaft, a distal motion member for coupling the distal end of the instrument shaft to the tool, a proximal motion member for coupling the proximal end of the instrument shaft to the handle, actuation means extending between the distal and proximal motion members for coupling motion of the proximal motion member to the distal motion member for controlling the positioning of the tool and a locking mechanism for fixing the position of the tool at a selected position and having locked and unlocked states.09-27-2012
20120245568Medical Instruments and Methods for Fabricating Same - The present invention provides novel medical instruments and methods for fabricating them by using nano-technology processes.09-27-2012
20120245569PNEUMATICALLY DRIVEN OPHTHALMIC SCANNING ENDOPROBE - An ophthalmic endoprobe including a hand-piece and a cannula assembly having a longitudinal axis is provided. The cannula assembly including an inner tube concentric with an outer tube; wherein the hand-piece may further include a motor powered by a pneumatic energy source, the motor providing motion to a transmission shaft; and a transmission system to couple the shaft motion to the cannula assembly; wherein the transmission system provides a counter-rotating motion to the inner tube and the outer tube about the longitudinal axis of the cannula. A fluid console for use in endoscopic ophthalmic microsurgery including a pneumatics module to obtain a pneumatic force from an external source and provide an adjustable pneumatic force; a scanning module coupled to the pneumatics module; and an endoprobe coupled to the scanning module is also provided.09-27-2012
20120245570Devices For Introduction Into A Body Via A Substantially Straight Conduit To Form A Predefined Curved Configuration, And Methods Employing Such Devices - A device for introduction into a body in a straight configuration and assuming within the body a predefined curved configuration, includes an elongated element formed from a number of segments interconnected so as to form effective hinges therebetween. When the elongated element is confined to a straight state, the effective hinges transfer compressive forces from each segment to the next so that the elongated element can be pushed to advance it through a conduit. When the elongated element is not confined to a straight state, the effective hinges allow deflection of each segment relative to adjacent segments until abutment surfaces of the segments come into abutment, thereby defining a fully flexed state of the elongated element with a predefined curved configuration. The device can be produced with a wide range of two-dimensional and three-dimensional curved forms, and has both medical and non-medical applications.09-27-2012
20120253323ROTATIONALLY DRIVEN SURGICAL TOOL ASSEMBLY AND METHOD - A surgical tool assembly typically includes a drive unit and a surgical tool. The drive unit includes a female drive recess for receiving the proximal end of the surgical tool. A guard is disposed in front of the drive recess and acts as a filter to limit the possible surgical tools that may be mated with the drive unit. The guard includes a non-circular filter opening with a minimum cross dimension that is larger than a minimum cross dimension of the drive recess, but smaller than the maximum cross dimension of the drive recess. Proper surgical tools include a non-round keying section that is configured to fit through the guard opening in at least one orientation. The guard is spaced sufficiently forward relative to the drive recess so that only properly keyed surgical tools may be mated with the drive recess.10-04-2012
20120253324SURGICAL INSTRUMENT - The surgical instrument includes a distal tool, a rigid or flexible elongated shaft that supports the distal tool, and a proximal handle or control member, where the tool and the handle are coupled to the respective distal and proximal ends of the elongated shaft via distal and proximal bendable motion members. Actuation means extends between said distal and proximal member to control bending. A manually rotatable member rotates the instrument shaft and working member relative to the control handle. A locking member is supported from the control handle and has locked and unlocked states; in the unlocked state enabling control of the distal work member from the proximal control handle via the bendable members; and in the locked state, holding the bendable members in a pre-selected relative fixed position.10-04-2012
20120253325System And Method For Performing Surgical Procedures With A Modular Surgical System Having A Rail Mechanism - A surgical system is provided including a reusable handle assembly having a controller and a reusable cannula assembly configured to be operatively connected to and steerable by the reusable handle assembly. The surgical system also includes a rail mechanism configured to cooperate with a port inserted through an incision, the rail mechanism mechanically attached to a stable platform. A plurality of surgical instruments are configured to be inserted through the reusable handle assembly and configured to advance a length of the reusable cannula assembly, such that the plurality of surgical instruments are engaged with at least one trigger mechanism of the reusable handle assembly. The handle assembly, the cannula assembly, and the plurality of surgical instruments are modular components configured to be releasably coupled to each other. The reusable cannula assembly slidably engages the rail mechanism to extend through the port and into the incision.10-04-2012
20120253326Articulation of Laparoscopic Instrument - A surgical articulation apparatus and method for articulation of laparoscopic instruments is disclosed. The surgical articulation apparatus includes a housing, a tubular member extending distally from the housing, a spherical member attached to a proximal end of the housing, a ring member disposed about the spherical member and a cable extending from the tubular member through the housing to the ring member. The housing, tubular member and spherical member each include lumens therethrough for the reception of a flexible surgical instrument. The ring member is rotatable about the spherical member. The cable is attached to the tubular member and disposed in mechanical communication with the ring member such that the tubular member is manipulated by cable upon rotation of the ring member about the spherical member.10-04-2012
20120253327Dual Cable Triangulation Mechanism - A surgical system is adapted and configured for use in a minimally invasive surgical procedure. The surgical system includes a surgical instrument that is operatively coupled to a seal anchor member for accessing an underlying body cavity and manipulating a target tissue within the body cavity. The surgical instrument includes a plurality of arms that are triangulatable with respect to each other and the target tissue.10-04-2012
20120253328COMBINED PRESENTATION UNIT FOR REPOSABLE BATTERY OPERATED SURGICAL SYSTEM - A portable presentation unit for sterilizing, charging, and testing components of a cordless surgical instrument is disclosed including a battery charger unit configured to recharge a battery pack of the cordless surgical instrument, a testing unit configured to test at least one of the battery pack or a reusable transducer/generator unit of the cordless surgical instrument, and a sterilization unit configured to sterilize at least one of the battery pack or the transducer/generator unit.10-04-2012
20120253329HAND HELD SURGICAL HANDLE ASSEMBLY, SURGICAL ADAPTERS FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS, AND METHODS OF USE - Adapter assemblies are provided for selectively interconnecting a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector, wherein the end effector includes a first axially translatable drive member and a second axially translatable drive member, and wherein the surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.10-04-2012
20120253330SURGICAL INSTRUMENT FOR DETACHABLY CONNECTING A HANDPIECE TO A SURGICAL TOOL - Surgical instrument with a handpiece having a drive and with a surgical tool, which has a tube and a working part with a shaft and with a tool head, the tube of the surgical tool can be detachably connected to the handpiece by a first coupling part and the shaft of the working part can be detachably connected to a drive shaft in the form of a pin of the drive by a second coupling part simultaneously.10-04-2012
20120259319TOOL FOR A MICRO-INVASIVE SURGICAL INSTRUMENT - A tool, which is detachably coupleable with a shaft for a micro-invasive surgical instrument, includes an articulated device on which a jaw member or other active device is affixed, a connecting component that is rotatably connected with the articulated device and that includes a coupling device for detachable coupling with a distal end of a shaft, a transmission rod to transmit at least either a force or torque from one proximal end of a shaft detachably coupled with the tool to the jaw member or other active device, and a locking device that is coupled with the transmission rod in such a way that the locking device can be rotated with respect to the transmission rod but not slid axially, so that the locking device is mounted in the connecting component in such a way that it can be axially slid but not rotated in relation to the connecting component.10-11-2012
20120265175MALLEABLE INSTRUMENT FOR LAPAROSCOPIC PROCEDURES - A laparoscopoic tool includes a handle assembly, a tool implement, an outer tube defining an inner lumen and a wire assembly positioned within the lumen of the outer tube and coupled to the handle assembly and the tool implement. The outer tube and the wire assembly are configured to be shaped to form at least one bend region.10-18-2012
20120265176SURGICAL INSTRUMENT WITH ELASTICALLY MOVABLE INSTRUMENT HEAD - Disclosed is a surgical instrument comprising an instrument handle, an instrument shaft shaft having a distal end and a proximal end at which the instrument handle is linked, an instrument head, pivotally linked to the distal end of the instrument shaft via a hinge shaft or pins and comprising an effector rotatably supported in said instrument head arround its longitudinal axis as well as a surgical tool held by said effector, and a mechanical transmission system at least partially arranged within said instrument shaft transmitting mechanical operation signals from said instrument handle to said instrument head at least for pivoting and/or rotating motions. A bending flexible as well as rotating rigid, hollow spindle is arranged bypassing said hinge shaft or pins and directly connecting said effector with the mechanical transmission system for transmitting at least rotating signals via said spindle to said effector.10-18-2012
20120265177ELASTOMERIC GRIP FOR A SURGICAL INSTRUMENT - A surgical instrument comprising: a first component (10-18-2012
20120265178SURGICAL INSTRUMENT WITH INDICATOR - A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.10-18-2012
20120271283ARTICULATED SURGICAL TOOL - An articulated surgical tool and method of use are provided. The articulated surgical tool may hold an instrument and a surgical tool and may provide both macro and micro motions in the instrument and/or surgical tool, including by hydraulic operation. The articulated surgical tool may be coupled to a control system, such that manipulation of the control system results in movement of instrument and/or surgical tool, thereby eliminating the need to manually hold and position the instrument and/or surgical tool.10-25-2012
20120271284Surgical Instrument - A surgical instrument comprising a handle assembly, a body, a tool assembly and an articulation assembly is disclosed. The articulation mechanism includes a receptacle, and a main shaft. A lower clutch is fixedly positioned within the receptacle and has a serrated portion including a plurality of serrations. An upper clutch includes at least one projection positioned to engage the serrations of the lower clutch to releasably retain the main shaft at a rotatably fixed position. An angle between a first pair of adjacent serrations is defined as a first angle, an angle between a second pair of adjacent serrations is defined as a second angle, and an angle between a third pair of adjacent serrations is defined as a third angle. The first angle, the second angle, and the third angle are each different from one another.10-25-2012
20120271285ARTICULATING MEDICAL INSTRUMENT - An articulating medical instrument comprising of: 10-25-2012
20120277734APPARATUS AND SET FOR FOLDING OR UNFOLDING A MEDICAL IMPLANT AND METHOD - The present invention relates to an apparatus (11-01-2012
20120283705PERCUTANEOUS DELIVERY TOOL - A percutaneous delivery tool may be used to implant a medical device, for example, within a subcutaneous space. The percutaneous delivery tool may include a handle, first and second attachment members, and first and second connecting members connecting the attachment members to the handle. In some examples, the first and second attachment members are configured to receive the medical device such that the medical device is positioned between the attachment members. In some additional examples, the first and second connecting members are angled with respect to the handle, the first connecting member is angled with respect to the first attachment member, and the second connecting member is angled with respect to the second attachment member.11-08-2012
20120283706SURGICAL INSTRUMENT, SURGICAL HANDPIECE AND SURGICAL DRIVE SYSTEM - In order to improve a surgical instrument comprising a shank and a drive shaft, which is rotatably mounted in the shank and bears or comprises a tool element at its distal end, wherein in the distal end region of the shank a radial bearing is arranged or configured for the rotatable mounting of the drive shaft on the shank, such that a reliable operation is possible even with increasing miniaturisation of the shanks, it is proposed that the radial bearing is configured in the form of a needle bearing.11-08-2012
20120283707SURGICAL INSTRUMENT WITH WIRELESS COMMUNICATION BETWEEN CONTROL UNIT AND REMOTE SENSOR - A surgical instrument including an end effector having at least one sensor. The instrument includes a distal stapling unit for performing at least one surgical task operatively connected to a remotely controllable user interface. The instrument further includes an electrically conductive shaft having a distal end connected to the end effector, wherein the sensor is electrically insulated from the shaft. The instrument also includes a housing at a proximate end of the shaft configured to receive mechanical or electrical inputs. In addition, the instrument has a receiver unit electrically insulated from the shaft configured to receive and send wireless signals from and to the sensor.11-08-2012
20120289945RELEASABLY ATTACHED SNARE LOOP RETRIEVAL DEVICE AND METHOD OF USING THE SAME - A retrieval device with releasably attached loops is disclosed. Attachment portions on one or both ends of the shaft of the snare device may allow one or more loops to be coupled or de-coupled from the shaft. The retrieval device may further comprise a delivery conduit configured to receive both a snare shaft and a guidewire in one or more lumens.11-15-2012
20120289946MEDICAL INSTRUMENT WITH SNAKE WRIST STRUCTURE - A medical instrument includes a snake wrist structure further including: a first joint disk having a first rim having a first tooth slot and a first toothed gear with the first tooth slot opposite the first toothed gear along the first rim; and a first strut having a first slot bearing and a first hole bearing connected by a first connection strut with the first slot bearing in the first tooth slot.11-15-2012
20120296316MEDICAL MANIPULATOR AND WELDING METHOD - A wire made up of a plurality of wire strands is wound around a tubular body coupled to a distal end working unit. A fixing pin has a through hole through which the wire is inserted. The fixing pin is fitted into a recess disposed in a side surface of the tubular body. The fixing pin is welded to the tubular body and the wire. The melting point of the wire is higher than the melting point of the fixing pin. In a state where material of the fixing pin flows in between the wire strands, the fixing pin and the wire are joined together.11-22-2012
20120303002Method Of Internally Potting Or Sealing A Handheld Medical Device - The present disclosure provides a powered surgical instrument including a housing defining an inner cavity therein; at least one internal component disposed within the housing; and potting material injected into the inner cavity encapsulating at least a portion of the at least one internal component.11-29-2012
20120303003TREATMENT APPARATUS - A rotor of a treatment apparatus includes a first outer surface spaced apart from the longitudinal directions axis of a flexible tube section by a first distance in radial directions, and a second outer surface spaced apart from the longitudinal directions axis of the flexible tube section by a second distance smaller than the first distance in the radial directions. The treatment apparatus includes a first rotating operation wire extending from a wire fixing portion to the first outer surface, a second rotating operation wire extending from the wire fixing portion to the second outer surface, and a wire intersecting portion in which the first and second rotating operation wires intersect at positions apart from each other in a state that the second rotating operation wire is located on an inner direction side of the first rotating operation wire.11-29-2012
20120303004BACKUP SURGICAL INSTRUMENT SYSTEM AND METHOD - A method for preparing surgical kits for use during a surgery includes preparing a pre-operative surgical plan for a patient and selecting a set of surgical instruments based on the pre-operative surgical plan. The set of surgical instruments includes at least a general instrument, a first size-specific instrument, a patient-specific instrument, and a surgeon-specific instrument. The general instrument is selected from a predetermined group of off-the-shelf instruments. The first size-specific instrument has a first size selected from predetermined sizes. The patient-specific instrument includes a three-dimensional contoured engagement surface configured to nest into a portion of a native anatomy in a single location. The surgeon-specific instrument is selected based on a surgeon preference and is a different instrument than the selected general instrument, first size-specific instrument, and patient-specific instrument. The method further includes preparing a surgeon instrument kit containing the set of surgical instruments in sterilized form.11-29-2012
20120303005Torque Shaft and Torque Drive - Torque shafts and other related systems and methods are described herein. The torque shafts are both flexible and capable of transmitting torque. The torque shafts are useful for procedures that require torque and pushability to drive or deploy a device. The flexibility and pushability of the torque shafts enable them to curve along a tortuous path, and the torque transferring capability of the shafts enable them to transmit torque along the shaft.11-29-2012
20120303006SURGICAL INSTRUMENT - A medical instrument having a proximal control handle and a distal tool that are intercoupled by an elongated instrument shaft that is meant to pass internally of an anatomic body, proximal and distal movable members that respectively intercouple the proximal control handle and the distal tool with the instrument shaft, cable control means disposed between the movable members, an actuation member at the handle for controlling the distal tool through the movable members, and a coupler for selectively engaging or disengaging separable cable segments of the actuation member.11-29-2012
20120310220Surgical Articulation Assembly - A surgical articulation assembly is disclosed, including a control assembly and an articulable portion. The surgical articulation assembly has a passage therethrough for receiving a surgical object. The articulable portion includes at least two segments capable of independent movement. Disposed within the control assembly is an actuation assembly including a driving member, a translating member, two engagement members, a rotating member, and connecting members engaging in cooperation to effect forces through the connecting members on each of the first and second segments. More than one actuation assembly may be present, and the associated components of the actuation assembly may be configured to effect bi-directional articulation of the first and second segments in more than one plane.12-06-2012
20120310221SURGICAL INSTRUMENT WITH CONTROL FOR DETECTED FAULT CONDITION - A method and system of controlling a surgical instrument including an end effector are provided. The method includes detecting a first signal indicating that an end effector component of a surgical instrument is positioned between a first position and a second position, and automatically controlling operation of the end effector component after a second signal is not received within a predetermined time period after detecting the first signal. The second signal indicates that the end effector component is in one of the first position or the second position. The system includes a surgical instrument and a controller to implement the method.12-06-2012
20120310222TREATMENT APPARATUS - A treatment apparatus includes a grip operation linear portion extending from a grip operation section into a flexible tube section and moved along a longitudinal directions axis by a grip operation, and an actuated member provided to be connected to a grip portion and whose actuated state changes between a first actuated state in which the grip portion is a closed state and a second actuated state in which the grip portion is an open state. The treatment apparatus includes a junction coupling portion coupling between the grip operation linear portion and the actuated member so as to change the actuated state of the actuated member in accordance with movement of the grip operation linear portion along the longitudinal directions axis and to allow the grip operation linear portion and the actuated member to rotate directions about an axis relative to each other.12-06-2012
20120316541DUAL-PURPOSE LAPAROSCOPIC SURGICAL DEVICE - A medical device intended for use in performing minimally invasive procedures is provided. The device is intended for performing a pyloromyotomy in pediatric surgery, laparascopically. A key aspect of embodiments of the device is the dual-purpose functionality of the device as it combines both spreading of tissue and cutting of tissue, using mono- or bi-polar electric energy or a knife, with the same medical device. The use of the device requires fewer tool changes during surgery, improving safety and ease of use, as well as reducing surgery time. The devices lend themselves to torelatively cheaper manufacturing processes and lower overall cost compared to existing devices. They would also require less training time compared to current laparoscopic tools.12-13-2012
20120316542MEDICAL DEVICE MANUFACTURING METHOD AND MEDICAL DEVICE ASSEMBLY - A medical device in which a part to be secondarily shaped comprises a molded silicone rubber article is subjected to heatless shaping by irradiation with electron-rays. The irradiation with electron-rays enables shaping and, furthermore, sterilization under some conditions. In a medical device comprising a part in which at least a silicone rubber is used and the mechanical properties of the silicone rubber preferentially appear, the shape of the above-described part upon molding is deformed with the use of a correcting member to a level exceeding the desired deformed shape and maintained in this state. Next, electron-ray irradiation is conducted in this state and then the correcting member is eliminated. Thus, the desired deformed shape intermediate between the shape upon the molding and the shape upon the electron-ray irradiation can be obtained.12-13-2012
20120316543TREATMENT DEVICE FOR ENDOSCOPE - Disclosed is a treatment device for an endoscope including a treatment part that is adopted to treat tissue within a body cavity; a manipulating part that is adopted to manipulate the treatment part; a manipulation shaft member that connects the treatment part and the manipulating part; a multiple coiled sheath that is formed by spirally winding an wire bundle having a plurality of element wires arranged in a longitudinal direction; and a fixing portion that is arranged between a distal end and a proximal end of the multiple coiled sheath and regulates a first relative movement between the plurality of element wires and a second relative movement between a part of the wire bundle that are adjacent to each other as being spirally wound. The manipulation shaft member is inserted into the multiple coiled sheath so that the manipulation shaft member is capable of being advanced and retracted.12-13-2012
20120323226QUICK CONNECT ASSEMBLY FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL ACCESSORIES - A hand-held electromechanical surgical device is provided and configured to selectively connect with a surgical accessory. The surgical device includes a device housing defining a connecting portion for selectively receiving a coupling assembly of the surgical accessory. The connecting portion includes an annular wall defining a cylindrical recess dimensioned to receive the coupling assembly of the surgical accessory; a collar slidably supported about the annular wall, wherein the collar is slidable between a first position and a second position; and at least one socket member interposed between the annular wall and the collar, wherein each socket member is slidably supported in the annular wall. Each socket member includes a first fixed state wherein each socket member projects into the cylindrical recess of the annular wall; and a second movable state wherein each socket member is free to not project into the cylindrical recess of the annular wall.12-20-2012
20120330283Systems, devices, and methods to induce programmed cell death in adipose tissue - Systems, devices, and methods are described for registering treatment focal regions with adipose depot targets and for transcutaneously delivering an energy stimulus to the treatment focal regions when treatment registration information indicates that the treatment focal regions coincide with the anatomical targets.12-27-2012
20120330284Systems, devices, and methods to induce programmed cell death in adipose tissue - Systems, devices, and methods are described for registering treatment focal regions with adipose depot targets and for transcutaneously delivering an energy stimulus to the treatment focal regions when treatment registration information indicates that the treatment focal regions coincide with the anatomical targets.12-27-2012
20120330285Surgical Instrument with Adapter for Facilitating Multi-Direction End Effector Articulation - A surgical instrument includes a selectively rotatable housing, an adaptor, and a shaft including an end effector. The adaptor is coupled to the housing and is selectively movable between a first position and a second position. The shaft is coupled to one or both of the housing and the adaptor. The end effector is articulable in response to the selective rotation of the housing. The end effector is articulable toward a first direction when the adaptor is positioned in the first position and articulable toward a second direction when the adaptor is positioned in the second position. The first and second directions are different.12-27-2012
20120330286SURGICAL MANIPULATION INSTRUMENT - A surgical manipulation instrument which is particularly suitable for minimal invasive surgery, comprising an extra-corporeal drive device and a partial intra-corporeal manipulator part. The drive device comprises several axially displaceable first actuation elements. The first actuation elements are detachably connected to axially displaceable second actuation elements, by a coupling device, the second actuation elements being used to actuate an end effector. The coupling device comprises two coupling elements, one of the coupling elements having undercut recesses in which the second coupling element engages.12-27-2012
20120330287SURGICAL INSTRUMENT - Provided is a surgical instrument, including: a shaft; a wrist member including a guide member, a wrist body connected to the guide member and formed with a plurality of installation holes, and a plurality of protruding members each disposed to face the wrist body and having an insertion groove, and connected to the shaft; a plurality of effectors each connected to the wrist member by a pin; a support driving unit having first through fourth rotation members inserted into pins that are mounted on the wrist member, respectively, and each first and second wires connected to the plurality of effectors and the first through fourth rotation members, respectively; a main driving unit connected to the support driving unit by wire and having at least one driving unit. The main driving unit enables the entire wrist member to perform a yaw motion by rotating the entire wrist member, and enables the plurality of effectors to perform a pitch motion by simultaneously rotating the plurality of effectors into a single direction, and enables the plurality of effectors to perform a forceps motion of rotating into a direction increasing or decreasing a distance between the plurality of effectors.12-27-2012
20130012928FLEXIBLE WRIST FOR SURGICAL TOOL - A tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. In one embodiment, a minimally invasive surgical instrument comprises an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; and an end effector. A wrist member has a flexible tube including an axis extending through an interior surrounded by a wall. The wall of the flexible tube includes a plurality of lumens through which actuation cables extend, the lumens oriented generally parallel to the axis of the flexible tube. The wrist member has a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector.01-10-2013
20130012929Swinging Bars with Axial Wheels to Drive Articulating Cables - Disclosed is an articulation mechanism for a surgical instrument including a housing defining a longitudinal axis. The housing has a first slot extending at least partially through the housing and a second slot extending at least partially through the housing offset from the first slot. The articulation mechanism further includes a first bar member which is adapted for insertion into the first slot. The articulation mechanism further includes a second bar member which is adapted for insertion into the second slot. Each bar member is rotatable within its respective slot to articulate a cable. Each end portion of each bar member includes a pulley inserted into a channel of the end portion which is adapted for the engagement with a cable.01-10-2013
20130012930FORCE ESTIMATION FOR A MINIMALLY INVASIVE ROBOTIC SURGERY SYSTEM - A method of force estimation for a minimally invasive medical system including a robot manipulator having an effector unit equipped with a 6-degrees-of-freedom force/torque sensor and being configured to hold a minimally invasive instrument having a first end mounted to the effector unit and a second end located beyond an external fulcrum that limits the instrument in motion, where the method includes determining a position of the instrument relative to the fulcrum, measuring by means of the 6 degrees of freedom force/torque sensor a force and a torque exerted onto the effector unit by the first end of the instrument, and calculating by means of the principle of superposition an estimate of a force exerted onto the second end of the instrument based on the determined position, the measured force and the measured torque.01-10-2013
20130012931ARTICULATABLE SURGICAL DEVICE - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.01-10-2013
20130018361ADAPTER FOR POWERED SURGICAL DEVICES - An adapter assembly for selectively interconnecting a surgical end effector including at least one axially translatable drive member and a powered actuator device including at least one rotatable drive shaft is provided. The adapter assembly includes an actuation shaft configured to convert rotation of a first drive shaft of the powered actuator device into an axial translation of a first drive member of the surgical end effector. The adapter assembly further includes an elongate tube configured to convert rotation of a second drive shaft of the powered actuator device into an axial translation of a second drive member of the surgical end effector. The actuation shaft is disposed within the elongate tube, and the actuation shaft and the elongate tube translate axially independent of each other.01-17-2013
20130023858FLEXIBLE DEVICE SHAFT WITH ANGLED SPIRAL WRAP - Spiral-wound materials, spirals, and shafts made therefrom that have wraps with edges that may nest within one another are described. Such edges allow the spiral to achieve a smaller bending radius, meaning tighter turns and more flexibility due to the ability of adjacent wraps to nest within each other when the shaft is bent. Spirals having wraps with edges capable of nesting can be used in the medical field for devices that track anatomy, such as endoscopes, colonoscopes, catheters, and the like.01-24-2013
20130023859Articulating Links with Middle Link Control System - A surgical instrument that is transitionable between a bent and a straight position is disclosed. The surgical instrument includes two sections that are made up of articulating links that define gaps therebetween to facilitate bending of the surgical instrument. Restricting movement of a middle link that is positioned between the two sections results in a reduced positioned error.01-24-2013
20130023860MEDICAL MANIPULATOR SYSTEM - A medical manipulator system includes an operation unit that has motors, a composite input unit and a tip operating unit that is operated by a driving force of the motors, a working unit that may by attached to and detached from the operating unit, and a console. The motors are driven based on an input operation to the composite input unit. The tip operating unit performs at least a rotation operation along an axial direction or a swing operation that crosses the axial direction. The console changes a driving speed of the motors and includes a speed setting unit that changes an operating speed of the rotation operation or the swing operation of the tip operating unit.01-24-2013
20130023861SURGICAL INSTRUMENT - A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium.01-24-2013
20130030418CONICAL CRIMPER - Embodiments of crimping devices for crimping stented prosthetic valves and other medical devices from a larger, expanded diameter to a smaller, crimped diameter are disclosed. Some crimping devices utilize a conical surface extending out-of-plane from the direction of crimping, where motion of the conical surface in the out-of-plane direction causes in-plane radially crimping. Other crimping devices comprise a funnel-shaped rigid body having a tapered inner lumen that compresses a medical device moving therethrough. Some funnel-shaped embodiments have slotted sides that allow portions of the medical device to project therethrough. Other funnel-shaped embodiments are used with a tubular sock to pull the medical device through the tapered lumen. Other crimping devices utilize rotating rollers that compress a medical device while the medical device spins between the rollers.01-31-2013
20130030419JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.01-31-2013
20130030420Ring Remover and Method - A procedure and a medical kit for removing a ring from a swollen finger are described. The kit includes a panel set, a compression tape, and a compression tape puller. The panel set encircles the swollen finger with a cylindrical assembly that decreases in diameter when wrapped by said compression tape, forcing excess fluid from said swollen finger back into the hand. Swelling is thereby reduced allowing for removal of the ring.01-31-2013
20130035671Handle for Actuating a Device - This disclosure may disclose, inter alia, a handle for actuating a device. The handle may include a top comprising a first end and a second end, a first top side coupled to the first end of the top via a first corner hinge, and a second top side coupled to the second end of the top via a second corner hinge. The handle may further include a first bottom side coupled to the first top side via a first side hinge, a second bottom side coupled to the second top side via a second side hinge, and a bottom coupled to the first bottom side via a third corner hinge and coupled to the second bottom side via a fourth corner hinge. In some examples, actuation of the handle may cause deployment or retraction of an element from or into a shaft.02-07-2013
20130046289Grommet Device with Flexible Bowed Members and Methods of Using Thereof - A grommet device and method of using a grommet device is provided. The grommet device includes a base structure and a top structure connected to the base structure with a plurality of sidewalls, wherein an aperture having a central axis is formed interior of the plurality of sidewalk. At least one flexible bowed element having a first end, a second end and a middle portion is connected to the base structure at the first end and the top structure at the second end, wherein the middle portion is positioned within the aperture.02-21-2013
20130046290Two-Stage Switch for Surgical Device - A surgical device, comprising a control circuit operable to carry out at least two operational conditions of the surgical device, and a two-stage switch electrically connected to the control circuit, a first stage of the switch effecting a first of the at least two operational conditions and a second stage of the switch effecting a second of the at least two operational conditions that is different from the first operational condition, wherein the force required to sustain the first operational condition is less than the force required to enter the first operational condition and the force required to enter the second operational condition is greater than the force required to sustain the first operational condition.02-21-2013
20130046291Method of Switching a Surgical Device - Method for operating a surgical device, comprising providing a control circuit operable to carry out at least two operational conditions of the surgical device and effecting the at least two operational conditions with a two-stage switch electrically connected to the control circuit, a first stage of the switch effecting a first of the at least two operational conditions and a second stage of the switch effecting a second of the at least two operational conditions different from the first operational condition, wherein the force required to sustain the first operational condition is less than the force required to enter the first operational condition and the force required to enter the second operational condition is greater than the force required to sustain the first operational condition.02-21-2013
20130053830SURGICAL INSTRUMENT WITH MALLEABLE TUBING - A surgical instrument includes a hollow cylindrical member having a flexible region along at least a part of the hollow cylindrical member and a malleable tubing disposed over at least an outer surface of the flexible region of the hollow cylindrical member. The flexible region and the malleable tubing disposed over the flexible region can bend multiple times. The malleable tubing can maintain a bent orientation until the malleable tubing is re-bent by a user. The surgical instrument also includes connections that prevent the malleable tubing from moving longitudinally relative to the hollow cylindrical member. The malleable tubing may be made of various materials, one example of which is anodized, annealed aluminum.02-28-2013
20130053831SURGICAL CUTTING AND FASTENING DEVICE WITH DESCENDIBLE SECOND TRIGGER ARRANGEMENT - A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.02-28-2013
20130053832SYSTEMS, DEVICES AND METHODS TO PROTECT NON TARGETED TISSUE - Disclosed are systems, devices, materials and method, including a system that includes an energy delivery apparatus to apply energy generated by an energy source to a target area, and a flexible deformable bio-degradable protective material configured to be deformed to define irregular surfaces. The deformable bio-degradable material is also configured to be placed in a location between the target area and another area, to interact with energy not absorbed by the target area to protect the other area, at least partly, from the energy not absorbed by the target area, and further configured to degrade over a period of time when the deformable bio-degradable material is placed substantially permanently proximate the location between the target area and the other area.02-28-2013
20130053833OVERFORCE MECHANISM - An overforce mechanism comprising a driving assembly, a driven assembly, and a variably engageable coupling, shunts or dampens a motion of a control cylinder for a hydraulic device when that motion exceeds a predefined, unsafe threshold. The overforce mechanism avoids or reduces damage either to the device itself, to ancillary devices and/or to the patient. In an aspect, the variably engageable coupling may include a biasing mechanism and a coupling member, wherein the biasing mechanism automatically resets or releases upon reaching a force or tension threshold. Further, the overforce driven assembly may include an overforce rod that allows the force or motion to be channeled away from the source. The variably engageable coupling may comprise a dowel and spring mechanism that automatically resets with tension.02-28-2013
20130053834INSTRUMENT FOR MANIPULATING SURGICAL IMPLANTS - An instrument for grasping and articulating a surgical implant includes a first arm having a distal end with a proximal-facing surface and a second arm pivotably coupled to the first arm and having a distal end with a distal-facing surface. The proximal-facing surface and the distal-facing surface grasp the implant at a first angle in a first position and a second angle in a second position.02-28-2013
20130053835TOOL FOR A MICRO-INVASIVE SURGICAL INSTRUMENT - A shaft for a micro-invasive surgical instrument includes a shaft tube with a proximal end portion and a distal end portion, a coupling device for detachable mechanical coupling of the shaft with a tool, and a rotation bearing, which mechanically connects the coupling device with the distal end portion of the shaft tube. The rotation bearing is configured in order to allow rotation of the coupling device with respect to the shaft tube about the longitudinal axis of the shaft on the distal end portion of the shaft.02-28-2013
20130053836Shaft Rotating Device And Medical Instrument With Such A Device - A shaft rotating device for rotating a shaft of a medical instrument about its longitudinal axis relative to a handle of the medical instrument has an operating element for rotating the shaft. The operating element is arranged at a proximal portion of the shaft and in driving connection with the shaft such that the shaft is rotatable relative to the handle against frictional forces, and a coil spring arrangement having a surface and being in frictional contact with a surface of a counterpart for keeping the shaft and the handle rotationally stationary with respect to each other and movable against frictional forces. The operating element is operatively connected with the coil spring arrangement such that torque applied to the operating element decreases the frictional forces, while the shaft and coil spring arrangement are operatively connected such that torque applied to a distal portion of the shaft increases the frictional forces.02-28-2013
20130060239ARTICULATING MECHANISM WITH FLEX HINGED LINKS - The invention provides articulating mechanisms, and flexible members and flexible segments that can form such articulating mechanisms. The mechanisms are useful, for example, for remote steering, guidance and/or manipulation of various instruments and tools at a targeted location. The mechanisms, members or segments include links connected by flexible hinges. The proximal and distal ends of the mechanisms are connected by at least one set of cables in such a fashion that a proximal active flexible segment forms a discrete pair with a distal active flexible segment. Movement of active flexible segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. This configuration allows each flexible segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations.03-07-2013
20130066303Rotation Knobs for Surgical Instruments - A surgical instrument includes a housing having a shaft extending therefrom. The housing includes a nose having a neck and a base that defines a diameter greater than that of the neck. A rotation knob has a distal end defining a first aperture and a proximal end defining a second aperture, the apertures cooperating to define a lumen extending through the rotation knob that is configured to receive the shaft. The first aperture defines a diameter that generally approximates a diameter of the shaft. The rotation knob is transitionable between an at-rest position and a flexed position. In the flexed position, the second aperture is expanded to permit passage of the base of the nose into an interior of the rotation knob. In the at-rest position, the second aperture generally approximates the diameter of the neck to rotatably engage the rotation knob about the nose with the shaft extending therethrough.03-14-2013
20130066304APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY - Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.03-14-2013
20130066305MINIMALLY INVASIVE PORTAL SYSTEM - A minimally invasive surgical portal system, device and method may comprise a top ring assembly removably connected to an arm of a table mounted frame to provide stability and a secure trajectory. The portal system may include a top-ring assembly which may mount to an arm of a table mounted frame. The system may include a removable connection mechanism comprising a spring loaded collar configured to removably connect the top ring assembly to a table mounted frame. A variable adjustment positioner may be removably connected to the arm of the table mounted frame. The system may also include a depth positioning mechanism. The system may further include a light source configured to be placed down the portal tube.03-14-2013
20130072913MEDICAL DEVICE FOR SURGERY - Disclosed herein is a medical device for surgery according to the present invention including: a frame which is led into a body and the frame's front end portion is fixed adjacent to an affected part, and having a route of travel inside; at least one treatment unit moving along the route of travel of the frame to be accessible to the affected part and treating the affected part; a driving unit generating a driving force to drive the at least one treatment unit; and a control unit controlling the driving unit generated from the control unit to control operation of the treatment unit. According to the present invention, accessibility to the affected part is improved as compared to that of the case according to the related art, and the treatment unit performs treatment on the affected part in the state in which the frame is fixed in the region adjacent to the affected part, thereby making it possible to improve accuracy of surgery.03-21-2013
20130079757RELEASE DEVICE FOR DISENGAGING A MEDICAL IMPLANT FROM A CATHETER AND CATHETER HAVING A RELEASE DEVICE - A release device for disengaging a medical implant from an insertion device, in which the implant is releasable by a relative movement between a first insertion element and a second insertion element, comprising a body having a proximal end, which faces toward a user in the usage state, and a distal end, which is remote from the user in the usage state, a toothed rack having a first speed range and a second speed range being provided between the proximal end and the distal end, the toothed rack being provided to generate a targeted relative movement between the first insertion element and the second insertion element of the insertion device. Furthermore, the invention relates to an insertion device having such a release device.03-28-2013
20130079758SNARE SYSTEM - A snare for deployment or retrieval of an implantable medical apparatus. The snare includes a shaft, and a tip distal of the shaft. The tip includes an extendable member capable of self-centering the implantable apparatus during a deployment or retrieval. The extendable member is selectively receivable in the tip, distally extendable from the tip, and rotatable relative to the tip. An activatable handle is engaged with the shaft. A wire has an end engaged with the handle and an end engaged with the tip. Upon activation, the wire is urged in a proximal direction, resulting in a flexure of the tip. An elongated mechanism has a proximal portion engaged with the handle, and a distal portion engaged with the tip extendable member. The elongated mechanism is configured for selectively controlling the receiving, deploying, and rotating of the extendable member.03-28-2013
20130096539MOTION SENSITIVE AND CAPACITOR POWERED HANDHELD DEVICE - A handheld device includes an electronic instrument and a capacitive power supply for storing and delivering power to the electronic instrument. The capacitive power supply includes at least one capacitor, and an electronic circuit operable to boost a voltage from the capacitor to a higher voltage for use by the electronic instrument. The capacitive power supply can be rapidly recharged. Some configurations include an accelerometer which permits the handheld device to detect movement and perform various operations responsive to detected movement. A dual charging station is also disclosed.04-18-2013
20130096540FLEXIBLE WRIST FOR SURGICAL TOOL - The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. In one embodiment, a minimally invasive surgical instrument comprises includes an elongate shaft having a working end, a proximal end, a shaft axis between the working end and the proximal end, and an end effector. A wrist member has a flexible tube including an axis extending through an interior surrounded by a wall. The wall of the flexible tube includes a plurality of lumens oriented generally parallel to the axis of the flexible tube. The wrist member has a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector.04-18-2013
20130103007HANDLE FOR SURGICAL INSTRUMENTS - A handle for surgical instruments that has a “wishbone” configuration. In one embodiment, the instrument is provided with a ratchet mechanism allows two operating handles to be locked in a predetermined position (for example, when the surgical instrument that is maneuvered is in use) or to move relative to each other when the ratchet is partially or fully released (for example, when the surgical instrument that is maneuvered is not in use). In another embodiment, the instrument is provided with a rotary gear mechanism.04-25-2013
20130110088SYSTEM AND METHOD OF USING SIMULATION RELOAD TO OPTIMIZE STAPLE FORMATION05-02-2013
20130110089APPARATUS FOR GUIDING MEDICAL DEVICES AND RELATED METHODS OF USE05-02-2013
20130110090ROTATABLE MEDICAL DEVICE05-02-2013
20130116668SURGICAL INSTRUMENT HAVING FORCE FEEDBACK CAPABILITIES. - A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user.05-09-2013
20130116669A SURGICAL METHOD USING FEEDBACK CAPABILITIES. - The surgical method using force delivery and communicating a vibratory force to a user of the surgical instrument when a limit of a surgical function is reached.05-09-2013
20130123757DIRECT CONNECT FLUSH SYSTEM - A medical device may include a handle housing having a side wall defining an interior space and proximal and distal apertures extending through the side wall, an elongated outer sheath, an elongated inner member, a proximal flush port disposed within the interior space and in fluid communication with the elongated inner member, and a distal flush port disposed within the interior space and in fluid communication with the elongated outer sheath. A control knob may be rotated to move the distal flush port within the interior space.05-16-2013
20130123758FOREIGN OBJECT EXTRACTOR - The foreign object extractor has an elongated hollow tube with a central lumen through its entire length providing fluid connection between an engaging end and a vacuum source. The engaging end has a nominally round transverse cross-section and is shaped to engage a foreign object to be removed from the human body. The engaging end flares so as to expose the internal surface of the elongated hollow tube for engagement with the foreign object. An adhesive is disposed on the exposed internal flared surface of the distal end. Pneumatic suction is applied through the lumen of the extractor and the suction serves to bring the foreign object into contact with the adhesive coated surface of the extractor to form a bond between the extractor and the object to be extracted.05-16-2013
20130123759SURFACE TRACKING AND MOTION COMPENSATING SURGICAL TOOL SYSTEM - A motion-compensating surgical tool system includes a surgical tool that includes a hand piece and a moveable component, a drive assembly connecting the moveable component to the hand piece such that the moveable component is movable in an axial direction relative to the hand piece by the drive assembly. The motion-compensating surgical tool system also includes an optical detection system that includes an optical fiber attached to the moveable component with an end at a fixed distance to a distal-most portion of the moveable component. The optical detection system is configured to output a signal for the determination of a distance of the distal-most portion of the moveable component to a target during surgery.05-16-2013
20130131648SURGICAL HOOK - A surgical tool to safely penetrate the posterior longitudinal ligaments and prevent damage to vital intervening tissues near the spine. The surgical tool includes a handle, a shaft secured to the handle, and a hook secured to the shaft. The hook extends from the shaft and includes a blunt outside edge, a sharp inside edge, and a blunt tip.05-23-2013
20130131649SURGICAL DEVICE - A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member.05-23-2013
20130131650ELECTRO-MECHANICAL SURGICAL DEVICE - An electromechanical surgical device includes a motor system configured to drive drive-shafts and a steering cable arrangement. A control system may be provided for controlling the motor system. A remote control unit may also be provided for controlling the motor system via the control system. Optical or Hall-effect devices, may be provided for determining the position of the elements of the surgical instrument based on the detected rotation of the drive-shafts. A memory unit stores a plurality of operating programs or algorithms, each corresponding to a type of surgical instrument attachable to the electro-mechanical surgical device. The control system reads or selects from the plurality of operating programs or algorithms, the operating program or algorithm corresponding to the type of surgical instrument attached to the electromechanical surgical device.05-23-2013
20130131651FEATURES PROVIDING LINEAR ACTUATION THROUGH ARTICULATION JOINT IN SURGICAL INSTRUMENT - An apparatus for operating on tissue includes an end effector having a first jaw and a second jaw. The first jaw is configured to pivot relative to the second jaw from an open position to a closed position. The end effector also includes a blade member configured to translate within the end effector. An articulation portion is positioned between the end effector and a handpiece. The articulation portion is configured to bend to position the handpiece along a first longitudinal axis and the end effector along a second longitudinal axis. The articulation portion comprises a translation feature operable to translate the blade member.05-23-2013
20130138090RELEASE DEVICE FOR RELEASING A MEDICAL IMPLANT FROM A CATHETER AND CATHETER COMPRISING A RELEASE DEVICE - A release device (05-30-2013
20130138091DETACHABLE END EFFECTORS - Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft.05-30-2013
20130138092SURGICAL INSTRUMENT FOR GRASPING AND CUTTING TISSUE - A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction.05-30-2013
20130144273Surgical Instrument With Actuator Spring Arm - A handle assembly for use with a surgical instrument having an operative distal end portion is disclosed. The handle assembly includes a housing, a drive element, an actuator, a spring arm, and a biasing element. At least a partial actuation of the actuator distally translates the drive element from a proximal position where a portion of the drive element is in contact with the spring arm to a distal position where the drive element is not in contact with the spring arm.06-06-2013
20130144274SURGICAL METHODS USING A SURGICAL DEVICE HAVING A FIXED ANGULAR ORIENTATION - Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.06-06-2013
20130144275MEDICAL CONTROL APPARATUS - A medical control apparatus includes: an insertion portion in which a bending portion is provided; a drive portion that generates a driving force; a wire that is connected to the bending portion; a pulling portion that pulls the wire; a connecting portion that connects the drive portion and the pulling portion; a driving amount detection portion that detects a drive portion driving amount; a pulling portion driving amount detection portion that detects a pulling portion driving amount; a comparison portion that compares change amounts of the drive portion driving amount and the pulling portion driving amount; and an identification portion that, based on a comparison result, identifies a boundary between a bending range in which it is possible for a restoring force of an elastic member to contribute to bending of the bending portion and a bending range in which it is impossible to contribute to bending.06-06-2013
20130144276MEDICAL DEVICE HANDLE - A medical device handle may include an elongated handle housing, a rotatable collar disposed about the handle housing, a rotatable control knob disposed about the collar, and a slidable door disposed about the collar. The door may be rotatably locked to the collar to prevent relative rotation between the door and the collar.06-06-2013
20130150829Release Mechanism for Releasing a Medical Implant from a Catheter, and Catheter having a Release Mechanism - A release mechanism (06-13-2013
20130150830SYSTEM AND METHOD FOR AN ARTICULATING SHAFT - An articulating shaft system includes an elongated shaft and first and second articulating components. The elongated shaft extends along a main axis and has a distal end surface that is not perpendicular to the main axis. The first articulating component is co-axial with the main axis and is positioned adjacent to the distal end surface of the elongated shaft and has a proximal end surface and a distal end surface that are not perpendicular to the main axis. The second articulating component is co-axial with the main axis and is positioned adjacent to the distal end surface of the first articulating component and has a proximal end surface that is not perpendicular to the main axis. Rotating the first articulating component around the main axis positions the first and second articulating components at an angle relative to the main axis.06-13-2013
20130150831SYSTEM AND METHOD FOR AN ARTICULATING DISTAL END OF AN ENDOSCOPIC MEDICAL DEVICE - An endoscopic medical device system includes an elongated shaft assembly and an articulating distal end assembly. The elongated shaft assembly extends along a main axis and includes an outer tube, an inner tube, and an actuator rod. The outer tube is slidably disposed around the inner tube and the actuator rod is slidably disposed within the inner tube. The articulating distal end assembly extends from the inner tube and is configured to be oriented longitudinally along the main axis when disposed within the outer tube and angularly from the main axis as it slides out of the outer tube. The articulating distal end assembly includes a tubular body having equally spaced apart slots separated by solid segments and terminates in a distal segment. Each slot is configured to collapse individually and to form a known angle relative to the main axis as it slides out of the outer tube.06-13-2013
20130150832APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY - Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.06-13-2013
20130150833SURGICAL INSTRUMENT - A medical instrument having a proximal control handle and a distal tool that are intercoupled by an elongated instrument shaft that is meant to pass internally of an anatomic body, proximal and distal movable members that respectively intercouple the proximal control handle and the distal tool with the instrument shaft, cable control means disposed between the movable members, an actuation member at the handle for controlling the distal tool through the movable members, a coupler for selectively engaging or disengaging separable cable segments of the actuation member, and the handle housing being provided in separate sections providing a rear opening for receiving the instrument shaft portion.06-13-2013
20130150834MEDICAL MARKER, METHOD AND APPARATUS FOR PRODUCING A MEDICAL MARKER - The present invention relates to a method for producing a multi-part medical marker (06-13-2013
20130158523Medical Devices, Apparatuses, Systems, and Methods for Magnetic Transmural and/or Transdermal Activation of Medical Tools - Systems, methods, apparatuses, and medical devices configured for transmural and/or transdermal magnetic actuation of a tool of a medical device (e.g., without translation of the medical device and/or relative to a platform of the medical device).06-20-2013
20130158524Releasing Device for Detaching a Medical Implant from a Catheter and a Catheter having a Releasing Device, and Method for Producing a Clamping Body of a Releasing Device and Method for Clamping an Implant in such a Clamping Body - A releasing device (06-20-2013
20130158525FLEXIBLE CHANNEL SURGICAL INSTRUMENTS - Embodiments described herein are directed to flexible channel instruments for minimally invasive aerodigestive surgical procedures.06-20-2013
20130158526Medical Tubular Shaft Instrument - A medical tubular shaft instrument comprises a tubular shaft, a handle at a proximal end of the shaft and a movable working part at a distal end of the shaft, wherein the shaft comprises a shaft section having a curvature and being arranged between the distal end and the proximal end of the shaft, wherein the handle and the working part are operatively connected via a force transmission element extending through the shaft and being movable in a longitudinal direction of the shaft, wherein the force transmission element has a section arranged within the curved shaft section of the shaft which is guided on an inner surface of the shaft and which comprises a plurality of interconnected single elements arranged one after the other along the longitudinal direction of the shaft. The single elements are pairwise connected by means of a pin forming a hinged joint, wherein each of the pins defines a rotation axis oriented substantially perpendicular relative to the shaft.06-20-2013
20130158527Medical Instrument With A Detent - A medical instrument includes a shaft which is connected at the proximal end to a handle, and it also includes an insert which is guided along the shaft and which is connected at the proximal end to a movable grip part of the handle. At its distal end, the insert has a tool which can be actuated by pivoting of the grip part. A lock is also provided which can be brought into locking engagement with the movable grip part. To cancel the lock function, a detent is provided which can be brought between lock and movable grip part, such that the lock function can be cancelled by the detent.06-20-2013
20130165907INSTRUMENT WITH REMOVABLE TIP - A laparoscopic instrument is disclosed, including an elongated tube defining a proximal portion and a distal portion; an end effector removably coupled to the distal portion, the end effector including first and second elements pivotably coupled to one another; an anchor coupled to the tube and a pivot point of the end effector to restrict axial movement of the end effector; and a sleeve movably coupled to the tube, where the sleeve is slidable across at least a portion of the end effector to secure the end effector to the tube.06-27-2013
20130165908POSITIONING DEVICE AND ARTICULATION ASSEMBLY FOR REMOTE POSITIONING OF A TOOL - A device for use in guiding the position of a surgical tool from a remote location is disclosed. The device includes a handle, an elongate shaft mounted on the handle, an elongate articulation assembly carried at its proximal end to the shaft and adapted to receive the surgical tool at the assembly's distal end, and a cable operatively connecting the handle to the articulation assembly. The position of the articulation assembly is controlled by rotating a knob on the handle, which moves the articulation into different angled configurations depending on whether the knob is rotated in clockwise or counterclockwise directions.06-27-2013
20130165909OPERATING ELEMENT FOR MEDICAL, PREFERABLY SURGICAL INSTRUMENTS WITH THREE-FINGER HOLD - An instrument includes a motor unit with a slide or piston. The operating direction of the slide or piston may be adapted to the bending and stretching movement of the user's index finger. A resiliently elastic extension or tongue transfers the bending and stretching movement of the index finger to the slide or piston on the side of the motor unit. The tongue is fixedly coupled to the slide or piston and extends above the handpiece along a gripping portion. The resilient flexibility of the tongue is selected so that it can be easily bent by the index finger resting on the tongue toward the gripping portion of the handpiece, which then serves as a contact or stop element for an operating element at the tongue and thus ensures fixed clamping of the handpiece between the thumb, the middle finger and the index finger.06-27-2013
20130172858REDUCED BACKFLASH JOINT AND METHOD OF MAKING SAME - A joint and a corresponding method of creating a precision-fit joint, including creating a mating surface on a first joint component so that the mating surface includes one or more interfering features, connecting a second joint component with the mating surface such that the interfering feature is compressed, and heating the mating surface above a glass transition temperature or melting temperature of the mating surface, or otherwise treating the surface, so as to induce flow of material from the interfering feature to a area of relatively low pressure between the first joint component and the second joint component.07-04-2013
20130172859Medical Instrument - A transmission adapter for a medical instrument having a shaft, a transmission element that can move within the shaft and an operating device with a first part, which can be mechanically rigidly coupled with a proximal end of the shaft, and a second part, which can move with respect to the first part, includes a first coupling for releasable mechanical coupling with the second part of the operating device and a second coupling for releasable mechanical coupling with a proximal end of the transmission element.07-04-2013
20130172860SURGICAL INSTRUMENT IN PARTICULAR FOR PERITONEAL SURGERY - A surgical instrument comprising an elongate body which ends with a tool carrier and which is intended to be introduced into the peritoneal cavity by way of a trocar, the body comprising: 07-04-2013
20130178837Surgical Instrument with Articulating Assembly - A surgical instrument includes a housing having an elongated member assembly extending from the housing. The elongated member has a first portion and a second portion. The second portion is movably coupled to the first portion by a cable that facilitates the relative movement of the first portion and the second portion.07-11-2013
20130178838Surgical Articulation Assembly - A surgical articulation assembly is disclosed, including a control assembly and an articulable portion. The articulable portion includes at least two segments capable of independent movement. The control assembly defines an axis and three user controls configured to be engaged by an operator. Disposed within the control assembly are three pairs of diametrically opposed driving members that effects translation of a connecting member upon engagement of the user controls. An end of the connecting member is attached to one of the first and second segments of the articulable portion. As the connecting member translates with the driving members, the three user controls allow an operator to exert forces at points along the articulable portion. Also disclosed is a method of effecting articulation of a surgical articulation assembly.07-11-2013
20130184690SYSTEMS, APPARATUSES AND METHODS OF TOOL EXCHANGE - A system for exchanging at least one end tool includes at least one tool exchange device for retaining each of the at least one end tool and at least one operating instrument engageable with each of the at least one end tool. The tool exchange device includes a tool retaining mechanism having an opening and a plurality of engagement features to enable mutually exclusive engagement and disengagement of the tool retaining mechanism with each of the at least one tool. Each of the at least one tool is receivable in the opening and has a biasing member engageable with the plurality of engagement features for at least one of biasing to an engaged position and a disengaged position.07-18-2013
20130184691ADJUSTABLE DEVICE HANDLE AND RELATED METHODS OF USE - An adjustable accessory for a medical device having an elongate tube and a lumen extending therein, the adjustable accessory including a handle adapted for connection to a proximal end of the elongate tube. The handle including a longitudinal axis and a slot on the handle transverse to the longitudinal axis. The slot includes multiple detent positions and a fitting movably disposed in the slot. The fitting is configured to be releasably secured within one of the detent positions, and the fitting includes a port in communication with the lumen of the elongate tube.07-18-2013
20130184692COUPLING DEVICE BETWEEN THE DRIVE SHAFT OF A SURGICAL INSTRUMENT AND A TOOL - Coupling device between a drive shaft (07-18-2013
20130190732Surgical Instrument With Clamp Release Mechanism - A handle assembly for use with a surgical instrument having an operative distal end portion is disclosed. The handle assembly comprises a handle housing, a drive element, an actuator and a clamp release assembly. The drive element is disposed at least partially within the handle housing and is longitudinally translatable with respect to the handle assembly. The actuator is disposed in mechanical cooperation with the handle housing. At least a partial actuation of the actuator longitudinally translates the drive element. The clamp release assembly is disposed in mechanical cooperation with the drive element. The clamp release assembly includes a clamp pawl configured to releasable lock the longitudinal position of the drive element.07-25-2013
20130190733POWERED SURGICAL INSTRUMENT HAVING A TRANSMISSION SYSTEM - A powered surgical apparatus for engaging tissue includes a housing assembly and a movable portion operatively connected to the housing assembly. The movable portion is movable with respect to the housing assembly. In addition, the surgical apparatus includes a power source configured to supply electrical power, and a transmission system configured to transfer at least one of a signal and electrical power between the handle assembly and the movable portion, the transmission system including a first electronic board disposed in the handle assembly and a second electronic board positioned in the movable portion, the second electronic board including a primary control circuit and a secondary control circuit wherein the movable portion is configured and adapted to rotate about a longitudinal axis defined by the powered surgical apparatus.07-25-2013
20130190734INTERFEROMETRIC FORCE SENSOR FOR SURGICAL INSTRUMENTS - A surgical tool system according to an embodiment of the current invention includes a surgical tool, and an interferometry system optically coupled to the surgical tool. The surgical tool includes a body section, a sensor section at least one of attached to or integral with the body section, and a surgical section at least one of attached to or integral with the sensor section at an opposing end of the sensor section from the body section. The sensor section comprises an interferometric optical sensor defining a reference distance that changes in response to at least one of a force or a torque when applied to the surgical section of the surgical tool.07-25-2013
20130197488SURGICAL INSTRUMENT SLEEVE - A surgical instrument may have a handle, a support sleeve, and an inner sleeve. Illustratively, the support sleeve may be configured to actuate relative to the inner sleeve to protect the inner sleeve before and after a surgical procedure and to expose a portion of the inner sleeve during the surgical procedure. In one or more embodiments, an application of a force to a distal end of the support sleeve may be configured to retract the support sleeve relative to the inner sleeve. Illustratively, a reduction of a force applied to the distal end of the support sleeve may be configured to extend the support sleeve relative to the inner sleeve.08-01-2013
20130197489SURGICAL INSTRUMENT HANDLE ASSEMBLY - A surgical instrument handle assembly configured for rigid and releasable connection to orthopedic devices including orthopedic shaping or cutting members such as a broaches, reamers and/or osteotomes adapted to prepare the intramedullary canal of a femur in total hip arthroplasty procedures.08-01-2013
20130197490MEDICAL DEVICE HAVING A TENSIONABLE COUPLING - This invention is directed to a medical device having an elongate shaft having a distal end and a controller coupled to the shaft. A control member can extend through at least part of the elongate shaft and at least part of the controller, wherein the control member in a tensioned configuration can be moveable by the controller to control the distal end of the shaft and the control member can be slack in an untensioned configuration. A tensioning mechanism can be configured to move relative to at least one of the elongate shaft and the controller to tension the control member and automatically lock the control member in the tensioned configuration.08-01-2013
20130197491MEDICAL DEVICE HAVING A MODULAR CONTROLLER - This invention is directed to a surgical instrument having an elongate shaft with a proximal and a distal end, and including a controller coupled to a proximal region of the elongate shaft. In a first configuration, the controller can control an end-effector coupled to the distal end of the elongate shaft via a control element moveably coupled to the controller. In a second configuration, the controller can move the distal end of the elongate shaft. The surgical instrument can also have an aperture configured to receive the control element in the first configuration and receive an insert element fixedly coupled to the controller and configured to cover the aperture in the second configuration.08-01-2013
20130197492Bending Joint Mechanism, Surgical Instrument Having This Bending Joint Mechanism, and Manipulator Having This Bending Joint Mechanism - A bending joint mechanism includes a joint section. The joint section includes a shaft section, an actuating section, a coupling member and a rod section. The rod section has an elastic portion which is elastically deformable in directions other than the axial direction of the shaft section.08-01-2013
20130197493MINIMALLY INVASIVE INSTRUMENT - The invention relates to a minimally invasive instrument (08-01-2013
20130204234SYSTEMS FOR THE REDUCTION OF LEAKAGE AROUND MEDICAL DEVICES AT A TREATMENT SITE - A flow reduction system is provided which includes any suitable system installable through and within the vasculature, configured to reduce flow of blood and other bodily fluids, and includes one or more components configured to fill spaces or “gutters” around and/or between medical devices installed in the vasculature.08-08-2013
20130211386SURGICAL TARGETING SYSTEM AND METHOD - A targeting system is used for positioning of a medical sub device with respect to a medical device. A reference body is reproducibly positioned with respect to a targeting device coupling section and reproducibly positioned with respect to a targeting unit. The targeting unit has a targeting direction and is adjustable with respect to the targeting device so that the targeting direction points toward a medical sub device receptacle of the medical device coupled to the targeting device coupling section. The imaging system is positionable with respect to the targeting device such that the imaging system is capable of imaging a single two-dimensional view of the reference body and the medical sub device receptacle. The evaluation unit generates position data of the single two-dimensional view and to determine from the position data a lateral distance between the targeting direction and a receiving direction of the medical sub device receptacle.08-15-2013
20130218137INTEGRATED SURGERY SYSTEM - A system for conducting a medical procedure in an operating room includes a first camera-based 3-D motion sensor mounted in a known position and orientation relative to a global coordinate system of the operating room and configured to generate signals related to the 3-D position of a procedure object in the operating room based upon an outer shape of the procedure object relative to the first camera-based 3-D motion sensor; and a controller operatively coupled to the first camera-based 3-D motion sensor and configured to automatically monitor progress of the medical procedure based at least in part upon one or more positions of the procedure object relative to time as compared with a predetermined operational plan for moving the procedure object over time, the one or more positions based at least in part upon the signals.08-22-2013
20130218138RELEASE DEVICE FOR RELEASING A MEDICAL IMPLANT FROM A CATHETER AND CATHETER HAVING A RELEASE DEVICE AND METHOD FOR CLAMPING AN IMPLANT THEREIN - An embodiment of the invention relates to a release device for releasing a medical implant from an insertion device, in the case of which the implant can be released by way of a relative motion between a first and a second insertion element, comprising a clamping element for clamping the implant in the insertion device, having a proximal end which is distant from a distal end of the insertion device in the state of use, and a distal end which faces the distal end of the insertion device in the state of use, wherein the clamping unit comprises a first component and at least one second component, which clamp the implant there between in the clamped state. The invention further relates to an insertion device comprising such a release device and a method for clamping an implant in an insertion device.08-22-2013
20130218139CRIMPING DEVICE AND METHOD FOR MOUNTING A VASCULAR STENT - A crimping device for mounting a vascular stent, or a heart valve prosthesis introduced in a vascular stent, on an insertion catheter, comprising a forming tool having a rotationally symmetrical forming cavity, which at one end comprises a stent receiving section, at the opposing end a stent outfeed section and in between these a tapering section, and a pushing tool, which comprises a retaining and handling section and a stent forming section, wherein the latter is designed to penetrate the forming cavity of the forming tool from the open end of the stent receiving section and to seize and push back the vascular stent introduced there through the tapering section.08-22-2013
20130218140TOOL WITH END EFFECTOR FORCE LIMITER - The invention provides surgical or diagnostic tools and associated methods that offer improved user control for operating remotely within regions of the body. In some embodiments these tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. A rotation lock provides for enablement and disablement of rotatability of the end effector.08-22-2013
20130218141LINK SYSTEMS AND ARTICULATION MECHANISMS FOR REMOTE MANIPULATION OF SURGICAL OR DIAGNOSTIC TOOLS - Articulating mechanisms, link systems, and components thereof, useful for a variety of purposes including, but not limited to, the remote manipulation of instruments such as surgical or diagnostic instruments or tools are provided. The link systems include links wherein at least two adjacent links are pivotable relative to one another around two distinct pivot points. Mechanisms for locking the links are also provided.08-22-2013
20130218142INTEGRATION OF SURGICAL INSTRUMENT AND DISPLAY DEVICE FOR ASSISTING IN IMAGE-GUIDED SURGERY - The invention relates to a surgical instrument comprising a handle portion or mounting portion and a functional portion and/or tip, wherein a display device is provided on the instrument and includes or enables displays which serve to assist in image-guided and/or navigation-assisted surgery. It also relates to a method for navigating a surgical instrument, wherein its position is determined and tracked by means of a medical tracking system and the position data is processed within the framework of medical navigation by means of a medical navigation system, wherein displays for navigation assistance and/or for assisting in image-guided surgery are provided on the instrument or on an element which is positionally assigned to the instrument or fastened to the instrument.08-22-2013
20130226155SURGICAL INSTRUMENT - A surgical instrument includes a housing, and a shaft including a proximal end, a deflectable portion and a distal tip. A handle is movable between first and second positions on the housing, and an actuator is movably coupled to the handle, such that movement of the handle between its first and second positions causes a corresponding movement of the actuator between first and second positions in the housing. A deflection wire includes proximal and distal portions, the distal portion being fixed to the shaft, and the proximal portion being affixed to the housing so as to provide a path length for the deflection wire within the housing. The movement of the handle causes the actuator to move to its second position, the second position of the actuator causing an increase in the path length for the deflection wire so as cause a deflection of the distal tip of the shaft.08-29-2013
20130226156DEVICE AND METHOD FOR OPTICAL IMAGE CORRECTION IN METROLOGY SYSTEMS - An optical metrology and image correction device includes a point size light source adapted to emit a beam of light and a translucent mask that receive the beam of light. The translucent mask rotates from a first position wherein the beam of light is received by the translucent mask in a direction substantially orthogonal to the translucent mask to a second position wherein the beam of light is received by the translucent mask at an angle offset with respect to the translucent mask. A corresponding method of measuring and correcting an image from an optical metrology and image correction device includes emitting a beam of light from a point size light source, causing the beam of light to be received by a translucent mask in a first position substantially orthogonal to the mask and in a second position in a direction offset with respect to the translucent mask.08-29-2013
20130231643LOCKING SHIPPING WEDGE - A locking shipping wedge is provided and generally includes a body portion having an elongate transverse member projecting from the body portion which is engageable with a drive assembly of a loading unit. A locking mechanism is provided on the body portion of the shipping wedge which is engageable with locking structure movably mounted within the loading unit.09-05-2013
20130245615CHECK VALVE VENTED STERILIZABLE POWERED SURGICAL HANDPIECE - A steam-sterilizable powered surgical handpiece provided with a check valve for venting of an interior cavity of the handpiece. The check valve may be configured to vent steam, steam condensate or contaminants from the interior cavity during a steam sterilization cycle. The check valve may be configured to open when subjected to steam sterilization parameters to prevent gas, liquid or contaminants from potentially degrading interior components of the handpiece.09-19-2013
20130253480SURGICAL INSTRUMENT USAGE DATA MANAGEMENT - A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the instrument. The instrument may be previously tested on a calibration kit to pre-determine and load surgeon-specific settings onto the instrument prior to use.09-26-2013
20130253481STEERABLE TUBE - A steerable tube (09-26-2013
20130253482SURGICAL INSTRUMENT - The invention relates to a surgical instrument, in particular a minimally invasive surgical instrument, with a working unit, and with a control unit which has two control elements that can be separated from each other for cleaning and/or disinfection.09-26-2013
20130253483Tool Having Multiple Feedback Devices - Disclosed herein are systems and methods for managing how signals, which are sensed on a tool, are presented to an operator of the tool. According to one example of a method for managing signals, the method comprises allowing an operator to manipulate a tool having a plurality of output mechanisms mounted thereon. The method also includes sensing a property of an object located near or adjacent to a distal portion of the tool and processing the sensed property to obtain one or more output signals. Furthermore, the method includes applying the one or more output signals to one or more of the output mechanisms.09-26-2013
20130261609Navigated Instrument With a Stabilizer - A stabilizer for use with a trackable surgical instrument can include a first member, a second member and a retaining member. The first member can have a first annular body portion and a first pair of legs extending therefrom. The first annular body portion can include a plurality of locating slots for engaging a selectively positionable portion of a surgical instrument. The second member can have a second annular body portion and a second pair of legs extending therefrom. The second annular body can engage a drive device of the surgical instrument. The first pair of legs can be telescopically coupled with and adjustable relative to the second pair of legs such that the first member can be axially adjustable relative to the second member. The retaining member can cooperate with at least one leg to retain the first member adjustably coupled to the second member.10-03-2013
20130261610SURGICAL INSTRUMENT HANDLE WITH CAM-ACTUATING SYSTEM - A surgical instrument handle having a cam-actuated system is disclosed. The surgical instrument handle includes a rotating member that defines a cam-actuating surface operatively engaged with a locking member, which is fixedly engaged to a reciprocating member for moving the reciprocating member between a retracted and extended positions. The cam-actuating surface of the rotating member is configured to permit the locking member to slide along the cam-actuating surface such that the tangential angle along the point of contact between the locking member and the cam-actuating surface is maintained at a predetermined angle.10-03-2013
20130261611Modular Diagnostic Instrument Workstation Architecture and Method - A workstation architecture for one or more medical diagnostic instruments is provided using a modular approach. Elements common to operations for the instruments are grouped together as a set of service components that are made available to instrument specific software applications. Application developers can develop software specific to the instrument while accessing the common service components to speed software development. A user interface tool is provided to permit a customized user interface to be developed for the instrument, within a generally consistent interface environment. The resulting user interfaces have a consistent look and behavior among different instrument types to facilitate a simplified and familiar user experience. The common service components provide a broad variety of services that are useful to developers and are easily integrated with instrument specific software. Features such as language variability and secure access points are provided in a distributed environment.10-03-2013
20130267936WRIST ASSEMBLY FOR ARTICULATING LAPAROSCOPIC SURGICAL INSTRUMENTS - An articulating laparoscopic instrument including a handle, an outer shaft, an end effector, and a wrist assembly. The wrist assembly connects the end effector to the shaft and includes torque and articulation mechanisms. The torque mechanism includes a plurality of links disposed over the rod and connected with one another in a pivotable yet rotationally locked fashion. The articulation mechanism includes a plurality of articulation member disposed over the rod to collectively define a deflection section. The links freely rotate relative to the articulation members, with the rod and links collectively bending in response to a change in shape of the deflection section.10-10-2013
20130274720SPLIT ENDOSCOPIC INSTRUMENT - The present invention provides a split endoscopic instrument including a handle and cannula in communication with a surgical site through a lumen therein the split endoscopic instrument being comprised of separable instrument halves that meet at a parting plane and are configured for operation between open and closed configurations and further includes retaining members and interlocking connectors for securely aligning the separable instrument halves together, the handle includes circumferential grooves extending radially therearound for receiving the retaining members therein.10-17-2013
20130274721SURGICAL APPARATUS AND METHOD - An implant manipulator may have a distal end that retains an implant, a proximal end, and an intermediate portion between the ends. The intermediate portion may have a cross-sectional shape that extends along a nonlinear pathway. The intermediate portion may have a selectively bendable portion in which the cross-sectional shape varies to facilitate bending when desired. The implant manipulator may be a needle for a suture passer, with a suture capture feature at the distal end. The suture capture feature may have first and second members that flex apart to permit entry of the suture into a suture capture hole wherein the suture is retained until released. A suture passer may receive the needle in a bore shaped to change the cross-sectional shape to facilitate or restrict bending of the needle, as needed.10-17-2013
20130274722APPARATUS FOR ENDOSCOPIC PROCEDURES - An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable.10-17-2013
20130281987SYSTEM FOR ENDOSCOPIC SURGERY - In a system for endoscopic surgery, a storage unit stores a command for controlling a peripheral device and whether or not the command is valid or invalid in an associated manner for each operator and each procedure of an endoscopic surgery. A specification unit receives specification of an operator and a procedure. A conversion unit recognizes an input voice, and converts the voice into a voice command. A determination unit refers to the storage unit, and determines whether or not the voice command obtained by the conversion unit is identical to a command that has been set to be valid for the operator and the procedure specified by the specification unit. A transmission unit halts a transmission process to a peripheral device that corresponds to a command that has been determined to be invalid by the determination unit.10-24-2013
20130281988IMPLANT RETENTION ATTACHMENT AND METHOD OF USE - The present teachings generally relate a delivery system having an implant retention mechanism. Specifically, the delivery system includes a delivery sheath, a delivery catheter, and a flexible or a rigid implant retention mechanism. The flexible implant retention mechanism includes an implant retention string having a fixed end and a free end where the free end extends from the fixed end, crosses a retention outlet of an implant, and extends proximally through a lumen of the delivery sheath. The rigid implant retention mechanism includes an implant retention wire having a fixed end and a free end where the free end extends from the fixed end, crosses a retention outlet of an implant, and extends proximally through a lumen of the delivery sheath.10-24-2013
20130281989Instrument With Multiple Articulation Locks - An articulating tool includes proximal, central and distal portions, an articulation mechanism, and first and second articulation locks. The articulation mechanism includes a pair of links, the pair comprising a proximal link on the proximal portion of the tool and a distal link on the distal portion of the tool. The first articulation lock has an engaged position and a disengaged position. When in the engaged position, the first articulation lock impedes movement of the proximal link relative to the central portion about a yaw axis, and corresponding relative movement of the distal link. The second articulation lock also has an engaged position and a disengaged position. When in the engaged position, the second articulation lock impedes movement of the proximal link relative to the central portion about a pitch axis, and corresponding relative movement of the distal link.10-24-2013
20130281990DETACHMENT TOOL FOR DECOUPLING A SHAPE SENSOR FROM AN IMPLANTABLE DEVICE - A deployment device (10-24-2013
20130289541Toggling Ergonomic Surgical Instrument - A ergonomic surgical instrument is provided having a first and second trigger. The instrument comprises a shroud and at least one toggle switch located on the shroud's lateral surface for selectively engaging the first or second trigger to actuate an end-effector. The toggle fixes the position of one trigger with respect to the shroud while permitting the other trigger to actuate the end-effector.10-31-2013
20130289542ARRANGEMENT FOR SUPPORTING ONE OR MORE CABLES, WIRES OR HOSES - The present invention relates to an arrangement for supporting one or more cables, wires or hoses during repeated movements between a first and second end position. The arrangement comprises: a component support structure; a component turnable between the first and second end position; one or more elongated cables, wires or hoses; and a winding element. The one or more cables, wires or hoses are lead along the support structure to the winding element and continues to component and the surplus length of the cables, wires or hoses absorbed within the winding element. The invention furthermore relates to a medical device comprising said arrangement.10-31-2013
20130304041Handling device for a medical instrument - A handling device for a medical instrument includes a main body with a coupling for releasable mechanical connection to a proximal end of an outer shaft, a first actuation device movable relative to the main body, a second actuation device movable relative to the main body, a first coupling device coupling the first actuation device to a first transfer device for transferring at least a force or a torque, and a second coupling device coupling the second actuation device to a second transfer device for transferring at least a force or a torque. The coupling devices each have a decoupling position, in which the associated actuation device is decoupled from the associated transfer device. The decoupling positions of both coupling devices can only be reached when the outer shaft is not connected to the coupling on the main body in the manner provided for use of the medical instrument.11-14-2013
20130304042INSTRUMENT TIP ASSEMBLY HAVING SELF-THREADING BACK HUB - A actuating instrument including an instrument tip assembly having a yoke attachment thread. The actuating instrument also includes an actuator having an actuating shaft. The actuating shaft is provided with a first thread within the actuating shaft and a second thread provided on the actuating shaft. Further, the first thread is connected to the yoke attachment thread. Additionally, a back hub is provided at a proximal end of the instrument tip assembly and includes a rib or ribs provided on one of an inner surface and an outer surface of the back hub. The rib or ribs projecting from the one of the inner surface and the outer surface of the back hub and engages the second thread of the shaft to from an attachment thread.11-14-2013
20130310812Coupling between two parts of a medical instrument - A tool for a medical instrument includes a coupling member on the proximal end of the tool, for releasable mechanical coupling with a distal end of a shaft of a medical instrument, wherein the coupling member is in the form of a helical cutout of a circular cylinder barrel.11-21-2013
20130310813Manipulation device for a medical instrument - A manipulation device for mechanical connection with connection with the proximal end of a shaft, for forming a medical instrument, includes a plurality of retaining devices, wherein each one of the plurality of retaining devices is designed to releasably retain the proximal end of a shaft or the proximal end of a transmission device for transmitting at least either a force or a torque in the shaft, a manually activatable actuation device, and a coupling device for mechanically coupling the actuation device to the plurality of retaining devices, in such a way that a manual activation of the actuation device causes a release of the plurality of retaining devices.11-21-2013
20130310814Medizinisches Instrument und Verfahren zum Zusammensetzen eines medizinischen Instruments - A medical instrument includes an outer shaft, a transmitting device arranged for transferring at least a force or torque and a tool having a coupling device for detachable mechanical connection of the tool and a coupling device on the distal end of the outer shaft and having a transferring coupling device for the detachable mechanical connection of the tool and a tool coupling device on the distal end of the transmitting device. The mechanical connection of the tool coupling device on the outer shaft and the outer shaft coupling device buildable by moving the outer shaft in relation to the tool in a first direction. The mechanical connection of the tool and transfer coupling devices on the transmitting device and device buildable by moving the transmitting device in relation to the tool in a second direction. The first direction opposite to the second direction.11-21-2013
20130310815FIBRIN-GEL COMPRESSION DEVICE - A compression device is provided which allows anyone to easily uniformly and thinly compress fibrin-gel without damage. A fibrin-gel compression device 11-21-2013
20130317485CAPTURE DEVICE - The present invention relates to a device and a method for capturing a guidewire being progressed along the lumen of a bodily duct and to direct it into a catheter. In one aspect a catheter-based eccentric cone capture means is used to engage and direct a guidewire oppositely approaching the capture means.11-28-2013
20130317486HAND-HELD SURGICAL DEVICES - A surgical system is provided and includes an intelligent surgical device having a drive motor supported in the housing and being in electrical communication with the power source; and control circuitry. The control circuitry includes a feedback system for monitoring a condition of the surgical device during a use thereof and for changing an operative parameter of the surgical device when a change in the monitored condition occurs. The surgical system includes a non-intelligent loading unit for selective connection to the housing of the surgical device and which is actuatable by the drive motor, the loading unit having a first and a second condition. During operation, the drive motor actuates the loading unit from the first condition to the second condition; and when the loading unit achieves the second condition, a change in the at least one monitored condition occurs and an operative parameter of the surgical device is changed.11-28-2013
20130324976MOTOR DRIVEN SURGICAL INSTRUMENT WITH FLUID CONTROL CIRCUIT - A surgical system includes a surgical tool having a motor with a shaft configured to rotate, a cutting device that reciprocates in accordance with the rotation of the shaft, and a position sensor that determines a state of the motor and outputs a position signal representing the motor state. A fluid regulator provides fluid to the motor, and the motor rotates in accordance with the fluid provided. A controller generates a fluid flow command based at least in part on the position signal. The fluid regulator receives the fluid flow command and regulates fluid flow to the motor accordingly.12-05-2013
20130324977TRANSCUTANEOUS IMPLANT TOOLS, SYSTEMS AND METHODS - A transcutaneous implant tool is used to push a medical element through an incision and into a patient's subcutaneous tissue, while a fin of the tool is engaged beneath the patient's skin at the incision site. The tool preferably includes an injection rod for moving the medical element out through an opening of a bore of the tool. The fin, which is located in proximity to the opening, preferably includes a distal-facing surface that extends proximally from the opening at an acute angle with respect to a longitudinal axis of the bore; and the injection rod preferably includes a distal surface that is approximately coplanar with the distal-facing surface of the fin, when the distal surface of the rod is located in proximity to the opening of the bore.12-05-2013
20130324978HAND HELD SURGICAL HANDLE ASSEMBLY, SURGICAL ADAPTERS FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS, AND METHODS OF USE - The present disclosure relates to a surgical device including an adapter assembly for selectively interconnecting an end effector and the device housing. The adapter assembly includes at least one drive converter assembly that converts and transmits a rotation of the rotatable drive shaft to an axial translation of at least one axially translatable drive member of the end effector. A first drive converter assembly includes a first drive element, a nut, an articulation sleeve, an articulation bearing, and an articulation link. Rotation of the rotatable drive shaft results in rotation of the first drive element. Rotation of the first drive element results in axial translation of the nut, the articulation sleeve, the articulation bearing, the articulation link, and the at least one axially translatable drive member of the end effector.12-05-2013
20130324979LOADING UNIT DETECTION ASSEMBLY AND SURGICAL DEVICE FOR USE THEREWITH - The present disclosure relates to hand held powered surgical devices, loading unit detection assemblies, surgical adapters and/or adapter assemblies for use between and for interconnecting the powered surgical device or handle assembly and an end effector for clamping, cutting, stapling and/or sealing tissue.12-05-2013
20130324980METHOD AND APPARATUS FOR FACILITATING ACCESS THROUGH A PATIENT TISSUE - A system for facilitating access through a substantially planar and laterally oriented patient skin surface includes a guiding substrate extending substantially parallel to the skin surface and selectively directly fastened thereto. The guiding substrate supports a guiding structure in a substantially fixed relationship to an access site of the skin surface. A tool carriage is configured to accept surgical tools for sequential interaction with the access site. The tool carriage engages the guiding structure such that the tool carriage is guided along a predetermined action path when motive force is provided to the tool carriage. The tool carriage is guided along the action path with an incising tool in penetrating contact with the access site of the skin surface to create a laterally elongate incision at the access site. The tool carriage is guided along the action path to substantially close the incision at the access site.12-05-2013
20130324981SURGICAL INSTRUMENT BATTERY COMPRISING A PLURALITY OF CELLS - Various embodiments are directed to battery packs for use with surgical instruments. The battery packs may comprise a plurality of cells and at least a portion of the plurality of cells may not be electrically connected to one another. The battery packs may comprise a switch or other mechanism for interconnecting the plurality of cells and may also comprise, or be used in conjunction with, a discharge switch or plug configured to electrically connect an anode of the battery pack to a cathode of the battery pack, for example, via a resistive element.12-05-2013
20130324982ORIENTABLE BATTERY FOR A SURGICAL INSTRUMENT - Various embodiments are directed to battery packs for use with surgical instruments. The battery packs may comprise a plurality of cells and at least a portion of the plurality of cells may not be electrically connected to one another. The battery packs may comprise a switch or other mechanism for interconnecting the plurality of cells and may also comprise, or be used in conjunction with, a discharge switch or plug configured to electrically connect an anode of the battery pack to a cathode of the battery pack, for example, via a resistive element.12-05-2013
20130331825FLEXIBLE PROBE WITH ADJUSTABLE TIP - An instrument includes a handle portion, an actuator, a shaft, a rigid member, and an angular control mechanism. The shaft has a proximal end and a distal end with an electrode region, and a flexible region in between. Moving the actuator causes portions of the flexible region distal of a pivot region to bend such that an angular orientation and a radial offset of the electrode region reach a maximum angular orientation and a maximum radial offset, respectively, when the actuator reaches the end position. A distal portion of the rigid member defines the pivot region. Moving the rigid member along the shaft causes the pivot region to translate. The maximum radial offset varies depending on the position of the pivot region. The angular control mechanism is configured to control the angular orientation such that the maximum angular orientation is same regardless of the position of the rigid member.12-12-2013
20130331826SURGICAL INSTRUMENT - A surgical instrument for minimally invasive surgery. The surgical instrument includes a manipulator, a proximal universal joint mounted to the manipulator, a tube mounted to the proximal joint, a distal universal joint mounted to the tube, and an end effector including at least one movable jaw mounted to the distal joint. Cables operatively couple the manipulator, proximal joint, and distal joints and concurrently operatively couple the manipulator and the end effector. Four cables may control two degrees of freedom of the distal joint and one degree of freedom of the jaw. Pivoting of the manipulator and a proximal yoke of the proximal joint results in a corresponding motion in a distal yoke of the distal joint. Actuation of an anchor in the manipulator results in operation of any moveable jaws in the end effector. The distal universal joint and the end effector may be integrated into one end segment part.12-12-2013
20130338646APPARATUS FOR INSERTING A SURGICAL DEVICE AT LEAST PARTIALLY THROUGH A WOUND OPENING - An apparatus (12-19-2013
20130338647Unknown - A shank for a medical instrument includes a controlled curvable portion or a hinge, an uncontrolled flexible portion, and a shank coupling device for the releasable mechanical connection of the shank to a maneuvering device.12-19-2013
20140005640SURGICAL END EFFECTOR JAW AND ELECTRODE CONFIGURATIONS01-02-2014
20140005641INSTRUMENT FOR MANIPULATING AN IMPLANT01-02-2014
20140012236SURGICAL ADAPTER ASSEMBLIES FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS - Adapter assemblies are provided for selectively interconnecting a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector, wherein the adapter assembly includes an adapter knob housing configured and adapted for connection with the surgical device and to be in operative communication with each of the at least one rotatable drive shaft of the surgical device, the adapter knob housing defining a lumen extending longitudinally therethrough and a ring gear formed in an inner surface of the lumen of the adapter knob housing, the ring gear defining an internal array of gear teeth which are engaged with a spur gear of a rotatable drive shaft. The adapter knob housing may be a unitary member and may be formed of plastic.01-09-2014
20140012237SURGICAL ADAPTER ASSEMBLIES FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS - An adapter assembly is provided for selectively interconnecting a surgical end effector that is configured to perform a function and a surgical device that is configured to actuate the end effector, the end effector including at least one axially translatable drive member, and the surgical device including at least one rotatable drive shaft. The adapter assembly includes at least one drive converter assembly including a drive shaft; a drive coupling nut threadably connected to a distal end portion of the drive shaft; and an axially translatable drive bar connected to the drive coupling nut, wherein rotation of the drive shaft results in axial translation of the drive bar. The drive coupling nut engages 29 teeth of the threaded distal end portion of the drive shaft. The drive coupling nut is manufactured from unreinforced PEEK thermoplastic polymer.01-09-2014
20140012238SWITCH BLOCK CONTROL ASSEMBLY OF A MEDICAL DEVICE - The present disclosure provides a surgical device, comprising: a jaw assembly defining a first longitudinal axis and including a first jaw and a second jaw moveable relative to the first jaw; an elongated body defining a second longitudinal axis and coupled to a proximal end of the jaw assembly, wherein the jaw assembly is configured to articulate about an articulation axis transverse to the second longitudinal axis relative to the elongated body; a handle assembly coupled to a proximal end of the elongated body and comprising at least one motor mechanically coupled to the jaw assembly; and a control assembly coupled to the handle assembly, the control assembly including a first control button, a second control button, a first rocker device disposed about the first control button and configured to rotate thereabout, and a second rocker device disposed about the second control button and configured to rotate thereabout.01-09-2014
20140012239TISSUE ACCESS GUIDEWIRE SYSTEM AND METHOD - A method and system for guiding at least a portion of a surgical device to a desired position between two tissues in a patient's body involves coupling a guidewire to the device and pulling the distal end of the guidewire to guide at least a portion of the surgical device to a desired position between the two tissues. The surgical device generally includes one or more guidewire coupling members and may comprise a tissue access device. A system may include a guidewire and a surgical device. In some embodiments, a guidewire, a tissue access device, and one or more additional devices to use with the access device may be provided. Methods, devices and systems may be used in open, less-invasive or percutaneous surgical procedures, in various embodiments.01-09-2014
20140018779TELEMEDICINE CARE SYSTEM - A telemedicine care system connects patients with remote healthcare professionals using a patient care unit at the location of the patient. The patient care unit provides video, audio, and data communication capabilities by integrating a computing device, various communication devices, and medical instruments into a single unit. Additional systems and methods are also disclosed.01-16-2014
20140018780SURGICAL SHAFT-TYPE INSTRUMENT - A surgical shaft instrument has a shaft on whose distal end there is arranged a jaw mechanism having branches, at least one of which is movably mounted and on whose proximal end a handling mechanism is arranged, at least one handle part of which is movable for operation of the jaw mechanism, a transmission rod which is coupled at the distal end to the jaw mechanism and is coupled at the proximal end to the handling mechanism is provided and has a pulling element and a pushing element, such that the two elements are joined together at the ends, and one of the two elements is made of a superelastic alloy. The pushing element is made of the superelastic alloy and the pulling element is made of a non-superelastic material in the form of a cable or wire.01-16-2014
20140025045SOFT TIP CANNULA - The present disclosure describes numerous example medical instruments that include an elongated portion having a proximal end and a distal end, and a passage defined therethrough and a soft tip coupled to the distal end of the elongated portion. The tip may be formed from a soft material. In some instances, the soft material may have a hardness less than the material forming the elongated portion. The tip may also include a passage that may be of a substantially equivalent size as the passage of the elongated portion. The tip may be coupled to the distal end of the elongated portion at an engagement site having a surface area greater than a cross-sectional area of the elongated portion.01-23-2014
20140025046APPARATUS FOR ENDOSCOPIC PROCEDURES - An electromechanical surgical system is provided including a hand-held surgical instrument; an end effector; and a shaft assembly for selectively interconnecting the end effector and the surgical device. The shaft assembly includes a transmission housing; an outer tubular body; a distal neck housing for interconnecting a rotatable drive member of the surgical instrument and a rotation receiving member supported in the end effector, wherein the distal neck housing includes at least one gear system configured to convert a rotational input of the rotatable drive member into at least two output forces to the end effector; and an articulating neck assembly interconnecting the tubular body and the distal neck housing. The articulating neck assembly enables off-axis articulation of the distal neck assembly, and wherein the rotatable drive member extends through the articulating neck assembly.01-23-2014
20140025047SURGICAL INSTRUMENTS WITH IMPROVED DEXTERITY FOR USE IN MINIMALLY INVASIVE SURGICAL PROCEDURES - A surgical instrument adapted and configured for use in minimally invasive surgical procedures includes a shaft, an end effector and a proximal handle. The longitudinal shaft has proximal and distal end portions, and defines a longitudinal axis of the surgical instrument. The distal end effector is connected to the distal end portion of the shaft, and is adapted and configured for performing a surgical task. The proximal handle portion is operably connected to the proximal end portion of the longitudinal shaft and has an actuatable portion operably connected to the end effector to result in movement of the end effector. The distal end portion of the shaft can be laterally offset from the longitudinal axis of the shaft and/or have one or more bends or curves formed therein. The proximal portion of the shaft can include at least one bend to allow for comfortable positioning of a surgeon's hands.01-23-2014
20140025048SINGLE OPERATOR MEDICAL DEVICE HANDLES AND RELATED METHODS OF USE - The invention is directed to improved handles for medical devices. Embodiments of the invention include handles that allow for the device's introduction, positioning, and actuation with a single hand of an operator, handles that allow an operator to simultaneously position and manipulate two devices relative to each other as well as relative to an additional medical device, such as an endoscope, and handles that allow an operator to simultaneously manipulate an endoscope and an additional medical device without the help of an assistant.01-23-2014
20140039470SURGICAL DEVICE AND HANDLE ASSEMBLY FOR USE THEREWITH - A surgical instrument is disclosed. A rotation mechanism is disposed in mechanical cooperation with a handle assembly and effects rotation of an end effector. The rotation mechanism includes a first member including at least one magnet, and a second member including at least one magnet. The first member and the second member define a space therebetween. The articulation mechanism is disposed in mechanical cooperation with the handle assembly and effects articulation of the end effector. The articulation mechanism includes a plurality of tendons. Each tendon extends longitudinally through the space between the first member and the second member of the rotation mechanism.02-06-2014
20140046304MEDICAL INSTRUMENT ADAPTOR AND METHODS OF USE - Embodiments of the disclosure include an adaptor for a medical instrument configured for insertion into a body of a patient. The adaptor may comprise a housing defining an internal recess configured to receive a portion of the medical instrument. The internal recess may further include geometric configurations configured to secure the housing to the medical instrument. The outer configuration of the adaptor may be compatible with a separate medical device.02-13-2014
20140046305ARTICULATING SURGICAL TOOLS AND TOOL SHEATHS, AND METHODS OF DEPLOYING THE SAME - A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable.02-13-2014
20140052112SURGICAL INSTRUMENT - A surgical instrument comprising a handle assembly, a body, a tool assembly and an articulation assembly is disclosed. The articulation mechanism includes a receptacle, and a main shaft. A lower clutch is fixedly positioned within the receptacle and has a serrated portion including a plurality of serrations. An upper clutch includes at least one projection positioned to engage the serrations of the lower clutch to releasably retain the main shaft at a rotatably fixed position. An angle between a first pair of adjacent serrations is defined as a first angle, an angle between a second pair of adjacent serrations is defined as a second angle, and an angle between a third pair of adjacent serrations is defined as a third angle. The first angle, the second angle, and the third angle are each different from one another.02-20-2014
20140058363Endoscopic Surgical Instrument - An articulating surgical instrument includes a case having a trigger handle, a sheath coupled to the case, a flexible bending section coupled to the sheath, an end effector removably attachable to the bending section, a set of cables that control position of the bending section, at least two motors coupled to the cables, and a user control module configured to control position of the bending section and the end effector. The instrument further includes a pushrod disposed within the sheath and within the bending section that is configured for axial motion relative to the sheath and the bending section and rotational motion within the sheath and the bending section. The pushrod is coupled to the trigger handle and removably coupled to the end effector, so that rotational motion of the pushrod effectuates rotation of the end effector and axial motion of the pushrod is controllable by the trigger handle.02-27-2014
20140058364JOINTED LINK STRUCTURES EXHIBITING PREFERENTIAL BENDING, AND RELATED METHODS - In accordance with various exemplary embodiments of the present teachings, a surgical device can include a first pair of articulably coupled links, a second pair of articulably coupled links, and a tension member coupled to the first pair of links and the second pair of links such that altering tension in the tension member exerts a force tending to articulate the first pair of links and the second pair of links so as to bend the first pair of links and the second pair of links. The surgical device can be configured such that the first pair of links has a lower resistance to bending than the second pair of links upon altering the tension in the tension member.02-27-2014
20140088569Detachable End Effector and Loader - A surgical device comprises an elongate shaft having an outer tube and an inner rod positioned in the outer tube. The outer tube and inner rod each comprise a distal end and a proximal end. An actuator is operably connected to the proximal ends of the outer tube and the inner rod. An end effector is adapted for in vivo attachment to and detachment from the elongate shaft. The end effector comprises an outer casing comprising a first detent mating feature adapted to engage the distal end of the outer tube; an inner shuttle axially moveable relative the outer casing, the shuttle comprising a second detent mating feature adapted to engage the distal end of the inner rod; and a pair of surgical jaws having an opened position and closed position dependant on the relative axial position of the shuttle and casing. A tubular loader is sized to receive the end effector, the tubular loader comprising third detent mating feature adapted engage end effector.03-27-2014
20140088570MEDICAL DEVICE PROVIDED WITH AN INNOVATIVE MARKING SYSTEM ENABLING RAPID, MULTIPLE AND REMOTE IDENTIFICATION - A medical device includes a reusable or non-reusable surgical instrument made from metal, polymer or plastic, or any implant or prosthesis substitute made from metal, polymer or plastic, which is equipped with a marking system enabling rapid identification of the instrument. The marking system includes: an RFID component; and a resin protuberance which is rigidly connected to the surgical instrument or implant substitute to be marked, the protuberance containing, and completely surrounding the tag.03-27-2014
20140094781Multifunctional Surgical Instrument With Flexible End Effector Tools - A surgical tool having proximal and distal ends and adapted to transverse a curved passageway comprises an end effector disposed on the distal end of the surgical tool, the end effector having a first body section and a second body section and a releasable connector joining the end effector first body section with the end effector second body section. The connector is operable to reversibly engage the first and second end effector body sections in a first fixed position and in a second movable position. The surgical tool further comprises an actuation device for moving the first and second end effector body sections from the first fixed position to the second movable position. The end effector is adapted to maneuver through a larger radius of curvature in the second movable position than in the first fixed position.04-03-2014
20140094782MINIMALLY INVASIVE SURGICAL INSTRUMENT HAVING SHAFT INCLUDING INTERNAL TORQUE-TRANSMISSION MEMBER - The present invention relates to a minimally invasive surgical instrument having a shaft including an internal torque transmission member. According to one aspect of the present invention, the minimally invasive surgical instrument comprises a shaft, and an end effector connected to one end of the shaft. The shaft has at least one curved portion, and the at least one curved portion can transmit torque for operating the end effector in a rolling direction by means of a torque-transmission member therein.04-03-2014
20140100554Electromechanical Surgical Apparatus Including Wire Routing Clock Spring - An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing.04-10-2014
20140100555INSTRUMENT HOLDER - The present invention relates to an instrument holder comprising a substantially tubular base body which includes a grip portion and an instrument holding portion, the base body comprising a through recess extending over the entire length thereof, and the instrument holding portion being provided with a front-sided insertion opening designed for insertion of an instrument.04-10-2014
20140107626ANCHORING FOR NON-RETAINABLE FOREIGN OBJECTS - A kit and/or method for use during surgery is configured to decrease the risk of accidental retention of foreign objects, such as surgical items or medical devices, used in surgery inside of a patient after the surgery is completed. Specifically, illustrative kits may include, but not be limited to, a combination of one or more foreign objects, an anchoring member attached to a point outside of the patient or surgical field, and at least one or more connection members connecting the foreign objects to the anchoring member. Illustrative methods may include, but not be limited to, anchoring one or more foreign object by one or more connection members, wherein a first end of each connection member is attached to the foreign object, and a second end of each connection member is attached to a junction member; attaching the junction member to an anchoring member; and attaching the anchoring member to a structure that is outside the patient or surgical field.04-17-2014
20140107627WIRELESS FORCE SENSOR ON A DISTAL PORTION OF A SURGICLA INSTRUMENT AND METHOD - A surgical instrument includes a distal portion. A force sensor is operatively mounted on the distal portion. The force sensor includes a wireless package, which wirelessly provides (1) identification information of the surgical instrument and (2) strain data related to the distal portion. A surgical end effector includes a jaw and the distal portion is on a non-contact portion of the jaw. The wireless package includes a surface acoustic wave strain sensor with identification information. The wireless package also includes a small folded antenna electrically coupled to the surface acoustic wave strain sensor with identification information. The identification information includes an identification of a type of surgical instrument and unique identification of the specific surgical instrument in the type of surgical instrument.04-17-2014
20140114293MINIMALLY INVASIVE SURGICAL INSTRUMENT HAVING A BENT SHAFT - The present invention relates to a minimally invasive surgical instrument having a bent shaft, and more particularly to a minimally invasive surgical instrument in which at least a part of a shaft includes a bend. According to one aspect of the invention, there is provided a minimally invasive surgical instrument comprising: a shaft; an end effector connected to one end of the shaft; a joint unit interposed between the shaft and the end effector; and a plurality of wires connected to the joint unit to enable the end effector to carry out joint motion, wherein the shaft comprises at least one bend, and the at least one bend may transmit therein force to operate the end effector in a roll direction, independently of the shaft.04-24-2014
20140121650SURGICAL TOOL HANDLE ASSEMBLIES AND RELATED METHODS - A surgical tool handle assembly can include a handle body and a tool locking mechanism. The handle body can have a tool receiving end for receiving a mating end of a surgical tool. The tool locking mechanism can be configured to securely engage the surgical tool mating end, thereby locking the surgical tool to the handle. The locking mechanism can include a ramp feature, a locking cam, and an actuation mechanism. The actuation mechanism can be configured to actuate the cam to engage the ramp feature as the cam engages the tool mating end to lock the tool to the handle. A surgical kit and a method of locking a surgical tool to a tool handle are also disclosed.05-01-2014
20140128849SELF-ANTAGONISTIC DRIVE FOR MEDICAL INSTRUMENTS - A medical instrument including a shaft and an actuated structure mounted at a distal end of the shaft can employ a pair of tendons connected to the actuated structure, extending down the shaft, and respectively wound around a capstan in opposite directions. A preload system may be coupled to maintain minimum tensions in the tendons.05-08-2014
20140128850POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES - Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit.05-08-2014
20140135744MOTION AND ORIENTATION SENSING MODULE OR DEVICE FOR POSITIONING OF IMPLANTS - At least one embodiment is directed to a tracking system for the muscular-skeletal system. The tracking system can identify position and orientation. The tracking system can be attached to a device or integrated into a device. In one embodiment, the tracking system couples to a handheld tool. The handheld tool with the tracking system and one or more sensors can be used to generate tracking data of the tool location and trajectory while measuring parameters of the muscular-skeletal system at an identified location. The tracking system can be used in conjunction with a second tool to guide the second tool to the identified location of the first tool. The tracking system can guide the second tool along the same trajectory as the first tool. For example, the second tool can be used to install a prosthetic component at a predetermined location and a predetermined orientation. The tracking system can track hand movements of a surgeon holding the handheld tool within 1 millimeter over a path less than 5 meters.05-15-2014
20140135745MRI COMPATIBLE HANDLE AND STEERABLE SHEATH - An MR compatible deflectable catheter and method of using the same is provided. The MR compatible deflectable catheter includes a steerable sheath having a tubular shaft. The tubular shaft receives first and second longitudinal movement wires at a distal end thereof. A control handle is coupled to a proximal end of the first and second longitudinal movement wires and causes longitudinal movement of the wires.05-15-2014
20140135746Surgical Navigation System - A surgical navigation system is disclosed including a camera that is fixedly attached to a patient. The camera space merges with the patient space and thereby eliminates the need for a separate patient tracker. The surgical navigation system calculates the position of a surgical tool with a tracking device in view of the camera and shows on a display device the position of the surgical tool with respect to the patient superimposed and in correlation with a scan image of the patient.05-15-2014
20140142557GUIDEWIRE - A guidewire includes a core shaft, an outer coil body that covers an outer periphery of the core shaft, and an inner coil body that covers a distal portion of the core shaft in the outer coil body. A distal end and a proximal end of the inner coil body are free ends having no bonding portions. A bonding portion bonds the inner coil body to only one of the core shaft and the outer coil body.05-22-2014
20140148796System and Methods for Assessing the Neuromuscular Pathway Prior to Nerve Testing - The present invention involves a system and methods for assessing the state of the neuromuscular pathway to ensure further nerve tests aimed at detecting at least one of a breach in a pedicle wall, nerve proximity, nerve direction, and nerve pathology, are not conducted when neuromuscular blockade levels may decrease the reliability of the results.05-29-2014
20140171923SURGICAL SYSTEM INCLUDING A PLURALITY OF HANDLE ASSEMBLIES - A surgical system comprising a surgical instrument, a first handle assembly and a second handle assembly is disclosed. The surgical instrument comprises a shaft assembly defining a longitudinal axis, an end effector disposed adjacent a distal portion of the shaft assembly, and a control rod disposed at least partially within the shaft assembly and being disposed in mechanical cooperation with the end effector. Actuation of the control rod effects a function of the end effector. The first handle assembly is configured for selective mechanical engagement with the control rod. The first handle assembly includes a power source associated therewith. The second handle assembly is configured for selective mechanical engagement with the control rod. The second handle assembly is manually operable and is free from association with a power source.06-19-2014
20140171924METHOD FOR IMPROVING THE WEAR RESISTANCE OF DYED SURGICAL INSTRUMENTS - The present invention relates to a method for improving the wear resistance of dyed surgical instruments having a vacuum-resistant material as the main body which, over the course of a vacuum coating step, is coated with a thin layer of titanium, and the coated surface is subjected to anodic oxidation. The method is characterized in that, over the course of the vacuum coating step, prior to coating with the layer of titanium, at least parts of the main body are coated with a layer of hard material which improves the wear protection.06-19-2014
20140180263Surgical Instrument - A surgical instrument is disclosed. The surgical instrument comprises a body operable with a surgical tool and an actuator system supported by the body and configured to convert rotational motion into linear motion to facilitate operation of the surgical tool. The actuator system includes an actuator rod comprising a shaft and a head portion disposed on an end of the shaft. The actuator rod is movable in a translational degree of freedom to facilitate operation of the surgical tool. The actuator system also includes a trigger rotatably supported about the body and moveable by a user. Additionally, the actuator system includes a transition gear coupled to the trigger and comprising a lobe operable to slidably interface with the head portion of the actuator rod. The transition gear is rotatable by the trigger to actuate the actuator rod.06-26-2014
20140188091ACTUATING KNOB FOR A SURGICAL INSTRUMENT - The invention relates to a surgical instrument comprising: —a distal tool (07-03-2014
20140194858MANUFACTURING METHOD AND PRODUCT - A method of manufacturing a surgical instrument or prosthesis and a surgical instrument or prosthesis so manufactured are described. A first material is injected into a first mould to form an interim component. Portions of the interim component define at least one channel. The maximum wall thickness of the interim component is less than a first threshold determined by the injection moulding properties of the first material. The maximum width of the at least one channel is less than a second threshold determined by the injection moulding properties of a second material. The second material is injected into a second mould containing at least part of the channel of the interim component so that the channel is at least partially filled with the second material.07-10-2014
20140200560ADJUSTABLE STOP FOR ELONGATE MEDICAL DEVICE DEFLECTION MECHANISM - A deflection mechanism for an elongate medical device may comprise an actuator. The actuator may comprise a rotatable body comprising a channel, the channel comprising a plurality of recesses. The deflection mechanism may further comprises an activation wire having a proximal end and a distal end, and a wire lock attached to the proximal end of the activation wire. The wire lock may be disposed within the channel and configured to ride therein when the actuator body is rotated. An adjustable stop may be placed in one or more of the recesses of the channel so as to apply a force to the wire lock as the actuator is rotated so as to increase tension on the activation wire.07-17-2014
20140200561HAND HELD ELECTROMECHANICAL SURGICAL SYSTEM INCLUDING BATTERY COMPARTMENT DIAGNOSTIC DISPLAY - An electromechanical surgical system is provided and includes a hand-held surgical device. The surgical device includes a device housing defining a connecting portion for selectively connecting with an adapter assembly, the housing being configured to removably receive a battery therein; at least one drive motor supported in the device housing and being configured to rotate a drive shaft; and a circuit board disposed within the housing for controlling power delivered from a battery to the motor. The system includes a battery configured for disposition in the device housing, the battery being capable of powering the at least one drive motor, the battery including at least one display. The device housing is configured such that the at least one display of the battery is visible therethrough.07-17-2014
20140207123Knockout Tool for Minimally Invasive Prosthesis Revision - A tool head for a surgical tool for knockout and/or insertion of prostheses is disclosed, comprising a tool body (07-24-2014
20140207124SURGICAL INSTRUMENT WITH SELECTABLE INTEGRAL OR EXTERNAL POWER SOURCE - A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features.07-24-2014
20140207125INTELLIGENT ADAPTER ASSEMBLY FOR USE WITH AN ELECTROMECHANICAL SURGICAL SYSTEM - An adapter assembly is provided and includes a housing for connection with a surgical device and for operative communication with at least one rotatable drive shaft of the surgical device; an outer tube having a proximal end supported by the housing and a distal end for connection with a selected end effector, wherein the distal end of the outer tube is in operative communication with each of the at least one force receiving drive member of the end effector; at least one drive transmitting/converting assembly for interconnecting a respective one of the at least one rotatable drive shaft of the surgical device and one of the at least one force receiving drive member of the end effector; and a circuit board supported in the housing and storing at least one of operating parameters and life cycle information which are unique to the adapter assembly.07-24-2014
20140214011Medical Instrument - A medical instrument having a shank, at the proximal end of which a handle is arranged, wherein the shank is rotatable about its longitudinal axis and can be secured in various positions of rotation relative to the handle via a licking mechanism. In order for a medical instrument with a shank rotatable about its longitudinal axis to be designed in such a way that, while being easy to handle, it permits a large number of secure and positionally precise rotations of the shank with respect to the handle, the licking mechanism is designed as a latching mechanism which has a perforated disk with recesses and latching elements, wherein the latching elements and/or the perforated disk are spring-loaded relative to each other, and at least one of the latching elements engages in a corresponding recess of the perforated disk in order to fix the shank.07-31-2014
20140214012POWERED SURGICAL INSTRUMENT - A surgical instrument including a housing, an endoscopic portion, a shaft portion, and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion.07-31-2014
20140214013MINIMALLY INVASIVE SURGICAL INSTRUMENT HAVING IMPROVED JOINT PART - The present invention relates to a minimally invasive surgical instrument having an improved joint. According to one aspect of the present invention, provided is a minimally invasive surgical instrument including a shaft, a joint part which is coupled to one end of the shaft, and an end effector which is coupled to the joint part and can effect joint movement thereby. The joint part comprises a plurality of joint links, and a joint for pitch-direction operation and a joint for yaw direction operation, the joints being formed by interposing at least one of the plurality of joint links.07-31-2014
20140221985Laparoscopic Instruments, Attachable End Effectors And Methods Relating To Same - There is provided a method of attaching an end effector to a surgical instrument having a center rod with a distal tip. The method includes providing an end effector having a base and a coupler defining a pocket and movably mounted within the base. The end effector is moved over the center rod such that the distal tip of the center rod is seated within the pocket of the coupler. There is also disclosed an end effector including a base having a slot, a coupler movably mounted within the base and defining a pocket for receipt of a moving member of a surgical instrument and an operative member movably mounted on the base and connected to the coupler.08-07-2014
20140221986MULTI-FUNCTIONAL MEDICAL DEVICE AND RELATED METHODS OF USE - A medical device may include an elongate member having a proximal end, a distal end, and a lumen extending therebetween. In addition an end-effector may be disposed at the distal end of the elongate member, the end-effector may include a first arm and a second arm. Additionally, the first arm may define a first slot and a second slot. Further, the medical device may include an actuating member, the actuating member may include a plurality pins, and wherein each of the pins may slideably engage the first and second slots.08-07-2014
20140221987MINIMALLY INVASIVE SURGICAL INSTRUMENT HAVING DETACHABLE END EFFECTOR - The present invention relates to a minimally invasive surgical instrument having a detachable end effector. Provided is a minimally invasive surgical instrument comprising a shaft, a joint section which is connected to one end of the shaft, and an end effector which is connected to the joint section and thus is capable of articulatory movement. Therein, the joint section comprises a detachable connection section which can receive rotational torque, and the end effector comprises an operational end-section connection unit which can be attached to the detachable connection section by being screwed in, or can be separated from the detachable connection section by being unscrewed.08-07-2014
20140236131SHAFT OF A LAPAROSCOPIC INSTRUMENT - A shaft of a laparoscopic instrument, having a ceramic tube which extends over the main length of the shaft and has a sheath which encloses the ceramic tube in at least some regions, is situated to cover those regions of the ceramic tube that are at risk of breakage and is designed to prevent the splinters of ceramic from penetrating through the sheath. The ceramic tube forms a predetermined breaking point in the region of the sheath.08-21-2014
20140236132SUSPENSION SYSTEM FOR MINIMALLY INVASIVE SURGERY - A suspension system for supporting surgical devices inside a patient's body cavity comprising an external frame, a plurality of elongated members extending from the external frame and through the patient's skin into the body cavity, and an internal platform located inside the body cavity. The internal platform includes a plurality of links reconfigurable from a first elongated position wherein the links are substantially aligned along a longitudinal axis for insertion to a second position wherein the links are angled with respect to one another to form a non-linear configuration. A first support of the external frame is movable with respect to the second support to thereby move the internal platform.08-21-2014
20140236133SURGICAL INSTRUMENT WITH ACTUATOR SPRING ARM - A handle assembly for use with a surgical instrument having an operative distal end portion is disclosed. The handle assembly includes a housing, a drive element, an actuator, a spring arm, and a biasing element. The drive element is disposed at least partially within the housing and is longitudinally translatable with respect to the housing. The actuator is disposed in mechanical cooperation with the housing. The spring arm is disposed at least partially within the housing. The biasing element is for biasing the actuator. A first portion of the biasing element is disposed in mechanical cooperation with the actuator and a second portion of the biasing element is disposed in mechanical corporation with the spring arm. At least a partial actuation of the actuator distally translates the drive element from a proximal position where a portion of the drive element is in contact with the spring arm to a distal position where the drive element is not in contact with the spring arm.08-21-2014
20140243799Percutaneous Instrument with Tapered Shaft - A surgical instrument comprises an elongate shaft having a proximal end and a distal end. The shaft tapers distally. An actuator is connected to the proximal end of the elongate shaft. An end effector is adapted for in vivo attachment and detachment from the distal end of the elongate shaft connected to the distal end of the elongate shaft. The actuator may comprise a manual handle. The elongate shaft may comprise an outer tube and an inner rod positioned in the outer tube, with the outer tube comprising a wall thickness increasing proximally. The surgical instrument may further comprise an intermediate tube positioned between the outer tube and inner rod. The elongate shaft may be adapted for direct percutaneous insertion.08-28-2014
20140243800Loader with Locking Collet Tube - A loader for facilitating in vivo attachment and detachment of an end effector to an instrument shaft comprises an elongate shaft having a distal end and a proximal end. A loader tube is connected to the distal end of the elongate shaft, the loader tube comprising a distal opening. A collet is positioned in the loader tube, the collet being adapted and sized to receive and engage the end effector inserted through the distal opening. The collet has a locked position relative the loader tube and an unlocked position relative the loader tube. An actuator is connected to the proximal end of the elongate shaft and is operative to select between the locked and unlocked positions.08-28-2014
20140243801SURGICAL INSTRUMENT END EFFECTOR ARTICULATION DRIVE WITH PINION AND OPPOSING RACKS - An apparatus comprises a body and a shaft assembly. The shaft assembly is in communication with the body and comprises an end effector, first cam gear, second cam gear, and a lock bar. The end effector has an articulation joint. The first cam gear is rotatably positioned within the shaft assembly. The second cam gear is in communication with the end effector at the articulation joint. The lock bar is distally biased to lock against the second cam gear. The first cam gear is rotatable through a first range of motion to unlock the lock bar relative to the second cam gear. The first cam gear is rotatable through a second range of motion to rotate the end effector at the articulation joint.08-28-2014
20140243802RELEASE DEVICE FOR DETACHING A MEDICAL IMPLANT FROM AN INSERTION DEVICE AND AN INSERTION DEVICE COMPRISING A RELEASE DEVICE - A release device (08-28-2014
20140243803Medical Instrument Having A Corkscrew-like Connection Element - A medical instrument has two individual parts. The first individual part has an eyelet, which is provided with an edge fully surrounding the eyelet opening. A second individual part includes a corkscrew-like manner connection body having turns which are wound into the eyelet opening.08-28-2014
20140249515Customizable Surgical Template - Disclosed herein are embodiments of a customizable surgical template and methods for preparing and providing the same. More specifically, the disclosed surgical template coordinates the arrangement of surgical instruments used for a particular surgical procedure in the order preferred by a particular surgeon or other entity.09-04-2014
20140257252MEDICAL MANIPULATOR - A medical manipulator includes a surgical tool that has an end effector at a distal end and a drive unit that is detachable from a handle of the surgical tool. In a state where the drive unit is mounted on the handle, when a manipulation lever is manipulated, a driving force of a motor is transmitted to the handle, and the end effector is operated. Even in a state where the drive unit is detached from the handle, the surgical tool can be independently used by a manual manipulation.09-11-2014
20140257253MEDICAL DEVICE HANDLES AND RELATED METHODS OF USE - A medical device handle including an elongate body portion configured to be disposed at a proximal end of an elongate tubular member, wherein the elongate body portion defines a lumen therethrough. The medical device handle may also include an actuator slidably received within the lumen of the elongate body portion, wherein the actuator is configured to transition between a first longitudinal position and a second longitudinal position different than the first longitudinal position for operating an end-effector disposed at a distal end of the elongate tubular member. The medical device handle may also include a securing mechanism for securing the medical device handle to another medical device.09-11-2014
20140276665CHARGING ASSEMBLIES FOR MAINTAINING STERILITY OF SURGICAL INSTRUMENT BATTERIES DURING CHARGING - A charging assembly includes a container and an external charging portion. The container includes a base and a cover. The base defines an interior volume. The cover is releasably engagable with the base for enclosing the interior volume. The container is configured to maintain the interior volume in a sterile condition. At least one electrical contact is disposed within the interior volume of the base. The external charging portion is operably couplable to the container for charging a battery assembly positioned within the interior volume of the base via the at least one electrical contact.09-18-2014
20140276666Systems for Performing Endoscopic Procedures - A system for performing an endoscopic procedure is provided. The system includes an actuation assembly having a handle assembly and a shaft assembly. The system also includes an end effector configured for selective and operative connection to a distal end of the shaft assembly. The system further includes a holder for selectively engaging the end effector and facilitating attachment of the end effector to the shaft assembly.09-18-2014
20140276667TELESCOPING MEDICAL INSTRUMET - An instrument shaft includes an outer elongate shaft having a rigid proximal section, a rigid distal section, and a fixed bend between the rigid proximal and distal sections. An inner shaft includes rigid proximal and distal sections and a flexible intermediate section between the rigid proximal and distal sections. The inner shaft is slidably disposed within the lumen of the outer shaft such that the flexible intermediate section extends through the bend.09-18-2014
20140276668INSTRUMENT TIP ASSEMBLY HAVING SELF-THREADING BACK HUB - A actuating instrument including an instrument tip assembly having a yoke attachment thread. The actuating instrument also includes an actuator having an actuating shaft. The actuating shaft is provided with a first thread within the actuating shaft and a second thread provided on the actuating shaft. Further, the first thread is connected to the yoke attachment thread. Additionally, a back hub is provided at a proximal end of the instrument tip assembly and includes a rib or ribs provided on one of an inner surface and an outer surface of the back hub. The rib or ribs projecting from the one of the inner surface and the outer surface of the back hub and engages the second thread of the shaft to from an attachment thread.09-18-2014
20140288536HANDHELD MEDICAL DEVICE - A handheld medical device comprises an internal flow passage that is in axial alignment with an output drive shaft. The drive shaft is powered by a motor assembly that is offset from the internal flow passage and the output drive shaft. The drive shaft and the motor assembly can be connected by a gear train. A collet mechanism can be used to secure a surgical implement to the handheld medical device. A first button assembly and a second button assembly can be positioned on diametrically opposed portions of the handheld medical device.09-25-2014
20140303605ACTIVE TREMOR CONTROL IN SURGICAL INSTRUMENTS RESPONSIVE TO A PARTICULAR USER - Described embodiments include a method. The method includes initiating a hand tremor characterization mode of a handheld or hand operated surgical instrument having a working tip. The method includes detecting a hand tremble motion imparted by a user during the characterization mode. The method includes recognizing a pattern in the detected hand tremble motion and saving the recognized pattern in a computer storage media. The method includes initiating a hand tremor suppression mode of the surgical instrument. The method includes detecting a hand tremble motion in the surgical instrument imparted by a user during the suppression mode. The method includes retrieving the recognized pattern from the computer storage media. The method includes stabilizing the working tip by activating an actuator, the activation responsive to the recognized pattern and to the detected user-imparted hand tremble motion during the suppression mode.10-09-2014
20140303606System for Tracking Surgical Objects - A system for tracking surgical objects placed in a body cavity so that they may be reliably located and recovered from the body cavity at a later time. In one preferred embodiment, the system comprises a vibrantly colored stringer threaded through apertures in a plurality of surgical objects and vibrantly colored tracking tags affixed to each end of the vibrantly colored stringer to maintain the surgical objects on the vibrantly colored stringer. In alternate embodiments, photo-reactive pigments in the range of 345-375 nm are also added to the vibrantly colored stringer and vibrantly colored tracking tags to enhance their visual detection under ambient lighting, when illuminated with a spectrum specific light source, and/or viewed through a spectrum-specific transmission filter in the same range of wavelengths. In another embodiment, retainers having apertures through which the vibrantly colored stringer may be threaded and bodies formed to be replacably affixed to a variety surgical objects are also employed.10-09-2014
20140303607HANDLE FOR A MEDICAL INSTRUMENT - A handle for a medical instrument includes an actuation element, which is arranged on the handle and which is displaceable into at least a first and a second functional position. The actuation element can be moved in a plane transverse to its displacement direction, in each of the first and second functional positions, for carrying out a function. A pivotable actuation lever is arranged in the handle, the actuation lever being coupled in movement to the actuation element for displacing the actuation element into the at least two functional positions.10-09-2014
20140309625INSERTION DEVICE - An insertion apparatus according to an aspect of the present invention includes: an insertion portion to be inserted into a subject; a bending operation apparatus to be moved by an operator to input an operation instruction; a bending drive section that generates a drive force based on the movement of the bending operation apparatus; a pulling member to be pulled by the drive force from the bending drive section; a bending portion provided in the insertion portion, the bending portion being connected to the pulling member and being bent upon the pulling member being pulled; and a haptic section that connects the pulling member and the bending operation apparatus via an elastic portion.10-16-2014
20140316384Rigid Elastic Bent Tool for Laparoscopic Surgery - A surgical tool and method of use during laparoscopic surgery, the tool including a shaft having a distal region with an elastic modulus E. Distal and proximal regions of the shaft have outer diameters D10-23-2014
20140324028APPARATUS FOR SEALING ELECTRONICS FROM ENVIRONMENT IN DC POWERED ARTHROSCOPIC SURGICAL HANDPIECE WITH PUSHBUTTON ACTUATION - A button for actuating a switch in a surgical handpiece. The button is sealed to a bezel, and the bezel is sealed to the handpiece. The button, bezel, and handpiece create a sealed enclosure surrounding the switch to prevent external substances from contacting the switch. Further, a control board for controlling the handpiece is embedded in a cable endcap instead of being housed within the handpiece.10-30-2014
20140336625PREOPERATIVE TORIC AXIS CORNEAL MARKER - Preoperative toric axis corneal marker useful for delimiting the correct position of an intraocular lens, implanting an intraestromal ring in a patient's eye, performing a limbal relaxing incision or any other type of intervention requiring a precise marking prior to an intervention on the cornea, wherein the marker incorporates an attaching means to a slit lamp and which marker comprises a generally “L”-shaped body which is anchored, by means of a first wing, to the attaching means to the slit lamp and its second wing features a hollow cylindrical shape where a tubular bushing, which presents at least a small lug radially arranged at its free base, is fitted, through which the marking on the eye will be accomplished.11-13-2014
20140350530SYSTEM AND METHOD FOR NON-CONTACT ELECTRONIC ARTICULATION SENSING - A surgical instrument is disclosed. The instrument includes a handle portion, a body portion extending distally from the handle portion and defining a first longitudinal axis and an articulating tool assembly defining a second longitudinal axis and having a proximal end. The articulating tool assembly is disposed at a distal end of the body portion and is movable from a first position in which the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position in which the second longitudinal axis is disposed at an angle with respect to the first longitudinal axis. The instrument also includes an articulation mechanism configured to articulate the articulating tool assembly, the articulation mechanism including an articulation sensor assembly configured to transmit a sensor signal to a microcontroller which is configured to determine an articulation angle of the articulation assembly.11-27-2014
20140358129ADAPTER LOAD BUTTON DECOUPLED FROM LOADING UNIT SENSOR - A surgical device is provided. The surgical device includes: a jaw assembly comprising a first jaw and a second jaw moveable relative to the first jaw and an elongated body removably coupled to a proximal end of the jaw assembly. The elongated body includes an actuation bar movable upon engagement of the jaw assembly with the elongated body to secure the jaw assembly thereto; a release button coupled to the actuation bar such that the release button is movable by the actuation bar upon engagement of the jaw assembly with the elongated body and the release button is configured to move the actuation bar to allow for removal of the jaw assembly from the elongated body; and a lockout button in mechanical cooperation with the release button, the lockout button configured to prevent actuation of the release button.12-04-2014
20140358130INSTRUMENT USE COUNTER - An instrument use counter and related method are disclosed. The instrument use counter can include a tray, an instrument holder, an actuator, and a counter. The tray can include an instrument holder positioned on or above an upper surface of the tray. The instrument holder can be configured to retain at least one instrument. The actuator can be located in proximity to the instrument holder and can include a proximity sensor in electronic communication with the at least one instrument or a moveable member engageable with the at least one instrument during removal from, or receipt by, the instrument holder. The counter can be coupled to the tray, positioned above the upper surface, and operably coupled to the proximity sensor or the movable member of the actuator. The counter can include a numerical readout member that can track instrument use.12-04-2014
20140371728Surgical Instrument Adapter with Highly Secure Locking Shaft Mechanism - A highly secure instrument adapter includes a handle with an internal locking and release mechanism which does not use a pushing release and which requires little physical effort to lock and release, yet provides a stable and secure connection between an instrument and the handle. The locking mechanism is comprised an ergometric handle having an open handle cavity, a receiver having an internal threaded tubular body and a plurality of locking apertures, and a rotating collar having a limited range of rotation, a plurality of fingers that project outward from the flattened surface on a spacer structure, and a plurality of circular apertures placed alternately between said fingers.12-18-2014
20140371729Cannulated Medical Instrument Handle With a Removable Insert - A cannulated medical instrument handle apparatus comprised of a handle housing component with a hollow handle insert channel and a removable tubular insert that fits within the handle insert channel. Tubular insert has a hexagonal segment adapted to fit within a recessed hexagonal aperture within the handle insert channel, thereby connecting the handle housing component and tubular insert. Tubular insert also has a tubular shaft segment and a lumen running through its center.12-18-2014
20140378952STERILE SURGICAL TRAY - A sterile surgical tray includes structure for receiving a plurality of surgical instruments. The sterile surgical tray also may include electrical input and output connectors attached to tray.12-25-2014
20140378953DETACHABLE END EFFECTORS - Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft.12-25-2014
20150051590Surgical Instrument with Articulating Assembly - A surgical instrument includes a housing having an elongated member assembly extending from the housing. The elongated member has a first portion and a second portion. The second portion is movably coupled to the first portion by a cable that facilitates the relative movement of the first portion and the second portion.02-19-2015
20150066000Surgical Tool With Integrated Sensor - An instrumented surgical tool and associated systems and methods for performing surgical procedures such as tissue dissection or ligation using the instrumented surgical tool are described. In particular, a surgical tool operatively connected to a sensor used to detect a structural artifact such as the presence and characteristics of a blood vessel and to evaluate the safe use of the surgical tool within a surgical field is described.03-05-2015
20150066001MINIMALLY INVASIVE SURGICAL INSTRUMENT HAVING ARTICULATION IMMOBILISING STRUCTURE - The present invention relates to a minimally invasive surgical instrument having an articulation immobilising structure. The present invention is a s minimally invasive surgical instrument and includes a shaft, an end effector connected towards one end of the shaft, a wire for controlling the articulated movement of the end effector, and an immobilising structure adapted to immobilise the state of articulated movement of the end effector. The immobilising structure includes a resilient member covering the wire, and the resilient member holds the wire when an internal space therein contracts.03-05-2015
20150066002APPARATUS FOR PITCH AND YAW ROTATION - The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism. In specific embodiments, the actuator mechanism includes a plurality of small radius holes or grooves for receiving the medial cables and a plurality of large radius holes or grooves for receiving the distal cables. The holes or grooves restrain the medial cables to a small radius of motion and the distal cables to a large radius of motion, so that the medial cables to the medial vertebra move only a fraction of the amount as the distal cables to the distal vertebra, so as to achieve precise control and manipulation of the vertebrae.03-05-2015
20150073394SURGICAL INSTRUMENT COMPRISING AN IMPROVED ACTUATING DRIVE - An instrument (03-12-2015
20150073395METHODS AND DEVICES TO TREAT NASAL AIRWAYS - 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.03-12-2015
20150080862SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE - A surgical instrument includes an outer housing shell defining a cavity. The outer housing shell defines an upper outer housing half and a lower outer housing half. The upper outer housing half defines a longitudinal axis. An instrument module is selectively insertable into the cavity of the outer housing shell. The instrument module includes an inner housing shell, at least one motor disposed within the inner housing shell, a control board being in electrical communication with the at least one motor, and an energy source being in electrical communication with the at least one motor and the control board. The instrument module is inserted into the cavity of the outer housing shell in such a manner that the operative axis of the at least one motor is substantially parallel to the longitudinal axis of the upper outer housing half.03-19-2015
20150100047Sheath for a Medical or Dental Instrument - A sheath includes a plurality of layers coupled to one another and configured to cover a medical or dental instrument. The sheath may include an instrument cover segment and a cable cover segment attached to each other. When in a pre-use configuration, such as when packaged, the cable cover segment may define an inside-out position and overlie at least a portion of the instrument cover segment. When in an in-use configuration, such as when the sheath is installed over a medical or dental instrument, the cable cover segment may define an outside-out position and extend longitudinally with respect to the instrument cover segment.04-09-2015
20150105757Electromechanical Surgical Apparatus Including Wire Routing Clock Spring - An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing.04-16-2015
20150112317INTERNALLY SEALABLE WIRE - An internally sealable wire includes an elongate flexible body having a length and a plurality of electrically conductive strands disposed within an insulation jacket. The body includes an unsealed portion extending along a majority of the length of the body and at least one sealed portion positioned at a point along the length of the body. The unsealed portion includes open internal spaces defined between the strands and the insulation jacket, and the at least one sealed portion includes a filler material disposed within the internal spaces to effect a seal within the body and prevent the passage of fluid through the wire.04-23-2015
20150112318MEDICAL DEVICE HANDLE - A medical device handle may include an elongated handle housing, a rotatable collar disposed about the handle housing, a rotatable control knob disposed about the collar, and a slidable door disposed about the collar. The door may be rotatably locked to the collar to prevent relative rotation between the door and the collar.04-23-2015
20150119866Surgical Marker and Cap - A surgical marker and cap are useable to mark tissue in laparoscopic procedures. The surgical marker connects to a rod and can be pushed through a cannula to target tissue that is to be marked. The marker can include a decreased length by moving the location of the ink reservoir from the location in a typical marker to a location in the cap. The marker includes a connector to allow it to be easily connected to a rod that contains a peg. The marker is usable in laparoscopic procedures such as the connection of the leads of a diaphragm pacemaker.04-30-2015
20150126977SURGICAL INSTRUMENTS WITH IMPROVED DEXTERITY FOR USE IN MINIMALLY INVASIVE SURGICAL PROCEDURES - A surgical instrument adapted and configured for use in minimally invasive surgical procedures includes a shaft, an end effector and a proximal handle. The longitudinal shaft has proximal and distal end portions, and defines a longitudinal axis of the surgical instrument. The distal end effector is connected to the distal end portion of the shaft, and is adapted and configured for performing a surgical task. The proximal handle portion is operably connected to the proximal end portion of the longitudinal shaft and has an actuatable portion operably connected to the end effector to result in movement of the end effector. The distal end portion of the shaft can be laterally offset from the longitudinal axis of the shaft and/or have one or more bends or curves formed therein. The proximal portion of the shaft can include at least one bend to allow for comfortable positioning of a surgeon's hands.05-07-2015
20150297199ADAPTER ASSEMBLY WITH GIMBAL FOR INTERCONNECTING ELECTROMECHANICAL SURGICAL DEVICES AND SURGICAL LOADING UNITS, AND SURGICAL SYSTEMS THEREOF - The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices.10-22-2015
20150297200END OF LIFE TRANSMISSION SYSTEM FOR SURGICAL INSTRUMENTS - A powered handle for a surgical instrument includes a processor and a component. The component has a usage limit and is configured to transmit a signature to the processor when the component is in proximity to its usage limit. The signature is configured to provide indicia directly to a user that the component is in proximity to its usage limit before the handle is used10-22-2015
20150297865ARTICULATING MECHANISM WITH FLEX HINGED LINKS - An articulating mechanism comprises a first link, a second link, an intermediate portion, a first hinge between the first link and the intermediate portion, and a second hinge between the second link and the intermediate portion. The first link, the second link, the intermediate portion, the first hinge, and the second hinge are integrally formed. The articulating mechanism also comprises a plurality of cables for rotating the first and second links about the first and second hinges. The cables extend through channels in the first link and the second link without extending through the intermediate portion. The first and second hinges are oriented parallel to each other to permit the first and second links to rotate in the same plane about the first and second hinges, respectively. The first and second links are rotatable about the first and second hinges in two directions under control of the cables.10-22-2015
20150305729SYSTEMS AND METHODS FOR DETERMINING AN END OF LIFE STATE FOR SURGICAL DEVICES - The present disclosure is directed to systems and methods for determining an end of life state for an electromechanical surgical system. The system includes an end effector configured to perform at least one function and a shaft assembly being arranged for selectively interconnecting the end effector and a hand-held surgical instrument. The hand-held surgical instrument includes an instrument housing defining a connecting portion for selectively connecting with the shaft assembly. The hand-held surgical instrument also includes a motor assembly, a sensor array configured to obtain an operational parameter of the hand-held surgical instrument, and a controller configured to control operation of the hand-held surgical instrument based on the operational parameter obtained by the sensor array.10-29-2015
20150305763CAM DRIVEN COUPLING BETWEEN ULTRASONIC TRANSDUCER AND WAVEGUIDE IN SURGICAL INSTRUMENT - A surgical instrument includes a body assembly, a waveguide, a transducer, and a coupling assembly. In some versions the coupling assembly translates the transducer to couple the transducer to the waveguide. For instance, a gear having arcuate troughs may engage pins on the transducer and/or waveguide to mate the transducer to waveguide. A pawl may selectively engage and prevent rotation of the gear. Alternatively, lever arms may cam the transducer into the waveguide. The lever arms may selectively couple to a casing to prevent decoupling of the transducer and waveguide. In another configuration, a locking tab can be slid and locked into a slot to couple the transducer and waveguide. Further still, levers with self-locking pins may engage and couple the transducer to the waveguide. In another version, a rotatable body portion may engage a tab on the transducer to rotate and couple the transducer to the waveguide.10-29-2015
20150327845ELECTRO-MECHANICAL SURGICAL DEVICE - An electromechanical surgical device includes a motor system configured to drive drive-shafts and a steering cable arrangement. A control system may be provided for controlling the motor system. A remote control unit may also be provided for controlling the motor system via the control system. Optical or Hall-effect devices, may be provided for determining the position of the elements of the surgical instrument based on the detected rotation of the drive-shafts. A memory unit stores a plurality of operating programs or algorithms, each corresponding to a type of surgical instrument attachable to the electro-mechanical surgical device. The control system reads or selects from the plurality of operating programs or algorithms, the operating program or algorithm corresponding to the type of surgical instrument attached to the electromechanical surgical device.11-19-2015
20150335389SURGICAL TENSION SETTING SYSTEM - An implement holding device for use in surgeries is disclosed. The implement holding device includes a flexible arm that defines an inner lumen and that is configured to be coupled to a medical instrument. A tension cable is disposed within the inner lumen and is configured to adjust the rigidity of the flexible arm. Additionally, a tension setting dial is coupled to the tension cable. The tension setting dial includes a plurality of discrete tension setting locators, each locator is configured to be engaged when the tension setting dial is in a position corresponding to the locator, and each locator corresponds to a different cable tension force such that manipulating the tension setting dial to a position corresponding to one of the locators adjusts the cable tension to a specific cable tension force, and wherein changing the dial position is effective to change the rigidity of the flexible arm.11-26-2015
20150342583SURGICAL DEVICE AND LINKAGE SYSTEM FOR SAME - A laparoscopic surgical device is provided, including a removable tool-comprising shaft having an outer shaft and an inner actuation rod that may be removably or permanently connected together. A handle of the device includes a two-button mechanism for engaging and releasing the removable tool-comprising shaft. The two-button mechanism is configured to engage overlapping corresponding apertures of the outer shaft and the inner rod that extends through the outer shaft, and the handle may include a variety of configurations that can readily interchangeably be used with different tool bodies.12-03-2015
20150342585SURGICAL INSTRUMENT - An end effector comprises a base portion defining a linear elongated slot extending along a longitudinal axis. A distal end of the base portion is adapted to be operatively mounted to an articulation mechanism. Each link of a first pair of links is pivotally connected to the base portion at a fixed pivot point. Each link of a second pair of links is pivotally connected at a fixed pivot point to one or the other of the first pair of links. The second pair of links is pivotally connected together through the slot of the base portion for linear movement along the slot relative to the base portion constraining movement of the first pair of links to relative rotation only in opposite directions.12-03-2015
20150351854Tool With Articulation Lock - The invention provides surgical or diagnostic tools and associated methods that offer user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. A rotation lock provides for enablement and disablement of rotatability of the end effector.12-10-2015
20150374449ADAPTER ASSEMBLIES FOR INTERCONNECTING ELECTROMECHANICAL HANDLE ASSEMBLIES AND SURGICAL LOADING UNITS - A force transmitting assembly of an adapter assembly includes a rotatable drive shaft, a strain sensor, and a drive member. The drive shaft includes a proximal portion, a distal portion, and a flange. The distal portion includes a threaded portion. The strain sensor is coupled to the drive shaft and disposed adjacent the flange such that longitudinal movement of the drive shaft imparts a force on the strain sensor via the flange. The distal drive member has a proximal end rotatably coupled to the threaded portion of the drive shaft and a distal end configured to be operatively coupled to a driven member of a surgical loading unit. Rotation of the drive shaft longitudinally moves the drive member relative to the drive shaft to actuate the surgical loading unit.12-31-2015
20150380187ADAPTER ASSEMBLIES FOR INTERCONNECTING SURGICAL LOADING UNITS AND HANDLE ASSEMBLIES - An adapter assembly configured to be coupled to a surgical loading unit includes a switch, an elongated member, and an annular member. The switch is configured to be toggled in response to the surgical loading unit being coupled to the adapter assembly. The elongated member is in communication with the switch and is resiliently biased in a distal direction toward a locking position in which the switch is toggled. The annular member is disposed adjacent the elongated member and is rotatable between a first orientation, in which the annular member prevents distal movement of the elongated member, and a second orientation, in which the elongated member moves distally to toggle the switch.12-31-2015
20160000514SURGICAL VISION AND SENSOR SYSTEM - The present invention pertains to an enhanced surgical tool and display device for conducting surgical procedures which includes a wearable headgear including a frame for positioning an optical display into a field of view. A controller is attached to a portion of the frame and adapted to provide a computer generated image to an optical display. An optical display, including an active side for projecting a computer generated image, electrically communicates with the controller and is attached to the controller such that the active side is visible in a field of view.01-07-2016
20160008080SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE01-14-2016
20160015476Medical Device Control Interface - An interface component is provided for use with a first glove and a medical equipment component. The interface component comprises at least one switch located on the first glove, where each of the at least one switch provides a control signal to the medical equipment component. The interface component may further comprise a controller coupled to the plurality of switches, a power supply module coupled to the controller, and a wireless communications interface coupled to the controller in communication with a wireless interface of the medical equipment component.01-21-2016
20160030072GAUGELESS ACTUABLE TIP FOR ATTACHMENT TO HANDPIECE - A removable tip attachable to an instrument handpiece, including a back hub at a proximal end of a tip body and having back hub screw threads configured to threadedly engage outer tube threads of an outer tube of the handpiece, an end effector at a distal end of the tip body, and a yoke at the proximal end of the tip body and having yoke screw threads configured to engage shaft screw threads of an inner shaft of the handpiece, the yoke configured to move within the backhub to actuate the end effector, wherein the yoke screw threads engage with the inner shaft screw threads before the back hub screw threads engage the outer tube threads upon attachment of the tip to the handpiece, and the distance between a proximalmost point of the yoke and a beginning of the back hub screw threads is between 0.533″ and 0.608″.02-04-2016
20160051238MOTION SENSITIVE AND CAPACITOR POWERED HANDHELD DEVICE - A handheld device includes an electronic instrument and a capacitive power supply for storing and delivering power to the electronic instrument. The capacitive power supply includes at least one capacitor, and an electronic circuit operable to boost a voltage from the capacitor to a higher voltage for use by the electronic instrument. The capacitive power supply can be rapidly recharged. Some configurations include an accelerometer which permits the handheld device to detect movement and perform various operations responsive to detected movement. A dual charging station is also disclosed.02-25-2016
20160066937MEDICAL INSTRUMENT WITH SNAKE WRIST STRUCTURE - A medical instrument includes a snake wrist structure further including: a first joint disk having a first rim having a first tooth slot and a first toothed gear with the first tooth slot opposite the first toothed gear along the first rim; and a first strut having a first slot bearing and a first hole bearing connected by a first connection strut with the first slot bearing in the first tooth slot.03-10-2016
20160066939ARTICULATING SURGICAL TOOLS AND TOOL SHEATHS, AND METHODS OF DEPLOYING THE SAME - A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable.03-10-2016
20160095585HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM - A hand-held electromechanical surgical device configured to selectively connect with a surgical accessory, is provided and includes a handle assembly having a power pack with a core assembly. The core assembly includes a plurality of motors, with each motor having a rotatable drive shaft extending therefrom, wherein each drive shaft is parallel to one another; a processor connected to and configured to control each motor; and a battery electrically connected to the processor and each motor. The power pack includes an inner housing encasing at least the plurality of motors, the processor, and the battery. The handle assembly includes an outer shell housing configured to selectively encase substantially the entire power pack therein, wherein a rotation from each rotatable drive shaft of each motor is transmitted through the inner housing and the outer shell housing.04-07-2016
20160095651System and method for assessing effective delivery of ablation therapy - A system and method for assessing effective delivery of ablation therapy to a tissue in a body is provided. A three-dimensional anatomical map of the tissue is generated and displayed with the map defining a corresponding volume. An index is generated corresponding to a location within the volume with the index indicative of a state of ablation therapy at the location. The index may be derived from one or more factors such as the duration an ablation electrode is present at the location, the amount of energy provided, the degree of electrical coupling between an ablation electrode and the tissue at the location and temperature. A visual characteristic (e.g., color intensity) of a portion of the anatomical map corresponding to the location is then altered responsive to the index.04-07-2016
20160100906INTERFEROMETRIC FORCE SENSOR FOR SURGICAL INSTRUMENTS - A surgical tool system according to an embodiment of the current invention includes a surgical tool, and an interferometry system optically coupled to the surgical tool. The surgical tool includes a body section, a sensor section at least one of attached to or integral with the body section, and a surgical section at least one of attached to or integral with the sensor section at an opposing end of the sensor section from the body section. The sensor section comprises an interferometric optical sensor defining a reference distance that changes in response to at least one of a force or a torque when applied to the surgical section of the surgical tool.04-14-2016
20160106401HAND-HELD ELECTROMECHANICAL SURGICAL SYSTEM - A hand-held electromechanical surgical device is configured to selectively connect with a surgical accessory. The surgical device includes a power-pack, an outer shell housing, and a gasket. The power-pack is configured to selectively control a surgical accessory. The outer shell housing includes a distal half-section and a proximal half-section, the distal half-section and the proximal half-section together defining a cavity configured to selectively encase substantially the entire power-pack therein. The gasket is located between the distal half-section and the proximal half-section of the outer shell housing. The gasket is configured to create a seal between the distal half-section and the proximal half-section and to provide a sterile barrier between the power-pack and an outside environment outside the outer shell housing.04-21-2016
20160106404Detachable Articulating Endoscopic Tool Cartridge - A medical instrument is provides that includes a handle, a shaft, and a tool insert. The tool insert is attachable to the shaft by a threaded connection which engages a slot connection and to the handle and by a retaining member for actuation of the tool.04-21-2016
20160106406ADAPTER, EXTENSION, AND CONNECTOR ASSEMBLIES FOR SURGICAL DEVICES - An assembly including an adapter assembly and an extension assembly for connecting an end effector to an electrosurgical instrument is provided. The adapter assembly includes first and second pusher assemblies configured for converting rotational motion into linear motion and a drive member for transferring rotational motion. The extension assembly includes at least one flexible band assembly for transferring the linear motion from the adapter assembly and a trocar assembly configured for converting rotational motion into linear motion. Also provided is a connection assembly for connecting a first tubular member to a second tubular member.04-21-2016
20160113635SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE - A surgical instrument includes an outer housing shell defining a cavity, the outer housing shell defining an upper outer housing half and a lower outer housing half, wherein the upper outer housing half defines a longitudinal axis and an instrument module selectively insertable into the cavity of the outer housing shell. The instrument module includes an inner housing shell, at least one motor disposed within the inner housing shell, a control board being in electrical communication with the at least one motor and an energy source being in electrical communication with the at least one motor and the control board. The instrument module is inserted into the cavity of the outer housing shell in such a manner that the operative axis of the at least one motor is substantially parallel to the longitudinal axis of the upper outer housing half.04-28-2016
20160113637Surgical Instrument With A Manual Control - Surgical instrument with a manual control device for actuation with a hand, wherein the control device can be displaced between a closed position and an opened position and the control device has: a finger lever with a first point of articulation and a second point of articulation, a central element with a third point of articulation and a fourth point of articulation, a connecting lever, which is pivotably arranged at the first point of articulation and at the third point of articulation, and a thumb lever, which is pivotably arranged at the second point of articulation and at the fourth point of articulation.04-28-2016
20160113732SURGICAL TOOL - A surgical tool comprises a manipulator adapted to receive at least a portion of a hand of an operator. A proximal universal joint has a first end mounted to the manipulator. A hollow elongated member has a first end mounted to a second end of the proximal universal joint. A distal universal joint has a first end mounted to a second end of the elongated member. An end effector comprises a universal joint element pivotally mounted to a second end of the distal universal joint for rotation about a first axis, and a base member pivotally connected to the joint element for rotation about a second axis perpendicular to the first axis. Pivoting of the first end of the proximal universal joint causes the end effector to move in a corresponding motion.04-28-2016
20160120613MEDICAL DEVICES, APPARATUSES, SYSTEMS AND METHODS - Medical devices having a platform and an arm movable between a collapsed position and an expanded position. In some embodiments, the platform comprises at least one of a magnetically-attractive material and a material capable of being magnetically-charged. Methods of use.05-05-2016
20160175562Surgical Articulation Assembly06-23-2016
20160181951ULTRASONIC ACTUATOR DEVICE AND APPLICATIONS THEREOF06-23-2016
20160184043REVERSIBLE MULTIPLE USE DISPOSABLE TORQUE LIMITING DEVICE - A torque limiting device is disclosed, comprising a hollow body with an open proximal end and open distal end forming a handle, an internal wall bisecting said hollow body into a first and a second section on one side having torque limiting movable ramps, a rotatable head section affixed movably to the internal wall with bumps extended from the backside thereof, and a tool mounted to the front side whereby when rotated in a torque limiting direction, the at least one bump stop will pass over the ramp and the application of sufficient torque requirement of said device will depress the ramp, and allow the bump stop to pass over.06-30-2016
20160192916ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLE THAT CAN ARTICULATE WITH RESPECT TO THE SHAFT07-07-2016
20160192917ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLE THAT CAN ARTICULATE WITH RESPECT TO THE SHAFT07-07-2016
20160192918ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLE THAT CAN ARTICULATE WITH RESPECT TO THE SHAFT07-07-2016
20160374654SURGICAL INSTRUMENT HANDLE WITH ADJUSTABLE ACTUATOR POSITION - A surgical instrument handle operates a microsurgical instrument on a surgical instrument head by manipulation of the instrument handle. The instrument handle has an elongate center rod with a ring mounted on the rod for reciprocating movement. The ring is operatively associated with the surgical instrument head for operation of the microsurgical instrument of the head. A plurality of resilient arms extend along the length of the rod and engage against a sliding surface of the ring. The inward and outward movement of the plurality of arms reciprocates the ring on the handle rod to cause operation of the surgical instrument head.12-29-2016
20160374749STRUCTURAL ARRANGEMENT FOR A SURGICAL INSTRUMENT HANDLE - A structural arrangement for a surgical instrument handle has a vertical structure (12-29-2016
20170231609SURGICAL DEVICE WITH DC POWER CONNECTION08-17-2017
20170231652HAND-HELD ELECTROMECHANICAL SURGICAL SYSTEM08-17-2017
20190142401INTEGRATION OF SURGICAL INSTRUMENT AND DISPLAY DEVICE FOR ASSISTING IN IMAGE-GUIDED SURGERY05-16-2019
20190142520PATIENT-SPECIFIC PREOPERATIVE PLANNING SIMULATION TECHNIQUES05-16-2019
20190142535ROBOTIC SURGICAL ASSEMBLIES AND INSTRUMENT DRIVE UNITS THEREOF05-16-2019
20220133419ROBOTIC SURGICAL SYSTEM WITH RECOVERY ALIGNMENT - A method of operation of a robotically-assisted surgical system includes defining a virtual geometry associated with a planned resection, determining a first pose of a surgical tool, defining a target orientation for the surgical tool based on the first pose, controlling a robotic device to automatically move the surgical tool to both the virtual geometry and the target orientation05-05-2022
20220133423ACTUATION LINE STORAGE SYSTEMS AND METHODS - A medical device deployment apparatus that employs a first actuation line and a second actuation line, whereby a delay is sought between initiation of the actuation of the first actuation line and actuation of the second actuation line. Prior to actuation, the first actuation line includes sequentially aligned multiple loops, wherein the multiple loops provide predefined slack to delay linear actuation of the first actuation line when tension is applied to both the first and second actuation lines.05-05-2022

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