Abstract: A method and a hand-held device for dermaplaning is disclosed that includes a blade assembly which includes a blade, a blade holder and a safety cage. In accordance with an important aspect of the invention, the safety cage limits the amount of penetration of the blade into the facial skin to enable the device to be safely used by non-professionals. The dermaplaning device includes a vibration generator that causes the blade to vibrate at a predetermined frequency. Various embodiments of the hand-held dermaplaning device are disclosed for vibrating the blade.

Abstract: A handle assembly for a handheld surgical instrument is disclosed. The handle assembly may include a body portion extending parallel to a longitudinal axis, a fixed handle interfaced with the body portion and extending downwardly from the body portion and away from the longitudinal axis, and a detachable handle portion. The fixed handle may define a proximal contact surface. The detachable handle portion may define an internal surface configured to interface with the proximal contact surface of the fixed handle and comprise at least one attachment feature to removably couple the detachable handle portion to the fixed handle.

Abstract: A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).

Abstract: An anchoring system for cannulas or tools to be inserted into a surgical workspace in the body, particularly the brain, of a patient. The system comprises a grommet which may be fixed to the skull to both secure the system to the skull and protect the skull opening from passage of cannulas and tools, a resilient clip with grasping jaws adapted to firmly grasp a cannula or tool, and a flexible membrane secured to the outer rim of the grommet and the clip.

Abstract: A modular signal interface system for providing electrical communication with a surgical instrument when the surgical instrument is inserted into a cannula of a trocar. The system includes a signal interface adapter and an instrument connector. The signal interface adapter is provided on, or adapted to be mounted on a trocar, and includes central aperture extending therethrough and a proximal face having a plurality of conductive contacts. The instrument connector is provided on or adapted to be mounted on a shaft of a surgical instrument, and includes a central aperture extending therethrough and a distal face having a plurality of conductive contacts. The signal interface adapter and the instrument connector are adapted for mating engagement such that, when matingly engaged, their central apertures are axially aligned and predetermined ones of the plurality of contacts of the signal interface adapter are in conductive contact with predetermined ones of the plurality of contacts of the instrument connector.

Abstract: The present disclosure provides a modular instrument system for accessing a site within a patient's body, such as for example, to inject or remove material. In one exemplary embodiment, an access device is coupled to an adapter and power drilled into a site within a patient. Once the access device is in position, the adapter may be further attached to other instruments, or to an injection or extraction system. The adapter may accommodate various other connectors to make the instrument system compatible with a variety of other surgical instruments and tools.

Abstract: An obstetric apparatus and method for repositioning a fetal head within the birth canal of a woman in labor. A user, typically an obstetrician, surgeon or similarly trained medical personnel, can efficiently and safely engage a fetal head that is wedged in the parturient woman's pelvis and lift it up in the birth canal towards the uterus, for safe delivery of the baby via C-section. The apparatus comprises an elongated and substantially rigid shaft, a pivoting neck and a soft engaging portion that includes a flexible outer cup and an inflatable inner cup for engaging the fetal head. The inventive apparatus and method can provide a mechanical advantage for repositioning the head of the fetus, and can provide assistance for C-section delivery in order to minimize maternal and neonatal complications.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

Abstract: A method of preparing a distal femur for a knee joint implant includes mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient. A plurality of alignment pins is inserted through a corresponding plurality of guiding bores of the femoral alignment guide into the distal femur. A cutting guide is mounted on first and second alignment pins of the plurality of alignment pins, and a first resection of the distal femur is made using the cutting guide while cutting through the femoral alignment guide.

Abstract: The present disclosure is for a device, tooling, methods of use and kits containing the cranial plates and bur hole covers used for resecuring a cranial flap after a craniotomy. The cranial repair system is meant to reduce the profile of cranial plates or bur hole covers on the external surface of the cranium after a craniotomy is performed. The embodied devices of present disclosure are designed to reside substantially within the kerf or bur holes and thus minimize the surface area of devices resides on the external surface of the cranium. Additional embodiments include kits, tooling and methods to further reduce and/or eliminate the external profile of the cranial plate on the external cranial surface.

Abstract: A bone fastener comprises a first member defining an implant cavity. A first part is disposed with the implant cavity and engageable with an implant. A second member is configured to penetrate tissue and includes a mating surface engageable with the first member such that the members are expandable. Implants, spinal constructs, systems, instruments and methods are disclosed.

Abstract: A spinal fixation aiming apparatus includes a spinal fixation aiming device, a first adjustment unit, a second adjustment unit, and an extendible/retractable bar. The spinal fixation aiming device includes an arc guide rail, an arc slide unit, and a tool holder that is movable to and selectively fixed at a predetermined position. The arc guide rail, the arc slide unit, and the tool holder are each made of a light-transmitting materials. To use, the extendible/retractable bar is attached to an operation table and adjustment is made with the first adjustment unit, the second adjustment unit, and the extendible/retractable bar for setting a position of the spinal fixation aiming device to an angle and a height according to the patient. Further, according to the need of the surgical operation, a collaborative operation of the arc guide rail and the arc slide unit can be conducted for angular adjustment.

Abstract: An implant comprising a multi-directional locking mechanism that allows a bone fixation device, such as a screw, to be rigidly affixed to the implant in a plurality of angles relative to the implant. The implant can be a bone plate, a component of a joint prosthesis or the like. The locking mechanism comprises a passage hole in the implant for passage of a bone fixation device therethrough. One or more beam members are arranged adjacent the passage hole and a space is associated with each beam member. Each space allows the associated beam member to move into or about the space upon axial and/or radial deformation of the beam member caused by fastening the bone fixation device to a bone. The beam members and associated elements of the locking mechanism are sufficiently thin to permit axial and/or radial deformation. And said deformation causes the fixation device to be locked in place relative to the implant.

Abstract: A modular bone plate is provided including at least a first and a second member each having a top surface and a bottom surface, the first member comprising a male connection portion with a single hole extending from the top surface to the bottom surface and the second member comprising a female connection portion with a single hole extending from the top surface to the bottom surface, wherein the male connection portion is insertable into the female connection portion such that the holes overlap and wherein an anchor or a plug member is insertable into the holes when they overlap.

Abstract: A bone peg configured for cooperation with a threaded aperture on a bone plate for use in stabilizing a fracture of a bone can include a head portion and a shaft portion. The head portion can have a head threaded portion that incorporates head threads having a first pitch. The shaft portion can extend from the head portion to a distal end of the bone peg. The shaft portion can include (i) a shaft threaded portion that incorporates shaft threads having a second pitch, (ii) a first unthreaded portion and (iii) a second unthreaded portion. The shaft threaded portion is disposed intermediate the first and second unthreaded portions. The first unthreaded portion axially offsets the head threaded portion from the shaft threaded portion.

Abstract: The bone plate (1) has a lower surface (2), an upper surface (3), a thickness T measured between the lower and upper surfaces (2;3), a longitudinal axis (4) and a plurality of plate holes (5) running from the lower surface (2) to the upper surface (3). The bone plate (1) further has a slot (6) extending from the lower surface (2) towards the upper surface (3) and having a width W measured at the lower surface (2) and parallel to the longitudinal axis (4). The slot (6) extends to a maximum distance D measured from the lower surface (2) towards the upper surface (3) of 0.4-0.9 times the thickness T of the bone plate (1). The slot (6) has a width measured parallel to the longitudinal axis (4) which at its maximum extension E is at least 0.8 mm, preferably of at least 3 mm. The slot (6) allows the plate (1) to bend longitudinally—additionally to the intrinsic bendability of the unslotted plate (1)—at most to the amount of 20°, preferably at most to the amount of 10°.

Abstract: A pedicle screw has quadruple screw threads capable of moving forward a long distance in a bone upon rotation. For a screw to be embedded in a dense cortical bone of a vertebra, the threads include relief screw threads, to strongly couple with bone tissue in the cortical bone. For a screw to be embedded in a cancellous bone of the vertebra, two lines of threads (odd or even) include relief screw threads while the other two lines of threads include intaglio screw threads, thereby more strongly coupling with relatively soft cancellous bone tissue. The threads are provided in the whole pedicle screw, to move forward at 4-fold higher speed than a single screw thread, and intaglio screw threads are formed at a position to which the cancellous bone is fixed, so that cancellous bone tissues penetrate between the intaglio threads, thereby strongly coupling to the cortical and cancellous bones.

Abstract: This disclosure details shape memory alloy compression screw systems and associated methods. The proposed compression screw systems and methods allow surgeons to create adequate compression across fracture sites or across joints.

Abstract: A method for the long-term delivery of fluids to a bone of a patient includes providing a cannulated bone screw and an insert configured to be coupled to the bone screw. The method further includes creating an aperture in the skin of a patient, inserting the bone screw into a bone of the patient through the aperture, and coupling the insert to the bone screw. The method further includes the steps of providing a fluid source, coupling the fluid source to the insert, and delivering a fluid from the fluid source to the insert.

Abstract: A device for cutting a surgical cable including a handle side including first and second gripping members pivotally attached to one another, and an intervention side including an outer tubular member, an inner tubular member within the outer tubular member having a coupling member attached on a proximal end, and a movable pinion attached on a proximal end of the coupling member. The distal end of the second gripping member is attached to a proximal end of the movable pinion and the distal ends of the outer tubular member and inner tubular member have at least two openings that are off-center but substantially aligned to allow a surgical cable or wire to pass through and to exert a shearing force on the cable or wire when the inner tubular member rotates with respect to the outer tubular member in response to compressing the first and second gripping members.

Abstract: Provided herein are ablation systems having an ablation component with an ablation chamber and an insulation chamber, wherein the ablation chamber comprises a plurality of channels defined there. Other embodiments include ablation systems having a substrate source, a cooling component, and an ablation component. Certain systems are closed-loop systems that reuse the cooling substrate.

Abstract: A method, system, and device for predicting lesion quality. Specifically, lesion quality may be predicted based on an assessment of pulmonary vein occlusion using injection of an impedance-modifying agent and evaluation of changes in impedance measurements recorded by an electrode located distal to an occlusion element of the treatment device used to inject the impedance-modifying agent. The quality of the occlusion may be rated based on the changes in impedance over time within the pulmonary vein. For example, the quality of the occlusion may be rated as being good, fair, or poor. This assessment may be quickly and easily communicated to an operator.

Abstract: The recovery of an intact volume of tissue proceeds with a delivery cannula distal end positioned in confronting adjacency with the volume of tissue to be recovered. A tissue cutting and capture assembly formed of a plurality of metal leafs is deployed from the distal end of the delivery cannula. The tips of these leafs carry a pursing cable assembly, which is electrically excited to electrosurgically cut around and circumscribe the tissue volume. These pursing cables are tensioned to complete the envelopment of the tissue volumes by drawing the leaf tips together. An essential attribute of the disclosed apparatus is the confinement of the path of electrical conduction of constant current required to achieve tissue cutting to only those portions of the deploying and retracting resistively heated portion of the electrically conductive cutting and pursing cable that are in direct contact with tissue.

Abstract: An electrosurgical medical device includes an elongate shaft defining a proximal end, a distal end, and a lumen there through. A fluid conduit is disposed within the lumen. A first electrode is at least partially disposed within the lumen and extends distally from the distal end of the shaft, the first electrode is sized and configured to cut tissue with radiofrequency energy. A second electrode is arranged in a bipolar configuration with the first electrode, the second electrode is coupled to ground and configured to receive radiofrequency energy from the first electrode. The second electrode is defined by at least a portion the shaft and extending a distance away from the distal end of the shaft.

Abstract: Various exemplary systems, devices, and methods for articulating electrosurgical tools are provided. In general, a surgical tool can be configured to articulate in two planes by selectively pivoting at first and second joints of the surgical tool. The surgical tool can include a plurality of cables configured to facilitate the articulation. Each of the cables can be configured to flex or bend at the first and second joints and can be configured to be selectively actuated to cause the pivoting at the first and second joints. The surgical tool can be configured to releasably couple to a robotic surgical system configured to control a variety of movements and actions associated with the surgical tool, such as the pivoting at the first and second joints.

Abstract: A multifunctional medical device, apparatus or system that is capable of perforating a surgical procedure or operation and also capable of attracting, collecting, removing or reducing debris generated by the surgical procedure or operation, on a subject The apparatus comprising a plurality of electrodes, two of which are configured to be in electrical communication with or being electrically connectable to opposite poles of a source of high voltage dc electricity to ionize, attract, collect, and remove or reduce debris. At least one of the electrodes is also configured to be part of a RF circuit to perform a surgical procedure or operation such as tissue cutting, cauterization tissue sealing or coagulating at a surgical site on the subject.

Abstract: A forceps includes an end effector assembly including first and second jaw members. One or both of the jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members is configured to conduct energy between the jaw members and through tissue grasped therebetween to treat tissue. An insulative tubular member is movable relative to the end effector assembly between a retracted position, wherein the insulative tubular member is positioned proximally of the end effector assembly, and an extended position, wherein the insulative tubular member is disposed about the end effector assembly. A monopolar member is configured to apply energy to tissue to treat tissue when the insulative tubular member is disposed in the extended position.

Abstract: An endoscopic bipolar forceps includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The forceps also includes a source of electrical energy connected to each jaw member such that the jaw members are capable of conducting energy through tissue held therebetween to effect a seal. A generally tube-like cutter is included which is slidably engaged about the elongated shaft and which is selectively movable about the elongated shaft to engage and cut tissue on at least one side of the jaw members while the tissue is engaged between jaw members.

Abstract: A forceps includes an end effector assembly having a stop and a plurality of overmold teeth within at least one jaw member. One (or both) of the jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes a stop molded within an insulative housing, and an insulator plate with the overmold teeth formed from plastic. The overmold teeth extend through openings within a sealing plate and protrude past the tissue sealing surface of the sealing plate. The stop primarily controls the gap distance between opposing jaw members by bearing most of an applied load and the overmold teeth assist in controlling the gap distance by bearing the remaining applied load.

Abstract: An electrosurgical instrument includes jaws having an electrode configuration utilized to electrically modify tissue in contact with one or more electrodes. The instrument is removably connectable to an electrosurgical unit via an electrosurgical connector extending from the instrument and a receptacle on the electrosurgical unit. The electrosurgical instrument is rotatable without disrupting electrical connection to the electrodes of the jaws. One or more of the electrodes is retractable. The electrosurgical unit and instrument optimally seals and/or cuts tissue based on identifying the tissue and monitoring the modification of the tissue by the application of radio frequency energy.

Abstract: A method and apparatus are disclosed for a needle for gaining access to the pericardial cavity of a heart. The needle includes an elongate member (e.g. a main shaft) defining a lumen and a side-port in communication with the lumen; a blunt atraumatic tip for delivering energy for puncturing tissue; and a guiding surface (e.g. a ramp) for directing a device (e.g. a guidewire) through the side-port. The method includes using the needle for tenting a pericardium and delivering energy for puncturing the pericardium, and advancing a guidewire or other device through the needle and into the pericardial cavity.

Abstract: A system for providing irrigation fluid during ablation of tissue includes a catheter, an electrode assembly, at least one thermal sensor adapted to be connected to the catheter, and a control system. The electrode assembly is adapted to be connected to an ablation generator. The thermal sensor is adapted to be operatively connected to an electronic control unit (ECU). The ECU receives as an input temperature measurement data from the thermal sensor; determines a power delivery rate value for the ablation generator responsive to the temperature measurement data; and outputs the power delivery rate value. The control system also delivers irrigation fluid to the irrigated catheter at a first flow rate in a first time period and at a second flow rate in a second time period that is temporally after the first time period. The second flow rate is at least half of the first flow rate.

Abstract: An irrigated ablation electrode assembly comprises a distal member, a first manifold, and a second manifold. The distal member includes an outer surface; an inner surface; and at least one radially extending passageway that extends from the inner surface of the distal member to the outer surface of the distal member. The first manifold includes an outer surface, an inner cavity, and at least one radially extending passageway that extends from the inner cavity to the outer surface of the first manifold. The second manifold includes an outer surface, an inner surface, and at least one radially extending passageway that extends from the inner surface of the second manifold to the outer surface of the second manifold. Other irrigated ablation electrode assemblies are also presented.

Abstract: Embodiments of a guide and flexible sleeve for use with catheters for ablation or other medical procedures are disclosed. An exemplary catheter comprises a guide element having a proximal end and a distal end, the distal end configurable in a desired shape. A flexible sleeve is conformable to the guide element so that the flexible sleeve slides over the guide element, the flexible sleeve has a proximal end and a distal end. A controller couples to the flexible sleeve. The controller operates to move the flexible sleeve at least part way between the distal end of the guide element and the proximal end of the guide element. At least one ablation element disposed at the distal end of the flexible sleeve operates to form a substantially continuous ablative lesion when the flexible sleeve is in contact with a contiguous volume of target tissue.

Abstract: A catheter has a distal assembly with at least one loop with ring electrodes. A single continuous puller wire for bidirectional deflection is pre-bent into two long portions and a U-shape bend therebetween. The U-shape bend is anchored at a distal end of a deflectable section which is reinforced by at least one washer having at least two holes, each hole axially aligned with a respective lumen in the deflectable section. Each hole is centered with a lumen so that each puller wire portion therethrough is straight and subjected to tensile force only. A proximal end of the support member is flattened and serrated to provide a better bonding to the distal end of the deflectable section.

Abstract: An ablation device includes a handle portion, a shaft, and at least one cable. The shaft extends distally from the handle portion and includes an inner conductor and an outer conductor that substantially surrounds at least a portion of the inner conductor. The cable extends from the handle portion along at least a portion of the shaft. The distal tip of the inner conductor is positionable distally beyond a distal-most end of the outer conductor. In response to movement of the at least one cable relative to the handle portion, the distal tip of the outer conductor is movable form a first position wherein the distal tip is substantially aligned with a longitudinal axis defined by the outer conductor to at least a second position wherein the distal tip is disposed at an angle relative to the longitudinal axis.

Abstract: The disclosure relates to three enhancements for a surgical snare: an electrosurgical snare in which the loop of snare wire extends from an energy transfer surface which can act both as a physical reaction surface for mechanical cutting using the snare and as a region for emitting electromagnetic energy; a surgical snare having a snare wire having a first end connected to a movable boss that is slidably mounted on a coaxial cable; and a surgical snare having an end cap with a distally facing reaction surface and a pair of channels for guiding a snare wire, where the distally facing reaction surface is arranged to contact the retractable loop when fully retracted.

Abstract: A coaptive surgical sealing tool may be similar to an ordinary hemostat with long (50, 60, 70 or 80 mm) thin jaws for sliding into the liver parenchyma, without tearing the larger blood vessels. The jaws are spring loaded and are designed for uniform compression, and to avoid closing too quickly. The jaws are capable of sealing a 50, 60, 70 or 80 mm sealing length, in a single bite, although it can also seal shorter lengths as well. The tool can be used with existing ablative therapy microwave generators. The tool may be provided with irrigation and/or suction.

Abstract: A method of treating a mobile target tissue with a laser beam includes: providing a laser device for generating a laser beam and providing an optical fiber having a delivery end for guiding the laser beam to the target tissue; a controller causes the laser device to generate one or more laser pulses substantially along the same longitudinal axis. The controller causes the laser device to provide one or more laser pulses. The one or more pulses are selected to allow a vapor bubble formed by the one or more pulse to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the delivery end of the fiber and the target tissue. The one or more pulses are delivered to the target tissue through the vapor bubble after the vapor bubble has reached its maximum extent and has begun to collapse to reduce retropulsion of the mobile target tissue.

Abstract: In some embodiments, the instant invention provides for a system that includes at least the following components: (i) an Alexandrite laser pumping subsystem; where the Alexandrite laser pumping subsystem is configured to: 1) produce wavelengths between 700 and 820 nm, and 2) produce a pump pulse having: i) a duration between 1 to 10 milliseconds, and ii) an energy measuring up to 100 Joules; where the Alexandrite laser pumping subsystem includes: 1) an optical fiber, and 2) a Lens system, (ii) a Thulium doped Yttrium Aluminum Garnet (Tm:YAG) laser subsystem; where the Tm:YAG laser subsystem includes: 1) a Tm:YAG gain medium, 2) a rod heat sink, and 3) at least one cooling device, (iii) a wavelength selecting device, where the wavelength selecting device is configured to deliver a wavelength between 1.75 microns to 2.1 microns; and where the system is configured to produce a high energy conversion efficiency.

Abstract: A system and method for improving ablation procedures is presented. The method may comprise measuring EGM signals; performing three dimensional mapping of the EGM signals; and detecting a location for ablation based on the mapping. The method may further comprise creating a potential duration map, a local activation time map, and a bipolar voltage map. The method may further comprise creating a PDM by defining a window of interest (WOI) comprising at least a cycle length; calculating previous heart beats based on the cycle length and reference annotation; and assigning the heart beats within the cycle length of the WOI to the WOI.

Abstract: A system and method for Brugada syndrome epicardial ablation comprising preparing an endocardial duration map; preparing a baseline epicardial duration map comprising at least one or more areas of delimination; and when some of the areas of delimination are greater than 200 ms, performing epicardial ablation of the areas of delimination greater than 200 ms. The method may further comprise preparing an updated epicardial duration map after performing epicardial ablation, and determining whether or not a BrS pattern appears in the updated epicardial duration map; and when the BrS pattern appears, performing epicardial ablation. The method may further comprise preparing an updated epicardial duration map after performing epicardial ablation, and determining whether or not an abnormal EGM exists in the updated epicardial duration map; and when the abnormal EGM exists, performing epicardial ablation.

Abstract: A remote workstation for the control of percutaneous intervention devices is provided. The remote workstation includes a control system for remotely and independently controlling at least two percutaneous intervention devices. The control system includes at least one input device to control the percutaneous intervention devices. The control system controls movement of at least one of the percutaneous intervention devices along at least two degrees of freedom. The remote workstation also includes a graphical user interface for displaying icons representative of the operational status of each of the percutaneous intervention devices.

Abstract: A system for performing a medical procedure is provided comprising at least one tool and a tool support for supporting a distal portion of the tool. An operator manipulates a human interface device and produces control signals sent to a controller. The controller manipulates the tool support based on the received control signals.

Abstract: To perform a tool exchange in a medical robotic system, tool is retracted back into an entry guide from a deployed position and pose so that an assistant in the operating room may replace it with a different tool. While the tool is being retracted back towards the entry guide by user action, its configuration is changed to an entry pose while avoiding collisions with other objects so that it may fit in the entry guide. After the tool exchange is completed, a new tool is inserted in the entry guide and extended out of the guide by user action to the original position of the old tool prior to its retraction into the entry guide while the tool's controller assists the user by reconfiguring the new tool so as to resemble the original deployed pose of the old tool prior to its retraction into the entry guide.

Abstract: Methods, systems, and apparatuses for controlling surgical systems.

Abstract: The invention may provide a puncture robot that can precisely move a needle in the puncture direction by setting needle position in a CT gantry. Provided is a puncture robot comprising a puncture unit, puncture robot being configured such that: the puncture unit comprises a puncture needle, an arm unit, a frame unit, and a base unit; the frame unit comprises a first frame and a second frame that are each provided with an advancing and retracting shaft, and a connecting rod; the arm unit comprises an upper arm and a lower arm, with the puncture needle being mounted to be parallel to the advancing and retracting shaft and the upper arm and the lower arm are advanced and retracted along the advancing and retracting shaft.

Abstract: A method may include coupling a proximal end of a first cannula to a first manipulator of a surgical system, the first manipulator being configured to remotely actuate movement of the first cannula, wherein the first cannula comprises a rigid portion disposed between the proximal end and a distal end of the first cannula, the rigid portion having a curved longitudinal axis, and coupling a proximal end of a second cannula to a second manipulator of a surgical system, the second manipulator being configured to remotely actuate movement of the second cannula, wherein the second cannula comprises a rigid portion disposed between the proximal end and a distal end of the second cannula, the rigid portion having a curved longitudinal axis.

Abstract: A surgical instrument comprises a shaft, wherein a deflectable articulation section is formed at the shaft, a proximal handling portion at a proximal end of the shaft, a distal effector at a distal end of the shaft, and a deflection mechanism for controlling a bending state of the articulation section. The deflection mechanism comprises a first pull element for a deflection movement and a second pull element for a return movement. The first pull element and the second pull element are jointly pretensioned during the movement of the articulation section. An interface is provided where the instrument is demountable into a distal shaft assembly and a proximal handle piece, wherein the effector is controlled via an actuation mechanism that passes through the interface in a mounted state. The actuation mechanism comprises a push piece having a distal end that is coupled with the effector and a proximal end that is actuable by a pushing movement.

Abstract: An operational feeling reproduction device includes an operation component, an actuator, and a drive shaft. The actuator generates a haptic drive force in response to operation of the operation component. The drive shaft couples the operation component and the actuator. The haptic drive force is transmitted to the operation component through the drive shaft in response to the operation of the operation component such that an actual operational feeling is experienced. The actuator has a stationary element and a movable element. The actuator generates the haptic drive force by a relative displacement while one of the stationary element and the movable element is inserted into the other one of the stationary element and the movable element. The movable element and the operation component are coupled by the drive shaft. Center axes of the stationary element, the movable element, and the drive shaft are provided on the same axis.