Abstract: A surgical instrument having a handle, barrel and working end effector tip is provided. The barrel is generally tubular, with one end being releasably connected to the handle. The end effector is moveably attached to the other end of the barrel, and may be positioned and operated independently through multiple linkage members connected to a motive power source housed in or attached to the handle. The instrument is operated and controlled by a microprocessor and multidimensional controller or electrical contacts included in the handle. In the preferred embodiment, the end effector is scissor-like, but other end effectors such as graspers, clamps, dissectors or needle drivers, with appropriate operating and linkage members, may be attached to the handle.

Abstract: A medical forceps, which is used in particular for detaching bone or cartilage tissue in the frontal sinus, has a handle, a shaft, an immovable jaw part and a movable jaw part both attached to the distal end of the shaft. An articulation element serves for rotatably moving the movable jaw part about the immovable jaw part. Said immovable jaw part is provided with a recess continuing over the entire width of said immovable jaw part. A section of said movable jaw part at which section said actuation element is connected to said immovable jaw part is arranged in said recess allowing said section of said movable jaw part to extend over the entire width of said immovable jaw part.

Abstract: A surgical instrument system for the use in minimal invasive surgery is adaptable to all surgical tasks by interchangeable instrument heads with different surgical tools. The instrument holder includes a handgrip, a tube extending therefrom and a shaft. The shaft is slidably received in the tube and selectively engaged with the trigger handle of the handgrip. At a distal tie-in point different interchangeable instrument heads are connected tensile resistent to the shaft and their function is actuated with the trigger handle via the same shaft. With the aid of a grip member provided at its proximal end, the shaft is operated to set its tie-in points in function.

Abstract: In a surgical instrument having at least one jaw part (6, 7) which is turnable around a pin (11), the jaw part (6, 7) is connected via a receiver (8, 9) with the pin (11), and the jaw part (6, 7) is detachably fastened with respect to the receiver (8, 9).

Abstract: A laparoscopic instrument assembly for use with a removable tip. The shaft between the removable tip and the external, body or handle portion of the instrument includes a rod moving axially within a sheath to transmit the manipulation of the handle portion to actuate the tip. Both the sheath and the rod are removable from the handle for cleaning of the instrument. Thus, after use, the shaft may be readily disassembled from the handle, the shaft and handle portion sterilized, and the shaft and handle readily reassembled for reuse of the instrument. Alternatively, a non-removable tip may be provided as part of a shaft-tip unit.

Abstract: The invention provides devices and method for performing extremely small-scale, minimally-invasive microsurgery such as thoracoscopic coronary artery bypass grafting. The instruments of the invention utilize a symmetrical, forcep-like actuator which provides extremely precise actuation and control of the instrument and which mimics the feel of instruments used in conventional open surgical procedures. The instruments generally include a pair of coaxially arranged shafts, an end-effect at the distal ends of the shafts, and an actuator at the proximal ends of the shafts. The actuator includes a pair of arms pivotally coupled to one of either the outer or inner shaft, and a pair of links pivotally coupled at one end to the arms, and at a second end to the other of the shafts. The links are coupled to a proximal portion of the arms to maximize mechanical advantage and reduce interference.

Abstract: A surgical cutting instrument is provided which includes a handpiece containing an ultrasonic transducer operative to convert electrical energy into ultrasonic longitudinal vibratory motion. A first elongate shaft has a first end operatively connected to the transducer and a second working end extending distally from the handpiece. A first cutting member is fixedly mounted to the working end of the first elongate shaft such that longitudinal vibratory motion generated by the transducer causes longitudinal vibratory motion of the first cutting member, via the first elongate shaft. A second cutting member is pivotally mounted to a nodal point on the working end of the first shaft and is pivotable between an open position and a closed position with respect to the first cutting member. A second shaft has a first end pivotally connected to the second cutting member for affecting pivotable movement of the second cutting member between the open and closed position.

Abstract: A hand-held surgical instrument with an improved handle, the instrument being of the type generally comprised of a handle and a tool with a body member having at least one articulated member thereon, is provided. The handle has an elongated base, an elongated lever with a downwardly projecting actuator arm and structure for connecting the lever and base at a rearward pivot point, which mimics the natural pivot point of the surgeon's hand. The surgical tool may be activated by moving an actuator rod distally by closing the handle lever. The lever may be biased by a spring longitudinally positioned around the actuator rod within the base, in an open position. The instrument includes structure for securing the handle at selected points throughout a range of motion or, alternatively, allowing motion that is not locked at any position. Also provided is a collar for allowing rotation of the tool to a desired radial orientation and adjustably securing the tool in that orientation.

Abstract: A multifunctional endoscopic scissors instrument for use in performing endoscopic procedures within an anatomical cavity includes a handle and an elongate tubular member having a proximal end coupled with the handle for being disposed externally of the anatomical cavity and a distal end for being disposed within the anatomical cavity and carrying a pair of opposed, relatively movable blades. The blades are operable by manipulation of the handle to cut tissue and other objects such as, for example, lengths of suture material. In addition, the elongate tubular member defines a channel permitting fluids and other instruments to be communicated at the operative site without the need of having to remove the endoscopic scissors instrument from the body.

Abstract: A surgical instrument having a handle, barrel and detachable end effector is provided. The barrel is generally tubular, with one end being connected to the handle. The end effector is releasably attached to the other end of the barrel, with jaws which may be pivoted, rotated and operated independently through multiple linkage members connected to a motive power source housed in or attached to the handle. The instrument is operated and controlled by a microprocessor and multidimensional controller or electrical contacts included in the handle. In the preferred embodiment, closing of jaws is manual with locking means; also, the end effector is scissor-like, but other end effectors such as graspers, clamps, dissectors or needle drivers, with appropriate operating and linkage members, may be attached to the handle.

Abstract: A highly maneuverable surgical scissors at the end of an 8 mm. diameter flexible arm 45 cm. in length and controlable by a scissors handle at the opposite end is designed for modern thoracoscopic and laparoscopic surgery through a "button-hole" access port in a minimally invasive procedure.

Abstract: A medical instrument with a steerable distal end, having a handle for actuating the instrument, a distal operating section for performing a medical procedure, a middle section connecting the handle with the operating section, at least a portion of the middle section being bendable, and steerable means within the bendable portion for permitting the operating section to be controlled in direction at an angle with respect to the axis of the middle section. There are means for rotating the distal operating section into any desired angular position with respect to the longitudinal axis of the middle section. A control member control the direction of movement of the bendable section in three dimensions whereby the distal end may be positioned in any place on or off of the longitudinal axis of the middle section. A protective sheath may be disposed over the bendable section.

Abstract: A handle-activated retrograde endoscopic instrument with an extension shaft rotatably connected to a fixed handle, the rotation limited by a spring-loaded lock into shaft detents corresponding to rotational position options, and with an extension of an outer tip and reduction of open range of effector movement to shield any pinch area.

Abstract: A modular surgical instrument includes a handle, an end effector, and an elongate tubular sleeve extending between and opposing the end effector and the handle, a reciprocating actuator rod disposed within the sleeve, the end effector being operably connected to a distal end of the actuator rod and having opposed members, at least one of which is movable with respect to another upon sliding movement of the actuator rod within the sleeve, and a handle including a pair of opposing actuating members, the handle having a first end connected to a proximal end of the tubular sleeve, and a second end releasably snap connected to a proximal end of the actuator rod. Compression of the actuating members toward each other causes the actuator rod to move at least one of the opposing members of the end effector with respect to the other.

Abstract: A reusable endoscopic surgical instrument includes a tool assembly and a detachable handle. The tool assembly consists of an outer sleeve to which a surgical jaw assembly such as scissors or graspers is mounted. An inner extension is mounted inside the sleeve and is longitudinally translatable with respect to the sleeve. When the distal end of the extension is in engagement with the jaws of the jaw assembly, translation of the extension causes the jaws to open and close. The extension can be translated out of engagement with the jaws to permit disassembly of the instrument for cleaning and changing jaw assemblies. The tool assembly is retained within the handle assembly. The sleeve is retained within the handle in a longitudinally stationary position with respect to the handle, while the extension is permitted to move longitudinally within the sleeve.

Abstract: Disclosed herein is manual actuator for retracting and advancing a therapeutic working element of an intravascular catheter system via an actuation shaft or one or more pulling wires. The manual actuator includes a hollow cylindrical bracing member having an open proximal end and a distal end, and a hollow cylindrical retracting member, the retracting member being slidable, in a telescoping fashion, into the open proximal end of the bracing member. An actuation shaft is secured near to the proximal end of the retracting member and the distal end of the actuation shaft is secured to the therapeutic working element. Alternatively, at least one pulling wire is secured proximal to the proximal end of the retracting member. The distal end of the pulling wire is secured to the therapeutic working element. At least one resilient connecting member has a proximal end attached proximate the proximal end of the retracting member, and a distal end attached proximate the distal end of the bracing member.

Abstract: A surgical instrument having a removable shaft assembly and a handle mechanism is shown. The surgical instrument shaft assembly includes a drive shaft having an actuatable working member at one end and a connecting member at its other end. The drive shaft has formed thereon a reaction member having a preselected geometrical shape. The reaction member is adapted to removeably operatively connect with a receiving member forming a reacting support. A driving force applied to the drive shaft reacts with the reacting support developing a reaction force to actuate the actuatable working member in a predetermined direction. The surgical instrument further includes a handle assembly which for removeably supporting the shaft assembly. The handle assembly has a first end which defines a receiving member to removeably operatively connect with the reaction member to define the reaction support. The handle assembly includes a releasable coupling member which releasably connects with the connecting member.

Abstract: A tissue nipper is provided to permit efficient trimming of tissue, such as cuticles. The nipper is unitarily molded from plastic and includes a base, arms projecting unitarily from the base and cutting blades at the ends of the arms remote from the base. Portions of the arms near the cutting blades are provided with oppositely directed projections that are slidably receivable in grooves of the opposing arm. The projections and grooves guide cutting blades precisely into opposed relationship for efficiently nipping tissue.

Abstract: In a preferred embodiment, a suction punch forceps, including: a body; a hollow tube attached to the body at the proximal end of the hollow tube and extending therefrom; a shaft disposed within the hollow tube for axial back-and-forth movement therein; a punch member rotatably attached to the distal end of the hollow tube and attached to the shaft such that each back-and-forth movement cycle of the shaft will cause the punch to make a cutting motion to cut tissue which is in contact with the punch member; and an electric motor attached to drive the shaft in the back-and-forth movement,

Abstract: In a surgical instrument having at least one jaw part which is attached to at least one handle part by a pulling or pushing element which is movable along its lengthwise axis (A), there is associated with the pulling or pushing element a pin or the like which engages into a recess which is associated with the handle part and the axis (B) of which extends at an angle (w) to the lengthwise axis (A) of the pulling or pushing element.

Abstract: An endoscope-specific therapeutic instrument includes a pair of treatment tools, a sleeve having a slit in which the pair of treatment tools are held, and a pivot pin for linking the pair of treatment tools held in the sleeve with the sleeve so that they can pivot freely. Both ends of the pivot pin lie in recesses having smaller diameters than a surface of the sleeve so as not to protrude beyond the outline of the sleeve.

Abstract: A disposal device for clamping, cutting and taking blood samples from an unbilical cord of a newly born infant. When the device is closed around an umbilical cord the cord is compressed and two separate pairs of clamping jaws are locked onto the cord. Further compression of the device severs the cord between two clamps and ejects the clamp which retains the infant's end of the unbilical cord. The jaws holding the mother's end of the cord can be opened enough to allow blood samples to be taken while still holding the cord firmly. The present invention comprises a double jaw clamping mechanism which incorporates a releasable locking means, a double jaw fetal end cord clamp which separates from the body of the device and remains locked to the fetal end of the cord, and a hinged holder containing a blade for severing the cord.

Abstract: A surgical instrument has an elongate support shaft, a tip assembly permanently attached to the shaft, a cutting jaw which opens in a backward facing direction and which is laterally offset from the longitudinal axis of the support shaft, and a rod extending coaxially with the elongate support shaft for applying closing and opening forces to the cutting jaw. The tip assembly comprises a stationary portion and a movable portion having respective tissue cutting edges which define the cutting jaw. The stationary portion of the tip assembly is permanently attached to the distal end of the support shaft, and the movable portion of the tip assembly is pivotally attached to a distal end of the stationary portion. The stationary portion of the tip assembly has a plurality of cutting edges which define an opening which extends axially adjacent the longitudinal axis of the support shaft.

Abstract: A surgical instrument is disclosed which is suitably adapted for use in operations to be performed under an endoscopic surgery. This surgical instrument comprises an elongate main body of the instrument, a leading end part disposed on the leading end side of the main body of the instrument and endowed with surgically operating member for producing an open-close motion or a rotary motion, a manipulating part for effecting remote control of the surgically operating member, and an elongate transmitting member for transmitting the operation in the manipulating part to the leading end part mentioned above. It is provided in or near the leading end part with a locking mechanism for regulating the motion of the transmitting member relative to the leading end part and fixing the posture of the surgically operating member.

Abstract: A bipolar electrosurgical instrument including four shearing members is disclosed. The shearing members are movable to an open position for grasping tissue, a closed position for desiccating tissue by application of electrical current and a cutting position for shearing tissue. The electrical current may be applied in an X-shaped pattern to thereby localize desiccation to the maximum extent possible. A method of using the bipolar electrosurgical instrument is also disclosed.

Abstract: The present invention provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising manipulator means at least partly constructed of one or more bent or twisted elongate shape memory alloy members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the shape memory alloy member(s) in a relatively straightened state, and actuating means for extending the shape memory alloy member(s) from the housing to manipulate matter within the said space and for withdrawing the shape memory alloy member(s) into the housing, the arrangement being such that the shape-memory alloy member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature.

Abstract: A surgical instrument is provided of the type having first and second telescoping shafts, a jaw assembly comprising two jaws carried by the front end of the first shaft, and a novel handle mechanism, and connecting member for connecting the rear ends of the two shafts to the novel handle mechanism, so that manipulation of the handle mechanism by the surgeon will cause relative reciprocal axial motion of the two shafts, thereby resulting in opening and closing of the jaws. In a preferred embodiment, the novel handle mechanism comprises a first fixed handle member, a second movable handle member, gear member connecting the two handle members so that when the handles are moved relative to one another in a first direction, the jaws will be squeezed into clamping relation with tissue by the collet-like action of the second shaft moving in a first direction relative to the second shaft, and spring member for urging the second shaft to move in a direction to open the jaws.

Abstract: A surgical instrument includes a handle, a first stem section having a longitudinal axis and extending from the handle, and a tissue engaging member for engaging tissue. A second stem section, connected between the first stem section and the tissue engaging member, has a portion which is bendable and supports the tissue engaging member for movement between a plurality of orientations relative to the axis and to the first stem section. The surgical instrument includes a system for bending the bendable portion of the second stem section to change the orientation of the tissue engaging member relative to the axis and to the first stem section from a first orientation to a second orientation. The bendable portion of the second stem section includes a member for enabling bending movement of the bendable portion to locate the tissue engaging member at the same angle relative to the longitudinal axis of the first stem section at more than one location along the length of the bendable portion.

Abstract: An endoscopic instrument system which includes a handle portion with a scissors grip, a shaft extending from the scissors grip and shaped to extend through a cannula, and a plurality of disposable end tools, each mountable on and removable from the end of the shaft by hand without tools and actuatable by the scissors handle. In a preferred embodiment, the scissors handle actuates a rod extending through the shaft which is connected to the end tool. The end tool includes a pair of jaws pivotally mounted on the support and connected to a reciprocating stub shaft by links. The stub shaft is connected to the actuating rod of the handle portion so that movement of the scissors handle causes the jaws to pivot relative to each other. The end tool may take the form of a scissor, grasper, biopsy or dissector, depending upon the specific shape of the jaws.

Abstract: A surgical instrument is provided of the type having first and second telescoping shafts, a jaw assembly comprising two jaws carried by the front end of the first shaft, and a novel handle mechanism, and connecting member for connecting the rear ends of the two shafts to the novel handle mechanism, so that manipulation of the handle mechanism by the surgeon will cause relative reciprocal axial motion of the two shafts, thereby resulting in opening and closing of the jaws. In a preferred embodiment, the novel handle mechanism comprises a first fixed handle member, a second movable handle member, gear member connecting the two handle members so that when the handles are moved relative to one another in a first direction, the jaws will be squeezed into clamping relation with tissue by the collet-like action of the second shaft moving in a first direction relative to the second shaft, and spring member for urging the second shaft to move in a direction to open the jaws.

Abstract: A surgical instrument is disclosed for use in a wide variety of roles including grasping, dissecting, clamping, or retracting materials or tissue during surgical procedures performed either in open surgery or within the abdominal cavity. The surgical instrument includes a handle portion, a tubular body portion extending from the handle portion and defining a longitudinal axis, and tool structure associated with a distal portion of the tubular body portion. A rotation assembly is provided for effectuating rotation of the tool structure about the longitudinal axis of the body portion. Rotation locking structure is provided to lock the rotation assembly at a predetermined orientation such that it cannot be rotated with respect to the handle.

Abstract: A cutting-suctioning tool for micro-surgery including closing jaws, that in closed position, provide a suctioning/fluid channel axially through the jaws for removal of tissue and fluids.

Abstract: A surgical apparatus is disclosed which includes a handle assembly having a barrel portion, a stationary handle depending from the barrel portion, and an actuating handle pivotally associated with the barrel portion. An elongate body assembly having opposed proximal and distal end portions and an interior bore extending therethrough is releasably engaged within the barrel portion of the handle assembly. An actuation assembly is provided and includes an elongate control shaft dimensioned to extend through the interior bore of the body assembly. A jaw housing is attached to a distal end portion of the control shaft, and a pair of jaw members are supported in the housing. The jaw housing is releasably engaged to the body assembly within the interior bore thereof, and a proximal end of the control shaft is releasably engaged to the actuation handle.

Abstract: Hand-held surgical assembly for use in performing a laparoscopic medical procedure, comprising a housing. An actuator tube having a bore therein is slidably mounted in the housing. A handle operated mechanism is carried by the housing for causing reciprocatory movement of the actuator tube assembly within the housing.

Abstract: An endoscopic surgical instrument assembly including a support sheath, a miniature medical implement member, and a securing mechanism for securing the support sheath and the medical implement member together in fixed relationship. The securing mechanism is adapted for securing the miniature medical implement member and the support sheath to one another when the miniature medical implement member is advanced axially through the support sheath so that the implement member and the support sheath form a co-axial unit. As a result, the support sheath provides rigid support for the miniature medical implement member and prevents the elongated portion thereof from breaking during an endoscopic medical procedure.

Abstract: A low friction sheath for endoscopic instruments is made from an extrusion grade of high density polyethylene (HDPE). The sheath is formed as an extruded polyethylene tube having an inner diameter slightly smaller than the outer diameter of the instrument it will cover. In order to place the sheath over the instrument, a containment sleeve is placed over the sheath and a source of pressurized gas is coupled to one end of the sheath. The endoscopic instrument tube is sealed and inserted into the other end of the sheath. The polyethylene sheath is filled with gas so that it expands against the containment sleeve and the endoscopic instrument tube is pushed into the expanded polyethylene sheath. The gas is released from the polyethylene sheath and it contracts against the outer surface of the endoscopic instrument tube. The sheath is preferably made from a HDPE having a microfractured surface with 10-20 micron fractures.

Abstract: A novel surgical scissor blade having a sharp shearing edge and comprising an injection molded powdered metal, and a method for making the same.

Abstract: A surgical instrument having a handle, barrel and working end effector tip is provided. The barrel is generally tubular, with one end being releasably connected to the handle. The end effector is movably attached to the other end of the barrel, and may be positioned and operated independently through multiple linkage members connected to a motive power source housed in or attached to the handle. The instrument is operated and controlled by a microprocessor and multidimensional controller or electrical contacts included in the handle. In the preferred embodiment, the end effector is scissor-like, but other end effectors such as graspers, clamps, dissectors or needle drivers, with appropriate operating and linkage members, may be attached to the handle.

Abstract: A laparoscopic instrument is formed by a removable shaft combination portion separable from a housing. The housing portion includes a pair of handles, a quick-release button, a clutch to quickly rotate the shaft during use, and a releaser. The socket is attached to the proximal handle. The shaft combination has a center shaft, a slotted outer shaft and a shaft cover insulator. The center shaft has a pair of graspers at the distal operating end. The other end of the center shaft has an anchor point for engaging with the socket at the other end of the instrument. The socket holds the end of the center shaft and causes the shaft to reciprocate slightly in response to the surgeon closing or opening the pair of handles. The graspers close or open in response to the squeezing action by the surgeon. The socket has a quick-release button and the housing has a release to allow the entire shaft combination to be quickly removed from the rest of the instrument, and cleaned or replaced with another shaft combination.

Abstract: A variable tip-pressure surgical grasper includes a shaft assembly, a jaw assembly, and a handle assembly. The jaw assembly is disposed adjacent to the distal end of the shaft assembly and has first and second movable jaws. Mandible portions of the jaws serve as the tissue manipulating portions and are arranged so that their distal tips engage without their proximal portions engaging. A slidable sleeve surrounds the shaft assembly and is movable between (i) a first retracted position wherein its distal end is spaced from the jaw assembly and (ii) a second extended position in which its distal end forces the jaw assembly closed. Instruments embodying the present invention may also include a ball joint coupling for coupling the jaw assembly to the shaft. The ball joint coupling allows the jaw assembly to be rotated about the axis of the shaft. The entire jaw assembly may also be of a modular construction so as to be fully detachable from the rest of the tool.

Abstract: Forceps for mounting on a substantially flexible guide wire include a first jaw defining a longitudinal lumen therethrough for mounting of the first jaw on a guide wire and for sliding longitudinal movement of the first jaw along the guide wire. A second jaw is pivotably secured to the first jaw. A flexible longitudinally-extending drive is secured to the second jaw and extends generally parallel to the guide wire. The drive is longitudinally movable between an open position wherein the jaws assume an open orientation enabling tissue to enter therebetween and a closed position wherein the jaws assume a closed orientation such that any tissue which entered intermediate the jaws in the open orientation is grasped therebetween for movement therewith.

Abstract: A surgical instrument has a hollow elongated shaft for insertion into the body, the shaft having a longitudinal axis and supporting a pair of interacting pivotable jaws on its distal end and being connected at its proximal end to a first movable component of an operating handle, with a reciprocable rod located within the shaft. The rod is connected to a second movable component of the handle for reciprocation within the shaft when the first and second components are moved relative to each other. The jaws are pivotally connected by a pivot pin supported on the shaft transversely to the axis. Each of the jaws has a proximal end extending proximally from the pivot pin. Each of the proximal ends is provided with an elongated opening therethrough, each the openings forming an elongated slot oriented at an oblique angle relative to the longitudinal axis of the shaft. The reciprocable rod has a distal end extending into each slot whereby reciprocation of the rod causes the jaws to open and close.

Abstract: A double acting bipolar endoscopic scissors includes a hollow tube with an integral clevis and a bipolar push rod extending therethrough. The tube is rotatably mounted in a handle member which is provided with a manual actuation lever. The bipolar push rod includes a pair of spaced apart rods which are insulated along substantially their entire lengths by polypropylene sheaths, and which are insert molded in a distal insulating collar near their distal ends, in a proximal insulating collar near their proximal ends, and in a plurality of non-conductive cylinders therebetween. The distal collar includes a flattened distal portion and the distal ends of the rods are bent approximately 90 degrees and exit the flattened portion. A pair of scissor blades are mounted in the clevis with an axle screw and a nut and are insulated from the clevis and the axle screw. One of the scissor blades has a ceramic coating on its face to insulate it from the other scissor blade.

Abstract: The present invention includes a stationary outer blade and a rotating inner cutting blade. A unique blade design and geometry allows clean, smooth cuts in fibrous tissue.

Abstract: A jaw assembly is provided with a pair of jaws which are closed with a flexible, tension member that is pulled by the operator of the instrument. In a preferred embodiment, one of the jaws is pivotally mounted in a slot to the other jaw. A cord, having a loop configuration, is attached to the pivoting jaw and can be pulled to pivot the jaw closed. A second cord can be provided to initially hold the proximal end of the pivoting jaw away from the other jaw until the distal ends of the jaws are closer together. In another embodiment, jaws can be closed in a parallel orientation by rotating two pulleys with threaded shafts engaged with the jaws.

Abstract: A jaw assembly is provided with a pair of jaws which are closed with a flexible, tension member that is pulled by the operator of the instrument. In a preferred embodiment, one of the jaws is pivotally mounted in a slot to the other jaw. A cord, having a loop configuration, is attached to the pivoting jaw and can be pulled to pivot the jaw closed. A second cord can be provided to initially hold the proximal end of the pivoting jaw away from the other jaw until the distal ends of the jaws are closer together. In another embodiment, jaws can be closed in a parallel orientation by rotating two pulleys with threaded shafts engaged with the jaws.

Abstract: A jaw assembly is provided with a pair of jaws which are closed with a flexible, tension member that is pulled by the operator of the instrument. In a preferred embodiment, one of the jaws is pivotally mounted in a slot to the other jaw. A cord, having a loop configuration, is attached to the pivoting jaw and can be pulled to pivot the jaw closed. A second cord can be provided to initially hold the proximal end of the pivoting jaw away from the other jaw until the distal ends of the jaws are closer together. In another embodiment, jaws can be closed in a parallel orientation by rotating two pulleys with threaded shafts engaged with the jaws.

Abstract: The invention relates to anvil shears for surgical purposes, particularly for laparoscopic operations. The shears have an anvil (10) and a blade (40) pivotably fitted thereto, which is closed against the anvil by means of an operating rod (30) displaceable in the longitudinal direction of the shears. For improving the cutting action, according to the invention the blade (40) is displaceably mounted on the anvil in its longitudinal direction (41) and is subject to the action of a force forcing the blade into the distal advanced position. The force exerted for closing the blade (40) with the operating rod (30) is opposed by the pretensioning force (54), so that on encountering a material to be cut a cutting movement is performed in the longitudinal direction (41) of the blade.

Abstract: A method for the selective removal of corneal tissue, and change of curvature thereof, for refractive vision correction, by means of a correction template in conjunction with a planar cutting high pressure water jet micro-keratome. The correction template is adapted to provide a planar cutting guide, on the corneal tissue, for the refractive correction required, with the template being shaped with a non-planar surface of predetermined configuration (related to the desired correction). The non-planar surface of the template is fitted to the area of the cornea to be refractively corrected, whereby the corneal tissue to be removed is selectively deformed so as to be substantially conformed to and held against the non-planar surface. Application of a vacuum between the template and cornea aids in this holding.

Abstract: A surgical cutting instrument having a surgeon operable control handle for advancing a blade over a fenestrated hook so that tissue within said fenestrated window area is dissected.