Abstract: Surgical stapling apparatus are disclosed including an anvil having a working surface with a shaped topography; and a staple cartridge, in juxtaposition with the anvil. The staple cartridge includes a working surface with shaped topography which is complementary to the shaped topography of the working surface of the shaped anvil. When the anvil and the staple cartridge are approximated with or toward one another, at least a portion of the working surface of the anvil cooperates with at least a portion of the working surface of the staple cartridge to enhance alignment of the staple cartridge and the anvil in at least one of a transverse and longitudinal direction.

Abstract: A fixation tool for applying torque to a terminal pin of an active fixation medical electrical lead includes a first handle, a second handle, an elastic member, a first jaw, a second jaw, and an insert. The insert is disposed at an end of the tool slot proximal to the elastic member. The insert includes an insert slot configured to align with the tool slot. The fixation tool is configured such that pressing the first handle and the second handle toward each other causes a movement of the first jaw and the second jaw relative to each other to change a width of the insert slot. The first jaw and the second jaw are comprised of a first material. The insert is comprised of a second material. The first material is harder than the second material.

Abstract: A surgical instrument includes an end effector with a staple cartridge. The end effector and staple cartridge extend along a centerline and have an arcuate portion. The staple cartridge includes a deck and a plurality of staples. The plurality of staples include an outer set of staples and an inner set of staples for respective receipt within outer and inner rows of staple openings formed through the deck. At least one staple of the outer set of staples has an elongated crown relative to the inner set of staples such that the outer set of staples are configured to overlap with the inner set of staples in a direction transverse to the centerline.

Abstract: An anastomosis instrument includes a headpiece shaft which can be inserted in an instrument shaft so as to be axially shiftable therein, a plate-like and/or anvil-like headpiece being axially shiftable on the distal end portion of the headpiece shaft and being supported via a cross pin between a processing position and a withdrawal position, the headpiece on the headpiece shaft being displaced or shifted from a first, proximally retracted latching position in which the headpiece shaft is coupled to the headpiece in a form-fitting manner to fix the headpiece in the processing position so that it is unable to pivot, to a second, distally advanced latching position in which the form fit is released in order to allow the headpiece to swivel to the withdrawal position.

Abstract: A surgical instrument includes a hollow member having a sidewall provided with a window and a closure member movably connected to the hollow member for alternately covering and uncovering the window. The hollow member has a first clamping surface along an edge of the window, while the closure member has a second clamping surface opposing the first clamping surface and disposable substantially adjacent thereto in a clamping or closure configuration of the instrument. The instrument additionally comprises a tissue occlusion component mounted to at least one of the hollow member and the closure member for acting on tissues gripped between the first clamping surface and the second clamping surface, to couple the tissues to each other.

Abstract: A medical device that includes a plurality of members forming a body that can transition from a delivery configuration to a deployed configuration. The plurality of members form a plurality of openings each with a long axis extending substantially longitudinally relative to a longitudinal axis of the medical device in a delivery configuration. A plurality of end portions are associated with a distal portion of the medical device, the end portions extending towards the longitudinal axis in a deployed configuration.

Abstract: A device for treating tissue includes a capsule extending longitudinally from a proximal end to a distal end and including a lumen extending therein and a clip slidably received within the lumen of the capsule. The clip includes a middle prong, a first outer prong and a second outer prong. The first prong is coupled to the middle prong so that the first prong is movable relative to the middle prong between a first open configuration and a first closed configuration. The second outer prong coupled to the middle prong so that the second prong is movable relative to the middle prong between a second open configuration and a second closed configuration. The first and second outer prongs are independently movable relative to the middle prong to be moved between the first and second open configurations to the first and second open configurations and the first and second closed configurations.

Abstract: An endovascular guide catheter includes a guide tube and a handle. The flexible guide tube has a distal end portion configured to deflect via actuation of a pull wire. The handle is coupled to the guide tube and comprises a steering assembly configured to actuate the pull wire to deflect the distal end portion of the guide tube. The steering assembly can comprise a stationary rack, a gear, a reel, and a slider. The gear engages the rack and the reel is coupled to and configured to rotate with the gear. The pull wire is coupled to the reel such that rotation of the reel causes the pull wire to wind or unwind around the reel. The slider is adapted for translation relative to the rack. Translation of the slider translates the reel relative to the rack and rotation of the gear along the rack rotates the reel.

Abstract: A surgical instrument includes a shaft assembly, a handle assembly, and a latch system configured to operatively couple the shaft and handle assemblies. The latch system includes shaft and a handle lock members respectively connected to the shaft and handle assemblies for inhibiting operative uncoupling of the shaft and handle assemblies. The latch member has a cam surface and a latch member. The latch member is configured to selectively move from a locked position to a released position such that movement of the latch member causes the shaft and handle lock members to disengage and uncouple the shaft and handle assemblies. The latch member is further configured to selectively move from the released position to a removal position such that further movement of the latch member causes the cam surface of the latch member to engage the cam base and urge the shaft assembly in a removal direction.

Abstract: A tool for inserting a marker into tissue at a biopsy site includes an elongate plunger having a blind bore. A plunger rod has a proximal end received within and secured to the blind bore so that the plunger rod moves conjointly with the plunger and a spring is secured to the distal end of the plunger rod. A cannula has a lumen that receives a distal end of the plunger rod and a crimp is formed in the cannula near its distal end. The cannula has a side exit port where a marker is ejected from the lumen. A ramp is formed in communication with the side exit port and the ramp has a preselected slope that controls the angle at which the marker is ejected. The marker is ejected from the side exit port into tissue when the spring unloads abruptly as the marker clears the crimp.

Abstract: An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

Abstract: A surgical clip applier is provided and includes a handle assembly and an endoscopic assembly selectively connectable to a housing of the handle assembly. The handle assembly includes a housing, a trigger pivotally supported on and extending from the housing, and a drive assembly supported within the housing and operatively actuatable by the trigger. The endoscopic assembly includes a shaft assembly extending from the housing, the shaft assembly including an outer tube and a pair of jaws supported in and extending from a distal end of the outer tube.

Abstract: An apparatus for deployment of a hemostatic clip includes a clip assembly releasably coupled to a distal portion of a shaft, wherein the clip assembly includes a capsule releasably coupled to the shaft, clip arms slidably received within the capsule and cooperating with the capsule to provide a first user feedback indicating a decision configuration of the clip assembly and a yoke slidably received within the capsule, the yoke including proximal and distal portions releasably and rotatably connected to one another via a first control wire, a distal end of the distal portion being connected to proximal ends of the clip arms. A second control wire extends from the handle assembly and is coupled to a proximal end of the second portion to move the clip assembly between open and closed configurations.

Abstract: Embodiments of the present invention encompass systems and methods to prevent complications from atrial fibrillation by preventing or reducing the likelihood of blood flow out of the left atrial appendage, to eliminate a possible source of aberrant electrical circuits, or both. Accordingly, techniques are provided for delivering ligature loops or closure means to the left atrial appendage, and to other anatomical structures of a patient which may be desirable in other surgical procedures.

Abstract: An intervertebral support insertion tool includes a tube having a distal open end for insertion in a patient proximate vertebra and a proximal open end. A shaft is received in the tube proximal open end and has a distal intervertebral support interface for engaging an intervertebral support loaded into the tube. A housing supports the tube and shaft with a first drive mechanism such a linear actuator advances the shaft in the tube. A second drive mechanism such as a rotational drive rotates the shaft. In this way the shaft advances and rotates the intervertebral support to position and deploy it between adjacent vertebrae.

Abstract: A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the arms can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue.

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: A novel jaw and cam ensemble for use in a medical clip applying instrument having a compressible grip assembly at one end and a pair of squeezable jaws at the opposite end. Included is an elongated operating means connecting the cam and jaw ensemble to the compressible grips for the purpose of translating motion one to the other and for sequential advancement and closure of a plurality of clips between the jaws.

Abstract: A surgical fastener applying apparatus includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.

Abstract: A U-shaped clip for use in a driveline shield system having a cap disposed to releasably engage a bearing mounted adjacent a drive shaft. The cap supports a tubular guard or shield in a coaxial position relative to the drive shaft. One or more lugs on the bearing are disposed to seat in corresponding slots formed in the cap. When the lugs are seated in the slots, rotation of the cap relative to the bearing causes the bearing and the cap to engage one another. The U-shaped clip is pivotally mounted to the cap and rotatable between a first position in which the clip extends into the slot and secures the lugs in engagement with the cap and a second release position in which the clip is retracted from the slot, thereby permitting relative rotation between the cap and bearing.

Abstract: An instrument for clamping a surgical clip has a handle assembly, a shaft assembly, and an end effector. The handle assembly has a trigger and an articulation knob. The shaft assembly has an outer ground tube, a middle articulation tube, and a push/pull tube disposed within the middle articulation tube. The trigger is operable to cause longitudinal translation of the push/pull tube. The outer ground tube and the middle articulation tube present mating angled faces sloped in opposing directions. Rotation of the articulation knob causes rotation of the middle articulation tube. Rotation of the middle articulation tube changes the orientation of the angled faces and thus causes articulation of the middle articulation tube and the push/pull tube. The end effector has a pair of jaws configured to apply a surgical clip to a vessel. Longitudinal translation of the push/pull tube causes closure of the pair of jaws.

Abstract: A surgical stapler comprising an end effector is disclosed. The end effector comprises a firing member configured to move at least partially through the end effector, a stop configured to create a lockout condition by impeding an advancement of the firing member through the end effector, and a sensor configured to detect the lockout condition. The surgical stapler further comprises a handle. The handle comprises an electric motor configured to transmit a force to the firing member. The handle further comprises a control system configured to control the electric motor. The sensor is in communication with the control system. The control system controls the electric motor to adjust the force transmitted to the firing member when the lockout condition is communicated to the control system.

Abstract: Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue. The medical device of the system may include a biasing strip engaged with the jaws, and/or a gripping strip attached to at least one of the jaws to improve the engagement of the tissue between the jaws.

Abstract: Methods and devices are provided for preventing surgical devices used in laparoscopic procedures including opposed jaws and an overload mechanism from overloading the opposed jaws of the device. In one embodiment a surgical device, includes a handle and an elongate shaft extending distally therefrom with opposed jaws coupled to a distal end thereof. The surgical device can include a trigger pivotally movable about a first pivot axis during a first range of motion from an open position toward a closed position, to cause the opposed jaws of the end effector to move from an open position to a partially closed position. The trigger can further be pivotally movable about a second pivot axis during a second range of motion from the partially closed position to the fully closed position, without causing corresponding movement of the opposed jaws from the open position to the closed position.

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing having an actuator, a shaft extending from the housing, and an end cap secured to a distal end of the shaft. The end cap has a bottom side, a top side, a lower distal edge adjacent the bottom side, and an end face that slopes upwardly and proximally from the lower distal edge to the top side of the end cap. A surgical fastener delivery window is formed in the sloping distal end face of the cap for dispensing surgical fasteners. The sloping distal end face extends continuously around the outer perimeter of the surgical fastener delivery window. The cap includes a plurality of gripping posts projecting distally from the sloping distal end face of the distal end cap. The posts are inserted into the pores of a surgical mesh for controlling movement of the mesh.

Abstract: An apparatus enables concurrent restoration of a gastroesophageal valve and tightening of the lower esophageal sphincter. The apparatus comprises a longitudinal member having a distal end arranged to be received within a stomach, a tissue shaper at the distal end of the longitudinal member that forms a gastroesophageal valve from stomach tissue, and a tissue gatherer that gathers fundus tissue at or aboral to the gastroesophageal junction to reduce an esophageal opening into the stomach and tighten the lower esophageal sphincter. A fastener deployer then deploys at least one fastener pair to maintain both the restored gastroesophageal valve and the tightened lower esophageal sphincter.

Abstract: A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction.

Abstract: Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.

Abstract: A clip unit including: a clip main body having a first arm portion, a second arm portion, and a middle portion; a pressing tube formed in a tube shape to be capable of accommodating the clip main body, the pressing tube being provided to deform the clip main body so as to make a distal end of the first arm portion and a distal end of the second arm portion to approach to each other, as the middle portion, the first arm portion, and the second arm portion are moved toward a proximal end side of the clip unit; a locking portion configured to protrude from an inner circumferential surface of the pressing tube on the proximal end side of the pressing tube; and a first locked portion configured to protrude from a lateral surface of the first arm portion.

Abstract: A surgical instrument includes an insertion section, a first jaw and a second jaw provided at a distal end portion of the insertion section, having predetermined curved shapes and configured to grasp tissue; a guide section formed along the predetermined curved shape and disposed in at least one of the first jaw and the second jaw; an actuation section which is movable by being guided by the guide section; a shaft body provided at the actuation section and configured to be rotatable about a rotation axis parallel to a center line of the shaft body; and a blade section connected to the shaft body at a position apart from the rotation axis in a direction across to the shaft body and configured to be directed to the shaft body, the blade section being rotatable about the rotation axis.

Abstract: Devices and methods are provided for stabilizing fasteners post-deployment. In general, the devices and methods can allow fasteners to resist counter rotation after being deployed. A fastener can be configured to resist counter rotation in a variety of ways. In some embodiments, a staple can include one or more anti-rotation mechanisms configured to resist counter rotation of the staple when the staple is deployed in tissue. In some embodiments, an orientation of a fastener relative to an orientation of one or more fasteners deployed adjacent thereto can be configured to help prevent counter rotation.

Abstract: A surgical instrument includes a staple cartridge and a control assembly comprising a plurality of first staples and a plurality of second staples. The control assembly includes a control circuit configured to generate a drive signal and a drive unit movable in response to the drive signal to deploy the plurality of first staples and the plurality of second staples.

Abstract: A surgical fastener cartridge is provided and includes a cartridge body having a tissue contacting surface that includes a plurality of fastener retention slots. A plurality of surgical fasteners is operatively disposed in the plurality of fastener retention slots. A plurality of pushers is operably associated with the plurality of surgical fasteners. Each pusher is configured for ejecting an associated surgical fastener towards a depression in an anvil. An actuation sled is housed within the cartridge body and includes a plurality of cam wedges. The plurality of cam wedges configured to sequentially contact the plurality of pushers such that a surgical fastener that is ejected closer to a cut line produces a greater compression force to stapled tissue than a surgical fastener ejected further from the cut line.

Abstract: A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.

Abstract: The present disclosure relates to electrosurgical instruments for use in sealing various tissues. The instrument includes a housing having a shaft attached thereto and an end effector assembly attached to a distal end of the shaft, wherein the end effector assembly includes first and second jaw members attached thereto. The jaw members are movable relative to one another from a first position for approximating tissue to at least one additional position for grasping tissue therebetween. The jaw members have an elastomeric material disposed on an inner facing tissue contacting surface thereof with the elastomeric materials including an electrode disposed therein. The electrodes are offset a distance X relative to one another such that when the jaw members are closed about the tissue and when the electrodes are activated, electrosurgical energy flows through the tissue in a generally coplanar manner relative to the tissue contacting surfaces.

Abstract: A surgical clip applier is provided and includes a ratchet mechanism having a rack member connected to a drive channel such that axial translation of the drive channel results in axial translation of the rack member, the rack member defining a first set of teeth along a first side thereof and a second set of teeth along a second side thereof. The ratchet mechanism including a first pawl and a second pawl each tiltably supported in the housing and disposed on respective opposed sides of the rack member; and a buckling spring interposed between the first pawl and the second pawl and constrained in a slot formed in the rack member, wherein the buckling spring is dimensioned so as to bow in one of a proximal direction and a distal direction.

Abstract: A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

Abstract: An end effector and a staple cartridge are disclosed. The staple cartridge includes an array of staples in which at least one staple is angularly-oriented relative to the longitudinal axis of the staple cartridge. The angled staple(s) provide longitudinal flexibility to the stapled tissue. Additionally, the staple cartridge and/or the end effector are configured to provide variable degrees of compression to tissue. For example, the compression of tissue before, during and/or after stapling can be optimized.

Abstract: A surgical device is provided. The surgical device includes: a jaw assembly comprising a first jaw and a second jaw moveable relative to the first jaw and an elongated body removably coupled to a proximal end of the jaw assembly. The elongated body includes an actuation bar movable upon engagement of the jaw assembly with the elongated body to secure the jaw assembly thereto; a release button coupled to the actuation bar such that the release button is movable by the actuation bar upon engagement of the jaw assembly with the elongated body and the release button is configured to move the actuation bar to allow for removal of the jaw assembly from the elongated body; and a lockout button in mechanical cooperation with the release button, the lockout button configured to prevent actuation of the release button.

Abstract: Provided is a medical treatment tool, the distance between a first advance and retraction axis, and a tip end is shorter than the length of the first link member, and the length when a line segment connecting the base end and the center of a forceps rotation shaft is projected on the first advance and retraction axis is shorter than the length is projected on the first advance and retraction axis. The distance between a second advance and retraction axis, and a tip end is shorter than the length of the second link member, and the length when a line segment connecting the base end and the center of a forceps rotation shaft is projected on the second advance and retraction axis is shorter than the length projected on the second advance and retraction axis.

Abstract: A system for delivery and deployment of an occluder includes a handle, an actuating mechanism with a motion amplifier and a sheath positioning mechanism within the handle. A driveshaft of the actuating mechanism extends through the handle, the sheath positioning mechanism, and an attached sheath so as to couple with an occluder deployed via the driveshaft within a body lumen in a patient.

Abstract: A surgical clip applier is provided including a housing, at least one handle pivotably connected to the housing, a channel assembly extending distally from the housing, a clip carrier disposed within said channel assembly and defining a channel therein, a plurality of clips slidably disposed within the channel of said clip carrier, a jaw assembly including a pair of jaws extending from an end of the channel assembly, opposite the housing, adapted to accommodate a clip therein and being operable to effect formation of a clip in response to movement of said at least one handle, and a shuttle bar slidably supported in the channel assembly and configured to transport a clip from the clip carrier to the jaw assembly.

Abstract: Release mechanism for medical device includes a bushing having a proximal end, a distal end and a channel extending therethrough. Plurality of extend proximally from the distal end are biased toward a release configuration in which engagement surfaces at distal ends thereof retract radially into the channel. A core pin insertable through the channel applies a radially expansive pressure to move the arms radially outward to a locking configuration. Engagement surfaces of the first and second arms connect to a retaining surface of a tissue treatment device containing capsule, which extends at an angle relative to the engagement surfaces selected so that a first portion of a force transmitted along an axis of the bushing moves the arms radially inward toward the release configuration before a second portion of the force exceeds a threshold level associated with the removal of a tissue treatment device from gripped tissue.

Abstract: The present disclosure provides a deployment device that includes (a) an elongate shaft having a first end and a second end, (b) a grasping assembly coupled to the first end of the elongate shaft, where the grasping assembly includes a first jaw and a second jaw rotatable with respect to the elongate shaft, where the grasping assembly is configured to accept a wound closure device between the first jaw and the second jaw, where the wound closure device comprises at least two fixation components connected to and extending therethrough, where each of the first jaw and the second jaw include at least one coupling element configured to be removably coupled to a respective fixation component when the wound closure device is coupled to the grasping assembly, and (c) an actuator coupled to the second end of the elongate shaft, where the actuator is configured to move the grasping assembly between an open position and a closed position.

Abstract: A dilator configured for dilating tissue of a corpora cavernosum of a penis having a dilation body defined along a longitudinal axis of the dilator and an extendable wing connected to the dilation body. A knob is provided at a first proximal end portion of the dilation body and is configured to communicate with the extendable wing. Rotating the knob extends the extendable wing away from the dilation body and changes an effective diameter of the dilator. Also disclosed is a method of dilating the corpora cavernosum of a penis and a method of implanting a penile prosthetic in the corpora cavernosum of a penis.

Abstract: Method for delivering an expandable member to a treatment location includes an elongate shaft and an expandable member coupled to a distal end of the elongate shaft. Embodiments of the expandable member are moveable between a collapsed configuration and an expanded configuration, and have an inner expandable member and a plurality of outer expandable members that at least partially surround the inner expandable member, and are suitable for delivering prosthetic heart valves and performing vavuloplasties.

Abstract: An end effector for use with a surgical instrument is disclosed. The end effector comprises a first jaw, a second jaw, a curved slot, and a cutting element. The cutting element comprises a laterally-offset cutting edge, a first camming surface, and a second camming surface. One of the first jaw and the second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows.

Abstract: Systems and methods for sensing hand motion by measuring remote displacement are disclosed. For example, one disclosed apparatus includes a first surface configured to engage a first distal member of a surgical tool and a second surface configured to engage a second distal member of the surgical tool, the second surface coupled to the first surface at a pivot point. The apparatus further includes a sensor configured to detect a relative movement of the first surface and the second surface about the pivot point and to generate a signal based at least in part on the relative movement.

Abstract: An endoscope treatment tool includes: a clip unit having a clip main body which includes first and second arm portions, a pressing tube which is formed in a tube shape, a locking portion which protrudes from an inner circumferential surface of a proximal end of the pressing tube, and a locked portion which protrudes from the clip main body; a linear member connected to the clip unit; a sheath in which the linear member is inserted; and a fracture mechanism connected to a proximal end of the linear member. The fracture mechanism includes a first support member connected to the linear member, a second support member disposed on a proximal end side of the first support member, and a fracturable member disposed between the first support member and the second support member so as to connect the first support member and the second support member.

Abstract: In various embodiments, an end effector for cutting and stapling tissue is disclosed. The end effector comprises a first jaw and a second jaw, wherein one of the first jaw and the second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows, wherein the second jaw is moveable relative to the first jaw between an open orientation and a closed orientation, and wherein the second jaw tilts and pivots toward the first jaw when the second jaw moves between the open orientation and the closed orientation. The end effector further comprises a plurality of staples removably positioned in the plurality of staple cavities.