Abstract: An endoluminal robotic system includes at least one robotic arm that operates tools to perform suturing procedures. The tools may include at least one of a suture needle driver tool, an endoscope, and a grasping tool. Methods performed by the endoluminal robotic system include driving a suture needle through anterior and posterior sides of a defect using the suture needle driving tool, the end portion of which is rotated after passing through tissue, to form a desired suture pattern. Then, the two ends of the suture thread are pulled and tied together to form a knot. Methods performed by the endoluminal robotic system also include overlaying a suture needle path on an image captured by the endoscope and controlling the at least one robotic arm to operate the driving tool and the suture needle driver tool based on the overlaid suture needle path.

Abstract: Apparatuses, systems, and methods are disclosed for a surgical clamp for Lapidus bunion surgery. A surgical clamp has handles disposed at opposing branches of a surgical clamp. A hinge is disposed at an intersection of the opposing branches about which the opposing branches pivot. A first gripper is disposed at a distal portion of the first opposing branch and is shaped to hook around and grip a neck of a first metatarsal. A second gripper is disposed at a distal portion of the second opposing branch and is shaped to hook around and grip a neck of a different metatarsal. The grippers extend at a non-zero angle away from the opposing branches. A lock extends between the opposing branches and selectively fixes a relative position of the opposing branches so that the grippers selectively hold a position of the first metatarsal relative to the different metatarsal.

Abstract: A biopsy forceps includes an end effector with opposing first and second jaws coupled together and configured to move from an open configuration to a closed configuration. Each of the first jaw and the second jaw includes a plurality of teeth having a base. The bases of two adjacent teeth of the first jaw are spaced apart to form a first gap, and the bases of two adjacent teeth on the second jaw are spaced apart to form a second gap. The end effector in the closed configuration may define one or more windows between edges of the first and the second jaws. And, at least one of these windows may include at least a portion of one or both of the first and second gaps.

Abstract: An example system for applying an occlusion clip to an anatomical structure may include a visualization tool configured to allow visualization of an anatomical structure using a scope; a clip applier configured to apply an occlusion clip on the anatomical structure; an introducer connectable to the clip applier and configured to aid in positioning the clip applier; and a positioner configured to apply at least one of a linear force and a torsional force to at least one of the clip applier and the clip.

Abstract: Systems and methods for tracking vessel activities are described.

Abstract: An end effector positioning mechanism for a surgical device may include an articulation mechanism including a plurality of tiltable segments disposed generally in a longitudinal row between an elongated shaft of a surgical device and an end effector of the surgical device. Each of the plurality of segments may be generally in the form of a flattened disk. At least one of the segments may include a proximal surface and/or a distal surface that is substantially planar and is oriented substantially orthogonally with respect to a central axis of the articulation mechanism. At least one of the segments may include a proximal surface and/or a distal surface including two transversely oriented, generally planar surfaces that meet along a substantially diametric peak.

Abstract: A clip device includes a sheath having a lumen with at least one open end and a plurality of clip arms movable between a first configuration in which the plurality of clip arms are opened to receive a target tissue, and a second configuration in which the plurality of clip arms are closed to grip the target tissue. Locking mechanisms respectively provided on the plurality of clip arms engage one another for maintaining the second configuration. A restraining mechanism is optionally configured to be associated with the locking mechanisms to prevent the target tissue from being pinched between the locking mechanisms.

Abstract: A treatment tool for an endoscope includes an operating part and a transmitting part that transmits an operation of the operating part to a grip part of a distal end part and a bendable part. The operating part has an operating member that is movable in a first direction and a second direction orthogonal to the first direction. The transmitting part has a first transmitting member that is moved to an operating part side based on an operation of the operating member in the first direction and closes the grip part and a second transmitting member that is moved to the operating part side based on an operation of the operating member in the second direction and bends the bendable part.

Abstract: A medical device includes a clevis, a first blade, a second blade, and a tension member. The first and second blades are rotatably coupled to the clevis. The first blade includes a first coupling portion. The tension member is coupled to the first blade and applies a torque to the first blade to rotate the first blade about the clevis between a first, second, and third orientation. The second blade includes a second coupling portion. The second coupling portion is coupled to the first coupling portion such that A) the second blade remains in a fixed position relative to the clevis when the first blade is between the first and second orientation, and B) rotation of the first retractor blade between the second and third orientation transfers at least a portion of the torque to the second retractor blade causing rotation of the second blade about the clevis.

Abstract: An electrosurgical device comprising: (a) a stylet including: (i) a first jaw; (ii) a second jaw that is movable relative to the first jaw from a first position where the first jaw and the second jaw are open to a second position where the first jaw and the second jaw move towards each other to grasp tissue therebetween; and (iii) one or more jaw support rods connected to the first jaw, the second jaw, or both; and (b) a housing connected to the stylet and the stylet extending from the housing, the housing including: (i) an operable mechanism including: (1) a fourth link; (2) a second link; (3) a first link being connected to the fourth link via a first pivot and being rotatable relative to the first pivot, and connected to the second link at a second pivot so that movement of the first link moves the second link relative to the fourth link; and (4) a third link being connected to the second link at a third pivot so that movement of the second link moves the third link, and the fourth link being connected to

Abstract: The present disclosure generally relates to a surgical instrument. In some embodiments, The surgical instrument, comprising: a distal structural body comprising a first distal structural segment and a second distal structural segment in serial arrangement; a proximal structural body comprising a first proximal structural segment and a second proximal structural segment in nested arrangement; and the first proximal structural segment and the second proximal structural segment are operable to turn the first distal structural segment and the second distal structural segment, respectively.

Abstract: A surgical electrode application instrument of the minimally invasive type, having an effector which forms a rotatable and pivotable instrument head on which are mounted two opposing branches which can be moved towards each other in the manner of tongs, at least one branch of which is formed with a part-circle-shaped notch at the end for holding an electrode wire, and which each have a sickle-shaped cross-section at least in one section. The mutually facing clamping sides in the sickle-shaped section of each branch each have a number of grooves or undercuts which are spaced in the longitudinal direction of the branch and preferably run in parallel in the transverse direction of the branch.

Abstract: A medical device includes an end effector at a distal end of the medical device, an actuator coupled to a proximal end of the end effector, a pivot arm pivotally coupled to the end effector distal of the proximal end of the end effector, where actuation of the actuator pivots the end effector relative to the pivot arm, and a lock on the end effector and the pivot arm, where the lock has a first state permitting the end effector to pivot relative to the pivot arm and a second state restricting the end effector from pivoting relative to the pivot arm.

Abstract: Described here are systems, devices, and methods for providing remote manipulation or traction to tissue using one or more graspers, delivery devices, and magnetic control assemblies. The graspers may be configured for insertion into the patient during a minimally-invasive procedure, such as a laparoscopic operation. The graspers may be configured to releasably connect to tissue. In some embodiments, the grasper may comprise a clip, a clamp, a suction device, a coil, or the like, and may be configured to connect to any suitable tissue. Delivery devices may be configured to releasably engage a grasper to deliver the grasper, remove it from the patient, or reposition it. The delivery devices may additionally be configured to actuate the grasper to attach it to tissue and/or detach it from tissue. The magnetic control elements may be configured to be positioned externally of the body to move, reposition, and/or hold the grasper.

Abstract: Disclosed is a medical instrument that includes a first elongated arm and a second elongated arm pivotally attached at a pivoting joint. The first and second elongated arms include a distal end, a proximal end, an inner surface and an outer surface. The first and second elongated arms define, along respective inner surfaces, opposing gripping portions and opposing cutting edges adjacent to the gripping portions. The first or second elongated arms also include a flange that outwardly deflects from either the first or second distal ends and the first and second elongated arms both include an outwardly deflecting flange. Embodiments enable the cutting of sutures at surgical sites possessing numerous sutures in an expedient manner without the instrument catching the sutures. The instrument also includes functionality to remove staples at a surgical site.

Abstract: Tibial implants, instruments, systems, and methods of implanting a tibial tray during a knee arthroplasty. The inserter instrument may include a main body with a pair of fixed posterior tabs, a moveable anterior tab body with an anterior tab, and a rotatable shaft for controlling movement of the anterior tab body. When the shaft is rotated, the anterior tab body is translated into an expanded position to lock the inserter to the tibial tray, thereby providing precise positioning of the tibial tray during implantation.

Abstract: This invention is directed to a medical device having a longitudinal axis, and including a handle and a catheter. The handle can include a body having a proximal end and a distal end, an actuator moveably coupled to the body, and a handle control member coupled to the actuator, wherein the actuator can be configured to move relative to the body to move the handle control member. The catheter can include a shaft having a proximal end and a distal end, wherein the proximal end of the shaft and the distal end of the body can be configured for releasable coupling. The catheter can also include a steering section located along the shaft and a catheter control member coupled to the steering section, wherein the catheter control member can be configured to move relative to the shaft to move the steering section relative to the longitudinal axis.

Abstract: A forceps includes a first jaw member, a second jaw member, a drive rod assembly and a moveable handle attached to a fixed handle. The first jaw member and the second jaw member are in opposing relation relative to one another, and at least one of the first jaw member and the second jaw member is relatively movable from a first open position to a second clamping position when the first jaw member and the second jaw member cooperate to grasp tissue therebetween. Moving the moveable handle relative to the fixed handle moves the drive rod assembly for imparting movement of at least one of the first jaw member and the second jaw member from the first position and the second position. The moveable handle has an actuator with a lost motion connection between the first and second jaw members and the actuator.

Abstract: Disclosed is a pet intraurethral incision knife, including a knife rod, a blade, and a guide wire, a blade slot is formed on one side of the knife rod, the hollow cavity is formed inside the knife rod in the length direction, the hollow cavity is communicated with the bottom of the blade slot, the blade can be rotationally retracted inside the blade slot, one end of the guide wire is abutted against an edge of one end of the blade, and the other end thereof passes through the hollow cavity and forms an operating end at one end of the knife rod, such that the operating end drives one end of the guide wire to push the blade to rotate and to be exposed from the opening of the blade slot, the blade can be hidden and stored inside the blade slot before being inserted into a pet urethra.

Abstract: A colpotomy device having a tissue treatment assembly for performing a hysterectomy is provided. The tissue treatment assembly comprises an elongated body defining a longitudinal axis and an end effector coupled to a distal portion of the elongated body. The end effector can be offset from and rotatable about the longitudinal axis. The tissue treatment assembly also has an axial first electrical contact coupled to the end effector, where the axial first electrical contact is affixed to and rotatable with the end effector. Moreover, the tissue treatment assembly includes a circumferential second electrical contact that can be arranged to contact the axial first electrical contact throughout a rotation of the end effector about the longitudinal axis.

Abstract: A device for extracting an implant from a bone. The device has a handle that extends from a proximal end to a distal end. A pair of opposable jaws operatively associates with the distal end in such a way to move between an open position and a closed position. The first and second jaws of the pair of opposable jaws each have an arrangement of osteotome blades that align with an interfacing surface of the implant. The osteotome blades engage the jaws so as to move between a retracted position and an inserted position occupying space between the interfacing surface and the bone. A slide hammer is operatively associated with the proximal end of the handle for urging the implant linearly away from the bone with the jaws in the closed position and the osteotome blades in the inserted position.

Abstract: Systems and methods are provided for the non-traumatic removal of a variety of devices placed over, or on, endoscopic instruments or endoscopes. A device removal system includes a removal element for gripping the device having a body with a central portion and adjacent gripping arms movably coupled to the central portion. The system further includes an insertion device coupled to the removal element and an expanding instrument. The insertion device has an elongate shaft configured for advancement into an opening or channel within the device to be removed. The expanding instrument is configured for insertion into the insertion device to expand the shaft of the insertion device and obtain a firmer grip on the device, thereby reducing the local pressure applied to any one portion of the device, which reduces the wear and tear on the instrument and minimizes damage to epoxy joints and other sealed areas.

Abstract: This surgical bone preparation instrument (1) comprises a main body (5) terminated by a contacting surface (50) adapted to abut on a bone (B), and a sliding body (7) equipped with a cutting element (3) and which is movable in translation with respect to the main body (5). The bone preparation instrument (1) includes a cutting depth control ring (11) that is adjustable by a single hand, which forms an abutment surface (110) against the movement of one of the main body (5) and the sliding body (7) when the sliding body (7) reaches an adjusted cutting depth (D) corresponding to an adjustment position of the control ring (11).

Abstract: A handle assembly includes an elongate body having a proximal end, a distal end, and a central longitudinal axis extending between the proximal end and the distal end. A side passage extends through the body transverse to the longitudinal axis and intersects the through-passage. A locking mechanism is located in the side passage and is configured to releasably retain a medical tool onto the assembly.

Abstract: A surgical mechanical arm comprising: an electrosurgical tool comprising: a first tool portion comprising a first surface; a second tool portion comprising a second surface, where said tool portions are mechanically coupled and configured to move relative to each other to change a separation between said first and second surfaces; a first elongated element electrically coupled to at least a part of said first tool portion which is electrically isolated from said second tool portion; and a second elongated element electrically coupled to at least a part of said first tool portion and mechanically coupled to and configured to actuate one or both of said tool portions to change said separation between said first and second surfaces.

Abstract: A membrane removing instrument comprising a surgical blank having a surgical blank distal end and a surgical blank proximal end, the surgical blank configured for being at least partially disposed in a hypodermic tube wherein the surgical blank has dimensions configured for performing ophthalmic surgical procedures, and at least one micro-pick proximate to the surgical blank distal end, the micro-pick being configured to engage and incise an ophthalmic membrane and form a membrane flap.

Abstract: Systems and method for delivery and positioning of a sheet-like surgical implant to a target site including a means of deploying and orienting the sheet-like implant within the body.

Abstract: The present disclosure generally relates to a surgical instrument. In some embodiments, the flexible surgical instrument, comprising: a distal structural body comprising first distal structural segment and second distal structural segment, the first distal structural segment comprising a first distal fixing disk and first distal segment structural backbones, the second distal structural segment comprising a second distal fixing disk and second distal segment structural backbones; and a proximal structural body comprising a proximal structural segment, the proximal structural segment comprising a proximal fixing disk, first proximal segment structural backbones, and second proximal segment structural backbones, the first proximal segment structural backbones being connected to the first distal segment structural backbones in a crossed arrangement; or the second proximal segment structural backbones being connected to the second distal segment structural backbones in a crossed arrangement.

Abstract: An end effector assembly of a surgical device for shallow depth ablation includes first and second jaw members movable between open and closed positions and including hemicylindrical surfaces that cooperate to define a cylindrical cavity in the closed position for capturing tissue therebetween. At least one electrode array includes a plurality of first and second electrode portions disposed on or within at least one of the hemicylindrical surfaces and extending annularly at least partially thereabout. The plurality of first and second electrode portions are configured to be energized with electrosurgical energy at different potentials to thereby conduct electrosurgical energy between adjacent first and second electrode portions and through captured tissue to affect shallow depth ablation of captured tissue in the closed position of the first and second jaw members.

Abstract: An intravenous therapy system may include a curved needle; and a curved catheter formed around the outside surface of the curved needle; wherein, upon insertion of a first length of the curved needle and curved catheter into a patient's body, a curvature angle of the curved needle and curved catheter causes the curved needle and curved catheter to intersect axially with a blood vessel in the patient's body.

Abstract: Techniques for automated engagement and disengagement of a preload include a computer-assisted apparatus. The computer-assisted apparatus includes an instrument manipulator assembly including a preload assembly and a controller coupled to the instrument manipulator assembly. The controller is configured to move the instrument manipulator assembly to a fully withdrawn position and command the preload assembly to engage a preload. In some embodiments, engaging the preload causes the preload assembly to assert a preload force on a motor pack of the instrument manipulator assembly. In some embodiments, the controller is further configured to move the instrument manipulator assembly to a home position after the preload is engaged.

Abstract: Medical devices, such as forceps including a handpiece having a housing and an inner shaft that extends out of the handpiece along a longitudinal axis to transfer motion to an end effector. The inner shaft being rotatable with respect to the handpiece. An outer shaft that is rotatable with respect to the housing is boated around the inner shaft. The medical device further including an end effector coupled to the inner shaft and the outer shaft. The outer shaft rotationally constrained to the inner shaft at a first longitudinal location and at a second longitudinal location.

Abstract: A surgical grasper includes an articulation assembly configured to enable a tool assembly to pivot in a first plane and articulate in a second plane orthogonal to the first plane. The surgical grasper eliminates the center line pivot joint used in conventional articulation mechanism, which, in turn, enables use of thicker cable that provides greater clamping force of first and second jaws of the tool assembly.

Abstract: An implant delivery system is described. The implant delivery system utilizes an implant, implant wire, delivery sheath, and a torque device. The torque device may include a cutting element to slit the delivery sheath and a clamp device to fix the position of the implant delivery wire.

Abstract: Methods and devices for temporarily occluding blood vessels are provided for use in emergency conditions to control trauma-induced hemorrhaging. An occlusion device is delivered and deployed through a rapidly introduced, percutaneously placed needle that carries an occlusion device in readiness to be deployed out of the needle. The deployed occlusion device applies pressure to the target blood vessel to control blood loss.

Abstract: Disclosed is a fixation system and method. The system and method may fix a selected member to a subject during a procedure. The selected member may include a tracking device or registration member.

Abstract: Provided is a surgical robot arm, and more particularly, to a minimally invasive surgical robot arm that is formed in a modular manner for use in a laparoscopic surgery or other various surgeries.

Abstract: A robotic surgical instrument includes a housing and a shaft extending distally from the housing and including proximal and distal segments and an articulating portion interconnecting the segments. An end effector assembly is coupled to the distal segment and a plurality of actuation components extends through at least a portion of the shaft to enable selective actuation of the end effector assembly. A seal configuration is operably associated with a proximal body portion of a proximal link of the articulating portion of the shaft to establish seals against an interior annular surface of the shaft, about each actuation component of the plurality of actuation components, and within a distal end portion of the proximal segment of the shaft to inhibit fluid communication proximally into the proximal segment of the shaft.

Abstract: A robotic surgical instrument comprising a shaft, an end effector, and an articulation connecting the end effector to a distal end of the shaft. The articulation comprises joints permitting the end effector to adopt a range of orientations relative to a longitudinal axis of the shaft. Pairs of driving elements drive the joints, the driving elements extending through the shaft to the joints. An additional element extends through the shaft to the end effector via the articulation. A resilient barrier inside the shaft extends over a cross-sectional area of the shaft, the pairs of driving elements and the additional element passing through the resilient barrier, the resilient barrier being in resilient contact with the additional element so as to provide a resilient force opposing movement of the additional element; wherein each driving element of the pairs of driving elements passes through a hole in the resilient barrier without contacting the resilient barrier.

Abstract: Disclosed is a robot including a variable length unit coupled to one section of at least one arm unit, wherein the variable length unit may include a motor, a first cam having at least one slit having a specific inclination in one area thereof, and a second cam, at least a portion of which is disposed in an interior of the first cam, and having at least one first boss that passes through the at least one slit of the first cam, wherein the first cam may be rotated through driving of the motor, the second cam may be linearly moved while the at least one first boss is guided by the at least one slit in correspondence to rotation of the first cam, and a length of the at least one arm unit may vary in correspondence to linear motion of the second cam.

Abstract: A method of verifying torque measurements of a reaction torque transducer of an instrument drive unit includes a controller receiving a verification signal, generating an acceptable range of torques, receiving a torque signal, comparing the torque signal to the acceptable range of torques, and stopping a motor if the torque applied by the motor is outside of the acceptable range of torques. The verification signal is indicative of the current drawn by the motor and the torque signal is indicative of torque applied by the motor.

Abstract: A medical device includes a shaft, an end effector at a distal end of the shaft, the end effector having a first jaw that pivots relative to a second jaw about a pivot axis, a control mechanism engaging a surface of the first jaw, such that when the control mechanism translates relative to the pivot axis from a first state to a second state, the surface of the first jaw moves relative to the control mechanism and pivot about the pivot axis. The medical device further includes an actuator extending through the shaft and coupled to the control mechanism, where translation of the actuator translates the control mechanism from the first state to the second state.

Abstract: A method of coating a slip ring for use with a surgical instrument is disclosed. The method includes the steps of providing a slip ring including a plurality of conductive elements, and depositing a material less conductive than the conductive elements onto the conductive elements of the slip ring.

Abstract: Embodiments include an end effector including an anvil, the anvil having an anvil face, a cartridge having a cartridge face, the cartridge being configured to retain a plurality of staples, a cord, and a buttress being coupled with the anvil face or the cartridge face and including a planar section of material and a plurality of loops extending laterally from a first side and a second side of the planar section of material, wherein at least one of the anvil or the cartridge includes a plurality of cord supports.

Abstract: A robotic surgical tool includes an elongate shaft extendable through a handle that provides a drive input, an actuation system housed within the handle and operatively coupled to the drive input such that actuation of the drive input operates the actuation system, a rocker bar system arranged at a proximal end of the shaft and actuatable to articulate an end effector at a distal end of the shaft, and first and second drive cables extending along a portion of the shaft, each drive cable having a proximal end anchored to the shaft proximal to the handle and a distal end anchored to the shaft distal to the handle, wherein the drive cables are threaded through portions of the actuation and rocker bar systems such that operation of the actuation system acts on the drive cables and thereby actuates the rocker bar system to articulate the end effector.

Abstract: A surgical instrument apparatus including an elongate tubular body having a proximal end and a distal end and a bore extending through the tubular body is disclosed. The apparatus includes an actuator link extending through the bore and operably configured to move longitudinally and having a first end connected to an actuator at the proximal end of the tubular body and a second end terminating in a coupler. The actuator is operably configured to cause the actuator link to selectively move between an extended state in which the coupler extends beyond the distal end of the tubular body to permit an end effector to be coupled to the coupler, and a retracted state in which the coupler is retracted back into the distal end of the tubular body for operation of the surgical instrument.

Abstract: A needle holder for holding a curved needle to which a suture thread is connected. The needle holder includes a flexible tube; and a grasper provided at a distal end of the flexible tube. The grasper includes a first jaw having a groove, and a protrusion at a distal end portion of the first jaw; and a second jaw movably connected to the first jaw. The grasper can hold the curved needle between the second jaw and the protrusion of the first jaw, and can hold a part of the suture thread between a surface of the groove and the second jaw such that another part of the suture thread passes through a gap formed between another surface of the groove and the second jaw. The protrusion has a hook surface for hooking the suture thread extending outside the groove.

Abstract: An instrument system includes an instrument, a drive system, and a controller operably connected to a first drive mechanism and a second drive mechanism of the drive system. The controller is configured to operate the first drive mechanism and the second drive mechanism drive a flexible tensioning member of the instrument to cause movement of an end effector of the instrument while maintaining a tension applied to the flexible tensioning member of the instrument in a tension range.

Abstract: An articulation tool includes proximal and distal links, an elongated shaft therebetween, and first and second locks. Movement of the proximal link about proximal first and second axes causes corresponding movement of the distal link about distal first and second axes. The first and second locks have unlocked configurations in which the proximal and distal links are movable with respect to the elongated shaft about the first axes, or the second axes, respectively, and locked configurations in which the proximal and distal links are held in a fixed orientation with respect to the elongated shaft about the first axes, or the second axes, respectively. Rotation of the elongated shaft while the first and second locks are in the locked configuration and the proximal and distal links are angled with respect to the elongated shaft causes the proximal and distal links to rotate about respective longitudinal axes.

Abstract: An implant system and method of delivery includes a catheter system including a sling catheter having a plurality of distal openings and a delivery catheter, disposed within the sling catheter and having a distal port. Suture coupled anchors may be sequentially delivered by the delivery catheter to a cardiac treatment site by aligning the port of the delivery catheter with different openings of the sling catheter and pushing the anchor through the port and the sling catheter to embed the anchor into cardiac tissue such as tissue of a papillary muscle. Each anchor may have a linear configuration for translation within the delivery catheter and a biased configuration that inhibits its reentry into the sling catheter once deployed. Once all anchors are deployed, the suture may be tightened, the anchored portion of the sling catheter may be detached, and the catheter system withdrawn.