Abstract: An apparatus for storing at least one elongated and flexible object, such as an insertion tube that functions as a portion of an endoscope or a borescope device. The apparatus includes a rotating storage carousel having a base and a peripheral barrier. An elongated and flexible object, such as an insertion tube, is stored along the inner side of the peripheral barrier and the base. The storage cavity of the carousel rotates while accepting the transfer of the elongated and flexible object for storage.

Abstract: The present invention provides systems and methods for performing robotically-assisted surgical procedures on a patient. In particular, a three-component surgical system is provided that includes a non-sterile drive and control component, a sterilizable end effector or surgical tool and an intermediate connector component that includes mechanical elements for coupling the surgical tool with the drive and control component and for transferring motion and electrical signals therebetween. The drive and control component is shielded from the sterile surgical site, the surgical tool is sterilizable and disposable and the intermediate connector is sterilizable and reusable. In this manner, the intermediate connector can be sterilized after a surgical procedure without damaging the motors or electrical connections within the drive and control component of the robotic system.

Abstract: Surgical robots and other telepresence systems have enhanced grip actuation for manipulating tissues and objects with small sizes. A master/slave system is used in which an error signal or gain is artificially altered when grip members are near a closed configuration.

Abstract: Method and apparatus for laryngeal examination of a subject (1) during exercise on apparatus such as a treadmill (2), for example to detect laryngeal dysfunction such as vocal cord dysfunction or exercise-induced laryngomalacia. The apparatus comprises a support unit (11) attached to the head (10) of the subject, and a laryngoscope (15) attached to the support unit. The subject exercises whilst the support unit and laryngoscope are attached to the subject. A fibre optic (18) of the laryngoscope is used for transnasal laryngoscopy during exercise and images are stored in a recording device (21).

Abstract: An endoscope storage cabinet for use with at least one endoscope having at least one signal emitting member associated therewith and configured to emit a signal indicative of at least one attribute of the at least one endoscope to which it is associated, the cabinet including: an enclosed structure formed by a plurality of walls defining an inner area which is accessible by at least one door; at least one hanger arrangement configured to support at least a portion of at least one endoscope positioned thereon; at least one signal receiving device associated with the enclosed structure and configured to receive the signal emitted by the at least one signal emitting member; and a local control device in communication with the at least one signal receiving device and configured to receive and process the signal emitted by the at least one signal emitting member.

Abstract: The present invention discloses a system for handling a surgical instrument, useful for observation and/or intervention with respect to a patient's body. The system comprising a fixed support; hinge which enable changing of the inclination of the system; actuators system that produce the rotation movement utilized by handling surgical instrument mechanism; a flexible power transmission system; gear housing adapted to change the direction of the motors rotation transmitted by the flexible power transmission system; and, handling surgical instrument mechanism, said mechanism comprising: a first small size moveable element, connected to the gear housing is adapted to simultaneous maneuver of a second moveable element to the four main directions, and/or any other maneuver, e.g.

Abstract: An endoscope, an endoscope system having an endoscope, and an endoscope control method are disclosed. The endoscope includes: a main body and a buoyancy control device. The main body may be configured in the form of a capsule and include an image capturing unit for capturing image information. The buoyancy control device may control buoyancy by changing the volume of the main body. Images of various types of internal organs can be precisely captured.

Abstract: An apparatus is provided, which utilizes an adjustment platform for supporting a subject during the endoscopic examination. Additionally, a method for performing an endoscopic examination is also provided in which an endoscope is inserted into a subject and the endoscope is maintained at a generally fixed position while the position of the subject is adjusted to advance the endoscope into the subject. Further still, a method is provided for estimating the size of sample tissue using an endoscope and a reference element. Based on known parameters of the reference element, the size of the area being examined can be estimated.

Abstract: The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism.

Abstract: A medical device for allowing a physician to unhand a scope or other instruments while maintaining control of the scope or other instruments during a medical procedure. The medical device includes at least one docks and a harness for attaching the dock to the physician's body. The harness can be adjustable, or sized to fit a specific physician. During a procedure, a physician outfitted with the medical device can place a scope and/or other instrument in the dock(s). Once the scope and/or other instrument is placed in the dock(s), the physicians hands are free to perform other procedures, while the physician continually controls the relative position of the scope with respect to the physician or the patient.

Abstract: A clean and inexpensive medical manipulator device can be provided in which a risk of failure caused by current leakage or disconnection is eliminated and reliability is higher than in a manipulator device using an electrically driven actuator or electric motor. The medical manipulator device includes a stage section 3 that can hold a medical instrument 2; a plurality of actuators 4 each linked at one end to the stage section 3; and a base section 5 linked to the other end of each of the plurality of actuators 4 and serving as a base for the plurality of actuators 4, wherein each of the actuators 4 causes the medical instrument 2 and the stage section 3 to displace with respect to the base section 5 by extending or contracting in the longitudinal direction of the actuator 4 in response to a pressure of a liquid 6.

Abstract: Endoscopic instrument management systems are described herein which allow one or more operators to manage multiple different instruments utilized in endoscopic procedures. In one aspect, responsibility for instrumentation management between one or more operators may be configured such that a first set of instruments is controlled by a primary operator and a second set of instruments is controlled by a secondary operator. The division of instrumentation may be facilitated by the use of separated instrumentation platforms or a single platform which separates each instrument for use by the primary operator. Such platforms may be configured as trays, instrument support arms, multi-instrument channels, as well as rigidized portions of instruments to facilitate its handling, among others. In another aspect, one or more plastically deformable instrument manifolds are provided to guide flexible endoscopic instruments into and through an endoscopic access device.

Abstract: An improved sterile drape, system, and method for draping portions of a telerobotic surgical system are provided. In one embodiment, a sterile drape includes an exterior surface adjacent to a sterile field for performing a surgical procedure, and an interior surface forming a cavity for receiving the non-sterile portion of a robotic surgical system, such as a manipulator. The drape further includes a fastener coupled to the exterior surface for securing the sterile drape to the non-sterile portion of the robotic surgical system while reducing the volume of the sterile drape. Advantageously, the drape allows for quick and simple installation and increases visualization of the patient by reducing the size of the drape with more form fitting features, while allowing for freedom of movement of the manipulator.

Abstract: An operating microscope includes a base set on a floor surface, a post held for rotation around a vertical rotation axis with respect to the base, a horizontal motion arm held for rotation around a first horizontal rotation axis with respect to the post, a vertical motion arm held for rotation around a second horizontal rotation axis with respect to the horizontal motion arm, a lens barrel portion supported by the vertical motion arm, an elastic member which is provided between the post and the horizontal motion arm and cancels an angular moment around the horizontal motion arm, a fulcrum which is provided on the horizontal motion arm and receives a force from the elastic member, and a fulcrum moving mechanism configured to shift the position of the fulcrum in a direction substantially perpendicular to a longitudinal direction of the horizontal motion arm.

Abstract: An electric bending endoscope comprises a bending portion arranged to an inserting portion, a bending driving unit and a buffering member. The bending driving unit bends the bending portion, and includes a motor, a first unit and a second unit. The motor generates driving force for bending the bending portion. The first unit holds the motor. The second unit includes a driving force transmitting member. The buffering member connects the first unit to an outer member of the inserting portion, a connecting code and a switch. The buffering member absorbs external force generated during the operation of the electric bending endoscope.

Abstract: A method of fixing vertebrae of a patient together at a surgical site includes the following steps: inserting a first cannula (10) into the body (130) of the patient; moving a first fastener (624) through the cannula (10) and securing the first fastener (624) to a first vertebrae (601); moving a second fastener (624) through the cannula (10) and securing the second fastener (624) to a second vertebrae (602); moving a first fixation element (650) through the cannula (10); and fixing the first fixation element (650) to the first and second fasteners (624).

Abstract: The present invention provides an endoscopic accessory control system that resides externally of the endoscope. The system comprises the endoscopic accessory with a working end to be placed at the distal end of the endoscope, a control sheath extending proximally external to the endoscope and a control handle joined to the proximal end of the control sheath. The control handle is slidably mounted to the exterior surface of the endoscope shaft and is configured to permit grasping of both the shaft and the handle. With the control handle and endoscope shaft grasped with one hand, the other hand of the user is left free to manipulate the endoscope distal tip controls. Additionally, the external arrangement of the control sheath leaves the working channel of the endoscope free for use of accessories or operations.

Abstract: A medical apparatus includes a medical instrument that is introduced into a body cavity and has a driven posture control portion; a fixing portion for fixing the medical instrument to a body wall inside a body cavity; a movable portion that is interposed between the medical instrument and the fixing portion and movably connects the medical instrument to the fixing portion; and an extracorporeal device that is installed outside the body and has a posture control portion that moves the medical instrument relative to the fixing portion.

Abstract: Methods and devices are provided for performing gastrectomies and gastroplasties. In one embodiment, a method includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall and an opening formed in the patient's vaginal wall. Tissue attached to the stomach can be tensioned using a surgical instrument inserted through one of the abdominal and vaginal openings and can be separated from the stomach to free the stomach fundus using a dissecting surgical instrument inserted through another opening, e.g., through one of the abdominal and vaginal openings. The fundus can be at least partially transected using a surgical stapler inserted through one of the abdominal and vaginal openings, thereby forming a stomach “sleeve.” In another embodiment, the method is modified to form another opening in the patient's abdominal wall instead of forming an opening in the vaginal wall.

Abstract: A medical apparatus according to the present invention is a medical apparatus used in a state in which the medical apparatus is led into a body and fixed. The medical apparatus includes: a fixing section that fixes the medical apparatus on a body wall in the body; an image pickup section that picks up an image of a subject in the body and is provided pivotably around a first axis; and a holding section that includes the fixing section and holds the image pickup section pivotably around a second axis different from the first axis. Therefore, the medical apparatus can change a photographing range and a visual field direction as desired to photograph the subject by performing magnified observation and photographing the subject from different directions without using a zoom function in the state in which the medical apparatus is fixed in a limited space in the body.

Abstract: A treatment method for a tissue in a body cavity of a patient includes the steps of endoscopically introducing treatment tools into the body cavity of the patient from a natural opening of the patient, and setting the posture of the patient to a prone position.

Abstract: An instrument support apparatus is disclosed. In some embodiments, the instrument support apparatus may be for supporting an instrument having a shaft extending along a shaft axis relative to a patient positioned adjacent to an external frame. In some embodiments, the instrument support apparatus may include a base fixedly mountable onto the external frame, a pivot assembly mounted for pivoting relative to the base, an arm assembly extending along a longitudinal axis, and a support assembly configured to support the instrument on the arm assembly.

Abstract: An operating microscope includes a base set on a floor surface, a post held for rotation around a vertical rotation axis with respect to the base, a horizontal motion arm held for rotation around a first horizontal rotation axis with respect to the post, a vertical motion arm held for rotation around a second horizontal rotation axis with respect to the horizontal motion arm, a lens barrel portion supported by the vertical motion arm, an elastic member which is provided between the post and the horizontal motion arm and cancels an angular moment around the horizontal motion arm, a fulcrum which is provided on the horizontal motion arm and receives a force from the elastic member, and a fulcrum moving mechanism configured to shift the position of the fulcrum in a direction substantially perpendicular to a longitudinal direction of the horizontal motion arm.

Abstract: It is one object of the present invention to provide an endoscope positioning system (EPS) for maneuvering, orienting and positioning an endoscope relatively to an organ being operated within a patient's body. The EPS is especially used during orthopedic operations such that the organ is constantly moved during the operation. The EPS includes: at least four freedom degree mechanisms (FDFM) that are adapted to actuate the distal portion of the endoscope by maneuvering the proximal portion of the endoscope; and at least one body adapter gripper adapted to reversibly and firmly attach the EPS to the patient's body. The FDFM includes at least a first, second, third and fourth means for providing the four degrees of freedom. The means of first degree of freedom is a rotation sub-mechanism adapted to rotate the endoscope around its longitudinal axis. The means of second degree of freedom is a tilting sub-mechanism. The means of third degree of freedom is an arch sub-mechanism.

Abstract: A device, system and method for capturing in-vivo images allows for size or distance estimations for objects within the images. A scale may be overlayed on or otherwise added to the images and, based on a comparison between the scale and an image of an object, the size of the object and/or the distance of the object from an imaging device may be estimated or calculated.

Abstract: An endoscope system includes at least an endoscope of the endoscope and an accessory, a placement unit on which the endoscope is adapted to be placed, a detecting unit configured to detect whether the endoscope is placed on the placement unit or not, an actuating unit for at least one of the endoscope and the accessory, an operating unit for operating the actuating unit, and a control unit configured to be switched between a normal mode wherein the actuating unit is controlled according to an operation to the operating unit and a restricting mode wherein the actuating unit is controlled regardless of an operation to the operating unit, on the basis of a result of detection by the detecting unit.

Abstract: A robot simulation device is provided. It includes a virtual robot working environment in which a virtual robot has a task of transferring a virtual object from a start point to a goal point, the simulation device determining the path of travel. A task simulation is executed in response to the virtual robot working environment and the path of travel. The task simulation determines a robot activity region where the virtual robot can operate and an interference region where the virtual robot encounters obstacles. Thereafter the device creates a desired executed simulation in which the virtual robot can operate without encountering obstacles.

Abstract: A medical treatment system including an endoscope, a treatment tool that is inserted in a channel of the endoscope, and a holder that holds the treatment tool in a manner that enables a user who operates the endoscope to move the treatment tool forward and backward and rotate the treatment tool, with the treatment tool having a treatment portion that performs treatment on a living body; a wire for operating the treatment portion whose distal end is connected to the treatment portion; a sheath portion that has a first sheath that is formed with a coil and in which the wire is inserted in a manner capable of moving forward and backward in the axial direction, and a second sheath that is formed with a coil of a plurality of layers and provided on the outside of the first sheath; and an operating portion to which the base end of the wire is connected and enables forward/backward and rotation operation of the wire; and with the holder holding the operating portion so as to be in a predetermined positional relation

Abstract: A laparoscopic instrument holder for positioning a laparoscopic device includes a central portion having a first member operatively associated with a second member, the members selectively movable with respect to one another along a central axis, with the central portion having a proximal end defined by the first member and a distal end defined by the second member. The holder also includes at least three proximal rotational joints coupled to the first member proximate the proximal end, at least two distal rotational joints coupled to the second member proximate the distal end, a first ball and socket joint coupled to a distal rotational joint, and a second ball and socket joint coupled to the first ball and socket joint. In addition, the holder includes a clamp configured and dimensioned for retaining a laparoscopic device, with the clamp coupled to the second ball and socket joint, and a coupling portion proximate a first of the proximal rotational joints.

Abstract: Medical, surgical, and/or robotic devices and systems often including offset remote center parallelogram manipulator linkage assemblies which constrains a position of a surgical instrument during minimally invasive robotic surgery are disclosed. The improved remote center manipulator linkage assembly advantageously enhances the range of instrument motion while at the same time reduces the overall complexity, size, and physical weight of the robotic surgical system.

Abstract: In order to rotate and move an arm of a slave which supports a needle-holder, the rotation and movement of a pen-shaped operating section (31) caused by the fingers of the operator's hand are directly transmitted as the rotation and movement of the needle-holder, as sensors for detecting the rotation and movement of the operating section, an X-axis torque sensor, Y-axis torque sensor, Z-axis torque sensor, and a rotation detecting potentiometer (33) are installed thereon. As a result, the rotation and movement of the pen-shaped operating section (31) caused by the fingers of the operator's hand are transmitted as the rotation and movement of the needle-holder in optimum proportions through a computing section. Therefore, when the needle-holder is to be finely moved, a subtle motion of the fingers of the hand can be satisfactorily transmitted. Thereby, it is possible to provide a surgical operation device capable of doing minute surgical operations with ease.

Abstract: A medical instrument holding apparatus includes a supporting mechanism, a moving mechanism, a basal portion and a counterweight. The supporting mechanism supports a medical instrument. The moving mechanism which has first and second sides, and a shaft portion located between the first and second sides. The moving mechanism supports the supporting mechanism, allowing the medical instrument and the supporting mechanism to be moved around the shaft portion. The basal portion is coupled to the shaft portion. The basal portion supports the moving mechanism, allowing the moving mechanism to rotate around the shaft portion. The counterweight is located on the second side of the moving mechanism. The counterweight generates a first rotation moment being smaller than a second rotation moment generated from the weights of the medical instrument and the supporting mechanism and acting around the shaft portion in the opposite direction to the second rotation moment.

Abstract: A capsule endoscope system includes a capsule endoscope which is introduced into a subject; a change unit which changes a position or posture of the capsule endoscope in the subject with respect to the subject; a storage unit which stores in advance a change procedure of the capsule endoscope as a control parameter of the change unit; and a controller which controls the change unit in accordance with the parameter stored in the storage unit.

Abstract: The present disclosure relates to a guide assembly including a guide having a body and a joint including at least one through hole, wherein the joint is configured for sliding along a length of the body, and a first surgical device. The guide is coupled to the first surgical device and a longitudinal axis of the through hole is co-radial with an end of the first surgical device. Other guide assemblies and methods of creating multiple portals during surgery are also disclosed.

Abstract: A holding cable of the invention includes: a tubular body including at one end thereof a fixing connector and at the other end thereof a coupling portion, the tubular body being configured by consecutively including a plurality of tubular members having at end portions thereof inner fitting portions and outer fitting portions, the inner and outer fitting portions being connecting portions configured as bendable joint portions; and a wire for bringing the bendable joint portions into a fixed state and fixing and holding the tubular body in an arbitrary posture.

Abstract: The present invention discloses means and methods for providing trans-Douglas endoscopic surgical procedures in the pelvis and in other body portions, and especially gynecological, cardiological, urological, vascular, neurological or surgical operations; said method comprising steps of opening the Pouch of Douglas; inserting an U-shapeable or S-shaped endoscopic surgical device into the vagina in parallel to the blood vessels; introducing the distal end into the abdominal cavity; U-shaping or S-shaping the tubular assembly; and carrying out an operation in the pelvis.

Abstract: Systems and methods are described for implementing or deploying medical or veterinary utility modules (a) operable for mooring at least partly within a digestive tract, (b) small enough to pass through the tract per vias naturales and including a wireless-control component, (c) having one or more attachment protrusions positionable adjacent to a mucous membrane, (d) configured to facilitate redundant modes of attachment, (e) facilitating a “primary” material supply deployable within a stomach for an extended and/or controllable period, (f) moored by one or more adaptable extender modules supported by a subject's head or neck, and/or (g) configured to facilitate supporting at least a sensor within a subject's body lumen for up to a day or more.

Abstract: An apparatus and method for warming a medical scope to a temperature at or near body temperature in order to prevent fogging and remove debris. A system for warming medical scopes and a variety of other medical items is to be used in conjunction with a liquid warming device for heating sterile fluids. The anti-fogging apparatus is described with emphasis on the properties of said apparatus and its interaction with a liquid warming device with a removable basin. Also disclosed are various desirable aspects for an apparatus used to warm and clean medical scopes and other medical items before, during and after medical procedures.

Abstract: A control assembly for manipulating the movement of an endoscopic instrument includes an endoscopic instrument mounting arrangement adapted to receive an endoscopic instrument, three driving arrangements, and three independent control elements. The mounting arrangement offers only three independent degrees of freedom of movement of an endoscopic instrument received by the arrangement, each degree of freedom of movement being about or along a respective axis. Each of the three driving arrangements are configured to drive the endoscopic instrument in only one of the degrees of freedom of movement. The three independent control elements are configured to receive user input, such that the actuation of each of the three independent control elements regulates one of three corresponding control signals, each control being a respective one of the driving arrangements independent of the other two driving arrangements in accordance with the user input.

Abstract: The present invention has an object to provide an electric bending endoscope apparatus with a configuration which is always capable of securing favorable operability at a time of using an endoscope without placing a weight burden on an operator when operating the endoscope, and for the purpose, the electric bending endoscope apparatus includes at least an electric bending endoscope that is configured by an elongated insertion portion which is inserted into a body cavity, a bending drive section which electrically drives a part of the insertion portion to bend, and an operation portion configured to be separate from the bending drive section and electrically connected to the bending drive section, and performs observation and treatment of an inside of the body cavity, a system controller which is electrically connected to the electric bending endoscope and centrally controls the electric bending endoscope, and an endoscope holding device configured by a bending drive unit which contains the bending drive secti

Abstract: A system for performing minimally invasive cardiac procedures includes a pair of surgical instruments that are coupled to a pair of robotic arms. The instruments have end effectors that can be manipulated to hold and suture tissue. The robotic arms are coupled to a pair of master handles by a controller. The handles can be moved by the surgeon to produce a corresponding movement of the end effectors. The system may also have a robotically controlled endoscope which allows the surgeon to remotely view the surgical site.

Abstract: A femoral head center locating mechanism and method for using same. The femoral head center locating mechanism may include a frame and a plurality of lasers which emit laser beams which intersect to identify a reference point relative to a center of a femoral head.

Abstract: According to the present invention, a remote operation support system includes a first control system arranged in an operating room, a second control system arranged in a primary support room, and a third control system arranged in at least one secondary support room, the first to third control systems being connected to each other through communication lines. The first control system has an imaging device for obtaining an image signal of a patient under operation, a first transmission/reception device for transmitting the image signal supplied from the imaging device to the second control system, simultaneously transmitting patient information regarding the patient under operation to the third control system, and receiving support information from the second control system, and a reproduction device for displaying the image signal and reproducing the support information.

Abstract: An endoscope device is provided. The endoscope device includes a capsule sensor entering a human body for detection and sending a signal, a driving device movably disposed outside of the human body and moving and rotating the capsule sensor in the human body with non-contact force for omni-directional human body detection, a data receiving device disposed outside of the human body and receiving signals from the capsule sensor, and a power supply device providing power to the driving device and the data receiving device.

Abstract: A device (10) for laparoscopic or thoracoscopic surgery, the device (10) comprising: a first member (20) to be moved across the body (5) of a patient; and a second member (30) to be placed within the body (5), the second member (30) comprising an image capturing device (32) to capture images from within the body (5) and to transmit the captured images for display; wherein the second member (30) is in magnetic engagement with the first member (20) such that the movement of the second member (30) within the body (5) is in response to movement of the first member (20) across the body (5).

Abstract: The present disclosure provides for a surgical instrument which includes a housing and an endoscopic portion extending distally from the housing and defining a first longitudinal axis. The surgical instrument also includes an end effector disposed adjacent a distal portion of the endoscopic portion. The end effector includes an anvil assembly and a cartridge assembly. The anvil assembly is pivotally coupled to the cartridge assembly to be movable from a first actuation position to at least one other second actuation position. The surgical instrument further includes a firing rod having a shaft defining a second longitudinal axis, the shaft having a cam member which is in mechanical cooperation with the anvil assembly and is configured to move the anvil assembly from the first actuation position to the at least one other second actuation position upon rotation of the firing rod about the second longitudinal axis.

Abstract: An endoscopic operation assisting device includes a first handle member and a second handle member, which are openable and closable. The first handle member includes, at the side of an opening and closing surface portion thereof, a groove forming an insertion section holding hole for holding an insertion section of an endoscope. Further, the first handle member includes, on a surface portion of the first handle member contraposed to the opening and closing surface portion, a step portion including a flat surface which is provided at a distal end side disposed toward the direction of a distal end portion of the insertion section and which is lower than a proximal end side. Meanwhile, the second handle member includes, at the side of an opening and closing surface portion thereof, a groove forming the insertion section holding hole.

Abstract: A disposable brief for patient use in a colonoscopy procedure is disclosed. The brief comprises at least one back panel with at least one slit constituting an opening, allowing access to an anus of the patient. A fastening means surrounds the opening and is intended for attaching a dispensing assembly used with an endoscopic probe to the brief.

Abstract: A surgical instrument including a housing, an endoscopic portion, a drive gear, a drive motor, a shift motor and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The drive gear is disposed at least partially within the housing and is rotatable about a drive gear axis which extends therethrough. The drive gear is selectively movable along the drive gear axis. The drive motor is disposed in mechanical cooperation with the drive gear and is configured to rotate the drive gear. The shift motor is disposed in mechanical cooperation with the drive gear and is configured to move the drive gear along the drive gear axis. The end effector is disposed adjacent a distal portion of the endoscopic portion.

Abstract: A surgical instrument including a housing, an endoscopic portion, a drive motor, a drive tube, a firing rod and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a first longitudinal axis. The drive motor is disposed at least partially within the housing. The drive tube is disposed in mechanical cooperation with the drive motor and is rotatable about a drive tube axis extending through the drive tube. The firing rod is disposed in mechanical cooperation with the drive tube and at least a portion of the firing rod is translatable with respect to the drive tube. The end effector is disposed adjacent a distal portion of the endoscopic portion and is in mechanical cooperation with the firing rod so that the firing rod drives a surgical function of the end effector.