Abstract: Described herein are various implementations of systems and methods for accessing and modulating tissue (for example, systems and methods for accessing and ablating nerves or other tissue within or surrounding a vertebral body to treat chronic lower back pain). Assessment of vertebral endplate degeneration or defects (e.g., pre-Modic changes) to facilitate identification of treatment sites and protocols are also provided in several embodiments. Several embodiments comprise the use of biomarkers to confirm or otherwise assess ablation, pain relief, efficacy of treatment, etc. Some embodiments include robotic elements for, as an example, facilitating robotically controlled access, navigation, imaging, and/or treatment.

Abstract: An acetabular cup remover with a blade for removing tissue adjacent an acetabular cup. The blade is oscillated against an arcuate section of tissue. Once a section of tissue is cut, an indexing assembly rotates the blade. The blade is again oscillated to cut a new arcuate section of tissue.

Abstract: A robotic surgical instrument comprising a shaft, a first end effector element, an articulation connecting the first end effector element to a distal end of the shaft, the first end effector element being movable relative to the articulation, and a drive mechanism at a proximal end of the shaft. The drive mechanism comprises a first actuator connected to the first end effector element by a first pair of driving elements. The first pair of driving elements are configured such that a tension force applied by the first actuator to a first one of the first pair of driving elements causes the first end effector element to move relative to the articulation in a first motion direction, and the tension force applied to a second one of the first pair of driving elements causes the first end effector element to move relative to the articulation in a second motion direction.

Abstract: A medical member improved in yield is provided. The medical member is assembled with an assembly unit, is movable relative to at least part of the assembly unit, and is provided with: a conductor including a plurality of curved portions and a through hole extending along a plane including the plurality of curved portions; and a coating portion integrally formed with the conductor in such a manner as to cover the periphery of the conductor and fill the interior of the through hole.

Abstract: Versatile tissue collection devices that can provide reduced crossing profiles, fluid pressure release, and/or easy cleaning or removal. In particular, devices having tissue collection devices with multiple configurations to facilitate navigation through narrow vessel cross-sections while also providing adequate tissue storage capacity. Additionally, the devices may include detachable components that allow easy removal, cleaning, and replacement during a procedure. Furthermore, venting elements and sections may be included to relieve fluid buildup in storage reservoirs.

Abstract: The surgical wire twisting tool includes a hollow housing, a plunger, a rotating member, a jaw actuating rod and a hollow cylindrical guide. A portion of the plunger is received within a second end of the hollow housing, and the rotating member is received within the hollow housing, such that a portion of the rotating member projects through a first end of the hollow housing. A pair of jaws are mounted on one end of the jaw actuating rod. The hollow cylindrical guide is received within the hollow housing, such that the other end of the jaw actuating rod projects through a second end of the rotating member and into the hollow cylindrical guide. The plunger slides through a second end of the hollow cylindrical guide to drive movement of the jaw actuating rod. The pair of jaws may be rotated with respect to the hollow housing, and also locked.

Abstract: A method of performing a procedure on a meniscus, via an ultrasonic surgical tool. The ultrasonic tool includes a probe capable of transmitting ultrasonic vibration from a proximal end toward a front end. The probe includes a bent portion that is inclined with respect to a longitudinal axis of the probe, and a procedure portion that is disposed at the front end of the probe and has a plurality of cutting surfaces. The method includes: inserting the probe in a body; moving the probe through a space in between the femur and the tibia to position the procedure portion adjacent to the horizontal rupture in the meniscus; positioning a cutting surface of the procedure portion on a posterior portion of the meniscus; and resecting the horizontal rupture along an inclination of the meniscus to form an inclined resection plane.

Abstract: An explantation accessory includes a catheter with a steerable head carrying a tubular receptacle adapted to accommodate the proximal portion of the capsule. The explantation accessory further includes a lasso having a flexible wire extending along the catheter to and forming at its distal end a deformable loop. One end of the deformable loop is mobile so as to allow tightening of the loop under the effect of a traction exerted on the flexible wire along the catheter. The free end edge of the tubular receptacle comprises a protruding anterior portion, an axially recessed posterior portion with respect to the anterior portion and located diametrically opposite to the protruding anterior portion, and two beveled edges connecting the protruding anterior portion to the recessed posterior portion.

Abstract: Methods and devices for using surgical devices with articulating end effectors are provided. Surgical devices with articulating end effectors can provide rotary driven pivoting of the end effector. In some embodiments, the device can include a handle, a first and a second tube extending from the handle, the second tube disposed within the first tube, and an end effector that includes a pair of distal jaws configured to move in response to rotation of the first tube about a longitudinal axis thereof and rotation of the second tube about a longitudinal axis thereof. The jaws can move in two different ways depending on whether the first and second tubes are rotating in a same direction as one another or in different ways than each other. The jaws can open/close and articulate using the same mechanical mechanism. The device can be powered, or the device can be non-powered.

Abstract: An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. One or both of the shaft assembly or the pivoting member comprise a guide feature. The guide feature is configured to provide lateral alignment of the distal portion of the pivoting member with the blade as the pivoting member is pivoted to the closed position.

Abstract: An ultrasonic clamp coagulator apparatus is disclosed including a housing including an actuator, an outer tube, an ultrasonic waveguide, an ultrasonically actuated blade, a clamp member pivotable with respect to the blade, and a force limiting mechanism including a first compression spring having a first spring constant, positioned between the actuator and the clamp arm, and a second compression spring having a second spring constant less than the first spring constant. The first compression spring transfers a force at a first rate as a function of a motion of the actuator to pivotably move the clamp member toward the blade. The second compression spring transfers a force as a function of the tissue thickness positioned between the clamp member and the blade. At least one of the first and second compression springs is pre-compressed to provide a preload less than the respective spring constant.

Abstract: Described herein are various implementations of systems and methods for accessing and modulating tissue (for example, systems and methods for accessing and ablating nerves or other tissue within or surrounding a vertebral body to treat chronic lower back pain). Assessment of vertebral endplate degeneration or defects (e.g., pre-Modic changes) to facilitate identification of treatment sites and protocols are also provided in several embodiments. Several embodiments comprise the use of biomarkers to confirm or otherwise assess ablation, pain relief, efficacy of treatment, etc. Some embodiments include robotic elements for, as an example, facilitating robotically controlled access, navigation, imaging, and/or treatment.

Abstract: A surgical instrument is provided and includes a housing having a shaft. An end effector assembly operatively connects to the shaft and has a pair of first and second jaw members. A jaw insert is operably associated with the first and second jaw members. The jaw insert includes one or more cam slots defined therein configured to receive a cam pin that upon movement thereof rotates the first and second jaw members from an open position to a clamping position and an opening defined therein configured to securely house a pivot pin that provides a point of pivot for the first and second jaw members. The jaw insert is manufactured from an insulative medium to dielectrically isolate the first and second jaw members.

Abstract: A medical needle location device (10) is disclosed. The device (10) has a housing (12) arranged to be gripped by a user and a needle (20) supported by the housing (12). The needle (20) depends from the housing (12) towards a needle tip (14B). The housing (12) comprises an excitation mechanism (28) for applying an oscillatory motion to the needle (20) during location within the body.

Abstract: A device for collecting multiple samples for use by a single user while avoiding cross-contamination under adverse conditions is disclosed. A multiple sampling device comprising a single handle actuator with a trigger, connected to a shaft assembly further connected to a claw assembly for actuating a self-sealing sampling sphere in the process of collecting a desired sample, is disclosed. The sampling sphere comprises two halves that separate when the trigger and claw assembly are actuated, and close together when the trigger is released using springs on the claw assembly and sampling sphere. Additional sampling spheres are stored on the shaft assembly. In operation, once a sample is collected by one sampling sphere, the sampling sphere is exchanged with an empty sampling sphere stored on the shaft assembly.

Abstract: The present invention relates to liquid filled light distributor comprising an elongated tubular body with a tube wall defining an in inner lumen filled with a liquid, said tubular body having—a proximal end closed by first closing means—a distal end closed by second closing means. Wherein the proximal end is arranged to be in optical communication with a light source and wherein the refractive index of the tube wall is n1 and the refractive index of the fluid is n2 and n1/n2<1 so that light from the light source travels along the longitudinal direction of the tubular body and that a part of the light is emitted through the tube wall along at least a part of the tubular body. Further a method of use for the liquid filled light distributor is provided.

Abstract: A flexible medical needle for extended indwelling periods is provided. The medical needle apparatus includes a spine body and a flexible shaft portion. The spine body has a length between a first end, comprising a piercing tip, and a second end. The flexible shaft portion may be disposed on at least a portion of the spine body, forming a needle shaft having a passage along a portion of the length of the spine body. The spine body may also be coiled forming an axial passage within the spine body. In this latter embodiment, the flexible shaft portion surrounds the spine body. In each embodiment, the spine body is configured to facilitate bending, allowing for the medical needle to remain indwelling with reduced discomfort.

Abstract: A medical instrument having an aspiration needle, handle device and an actuation force limiter. The actuation force limiter provides an active or passive force release mechanism that keeps the force from overpowering operation of the needle.

Abstract: 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 a first pusher assembly configured for converting rotational motion into linear motion. The first pusher assembly includes a pusher member and first and second pawl assemblies for operable engagement with a flexible band assembly of the extension assembly.

Abstract: The present disclosure provides an apparatus, and methods of using same, for collecting blood from an umbilical cord in a sterile environment that includes an umbilical cord retaining assembly and a blood collection assembly rotatably connected to the umbilical cord retaining assembly. A cord cutting blade, which is carried by the blood collection assembly, functions to cut the umbilical cord when the blood collection assembly is rotated relative to the umbilical cord retaining assembly. After the umbilical cord is cut, blood flows by force of gravity into the blood collection region of the blood collection assembly to which a blood collection bag can be interconnected.

Abstract: A surgical appliance includes an elongate barrel having effector jaws mounted to a carrier secured to the distal end of the barrel. A handle includes a grip for opening and closing the effector jaws, a knob for articulating the carrier, a knob for rotating the barrel and a safety mechanism for automatically preventing inadvertent actuation of the grip. Each jaw pivots about a pin and is actuated by a rod which is engaged by the grip. A lever is pivotally mounted to the handle and includes a latch which blocks movement of the grip unless the lever is pivoted in a proximal direction against a spring bias. When the lever is released, the latch automatically returns to the blocking position. A toggle arm fixed to a cam shaft can be rotated such that a cam moves the latch to the disengaged position for repeated grip actuation.

Abstract: Systems and method for delivery and positioning of a sheet-like surgical implant to a target site including a means of deploying and orienting the sheet-like implant within the body.

Abstract: A surgical clamp for laparoscopic or endoscopic surgeries provides autonomous adjustable pressure and placement with a releasable or integrated remote manipulator. Two jaws move simultaneously with respect to the main body of the clamp to open and close to secure or release tissue and/or organs. In a first embodiment, the instrument is made up of two separable components; a remote manipulator component, and a releasable adjustable pressure clamp component that is linked or separated at an interlocking connection point. The main body of the clamp includes a central tubular port through which a pressure bar passes. An assembly of cam arms connects the push rod to jaws, allowing for symmetrical and simultaneous actuation. A compression spring is positioned around the pressure bar and is secured by an adjustable nut on the threaded end of the pressure bar. Adjustment varies the compressive force of the spring and thereby the gripping force.

Abstract: A biopsy forceps tool (preferably for endoscopic use) in which microwave energy is used to coagulate bleeding after a biological tissue sample is collected between a pair of jaws. The pair of jaws define an enclosure that is isolated from the microwave energy itself and insulated from any thermal changes that occur due to application of the microwave energy. The tool comprises a pair of jaws connected to a coaxial cable, each of the pair of jaws comprising an electrically conductive shell, the jaw assembly being movable between a closed position in which the electrically conductive shells enclose an internal volume for holding a tissue sample and an open position in which the internal volume is exposed in order to receive the tissue sample. The electrically conductive shells form a Faraday cage around the internal volume when in the closed position.

Abstract: In one embodiment of the invention, a motorized surgical instrument including an elongated shaft, a wrist member and a pair of working members with at least one working member moveable relative to other working member between open and closed position, is presented. The elongate shaft includes towards its proximal end a carriage plate that enables independent and controlled motion of the surgical instrument employing plurality of actuators securely held therein. Further, disclosed is a surgical instrument enabling easy and quick replacement of working members.

Abstract: A flexible auger design for low-torque transmitting drive shafts, which allows effective tissue material transport through curved, flexible tubes and channels. A hollow auger has a hollow center, so that the helical member hugs the inner wall of the tube and material is transported along the center axis and the inner wall of the tube. The hollow flexible auger allows for transportation of material from an operative location in the patient (material removal) as well as to operative location in the patient (material delivery).

Abstract: A sample collector to take and hold a biopsy sample from an organism upon being driven by an actuator into the organism, the collector comprising a punch that includes a cutter with a cutting edge formed at a cutting end of the punch to remove and retain a biopsy sample, and a unique identifier on or in the collector, the identifier being machine or human readable at the time of use of the collector to take the sample.

Abstract: A surgical system comprises an instrument and a teleoperated instrument operation system. The instrument comprises a drive member having an end effector coupled to the distal end and a ratchet assembly coupled to the proximal end. The ratchet assembly includes a pin, a gear, and a spring- loaded button. A lever is coupled to and configured to pivot relative to the ratchet assembly to engage the spring-loaded button to disengage the pin from the gear. The lever in a first position places the ratchet assembly in a gripping position in which the end effector grips a surgical accessory. The lever in a second position places the ratchet assembly in a release position in which the end effector releases the surgical accessory. The lever is movable while compressing the spring-loaded button. The teleoperated instrument operation system comprises a capture mechanism configured to move the lever between the first and second positions.

Abstract: An ultrasonic surgical instrument includes a body, a shaft, an ultrasonic transducer, a waveguide, and an end effector coupled to a distal end of the shaft. A rotation knob is rotatably coupled to the body and is configured to rotate the shaft, the waveguide, and the end effector together relative to the body. A torque transfer structure is positioned radially outwardly of and in direct contact with the waveguide at an acoustic node thereof. The torque transfer structure is rotationally fixed relative to the waveguide and is configured to rotationally couple the waveguide with the shaft and the rotation knob. The waveguide includes a first axial constraining feature defining a distally facing surface, and the torque transfer structure includes a second axial constraining feature defining a proximally facing surface configured to abut the distally facing surface to constrain the waveguide axially relative to the torque transfer structure and the body.

Abstract: A detachment system for delivering an implantable medical device to a target location of a body vessel has a generally hollow distal tube. The distal tube includes a proximal end, a distal end, and a compressible portion of the tube itself, between the proximal and distal ends which is axially movable from a compressed to an elongated condition. A generally hollow proximal tube has a proximal end and a distal end. An engagement system engages and deploys the implantable medical device engaged at the distal end of the distal tube. The engagement system moves the compressible portion to the compressed condition when engaging the implantable medical device, and deploys the implantable medical device and releases the compressible portion to the elongated condition.

Abstract: An apparatus, system and process for identifying one or more different tissue types are described. The method may include applying a configuration to one or more programmable light sources of an imaging system, where the configuration is obtained from a machine learning model trained to distinguish between the one or more different tissue types captured in image data. The method may also include illuminating a scene with the configured one or more programmable light sources, and capturing image data that includes one or more types of tissue depicted in the image data. Furthermore, the method may include analyzing color information in the captured image data with the machine learning model to identify at least one of the one or more different tissue types in the image data, and rendering a visualization of the scene from the captured image data that visually differentiates tissue types in the visualization.

Abstract: A biopsy needle (100) comprises a cannula (5) with a distal end (15), an inner needle (1) that has a sharpened distal end (16) and at least one biopsy cavity (7) that is located at a distance (L3) from the sharpened distal end (16). The cannula (5) and the inner needle (1) are configured so that the inner needle (1) is accommodated inside the cannula (5) and the inner needle (1) and the cannula (5) are movable with regard to each other. The inner needle (1) further comprises at least two measuring electrodes (1, 4; 3, 4) for measuring a bioimpedance spectrum, the measuring electrodes (1, 4; 3, 4) defining a measuring volume that is localized to the distal end (16) of the inner needle (1).

Abstract: A surgical clamping device includes a handgrip, an actuation assembly, an elongated body portion, an upper jaw assembly, and a lower jaw assembly. Each of the upper and lower jaw assemblies includes and an elongated jaw body and a distal clamping portion that is supported on a distal end of a respective elongated jaw body. Each of the elongated jaw bodies includes a proximal end that is pivotally connected to the actuation assembly by a pivot member located within the handgrip. The pivot member is spaced from the distal clamping portions of the upper and lower jaw assemblies such that the distal clamping portions of the upper and lower jaw assemblies remain substantially parallel as the upper and lower jaw assemblies are pivoted between open and clamped positions.

Abstract: A morcellator includes a housing, an elongated tube extending distally from the housing, and first and second electrodes. A distal end of the elongated tube is configured to cut tissue. The first electrode extends from the housing to the distal end of the elongated tube and is disposed around at least a portion of the distal end of the elongated tube. The second electrode extends distally beyond the first electrode. Another morcellator includes a housing, an elongated tube extending distally from the housing, and an oscillating mechanism. A distal end of the elongated tube includes opposing blade sections and at least one blunt section. The opposing blade sections are configured to cut tissue. The oscillating mechanism is configured to drive oscillation of the elongated tube to cut tissue with the blade sections.

Abstract: A system and method for harvesting, storing, and implanting biological units, in particular hair follicular units (FUs). The system is particularly useful to facilitate hair transplant procedures. The system may comprise an implanting tool, a cartridge with a plurality of receptacles for biological units and one or more control mechanisms. The device and cartridge for storing biological units may be incorporated within an overall automated or robotic system, or may form part of a semi-automated or even manual apparatus.

Abstract: An apparatus includes a needle, a cutter, a medication fluid path, and a filter assembly. The needle defines a tissue receiving feature. The cutter is movable relative to the needle to sever tissue protruding into the tissue receiving feature. The medication fluid path includes a first portion and a second portion. The first portion is configured to couple with a source of medication fluid. The tissue receiving feature is in fluid communication with the medication fluid path such that the first portion is upstream of the tissue receiving feature. The filter assembly is located in the second portion of the medication fluid path. The filter assembly is configured to permit air to pass through the filter assembly. The filter assembly is further configured to prevent medication fluid from passing through the filter assembly.

Abstract: A surgical clamp comprises a pair of opposing jaws moveable relative to each other between a closed position and first and second open positions. The opposing jaws remain substantially parallel to one another when moving between the closed position and the first open position. The opposing jaws remain non-parallel to one another when moving between the first open position and the second open position.

Abstract: Apparatus and methods are provided for removing obstructive material within a body lumen. The apparatus includes a macerator device deployable from a sheath that includes an expandable cage carried by a shaft and within a constraint tube. The shaft is movable relative to the constraint tube for deploying and expanding the cage within a body lumen such that an open end of the cage is oriented towards obstructive material. The cage is advanced to capture the material or the material is directed into the cage using an expandable member expanded beyond the material and retracted to direct the material into the cage. The cage is withdrawn into the constraint tube to compress the cage radially inwardly. Materials extending through apertures in the cage are sheared off by a sharpened edge of the constraint tube. The smaller, sheared off particles are then aspirated from the body lumen through the sheath.

Abstract: An end effector has three degrees of freedom in operation: (1) opening and closing of the jaws, (2) adjustable articulation of the jaw plane relative to the longitudinal axis, and (3) rotation of the jaw assembly, regardless of its articulation, about the longitudinal axis. A split yoke assembly is coupled to rotatable jaw mounts, which in turn are coupled to the jaws. A pushrod is configured to open and close the jaws, and cables coupled to the rotatable jaw mounts cause articulation of the jaw plane.

Abstract: A connector-equipped electrical wire includes a connector housing that includes a cavity that opens on a back side; a terminal-equipped electrical wire that includes an electrical wire and a terminal attached to an end portion of the electrical wire, and that is connected to the connector housing in a state where the terminal is held inside the cavity and also where the electrical wire runs through a back surface-side opening of the cavity and extends outward of an outer circumference of the connector housing; and a covering member that is attached to the connector housing so as to open on a side where the electrical wire extends outward of the outer circumference of the connector housing and also so as to cover at least the opening of the cavity on the back side of the connector housing.

Abstract: A rotatable jaw device for use with an endoscope and method of using a rotatable jaw device. The device includes a fork, and two jaws pivotally mounted to the fork. The jaws are movable between a predetermined closed position and a predetermined open position. At least one jaw has at least one protrusion on a surface of the jaw. The at least one protrusion prohibits movement of the two jaws in the opening direction beyond the predetermined open position. One jaw may have an elongated center void defined by twin jaw extensions, and the other jaw may rotate within the elongated center void when the two jaws move toward the predetermined closed position.

Abstract: A gripper head for grabbing and fixing a tick comprises two facing gripping jaws, wherein the gripper head can adopt a state with open gripping jaws and a state with closed gripping jaws. The gripper head further comprises a holder comprising a closing spring for holding the two gripping jaws, wherein the gripping jaws are configured such that each of them has a curved outer side and a flat inner side, the closing spring acts on the two gripping jaws, and in the closed state of the gripping jaws the flat inner sides of the two gripping jaws lie on each other such that a closed body is formed. The gripper head is design to be accommodated and fastened to a tick gripper.

Abstract: 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.

Abstract: A suture passing device includes a jaw assembly that is moved to an open configuration after exiting a hollow needle distal tip and moved to a closed configuration when retracted into the needle tip. The jaw assembly may include a pair of jaw members biased to a default diverging configuration. A suture capturing mechanism formed on the jaw members securely captures suture to both push and pull the captured when the jaw assembly is retracted into the hollow distal tip. The device may also include a second suture capturing mechanism that loosely captures suture and enables the captured suture to slide.

Abstract: A method of operating a biopsy device includes providing a sampling mode for taking a tissue sample with a biopsy needle; providing an insertion/removal mode for inserting or extracting the biopsy needle from living tissue; displacing a primary drive member through a continuous range that defines a first interval and a second interval; transmitting a motive force via the primary drive member to a first drive element during the first interval to cause a pump to generate a vacuum in the biopsy needle; and, transmitting a motive force via the primary drive member to a second drive element during the second interval to change the biopsy needle from the insertion/removal mode to the sampling mode.

Abstract: A biopsy device includes a body, a needle, a hollow cutter, and a tissue sample holder. The needle extends distally from the body and includes a lateral aperture. The cutter is movable relative to the needle to sever a tissue sample and defines a cutter lumen. The tissue sample holder includes a manifold and an outer cover. The manifold includes a plurality of passages and an indexing portion. Each passage of the plurality of passages is configured to selectively index relative to a proximal end of the hollow cutter. The outer cover includes a resilient member. The resilient member is configured to engage with the indexing portion of the manifold to selectively index a passage of the plurality of passages with the distal end of the hollow cutter.

Abstract: The invention relates to an instrument which has been developed to be used in macular hole surgeries closes and repairs the macular hole by drawing the retina, wherein it comprises a holder comprising at least one shaft connected to the handle, and at least one pressure leg positioned to the end of the shaft.

Abstract: An apparatus for accessing bone marrow inside a bone is provided. The apparatus may include a penetrator assembly having a tissue penetrator and a hub. The tissue penetrator my have a hollow cannula disposed in fixed relation to the hub. The apparatus may also have a driver configured to insert a portion of the tissue penetrator into the bone and bone marrow, and a depth control mechanism configured to control the depth of penetration of the tissue penetrator into the bone and bone marrow. The depth control mechanism may have a sensor configured to detect a position of the bone and bone marrow. The depth control mechanism may also have a mechanical stop.

Abstract: A bronchial piercing catheter assembly used to navigate to target tissue in a patient under EMN guidance includes a handle, a shaft, and a catheter tip. The shaft extends from the handle and includes a proximal end and a distal end. The catheter tip is located on the distal end of the shaft and is designed to penetrate tissue. The catheter tip further includes a base member defined along a central longitudinal axis of the bronchial piercing catheter and a trailing tip member adjacent to the base member. The trailing tip member tapers relative to the base member and a leading tip member adjacent to the trailing tip member. The leading tip member further tapers to a distal end.

Abstract: A handling device for a micro-invasive surgical instrument includes a gripping device, a shaft coupling, and a rod coupling. The gripping device is configured to guide and hold the handling device. The shaft coupling is configured to detachably couple a proximal end of a shaft to the handling device. The rod coupling is configured to slide in the handling device between an assembly position and a range of working positions to detachably couple a proximal end of a transmission rod to the handling device. The transmission rod is disposed in the shaft. The shaft coupling is configured to block the proximal end of the shaft in a predetermined position in which the proximal end of the shaft holds the rod coupling in the range of working positions.