Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, and an elongated shaft extending from the housing. The elongated shaft has a proximal end secured to the housing, a distal end spaced from the proximal end, and a first axis extending between the proximal and distal ends of the elongated shaft. Surgical fasteners are disposed in the elongated shaft. The surgical fasteners are stacked at an angle relative to the first axis of the elongated shaft. A distal end cap having a surgical fastener dispensing window is secured to the distal end of the elongated shaft. The applicator instrument has a firing system disposed in the housing, and an actuator coupled with the firing system for activating the firing system to dispense the surgical fasteners through the surgical fastener dispensing window.

Abstract: An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly and a shaft assembly. The handle assembly includes a drive assembly; and a trigger operatively connected to the drive assembly. The shaft assembly extends from the handle assembly and includes an articulating neck assembly; and an end effector assembly supported on a distal end of the articulating neck assembly and being configured to form a surgical clip in place on the body tissue.

Abstract: A fastener delivery tool may comprise a sheath assembly having at least one position retention member proximate a distal end of the sheath assembly, and a handle assembly coupled to a proximal end of the sheath assembly, the handle assembly comprising a housing, a trigger handle, and an insert connector. An external force applied to the trigger handle may cause displacement of the trigger handle relative to a rest position, and displacement of the trigger handle from the rest position within a first displacement range may impart a first amount of force on the insert connector relative to the applied external force and displacement of the trigger handle from the rest position within a second displacement range may impart a second amount of force on the insert connector relative to the applied external force, with the first amount of force being greater than the second amount of force.

Abstract: An anchor-handling device comprises a housing shaped to define a channel having an anchor-storage zone and a proximal opening. An anchor driver comprises an anchor-engaging head, the anchor-engaging head being dimensioned to be advanceable through the proximal opening toward the anchor-storage zone. A tissue anchor is stored in the anchor-storage zone, and comprises a coupling head configured to be locked to the anchor-engaging head. The tissue anchor is movable out of the anchor-storage zone toward the proximal opening in response to a proximally-directed force being applied to the tissue anchor by the anchor driver. The anchor-handling device comprises an element that serves as an indicator of movement of the tissue anchor out of the anchor-storage zone toward the proximal opening, by moving in response to the proximally-directed force such that at least part of the element protrudes out of the housing. Other embodiments are also described.

Abstract: An end effector for a surgical clip applier includes a body having a proximal end and a distal end, a head arranged at the distal end, and first and second jaw members mounted to the head. A linear actuator is arranged within the head and is operable to collapse and open the first and second jaw members.

Abstract: A surgical device includes an adapter assembly and a tool assembly that is coupled to the adapter assembly by a pivot member to facilitate articulation of the tool assembly in relation to the adapter assembly. The adapter assembly supports a drive assembly for actuating or firing the tool assembly. The adapter assembly includes an articulation mechanism that adjusts the position of the tool assembly in relation to the drive assembly to compensate for changes in stroke length of the drive assembly that result from articulation of the tool assembly.

Abstract: A surgical device for clipping tissue can include a replaceable cartridge comprising a stack of clips contained therein and a firing drive configured to reciprocatingly eject, or deploy, the clips from the cartridge. After the clips have been deployed from the cartridge, a blocking member can be positioned to impede or block the firing drive. In at least one embodiment, the cartridge can include a biasing member configured to bias the blocking member into a firing chamber defined in the cartridge and/or surgical device. The surgical device can also include a crimping drive configured to deform a clip after it has been ejected from the cartridge. The blocking member can also be configured to impede or block the crimping drive after all of the clips from the cartridge have been used.

Abstract: A blood vessel dissecting device is disclosed, which includes at least two dissecting devices, which are inserted into a living body along a blood vessel to dissect tissue in a direction of alignment thereof with the blood vessel. The at least two dissecting devices include a first dissecting device and a second dissecting device. The first dissecting device and the second dissecting device are disposed juxtaposedly in the living body, and a branch vessel branched from the blood vessel is located between the first dissecting device and the second dissecting device.

Abstract: A circumcision apparatus is provided. The circumcision apparatus includes a first surgical scissors and a second surgical scissors. The first surgical scissors include two first clips and one pair of blades, and the second surgical scissors include one second clip and one pair of blades. In the circumcision operation, after the foreskin is cut by the first surgical scissors along the direction of the shaft of the penis, the two first clips clamp a part of the foreskin near a first incision. After the foreskin is cut further by the second surgical scissors along the circumference of the penis, the second clip clamps another part of the foreskin near a second incision. Therefore, bleeding from the first and second incisions can be effectively reduced.

Abstract: A medical apparatus, including a clamp, a work head and a handle. The work head is connected to the clamp and the handle and includes: a casing, a firing forcing member, a firing rod connected to the firing forcing member, a receiving cavity arranged at a side of the firing rod, and a clip-cartridge assembly; the clip-cartridge assembly being arranged in the receiving cavity and configured for delivering ligation clips to the clamp. An inner cavity communicating with the receiving cavity is formed in the casing. The firing rod is connected to the firing forcing member and the clamp respectively, and the firing forcing member drives the firing rod to move so as to open or close the clamp. The medical apparatus further includes a limiting member, which is configured for preventing at least one of the clip-cartridge assembly and/or a driving assembly from exceeding a stroke range.

Abstract: A fastener delivery tool may comprise a sheath assembly having at least one position retention member proximate a distal end of the sheath assembly, and a handle assembly coupled to a proximal end of the sheath assembly, the handle assembly comprising a housing, a trigger handle, and an insert connector. An external force applied to the trigger handle may cause displacement of the trigger handle relative to a rest position, and displacement of the trigger handle from the rest position within a first displacement range may impart a first amount of force on the insert connector relative to the applied external force and displacement of the trigger handle from the rest position within a second displacement range may impart a second amount of force on the insert connector relative to the applied external force, with the first amount of force being greater than the second amount of force.

Abstract: A surgical stapling assembly comprising an end effector, a shaft assembly extending proximally from the end effector, a housing, a rotary motion actuator supported by the housing, a first actuation system configured to cause the end effector to perform a first function, a second actuation system configured to cause the end effector to perform a second function different from the first function, and a selector arrangement transitionable between a first orientation and a second orientation is disclosed. The end effector comprises a staple cartridge and staples deployable from the staple cartridge into tissue. The rotary motion actuator is configured to operably interface with the first actuation system in the first orientation to cause the end effector to perform the first function. The rotary motion actuator is configured to operably interface with the second actuation system to cause the end effector to perform the second function.

Abstract: An endplate plunger for implanting a growth-promoting tether between opposed adjacent vertebrae. The endplate plunger includes resilient arm assemblies that store potential energy when the endplate plunger is in a retracted configuration. In transitioning from the retracted configuration to a deployed configuration, the potential energy is released in a burst of kinetic energy, causing tip portions at the distal ends of the resilient arm assemblies to be thrust into the adjacent vertebrae. In some embodiments, each tip portion forms a cleft in the respective vertebral endplate and deposits the tether therein. The tether is thereby anchored directly in the clefts, without need for separately formed anchors. In some embodiments, devices and methods are disclosed to route the tether through an implanted spinal implant.

Abstract: Medical devices and instruments, particularly appliers that may be used to apply occlusion devices such as occlusion clips on anatomical structures, are disclosed. Some example clip appliers may include an activation lever configured to open and close an occlusion clip releasably mounted in an end effector. Some example clip appliers may include a deployment trigger configured to release the occlusion clip from the end effector. Some example clip appliers may include a shaft extending between a handle and the end effector that is rotatable and/or bendable.

Abstract: A surgical device for clipping tissue is disclosed. The surgical device comprises a housing comprising a motor configured to output rotary motions, a shaft, and a clip applier head. The clip applier head comprises a clip magazine, an end effector, a jaw closure cam, and a clip advancing member. The clip magazine comprises a plurality of clips. The end effector comprises a first jaw and a second jaw movable relative to each other between an unclamped position and a clamped position. The jaw closure cam is configured to move the first jaw and the second jaw toward the clamped position. The clip advancing member is operably attachable to the jaw closure cam. The clip advancing member is configured to move a clip from the clip magazine into a firing position. The jaw closure cam and the clip advancing member are configured to move in opposite directions at the same time.

Abstract: A ligation clip includes a first beam that supports a first alignment member and a second beam that supports a second alignment member. The first and second alignment members receive distal end portions of first and second beam portions of a second ligation clip when the ligation clips are stacked within a multi-fire clip applier to provide stability to the clip stack.

Abstract: A clipping system for treating tissue a clip with clip arms and an applicator having a flexible member and a control member. Proximal ends of the arms are received within a channel of a capsule. The capsule includes a slot extending from a proximal end of the capsule through a wall thereof. The control member includes a distal end connectable to the arms to move them between the open and closed configurations. A distal end of the flexible member includes a bushing having a distal portion receivable within a proximal end of the capsule. The distal portion includes an engaging tab extending laterally outward therefrom receivable within an engaging portion of the slot, a spring extending along the distal portion and disposed proximally of the engaging tab so that, when the engaging tab is received within the engaging portion, the spring is compressed against a portion of the capsule.

Abstract: A surgical device includes an adapter assembly and a tool assembly that is coupled to the adapter assembly by a pivot member to facilitate articulation of the tool assembly in relation to the adapter assembly. The adapter assembly supports a drive assembly for actuating or firing the tool assembly. The adapter assembly includes an articulation mechanism that adjusts the position of the tool assembly in relation to the drive assembly to compensate for changes in stroke length of the drive assembly that result from articulation of the tool assembly.

Abstract: A surgical device for clipping tissue is disclosed. The surgical device comprises a housing comprising an electric motor, a shaft defining a central shaft axis, a clip magazine, and a clip crimping system. The clip magazine comprises a plurality of clips removably stored therein. The clip crimping system comprises a first jaw, a second jaw, and a distal portion comprising a clip receiving chamber defined between said first jaw and said second jaw. The distal portion is offset from said central shaft axis. The clip crimping system further comprises a proximal connection portion connecting said first jaw and said second jaw. The proximal connection portion is positioned along said central shaft axis. The clip crimping system further comprises a clamp operably coupled with said electric motor. The clamp is movable distally by said electric motor to perform a crimping stroke and engage said first jaw and said second jaw.

Abstract: A dissecting tip is provided for use with a surgical stapler or instrument. In one embodiment, the dissecting tip is secured to the end effector of the surgical instrument, e.g., to the cartridge assembly. The dissecting tip extends distally from the end effector and is configured to dissect or separate target tissue from certain tissue, e.g., adherent, connective, joined or other tissue.

Abstract: A surgical clip applier is provided including a channel assembly and overlying a clip carrier having a clip counter plate slidably supported in the channel assembly, wherein the clip counter plate is configured and adapted to display a change in status of the clip applier upon actuation of the handle.

Abstract: A method of surgical stapling uses a surgical instrument operable to compress, staple, and cut tissue. The instrument includes a body, a shaft, and an end effector with a pair of jaws. A placement tip extends distally from one of the jaws of the end effector. The placement tip is elastically deformable when the placement tip is subject to a clamping force. In some instances the placement tip includes an arcuate bend, while in other instances the placement tip is straight. The placement tip can have a variety of non-rectangular lateral cross-sectional shapes. In some instances, the placement tip is made of a material of a specified durometer range and having a high color contrast. A distal end of the placement tip may change position based on the state of deflection of the placement tip in response to the clamping force.

Abstract: A clip applier tool for use with a robotic surgical system is disclosed. The clip applier tool comprises a housing, a shaft, an end effector, a firing chamber, a replaceable clip magazine, an articulation joint, an articulation drive configured to articulate the end effector, a rotation drive configured to rotate the shaft, and a firing drive. The housing comprises an interface for attachment to the robotic surgical system. The interface comprises rotatable inputs. The end effector comprises a crimping chamber. The replaceable clip magazine comprises a storage chamber, clips removably positioned in the storage chamber, and a biasing member configured to sequentially bias the clips from the storage chamber into the firing chamber. The firing drive is configured to advance a clip positioned in the firing chamber into the crimping chamber. The articulation drive, the rotation drive, and the firing drive are each operably coupled to different rotatable inputs.

Abstract: A surgical system for use in a surgical theater is disclosed. The surgical system comprises a surgical tool and a surgical hub. The surgical tool comprises a motor, a motor controller in signal communication with the motor, and an end effector configured to perform an end effector function. The end effector is operably responsive to the motor. The surgical hub is in signal communication with the motor controller. The surgical hub is configured to detect a contextual cue within the surgical theater. The motor controller is configured to adjust an operating parameter of the motor based on the contextual cue detected by the surgical hub.

Abstract: A handle assembly of a surgical instrument includes a housing, a trigger pivotably coupled to the housing, a drive bar disposed within the housing and operably coupled to the trigger such that pivoting of the trigger translates the drive bar, and a bilateral spring disposed within the housing and operably coupled to at least one of the trigger or the drive bar. The trigger is movable relative to the housing between first, second, and third positions wherein the first position is disposed between the second and third positions. The bilateral spring includes a compression spring configured to compress upon movement of the trigger in a first direction from the first position towards the second position to establish a first bias, and to compress upon movement of the trigger in a second, opposite direction from the first position towards the third position to establish a second bias.

Abstract: A clip applier adapted for use with a surgical robot is disclosed. The clip applier comprises a shaft having clips stored therein and jaws adapted for receiving a clip from the shaft. The shaft is in mechanical communication with a robotic mounting portion. The robotic mounting portion contains a gear drive assembly for rotating the shaft, feeding clips into the jaws and forming clips in the jaws.

Abstract: A surgical device for clipping tissue is disclosed. The surgical device comprises a clip magazine comprising a plurality of clips, an end effector movable between an open position and a closed position, and a jaw actuator operably responsive to a first rotatable input. The jaw actuator is configured to move the end effector between the open position and the closed position. The surgical device further comprises a reciprocating feeder drive and a controller. The reciprocating feeder drive is operably responsive to a second rotatable input. The controller is configured to advance a clip from the clip magazine into the end effector by way of the feeder drive when the end effector is in the open configuration. The controller is further configured to actuate the jaw actuator to move the first jaw and the second jaw toward the closed position without advancing a clip into the end effector.

Abstract: A surgical clip applier is provided including a housing, at least one handle pivotably connected to the housing, an outer support channel extending distally from the housing, a drive channel sliadably disposed within the outer support channel, a jaw assembly including a first and second pair of jaws extending from an end of the outer support channel in a parallel configuration, and an integrated cutting mechanism disposed within a gap defined between the first and second pair of jaws. The jaw assembly is capable of effectuating formation of a pair of clips disposed within a respective first and second pair of jaws in response to movement of the at least one handle and the cutting mechanism is independently operable of the at least one handle. At least one jaw member of each of the pair or jaws includes a curved distal end. A method of operating same is also provided.

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device and a plurality of anchor assemblies. The delivery system is configured to deliver a first anchor using loaded energy and reload the energy required to deliver an addition anchor.

Abstract: A surgical clip applier comprising an electric motor system is disclosed. The electric motor system is configured to drive a clip firing system of the surgical clip applier. The surgical clip applier further comprises a control system configured to control the electric motor system. The control system is configured to monitor a strain gauge circuit to assess the crimping force experienced by the clip firing system. In at least one instance, one or more strain gauges are mounted to a drive shaft and/or jaw of the clip firing system. The control system modifies the operation of the surgical clip applier when the voltage of the strain gauge circuit exceeds and/or falls below a threshold. In at least one instance, the control system modulates the width, or duration, of voltage pulses applied to the electric motor system to control the speed of the electric motor system.

Abstract: A surgical clip applier comprising a rotatable clip cartridge is disclosed. The surgical clip applier comprises a lockout that at least locks out the crimping drive of the surgical clip applier when the rotatable clip cartridge is empty.

Abstract: A surgical device for clipping tissue is disclosed. The surgical device comprises a housing, a shaft extending from the housing, an end effector extending from the shaft, a motor, a rotary input configured to rotate in response to the motor, and a clip magazine comprising a plurality of clips. The shaft defines a shaft axis. The clip magazine is operably connected to the rotary input. The clip magazine is movable in a first direction through a clip feed stroke in response to the rotation of the rotary input. The clip magazine is movable in a second direction in response to the rotation of the rotary input. The second direction is transverse to the first direction.

Abstract: An endoscopic surgical clip applier is provided, wherein a distal end of the surgical clip applier is introduced to a target surgical site through a cannula having a fixed diameter lumen. The surgical clip applier comprises an endoscopic portion supported by and extending from a handle assembly, and a pair of jaws supported at a distal end of an outer tube, wherein the pair of jaws are movable between a fully open condition and approximated conditions. When the pair of jaws are in the fully open condition the pair of jaws extend radially beyond an outer diameter of the outer tube to a dimension greater than the fixed diameter of the lumen of the cannula; and when the pair of jaws are in at least one approximated condition the pair of jaws have a transverse dimension permitting passage through the lumen of the cannula.

Abstract: A surgical device for clipping tissue is disclosed. The surgical device comprises a housing, a shaft defining a shaft axis, and an end effector. The end effector comprises a first jaw, a second jaw, and a receiver. The first jaw and the second jaw are movable relative to each other between an open position and a closed position. The receiver is at least partially defined between said first jaw and said second jaw. The surgical device further comprises a rotatable clip magazine configured to rotate about the shaft axis, a first advancing system, and a second advancing system. The clip magazine is configured to store at least two clips. The second advancing system is configured to operate sequentially with the first advancing system. The first advancing system and the second advancing system are configured to sequentially advance the clips into the receiver of the end effector.

Abstract: The invention generally relates to devices for fastening a hernia mesh. The invention provides a surgical fastening device that includes a shaft with a fastener carrier disposed at least partially within the shaft, in which the carrier is configured to accept fasteners of a plurality of different sizes. Different sized fasteners can be preloaded in interchangeable carriers or even mixed together within a carrier in the fastening device. The device can deliver the fasteners to different depths in a patient's tissue.

Abstract: Jaws of a surgical clip applier with housings formed thereon and methods for manufacturing and use during a procedure to apply surgical clips to a vessel, duct, shunt, etc. are provided. In one exemplary embodiment, a surgical clip applier is provided having jaws on a distal end thereof with a rigid internal frame and an outer housing formed around the internal frame. The jaws of the surgical clip applier can include a variety of features to facilitate placement of surgical clips, including features to align a clip with the jaws and to prevent clip fallout during formation.

Abstract: A reposable surgical clip applier includes a handle assembly, a shaft assembly engagable with the handle assembly, and a clip cartridge assembly including surgical clips engagable within the shaft assembly. The handle assembly includes a trigger, a drive bar coupled to the trigger and including a rack, a pawl configured to engage the rack upon movement of the drive bar, and a release mechanism operable to move the pawl to disengage the pawl from the rack. The shaft assembly includes an outer tube having a pair of jaws supported at a distal end portion thereof and a drive assembly slidably disposed therein. When the shaft assembly is engaged with the handle assembly and the clip cartridge assembly is engaged within the shaft assembly, actuation of the trigger loads a clip into the jaws and cams the jaws towards one another to form the clip about tissue.

Abstract: Adapters for use with surgical systems including a surgical forceps, and a surgical clip; and methods for providing clip-applying functionality are disclosed. The adapter is releasably engagable with the end effector assembly of the surgical forceps. The surgical clip is releasably engagable with the adapter. With the surgical clip engaged with the adapter and the adapter engaged with the end effector assembly, the jaw members of the end effector assembly are configured to move from the spaced-apart position towards the approximated position to move the jaw bodies of the adapter towards one another to, in turn, urge the legs of the surgical clip towards one another to form the surgical clip.

Abstract: An end effector for a surgical clip applier includes an elongate body, a clip revolver rotatably positioned within the body and providing an inner bore that defines a plurality of clip slots angularly spaced from each other about an inner surface of the inner bore, wherein a plurality of surgical clips are receivable within the plurality of clip slots in a nested helical array. First and second jaw members extend past a distal end of the body and aligned to receive a distal-most surgical clip of the plurality of surgical clips, wherein the clip revolver is rotatable to sequentially align each surgical clip with the first and second jaw members.

Abstract: The present invention discloses a tissue closure device, a tissue closure assembly and a medical instrument. The tissue closure device comprises a base, a pressure plate cooperating with the base, and a staple pushing sheet. The pressure plate is rotatable relatively to the base. The tissue closure device further comprises a staple accommodating portion which is arranged at the distal end of the base and configured to accommodate a closure staple. The staple pushing sheet and the staple accommodating portion are configured to cooperatively drive the closure staple in the staple accommodating portion to deform. In the present invention, a bundled pouch with a gathered center is formed through the tissue closure device, so that risks of stoma fistula arising from subsequent anastomosis through a circular stapler are reduced; and the surgery cost is reduced.

Abstract: A system for treating tissue includes a clip assembly including a pair of clip arms, a proximal end of the clip arms connected to a yoke, the clip assembly movable between a biased tissue receiving configuration and a tissue gripping configuration, the clip arms including a locking mechanism for locking the clip arms in the tissue gripping configuration, and an applicator including a sleeve and a control member extending therethrough, the sleeve extending from a proximal end to a distal end and including a lumen extending therethrough, the control member extending from a proximal end to a distal end configured to be releasably coupled to the yoke to move the clip assembly between the tissue receiving configuration and the tissue gripping configuration, the clip arms being constrained toward the tissue gripping configuration via a surface of the lumen when the clip arms are drawn proximally thereinto.

Abstract: An applicator system that includes at least one skin tag removing device and an applicator for application of the device onto a skin tag. The device has an aperture delimited by occlusion members, and opposite flexible pressure members to apply pressure to the occlusion members towards the aperture. The applicator has a housing with a guideway extending between the inlet and outlet which receives at least part of an elongated reciprocating applicator rod having an applicator head for engaging the skin tag removing device when moved out of the outlet of the guideway and forced through the aperture of the skin tag removing device, and an opposite operating end located outside the inlet of the guideway. The applicator head has a space for accommodating a skin tag and is configured for ejecting the device to occlude the skin tag which eventually withers away.

Abstract: A surgical clip applier is provided including a clip pusher bar having a flexible tab and a camming plate configured to effectuate closure of the pair of jaws. The camming plate includes a lost motion portion and the flexible tab is configured to engage the lost motion portion during an initial movement of the clip pusher bar to cause the camming plate to move with the clip pusher bar. The flexible tab is configured to disengage from the lost motion portion during a subsequent movement of the clip pusher bar to allow the clip pusher bar to move relative to the camming plate.

Abstract: Surgical instruments and/or fastener apparatuses comprising an end effector with a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. At least one of the jaws may comprise a channel for receiving a cartridge containing a plurality of surgical fasteners. Also, an electrically powered actuator may be for deploying the surgical fasteners and may comprise a power source and a motor. An activation mechanism may be attached to the handle to move the pair of jaws from the open to the closed position and to activate the actuator. A lockout mechanism may be configured to permit current to flow from the power source to the motor when the pair of jaws is in the closed position and to prevent current from flowing to the power source to the motor when the pair of jaws is in the open position.

Abstract: A reposable endoscopic surgical clip applier includes a handle assembly (100) configured to releasably engage at least two different endoscopic assemblies (200,300,400). The handle assembly (100) is configured such that a ratcheting function thereof is disabled upon engagement of an endoscopic assembly (300) therewith that is not intended for ratcheting use and such that the ratcheting function is enabled upon engagement of an endoscopic assembly (400) therewith that is intended for ratcheting use. Endoscopic assemblies (200,300,400) for use with the handle assembly (100) are also provided.

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

Abstract: A clip cartridge assembly for use with a reposable surgical clip applier includes a clip tray, a plurality of surgical clips, and a cover. The clip tray includes a plurality of distally oriented, deflectable, resilient fingers projecting from a base wall thereof. Each resilient finger terminates in a distal shoulder and a proximal end of the clip tray is configured for selective connection with a clip pusher bar of an endoscopic assembly of the reposable surgical clip applier. The cover includes a plurality of distally oriented, deflectable, resilient fingers projecting within a channel defined through proximal and distal ends thereof. Each resilient finger of the cover terminates in a distal shoulder and the cover includes a pair of opposed slots defined within sidewalls of the channel configured to slidably retain the clip tray and the plurality of surgical clips therein. A reposable surgical clip applier is also provided.

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, a firing system disposed in the housing and moveable in distal and proximal directions along a first axis, a handle extending upwardly from the housing along a second axis that defines an acute angle with the first axis, and a trigger mounted on the handle. The applicator instrument includes a non-linear elongated shaft extending from the housing that has a distal section that is extends upwardly toward a top of said applicator instrument. A distal end cap is secured to the distal end of the elongated shaft. The applicator has an imaging system including an imaging device for detecting images at the distal end of said applicator instrument, and a light source for illuminating a field of view for the imaging device at the distal end of the applicator instrument.

Abstract: Ultrasound probe systems and methods for using an ultrasound probe to assist during treatment of conditions of the human heart are provided. The method may comprise loading a medical instrument into a guide fastened to the ultrasound probe. The ultrasound probe may be inserted into a patient by way of an incision. The distal end of the ultrasound probe may be navigated to a location adjacent to an exterior surface of the heart. A treatment site may be identified on the exterior surface of the heart based on images obtained from an ultrasound transducer disposed within a distal end of the ultrasound probe. The medical instrument may be advanced within the guide to the treatment site and the medical instrument used for treatment. After treatment, the medical instrument may be withdrawn from the treatment site.

Abstract: An apparatus for application of surgical clips to body tissue has a handle portion; a body extending distally from the handle portion; a plurality of surgical clips disposed within the body; and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position; an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion; and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.