Abstract: An instrument set and related method for preparing a proximal tibia during a bi-cruciate retaining procedure are disclosed. The instrument set can include a tibial resection block, a cut guide, and a locking arm. The tibial resection block can be configured to be fixed to an anterior portion of the proximal tibia. The tibial resection block can define a slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal tibia. The cut guide can have a body, a medial arm, and a lateral arm. A medial cut slot can be defined between the body and the medial arm. A lateral cut slot can be defined between the body and the lateral arm. The cut guide can further comprise a tongue extending therefrom. The tongue can be configured to be received by and slidably translate along the slot of the tibial resection block.

Abstract: The shank (12) of a disposable rotary cutting tool (10) comprises a pipe section (16) cut from a drawn metal pipe. The tool head (14) is formed from a cut-out (18a, 18b) of a drawn metal sheet or a section of a metal tube by non-cutting machining. The pipe section (16) and the tool head (14) are advantageously attached by force fitting.

Abstract: A bone reamer is provided and may include a shaft and a cutting element. The shaft may include a proximal end, a distal end, and a flexible portion. The flexible portion may be disposed between the proximal and distal ends. The cutting element may be carried by the shaft and may include a cutting surface facing the distal end of the shaft. The distal end of the shaft may be offset from the cutting surface.

Abstract: A method of using a suction device to remove an object from a subject's body includes extending a suction device into the body through a lumen of a medical device and expanding the suction head from a contracted configuration to an expanded configuration within the body. The suction head may be provided at a distal end of an elongate conduit. The method may also include applying suction to move the object into the expanded suction head, and removing the suction device with the object from the body.

Abstract: An apparatus and method are presented comprising an endoscope including a flexible shaft which has an active deflection section at a distal tip, a handle connected to a proximal end of the flexible shaft, a platform mounted to a top portion of the handle and oriented substantially in line with the longitudinal axis of the proximal end of a straight portion of the flexible shaft to provide a substantially straight entry into a working channel of the flexible shaft for an output accessory, a stone retrieval device insertable into the proximal end of the working channel of the endoscope, a lithotripsy shaft including one or more guide features at a distal end of the lithotripsy shaft to facilitate passage of wires or filaments of the stone retrieval device there through, and a lithotripsy shaft driver attached to the platform for driving the lithotripsy shaft under power.

Abstract: An endoscopic device for retrieving an object from within a human body is disclosed. The device includes a support assembly, a transmitting assembly, a wire, and a net element. The support assembly has a base and a tubular member. The transmitting assembly includes a handle and a motion transmitting link fixed to the handle and extending through at least a portion of the tubular member. The wire defines a loop portion and two leg portions. A proximal end of each leg portion is secured to the link by a first connection and the two leg portions are secured to each other by at least a second connection distal from the first connection. The net element has a distally protruding portion secured to the loop portion and a proximally protruding portion secured relative to the leg portions.

Abstract: A biomedical shape-set textile structure based mechanical thrombectomy systems and methods are described. In one of the embodiments, the mechanical thrombectomy device can be customized to the length of the clot in each patient. In one of the embodiments, the mechanical thrombectomy device because of the textile structure has a very low overall profile or thickness that is less than 0.0125 inches (0.317 mm) and therefore can be deployed within microcatheters with inner lumen diameter as small as 0.014 inches (0.355 mm).

Abstract: Vascular treatment and methods include a plurality of self-expanding bulbs and a hypotube including interspersed patterns of longitudinally spaced rows of kerfs. Joints between woven structures and hypotubes include solder. Woven structures include patterns of radiopaque filaments measureable under x-ray. Structures are heat treated to include at least shapes at different temperatures. A catheter includes a hypotube including interspersed patterns of longitudinally spaced rows of kerfs. Heat treating systems include a detachable flange. Laser cutting systems include a fluid flow system.

Abstract: A pad configured to attach to a jaw of a surgical clamp includes an elongate body configured to extend over a surface of a jaw of a surgical clamp; and a flexible elongate attachment member connected to said body and configured for slidable insertion in a loading direction into an elongate cavity extending longitudinally through said jaw, wherein the elongate body has a first end and a second end, wherein the first end is configured to be inserted first into the cavity, and further comprising a direction indicator to identify which end is first inserted into said cavity. A surgical clamp utilizing the pad is also disclosed.

Abstract: A tissue removal system includes a morcellator having a cannula comprising a proximal end portion, a distal end portion, a sidewall, and at least one lumen extending between the proximal end portion and the distal end portion. A cutting blade is disposed within a lumen of the cannula. Also included is a tissue shield that has an expandable frame element and a shield element attached to the expandable frame element, wherein the tissue shield serves to isolate non-target tissues from at least the cutting blade of the system so that such tissues remain unaffected by a surgical procedure conducted with the system.

Abstract: 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.

Abstract: An endoscopic harvesting device removes a vessel from a body. The vessel has an anterior side closest to the skin. A sheath extends in a longitudinal direction with a dissector tip for advancing along the vessel substantially along the anterior side to create a flanking tunnel spaced away from the vessel. A ring-shaped blade is mounted to the sheath and is disposed in a plane substantially perpendicular to the longitudinal direction and proximal of the dissector tip. The blade forms a lateral loop to encircle the vessel from the flanking tunnel. The blade comprises an inductively-heated ferromagnetic member configured to make a vasiform cut including a pedicle around the vessel as the sheath advances.

Abstract: Two part laparoscopic tools and surgical methods using such tools are presented. The tools and methods enable use of multiple surgical tools each having wide tool heads to be used in a body cavity using a single wide trocar and one or more narrow incisions, thereby reducing surgical risk and enhancing patient comfort and shortening recovery time. Additional instruments for facilitating laparoscopic surgery are also presented.

Abstract: A feeding tube assembly having a feeding tube, an imaging assembly having a rigid axis and a bending axis transversely oriented relative to the rigid axis is disclosed. The imaging assembly can be preferentially deformable along the bending axis relative to the rigid axis. A marking disposed on at least one of the imaging assembly and the feeding tube can provide an indication of the bending axis. A packaging comprising a curvilinear cavity and a circular cavity can respectively contain the imaging assembly and the feeding tube, in a coiled configuration, which induces the feeding tube assembly into a pre-set, arcuate shape.

Abstract: An occlusion bypassing apparatus is disclosed for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The apparatus includes an outer shaft component, an inner shaft component disposed within the outer shaft component, and a needle component slidably disposed within the inner shaft component. The inner shaft component includes a body portion and a needle housing, which is distal to the body portion. The needle housing is less flexible than the body portion. In order to smooth the transition between the body portion and the needle housing, the needle housing includes a transition portion that has a variable flexibility along its length that decreases in a distal direction. A curved distal end of the needle component is distally advanced relative to the inner shaft component to pierce through the intima of the vessel and thereafter enter the true lumen.

Abstract: Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; and various stabilizing mechanisms surrounding the tubular body, sized and configured to stabilize and retain the retractor within the orifice. The stabilizing embodiments described herein are useful in all natural orifices and are of particular use in the vaginal surgery.

Abstract: A surgical access port and method for achieving articulation is disclosed, the surgical access port including a housing, at least one lumen extending through the housing, and an articulation structure. The housing comprises an access member having a proximal end and a distal end, and defines a longitudinal axis. The lumen in the housing extends from the proximal to the distal end of the access member along the longitudinal axis. The articulation structure comprises a first tubular member and a second tubular member, the second tubular member hingably attached to the first tubular member, and an articulation element slidably attached to the first tubular member.

Abstract: The present invention presents an apparatus and methods to stereotactically guide and automatically insert an invasive tubular device to a tissue object of a living body. The apparatus comprises a stereotactic positioning assembly and a powered propulsion assembly that controllably drives an invasive tubular device in and out of a tissue object. The stereotactic positioning assembly encloses an ultrasound transducer to visualize and aim at the tissue object, and adjusts an insertion angle of the invasive tubular device coupled with the powered propulsion assembly.

Abstract: Disclosed is an injector for hair implant, and more particularly, to an injector for hair implant with an automatic follicle supply function which is capable of continuously and automatically supplying follicles so that the follicles are rapidly and easily implanted into a scalp.

Abstract: A surgical access apparatus is presented including a cannula having a housing and a cannula shaft, the cannula shaft defining an internal lumen and a slot in communication with the internal lumen and an obturator insertable through the internal lumen of the cannula. The obturator includes an obturator shaft having a proximal end and a distal end and a tip member disposed at the distal end of the obturator shaft, the tip member configured to form an incision through tissue. An outer surface of the obturator shaft and the tip member defines a channel for receiving and directing insufflation fluid into a body cavity, a portion of the same channel also configured to guide a surgical instrument, such as a suture passer/grasper for closing an incision, towards and through the slot. In this way, the cannula and obturator can be employed both for forming an incision at the beginning of a surgical procedure and for closing the same incision at the conclusion of the surgical procedure.

Abstract: The present disclosure relates to software used in planning the correction of bone deformities preoperatively or postoperatively, and in particular relates to virtually manipulating rings and struts of an external fixation frame in order to plan the steps for making a desired correction to two or more bone portions of a patient. The software can be used prior to surgery, allowing a user to virtually define a bone deformity, and virtually add and manipulate fixation rings and struts to the bone deformity. Based on the virtual manipulations, a correction plan can be generated that describes length adjustments that should be made to the plurality of model struts over a period of time to correct the bone deformity. The software can also be used after surgical fixation of the fixation frame and struts to the deformed bone.

Abstract: External fixation assemblies offer good benefits in relevant orthopedic procedures but would be used more efficiently if the quick-release fasteners could be used so no tools would be required. This invention covers various embodiments of quarter-turn, quick-release fasteners, various shapes and surfaces of connecting rods and bone pins or other clamped objects to facilitate use of external fixation assemblies. Connecting rods can have fastening positions in the form of threaded or non-threaded holes. Both holes and connecting rods and bone pins can be of different shapes, for example, round, square, oval, pentagonal, hexagonal, octagonal, or any arbitrary shape. In both adding holes and non-circular shapes, rotation is eliminated allowing better fixation, and, in the case of holes or dimpled or out-dented surfaces, longitudinal motion along the rod or pin as well.

Abstract: Devices and methods for selectively converting polyaxial bone screws into monoaxial screws are described herein. In one embodiment, a spinal screw extension instrument is provided having an outer component configured to engage a receiving member of a polyaxial screw. The instrument further includes an inner component disposed within an inner lumen of the outer component and configured to translate longitudinally relative to the outer component such that the inner component can apply a distal force to a compression member of the polyaxial screw disposed within a distal portion of the receiving member to thereby convert the polyaxial screw to a monoaxial screw.

Abstract: A receiving part for receiving a rod for coupling the rod to a bone anchoring element, the receiving part including: a receiving part body having a channel for receiving a rod and defining an accommodation space for accommodating a head of a bone anchoring element, the accommodation space having an opening for inserting the head; and a pressure element at least partially in the accommodation space, the pressure element including a first portion having a recess to receive the rod, and a second portion having a flexible portion to clamp the head, wherein the pressure element is moveable along a longitudinal axis of the receiving part body from an inserting position to insert the head, to a pre-locking position to clamp the head in the receiving part by a pre-stress exerted by the pressure element, to a locking position to lock the head in the receiving part.

Abstract: A polyaxial bone anchor including a housing, a bone screw, and a retainer for pivotably coupling the head of the bone screw to the housing. The retainer is positioned into the bore of the housing and includes a plurality of alternating tabs and slots circumferentially arranged to define a cavity for receiving the head portion of the bone screw therein. The retainer is axially moveable in the housing from a first position in which the head portion is not passable through the lower opening of the retainer to a second position in which the head portion is passable through the lower opening of the retainer.

Abstract: The present invention provides interspinous vertebral and lumbosacral stabilization devices, and methods of using these devices for treating spinal instability conditions. The invention includes interspinous vertebral stabilization devices adapted for placement between the spinous processes of two or more adjacent vertebrae. The invention also includes lumbar stabilization devices adapted to be placed between a lumbar vertebra and an adjacent vertebra, including the first sacral vertebra (S1), to stabilize the lumbosacral region of a patient, and method for using such devices.

Abstract: An interspinous fusion device for holding adjacent spinous processes of a spine of a patient in a fixed configuration, including: a first plate configured to engage one side of the adjacent spinous processes; a second plate configured to engage another side of the adjacent spinous processes opposite the one side of the adjacent spinous processes; and a spacer disposed between and coupling the first plate to the second plate, wherein the spacer allows one or more of the first plate and the second plate to pivot relative to the other plate in a first unlocked configuration and prevents one or more of the first plate and the second plate from pivoting relative to the other plate in a second locked configuration. Each of the first plate and the second plate includes a pair of opposed wing members protruding from a central bore.

Abstract: An implantable spacer for placement between adjacent spinous processes is provided. The spacer includes a body and a wing rotatably connected to the body. The wing includes two U-shaped configurations that together define a substantially H-shaped configuration for retaining the spacer between adjacent spinous processes. An actuator assembly is connected to the body and to the wing with the proximal end of the spacer being connectable to a removable driver that is configured to engage the actuator assembly. While connected to the spacer, the driver is rotatable in one direction to deploy the wing from an undeployed to a deployed configuration and in an opposite direction to undeploy the wing. In the deployed configuration, the spacer acts as a space holder opening up the area of the spinal canal, maintaining foraminal height, reducing stress on the facet joints and relieving pain for the patient.

Abstract: Minimally invasive methods and devices are provided for positioning a spinal fixation element in relation to adjacent spinal anchors. In an exemplary embodiment, the device is a percutaneous access device that can be coupled to a spinal anchor, and the method includes the step of positioning a spinal fixation element through at least one sidewall opening of at least two percutaneous access devices such that the spinal fixation element extends in a lengthwise orientation that is substantially transverse to the longitudinal axis of each percutaneous access device. The spinal fixation element can then be advanced in the lengthwise orientation to seat the spinal fixation element in or adjacent to the receiver heads of at least two adjacent spinal anchors. A fastening element or other closure mechanism can then be applied to each spinal anchor to engage the spinal fixation element within the receiver heads of the adjacent anchors.

Abstract: The present disclosure provides an orthopedic plate, in particular a plate for osteosynthesis. The plate (31) comprising a body (33). The body (33) has a distal surface (15) adapted to be arranged facing the fractured bone and a proximal surface (13) adapted to be arranged facing away from the fractured bone. The surfaces (13, 15) define a distal and a proximal face of the plate (31), respectively. The body (33) further has a length measured along a longitudinal direction (23), a width measured along a transverse direction (51), and a thickness measured from the distal surface (15) to the proximal surface (13). The body (33) comprises two longitudinal plate ends (35) delimiting the body (33) in the longitudinal direction (23). The body (33) comprises at least one slotted longitudinal section (47). The slotted section (47) extends over a part of the length of the body (33), wherein within the slotted section (47) at least one slot (37) is arranged.

Abstract: A bone fixation device includes a plastically deformable bone fixation body having a screw receiving aperture extending therethrough. The shape of the aperture is defined by a side wall having a first threaded portion, a second smooth walled portion extending from the first threaded portion, and a third smooth walled portion extending from the second portion. The aperture has a step change in cross section between the second and third portions defining a lip. The second and third portions are connected by a lip face extending substantially normal to the aperture length with the edge of the lip face defining the lip. The device further includes at least one bone fixation screw having a shaft and a head. The shaft engages with the first threaded portion of the aperture and the head abuts the lip with an abutment force being directed substantially radially outwards so producing a tight fit.

Abstract: A long bone screw for a minimally invasive surgery contains a body including a holder, and the holder has two opposite first fences and two opposite second fences extending upwardly from the two opposite first fences; each second fence has a length extending out of a muscle tissue, the length of each second fence is within 6 to 12 cm; and the two opposite second fences one piece extend from the two opposite first fences, such that a fixing position of skeleton is marked clearly, and a size of a surgery wound is reduced.

Abstract: An orthopedic screw is used in a fixation device for treating fractures. The device has a body with holes to accept the bone screws. The bone screws have a layer of bioresorbable material on a surface portion of the head of the screw contiguous with the shaft. Engagement between the bone screws and the body is initially through the bioresorbable material, which engagement rigidly fixes the relative angular orientation between the bone screws and the body when the device is applied to a bone. As the bioresrobable material is resorbed the angular relation between the bone screws and the body is no longer rigidly fixed, thereby effecting a transformation from rigid osteosynthesis to flexible osteosynthesis to allow micromotion between the bone fragments which promotes healing.

Abstract: A calcaneal targeting device includes a guide body configured to target a corresponding calcaneal bone plate. The guide body includes at least one mounting opening that is configured to align with a corresponding mounting opening of the calcaneal bone plate, at least one targeting opening configured to align with a corresponding fixation opening of the calcaneal bone plate, and a guiding portion that includes a tali targeting opening and a first elongated opening that has a first length. The first elongated opening is configured to allow sliding of a guide wire across the first length and align the tali targeting opening with a sustentaculum tali.

Abstract: The invention provides a surgical tool (1), e.g. a hand-held tool, for inserting surgical implants in a patient's body, the tool comprising: a main body (2) extending along a longitudinal axis (X-X?) between firstly a working end (3) and secondly a proximal end (4), the main body (2) also presenting an outside surface (5) connecting the working end (3) to the proximal end (4); and a guide cannula (14) arranged within the main body (2) and extending between a distal orifice (15) opening to the outside of said main body (2) at the working end (3), and a rear orifice (16); said surgical tool (1) being characterized in that said rear orifice (16) opens out to the outside surface (5) of said main body (2), and in that said main body (2) presents longitudinal splines (25, 27, 28) projecting from said main body (2) in respective planes extending radially relative to the longitudinal axis (X-X?). Surgical instrumentation.

Abstract: In intervertebral operative spinal procedures, using separate or pre-attached spreader blocks to control the directional growth of a distracting balloon.

Abstract: A delivery assembly (20, 140) for delivering material such as bone cement into living tissue. The assembly includes an access cannula (22) that defines a portal to the tissue to which the material is delivered. The material is delivered from a delivery cannula (82) that is seated in the access cannula. The access cannula includes a valve (48, 146). The valve prevents the flow of material out of the access cannula. The valve also prevents the pressure head at the site at which the access cannula is inserted from forcing the delivery cannula out of the access cannula.

Abstract: The application relates to a vacuum mixing device for bone cement, where the monomer is pressed into a mixing container due to the surrounding vacuum and a gas volume present in the monomer container.

Abstract: A vacuum cementing system has at least one cement powder cartridge and a container-opening system. The container-opening system has at least one container for at least one liquid and/or at least one powder, an opening device, and an outlet opening for applying a negative pressure. When a negative pressure is being applied, the opening device is mobile relative to at least a part of the at least one container. The vacuum cementing system has a means for connecting the cement powder cartridge to the at least one container and utilizes necessary vacuum for automatically opening the at least one container.

Abstract: 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.

Abstract: An ablation method according to the present invention includes: a step I of observing a target region in a tissue of a subject and a conservation region that should not be ablated, the conservation region being adjacent to the ablation target region, using an observation unit; a step II of placing a thermal monitoring instrument that deforms if a temperature thereof exceeds a predetermined temperature, in a boundary between the ablation target region and the conservation region under the observation using the observation unit; a step III of heating the ablation target region using an ablation instrument while observing the ablation target region using the observation unit; and a step IV of stopping the heating at a stage where deformation of the thermal monitoring instrument is confirmed.

Abstract: The invention relates to a device, preferably a collar, for treating areas of human or animal skin or mucous membrane with a cold atmospheric pressure plasma by creating a dielectrically hindered surface discharge, comprising at least one flexible insulating material (1), a flexible high-voltage electrode (2), a flexible dielectric (3), a flexible grounded electrode (4) and a gas supply (7), characterized in that the flexible high-voltage electrode (2) is embedded in the insulating elastomer (3), having the effect of a dielectric, and the grounded electrode (4) is applied to the elastomer surface facing the surface to be treated.

Abstract: A surgical system that illuminates a surgical site using one or more illumination means is powered by radiofrequency energy produced by an electrosurgical generator. Illumination may occur whether or not current is being delivered from an active electrode to target tissue.

Abstract: An electrosurgical generator is disclosed. The generator includes an RF output stage configured to supply electrosurgical energy to tissue via at least one active electrode configured to apply electrosurgical energy to tissue; sensing circuitry configured to measure impedance of tissue; and a controller.

Abstract: A system is provided. The system includes an electrosurgical generator configured to measure, collect and record data pertaining to a characteristic of tissue as the tissue is being electrosurgically treated. A tuner configured to couple to the electrosurgical generator includes a tuning circuit providing a load having a variable complex impedance for the electrosurgical generator when the electrosurgical generator is connected thereto. A controller including stored data pertaining to impedance values is in operable communication with the electrosurgical generator for retrieving the recorded data pertaining to the characteristic of tissue. The controller is in operable communication with the tuner for varying a complex impedance of the load. The controller configured to compare the recorded data pertaining to the at least one characteristic of tissue with the stored data pertaining to the plurality of impedance values and to adjust the tuner to one of the plurality of impedance values.

Abstract: A multipurpose electrosurgical device and methods of use are disclosed. In one example, device includes a handpiece and an end effector having a monopolar electrode and a pair of bipolar electrodes. The end effector is coupled to the handpiece and selectively transitionable relative to the handpiece from a first position to a second position. The first position includes the bipolar electrodes extending distally from the device and the monopolar electrode is spaced from a distal end portion of the device. The second position includes the monopolar electrode extending distally and the bipolar electrodes are spaced from a distal end portion of the device.

Abstract: An electrosurgical forceps includes a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly is operably coupled to a distal end of the shaft and includes a pair of first and second jaw members. Each jaw member has a jaw housing and an electrosurgical seal plate. The first jaw member is movable relative to the second jaw member from an open configuration to a clamping configuration. The first jaw member includes an elongated channel defined in its respective jaw housing and extends along a length thereof. A drive assembly operably couples to the first jaw member via a drive rod that is engageable with the elongated channel to move the first jaw member from the open configuration to the clamping configuration and to provide a closure force between the jaw members when the jaw members are in the clamping configuration.

Abstract: A surgical instrument includes a handle movable between first and second positions for transitioning an end effector assembly between states and to a third position for returning the handle. A latch arm coupled to the handle includes one or more engagement members. A latch block defines a guide track having a latching path configured to guide the engagement member(s) therealong, an engagement portion configured to engage the engagement member(s) to latch the handle in the second position, and a return path configured to guide the engagement member(s) therealong. A first step interdisposed between the latching path and engagement portion guides the engagement member(s) into engagement with the engagement portion and inhibits the engagement member(s) from returning along the latching path. A second step interdisposed between the engagement portion and the return path guides the engagement member(s) along the return path and inhibits the engagement member(s) from re-engaging the engagement portion.

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 surgical instrument includes a housing and an elongated shaft having a distal portion and a proximal portion coupled to the housing. The elongated shaft defines a longitudinal axis and a mandrel at the proximal portion. An inner shaft member extends at least partially through the elongated shaft. An actuating mechanism is operably coupled to the mandrel and is configured to selectively cause movement of the elongated shaft in a longitudinal direction with respect to the inner shaft member. The surgical also includes an end effector that is adapted for treating tissue and includes an upper jaw member pivotally coupled to a distal portion of the inner shaft member about a pivot axis and a lower jaw member supported by the distal portion of the elongated shaft. Longitudinal movement of the elongated shaft is configured to pivot the upper jaw member relative to the lower jaw member.