Abstract: A dual modality probe is disclosed having both a gamma probe sensor and an ultrasound sensor. A dual imaging system is provided having the probe and at least one external gamma imaging detector and a data acquisition computer system for collecting data simultaneously from the gamma probe sensor, the gamma imaging detector, and the ultrasound sensor of the probe. A method for evaluating a target organ of a patient utilizing the probe and imaging system, and performing a biopsy of the organ is disclosed.

Abstract: A robotic scanning system is provided. The scanning system includes a robotic array having at least one set of scanning robots configured to perform a radiological scan on a subject, each robot having a respective emitter or detector. A control unit in electrical communication with the robotic array controls the set of scanning robots to perform the radiological scan in accordance with scan settings received from a work station. The work station is configured to permit a user to select a radiological scan to perform on the subject from a plurality of different types of radiological scans selectable by the user. An image processing device in the system receives scan data from the robotic array and produces image data indicative of a multi-dimensional image of at least a portion of the subject.

Abstract: An imaging system including a closed-loop controller (FC) for automatically adapting a power injector system (PJ). The power injector (PJ) injects contrast agent into an object (V) and the imager (100) acquires one or more images (AN, AN i) of the object (V) with the contrast agent resident therein. The controller (FC) calculates a desired optimal injection rate from the images (AN, ANi). Controller (FC) then controls the injector (PJ) according to the calculated optimal injection rate.

Abstract: A contour extracting unit of a contour image generating device performs one-time contour extraction to a two-dimensional reconstruction image by a contour extracting model so as to extract a second shape of a contour from a first shape of a contour. A completion determining unit determines whether or not a rate of change is smaller than a threshold. The rate of change is a ratio of a varied area and a sum of pixel values of pixels in the varied area, the varied area being between the first shape of the contour and the second shape of the contour. When the rate of change is large, a repetitive controller performs control to operate the contour extracting unit and the like again. When the rate of change is small, the repetitive controller performs control to output a two-dimensional contour image containing the second shape of the contour.

Abstract: A method and apparatus for determining an x-ray image data record of a target location subjected to a movement using an x-ray device. A number of basic images of the target location are recorded using a basic exposure time in each case and the x-ray image data record corresponding to an x-ray image with a longer exposure time is determined by combining basic images registered with one another. At least one quality value assigned hereto and relating to the movement in the target location during the recording is determined for each basic image and the contribution of a basic image to the x-ray image data record is determined as a function of the quality value.

Abstract: The embodiments relate to a method for operating a medical appliance, (e.g., an angiography machine), in which an output data stream is produced with a first information item, and a first signature that is dependent on the first information item is embedded into the output data stream. The output data stream is supplied to an output apparatus and to a monitoring unit, wherein the first information item is presented by the output apparatus and the first signature is captured by the monitoring unit. An input is captured and is supplied to the monitoring unit. The input is coded on the basis of the first signature.

Abstract: A radiography system for executing long-length imaging by using a plurality of radiation imaging apparatuses includes an acquisition unit configured to acquire respective states of the plurality of radiation imaging apparatuses, and a state control unit configured to shift power consumption of one radiation imaging apparatus to a same state as that of another radiation imaging apparatus based on the respective states acquired by the acquisition unit in a case where at least the one radiation imaging apparatus from among the plurality of radiation imaging apparatuses is in a state where the power consumption is higher than that of the another radiation imaging apparatus.

Abstract: Disclosed herein are mammography device for X-ray photographing a breast and a method of photographing an object to be inspected using the same. The mammography device includes: a generator irradiating an X-ray; a detector facing the generator; a pressing pad moving between the generator and the detector to press an object to be inspected; a biological index deciding unit deciding a biological index of a subject; and a controller controlling a movement distance and a velocity of the pressing pad on the basis of the biological index decided in the biological index deciding unit.

Abstract: The present invention relates to an object tracking device for a medical imaging system to track a predetermined movable object. The predetermined movable object may be a medical instrument and/or a patient. The object tracking device comprises a primary imaging unit and a secondary imaging unit. The primary imaging unit is configured to provide first image data of a patient's body. It might further be configured to provide image data of the interior of a patient's body. The primary imaging unit is movable between an imaging mode and a parking mode. The secondary imaging unit is configured to provide second image data of a patient's body. It might further be configured to provide image data of the exterior of a patient's body. The object tracking device further comprises a position monitoring arrangement configured to monitor a position of the secondary imaging unit relative to the position of a reference point.

Abstract: An imaging system such as a medical C-arm x-ray fluoroscopy machine includes a tracking system that tracks a position of an x-ray source and an x-ray detector using sensors which monitor positions of joints which allow relative motions of segments in a support for the x-ray source and detector. Sensor readings are used in a kinematic chain. One or more segments that behave in a non-rigid manner are replaced by a virtual rigid link in the kinematic chain that takes into account deformations of the segments (e.g. under the influence of gravity). Calibration methods permit calibration of the system using images of phantoms.

Abstract: In order to provide an X-ray CT apparatus or the like capable of improving the image quality even with low-exposure scanning by reducing artifacts generated around high absorbers on an image while reducing the amount of image noise, a reconstruction arithmetic device 221 sets the number of iterations of iterative processing for correcting projection data, and calculates, as calibration coefficients, a correction coefficient ? and an adjustment coefficient a? for adjusting the application ratio of noise reduction processing f1 and signal strength maintenance processing f2 included in the iterative processing. By performing the iterative processing including the noise reduction processing f1 and signal strength maintenance processing f2 on the projection data based on the number of iterations and the calibration coefficients ? and ?, corrected projection data is created, and a CT image is reconstructed.

Abstract: In a medical phantom using a plurality of unit blocks related to an example of the present invention, the plurality of unit blocks includes a first unit block of a hexahedron shape with an empty interior; and a second unit block of a hexahedron shape with an empty interior, having a plurality of ridges formed on a top and a plurality of furrows formed on a bottom to be combined with the plurality of ridges, and the medical phantom is determined according to a combination form of the first unit block and the second unit block.

Abstract: A phantom system has a housing (2) with a lower part (3) having an opening in the z-direction and a cover part (4) for closing the opening of the housing (2). A first plate-shaped insert element (10a) has at least one depression (11a) for receiving a liquid substance. The lower part (3) and the cover part (4) delimit a cavity (5) with an insert area (8), which is constituted to receive the first insert element (10a). A first sealing element (14a) seals the first insert element (10a) against the cavity (5) and a fixing facility fixes the first insert element (10a) in the cavity (4) of the housing (2) in an operating state of the MPI phantom. The phantom permits good contrast in MPI, MRI, or ?CT using liquid contrast media.

Abstract: The systems and methods described herein include a non-invasive diagnostic tool for intracranial hypertension (IH) detection and other neurological conditions like mild and moderate TBI that utilizes the transcranial Doppler (TCD) measurement of cerebral blood flow velocity (CBFV) in one or more cerebral vessels. A headset includes a TCD scanner which automatically locates various cerebral arteries and exerts an appropriate pressure on the head to acquire good CBFV signals.

Abstract: An ultrasound endoscope includes: an acoustic lens for transmitting/receiving ultrasound; a transducer element generating ultrasound vibration transmitted/received via the acoustic lens; backing material with an insulation property provided on a face of the transducer element opposite to the acoustic lens; a housing accommodating the acoustic lens, the transducer element and the backing material so as to expose a surface of the acoustic lens to an outside; an insulative cooling portion with thermal conductivity higher than thermal conductivity of the backing material, and laminated on a surface of the backing material opposite to a surface in contact with the transducer element; and a signal wire configured with a metal wire extended from the transducer element into the housing through the backing material, the signal wire, including a curved portion curved so that an area of contact with the cooling portion is increased, being covered with the cooling portion.

Abstract: Embodiments of a protective cover set for a medical probe are described herein, which may include an elongate protective cover having two or more fastening elements, with at least one fastening element at a point along the length of the protective cover. Embodiments may be configured to fit within a removable outer wrapper.

Abstract: An ultrasound imaging system comprising a multi-use electronic display device and an ultrasound imaging device. The multi-use electronic display device is capable of communicating with one or more ultrasound imaging devices and selecting which to connect with based on at least one of previously store information, user input, and information gathered from the ultrasound imaging devices. The multi-use electronic display device may communicate with the ultrasound imaging devices while they are in a low power standby state. This approach reduces the complexity of the pairing process and provides a means for quickly and easily selecting between multiple ultrasound imaging devices.

Abstract: An ultrasound imaging and reporting system includes an ultrasound transducer probe, a processor component, and a data storage component. The processor component is configured to execute instructions to process ultrasound image information received from the ultrasound transducer probe into an ultrasound image and store the ultrasound image on a data storage component. The processor component is also configured to receive examination information from an input device, to store the examination information in the data storage component, and to automatically insert, at least a portion of the examination information into a main ultrasound examination report and an additional examination report stored on the data storage component. A method for operating the system is also included.

Abstract: Provided is a method of operating an ultrasound diagnosis apparatus, including: acquiring a plurality of pieces of elasticity data for an object; acquiring a plurality of measurement values respectively from the plurality of pieces of elasticity data; displaying the plurality of measurement values; selecting at least one of the plurality of measurement values; displaying the selected at least one measurement value to be distinguished from non-selected measurement values among the plurality of measurement values; and displaying a resultant value calculated based on the selected at least one measurement value.

Abstract: An ultrasound signal processing device: performing events involving transmitting ultrasound towards a subject; receiving ultrasound reflection from the subject in response to each event; and generating a frame signal from sub-frame signals generated based on the ultrasound reflection. The device, in each event, causes a transmission aperture to transmit ultrasound focusing in the subject. A transmission aperture for one event differs in position, in a transducer element array direction, from a transmission aperture for a previous event by a shift amount of at least twice a transducer element width. The device, for each event, sets a target area which includes a position where transmitted ultrasound focuses and whose width in the transducer element array direction, at a depth where the transmitted ultrasound focuses, is equal to or greater than the shift amount. The device generates a sub-frame signal covering measurement points included in the target area.

Abstract: A medical diagnostic apparatus includes: a feature calculating unit configured to calculate a plurality of kinds of features that is based on luminance information or frequency spectrum information obtained from a received signal from a specimen, and that relates to attributes of a tissue of the specimen; a classification unit configured to: classify the attributes of the tissue of the specimen by using a feature determined among the plurality of kinds of features calculated by the feature calculating unit according to a classification item selected in advance from a plurality of classification items assigned for each classification purpose; and assign visual information according to a classification result to pixels of an image based on the received signal; and a feature image data generating unit configured to generate feature image data on which the visual information assigned to the pixels of the image based on the received signal is superimposed.

Abstract: A stool container is provided with a lid body (2) having a lid part (2a) for sealing a container and a stool collection rod (2b) for collecting stool, a cylindrical container body (3) that has a liquid reservoir (3b) formed at the distal end thereof via a filter holding part (3a) and has an open proximal end, and an inner plug 4 that is inserted from the proximal end of the container body (3) in to the container body (3). The distal end of the inner plug (4) has a bottom surface (4a) that is orthogonal to the longitudinal direction and, in the center of the bottom surface (4a), a scraping part (4b) through which the stool collection rod (2b) can be inserted. A stool collection rod guide part is formed that comprises a plurality of sloping ribs (4c) disposed radially around the scraping part (4b).

Abstract: Devices for collection and elution of oral fluid samples and the like enable collection and elution of samples by using a handle in the form of a rod having a collection pad thereon which is inserted into a collection tube. The collection tube has an adaptor with a narrowed portion associated therewith for squeezing the pad to wring a sample therefrom. In an alternative embodiment, the collection tube has a narrowed portion that squeezes the pad as the pad is inserted there though. Caps are provided to 1) support the rod in an assembly with the adaptor and collection tube to form an assembled sample collection device and 2) to close the collection tube after the handle and pad are removed from the collection tube subsequent to depositing the sample elution solution therein. The eluted sample can be used for detection of an analyte.

Abstract: The system and method of the invention pertains to an MR-guided breast biopsy procedure, specifically as to real-time tracking and navigation of a biopsy device. More particularly, the system utilizes a diagnostic imaging modality such as magnetic resonance imaging (MRI) to locate lesions in a human breast while utilizing an inertial measurement unit (IMU) to track advancement of a biopsy device in real-time. The invention simplifies the workflow of MRI-guided breast biopsies, shortens the time needed to perform the biopsy, decreases cost, and increases accuracy. This is achieved by enabling real-time visualization of the biopsy device as it advances towards the targeted lesion.

Abstract: Methods and devices for performing minimally invasive procedures useful for Fallopian tube diagnostics are disclosed. In at least one embodiment, the proximal os of the Fallopian tube is accessed via an intrauterine approach; an introducer catheter is advanced to cannulate and form a fluid tight seal with the proximal os of the Fallopian tube; a second catheter inside the introducer catheter is provided to track the length of the Fallopian tube and out into the abdominal cavity; a balloon at the end of the second catheter is inflated and the second catheter is retracted until the balloon seals the distal os of the Fallopian tube; irrigation is performed substantially over the length of the Fallopian tube; and the irrigation fluid is recovered for cytology or cell analysis.

Abstract: A disposable bidirectional ratchet, which has a tubular hollow handle with an interior surface having teeth thereon; a toggle mounted movably within the handle; a knob connected to an end of the toggle moves the toggle inside the handle; a plurality of pins on another end of the toggle; a plurality of actuators each comprising: fingers, levers, toes and a head, and having a post guide formed therein; a plurality of posts affixed to a clutch; and, wherein the actuators are movable affixed to the clutch via the posts, and the pin position selects the direction of engagement via adjustment of the actuator position via applying force to the levers, which moves the lateral edges of the actuator towards or away from the teeth.

Abstract: The invention relates to a device for closing an atrial appendage, particularly the left atrial appendage, comprising a closing element, designed to be arranged in an atrial appendage entrance and to prevent an entrance of blood into the atrial appendage and/or a leakage of thrombus out of the atrial appendage, which is configured that it does not, in the implanted state, protrude out of the atrial appendage into the atrium of the heart; a first anchoring element, which is arranged adjacent to the closing element and connected to the closing element, wherein the first anchoring element is designed for an anchoring on an atrial appendage tissue wall, a connecting element which is at least in a radial direction flexible and connected to the first anchoring element and a second anchoring element, which is connected to the connecting element and designed for an anchoring on an atrial appendage tissue wall.

Abstract: A medical implantable occlusion device is disclosed comprising a fabric of at least one thread and a structural formation thereof having a collapsed and an expanded shape, the formation comprises a proximal and a distal portion, a longitudinal axis extending between the proximal and distal portion, wherein at least one of the proximal and distal portions comprises a peripheral edge having a first and a second radius of curvature in a direction substantially perpendicular to the longitudinal axis, wherein the first radius of curvature is different from the second radius of curvature.

Abstract: A multiple-purpose surgical instrument having a reflecting, rendering, and sizing tool to increase visibility and provide three-dimensional depth perception of a surgical site so that realization of a condition of the surgical site and safety are enhanced during an arthroscopic or laparoscopic procedure.

Abstract: An illuminated surgical retractor embodiment includes a blade, a handle, a curved section and an illumination assembly. The blade has a top surface and a bottom surface. The handle extends at an angle from a proximal end of the blade. The curved section connects the handle to the blade. The illumination assembly includes at least one light source, at least one battery and an activation device for energizing the light source. In an embodiment, the blade, handle, and curved section are molded from a low conductivity polymer.

Abstract: Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.

Abstract: An orthopedic distraction device is provides. The orthopedic distraction device includes a first upper paddle for engaging a first bone of a joint, a lower paddle for engaging a second bone of the joint and a displacement mechanism. The displacement mechanism includes a drive assembly operable to move the upper paddle relative to the lower paddle. The lower paddle is releasably connected to the displacement mechanism.

Abstract: A minimally invasive dilation device includes a plurality of rigid arms radially arrayed about a center and a dilating member positioned between the arms. A stylus may occupy the center. An outer flexible sleeve may be circumferentially secured to the arms, lying within or without the plurality of arms. An inner mesh may surround the stylus and dilating member. The device may be introduced into tissue toward a targeted area, while in a closed configuration. The dilating member may be a balloon, wherein upon inflation of the balloon, the arms are pushed radially outward, expanding the device and dilating the surrounding tissue. The dilating member may be a tube, wherein upon insertion of the tube, the arms are pushed radially outward. A cannula may be inserted inside the plurality of arms to keep the arms in an open configuration, and the dilating member may be withdrawn, providing an open passageway through the device to the targeted area. The device may be used with a neural monitoring system.

Abstract: Some devices for atraumatic retraction of tissue include a transcatheter deployable mesh hammock that is well-suited for laparoscopic, endoscopic, and robotic surgeries. Methods for atraumatic retraction of tissue include wrapping a mesh material around the tissue in a cradle-like fashion. In some embodiments, magnetic coupling of the proximal and distal ends of the mesh material can provide tissue containment and retractor securement to facilitate tissue retraction.

Abstract: Improved methods and devices for performing an endoscopic surgery including a system for performing minimally invasive procedures including a flexible catheter having a working space expanding system positioned at a distal portion, the working space expanding system movable from a non-expanded insertion position to an expanded position forming an expanded region to expand the working space within the body lumen. A tissue retractor having an inner member positioned within an outer guide member has a plurality of closed loops at a distal portion forming a petal-like structure. The loops are positioned in a collapsed position within the outer guide member and are movable to an expanded position when exposed from the outer guide member.

Abstract: A device for creating endoscopic operating space includes an external cannula, an internal cannula disposed in the external cannula, and an expandable retractor disposed at a distal end of the device and cooperable with the external cannula and the internal cannula. The expandable retractor is displaceable between an unexpanded position and an expanded position. An actuator is cooperable with the expandable retractor to displace the expandable retractor between the unexpanded position and the expanded position.

Abstract: A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity adapts to tissue tracts of different widths. The surgical instrument includes a proximal member, a distal member, and a sleeve extending between the proximal member and the distal member and defining a longitudinal passage therein. The proximal member includes an inflatable member that selectively adjusts the radial dimension of the proximal member. A ring member may be separately insertable by a user during a surgical procedure into the space directly adjacent to the radially-inner surface of the inflatable member, so as to selectively provide rigidity to the proximal member.

Abstract: This disclosure describes embodiments of an anchor with a body configured to expand radially outwardly along its entire length. The anchor includes, but is not limited to, an elongate body having a distal end, a proximal end, and a longitudinal axis extending therebetween, the elongate body having an outer surface and an inner surface, the inner surface defining a bore aligned with and extending along the longitudinal axis, the elongate body comprising a slot penetrating into the outer surface towards the longitudinal axis, the slot forming a path circumscribing the longitudinal axis.

Abstract: A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose with first and second noose limbs connected, preferably slidably connected, to the filament engagement feature of the anchor. The first and second noose limbs emerge from the anchor as first and second free filament limbs which are capable of being passed through tissue to be repaired and then passable through the noose. The noose, such as one or more half-hitches, is capable of receiving the free filament limbs and strangulating them when tension is applied to at least one of the free filament limbs and the noose to enable incremental tensioning of the tissue after the anchor is fixated. Preferably, the snare assembly further includes a flexible sleeve joining at least some portion of the first and second free filament limbs to facilitate passing of the free filament limbs at least through the tissue as a single unit.

Abstract: An internal bracing system is disclosed for stabilizing a joint such as the knee, shoulder, ankle or the like. The internal bracing system includes an extra-articular tension band mechanism and an anchor assembly therefore. The internal bracing system adds substantial control to unstable joints which is effective in limiting the pathological joint motions and internal slippage. The anchor anchoring assembly designed to affix a tethering device to various bony structures which form a joint, for the purpose of providing stability. The anchor assembly includes an anchor and a set screw. A series of disc structures compressed by the set screw securely holds the tether without binding.

Abstract: A laparoscopic wound closure device includes an elongated body portion including a proximal end, a distal end, and a pair of vertical suture channels. Each vertical suture channel has an entrance at the proximal end and an exit near the distal end for passing a suture needle through, and travels parallel to the longitudinal axis of the body portion of the device. The vertical suture channels are designed to cause a suture needle to deflect laterally as it exits the wound closure device. The wound closure device can be an obturator or a sheath of a trocar assembly, and can be used to inject local anesthetic at the conclusion of surgery.

Abstract: A surgical stapler end effector assembly comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer is in a flowable state on the buttress body.

Abstract: A surgical stapler end effector assembly comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body, an adhesive material, and a plurality of reinforcement strands. The reinforcement strands are configured to engage one or more staples fired through the buttress body.

Abstract: A surgical fastener applier is disclosed and includes a handle portion, a tubular member extending from the handle portion and defining a longitudinal axis, a drive member rotatably supported in the tubular member and in the handle portion, and a plurality of fasteners. The drive member is configured to rotate while in a deflected condition with respect to the longitudinal axis. The drive member includes a proximal portion, a central portion, and a distal portion, the central portion being relatively more flexible configuration as compared to at least one of the proximal portion and the distal portion. The plurality of fasteners is disposed within the tubular member and is configured to engage a portion of the drive member such that rotational motion of the drive member causes distal advancement of at least one fastener of the plurality of fasteners through the tubular member.

Abstract: The present disclosure is directed to a testing systems and methods for testing a powered surgical instrument. The powered surgical instrument includes a processor configured to control operation of the powered surgical instrument, a memory configured to store a tissue compression program, a reload configured to clamp tissue, a motor configured to control the reload to apply a compressive force to the tissue by the reload, and at least one sensor configured to measure a current draw on the motor. The processor executes the simulation program to measure the current draw on the motor through a nominal thickness firing and the measured current draw is used to adjust the tissue compression program.

Abstract: A surgical staple comprising a first deformable leg, a second deformable leg and a backspan having first and second transverse portions spaced apart to create a gap therebetween. The backspan further includes a third transverse portion spaced distally from the first and second transverse portions and distally of the gap. A first non-linear backspan portion extends between the first transverse portion and the first end portion of the third transverse portion and a second non-linear backspan portion extends between the second transverse portion and the second end portion of the third transverse portion.

Abstract: Disclosed is an an apparatus for forming cogs on a surgical thread, comprising: a bobbin having a suture thread wound thereonto; first and second tension rolls for maintaining, at regular tensions, the suture thread unwound from the bobbin; a pair of friction rolls for drawing the suture thread and allowing the suture thread to pass through so as to be discharged through an outgoing side; a tension plate operating up and down, for temporarily fixing the suture thread being discharged through the outgoing side by the friction roll; and a cog-forming knife for forming cogs by rotating and simultaneously moving forward toward the suture thread fixed by the tension plate and also obliquely moving to the left or the right so as to make oblique cuts on the surface of the suture thread.

Abstract: Various embodiments of a future delivery device and of a suture are provided. The suture delivery device, in one embodiment, comprises a sleeve over a suture and a suture wire. In one embodiment, a suture comprises a primary structure and at least one secondary structure configured to facilitate fibrosis and/or tissue healing. In one embodiment, a suture comprises one or more types of nanoparticles.

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer has an inherent viscosity at or below 3.0 dL/g.

Abstract: A powered surgical apparatus, which is configured to engage tissue includes a handle assembly having proximal and distal portions, a movable portion operatively connected to the distal portion of the handle assembly, a tool assembly operatively coupled to the movable portion, a power source configured to supply electrical power, and a transmission system operatively associated with the power source. The movable portion is movable with respect to the handle assembly. The tool assembly is adapted to engage tissue. The transmission system is configured to transmit electrical power or signals between the handle assembly and the movable portion.