Abstract: A surgical tool such as a grasper or a pair of surgical scissors includes a hinge portion that spans between a handle proximal portion and a distal working portion to communicate mechanical actions of the handle proximal portion to the distal working portion. A programmable rotary module is coupled to the hinge portion and includes a sensor, an actuator, and a controller. The sensor, actuator, and controller may be enclosed in a common housing. The sensor measures rotation of the distal working portion and the actuator generates haptic effects to the proximal handle portion. A controller is electrically connected to the sensor and to the actuator. The controller receives the rotation measurements from the sensor and, based upon the rotation measurements, outputs a control signal to the actuator relating to the generation of haptic effects. The haptic effects may include force sensations such as detents and barriers.

Abstract: A treatment tool for endoscope includes a pair of forceps members supported so as to be relatively movable by a rotation shaft, an operation section for performing opening/close operations of the forceps members, and an operation wire for connecting the forceps members to the operation section, wherein the operation section has an operation section main body, a first operation member to which the operation wire is connected and which is slideably attached to the operation section main body, a second operation member which is slideably attached to the first operation member, a force adjustment member which is attached to the second operation member and is compressed by the second operation member is slid to the first operation member.

Abstract: The present invention relates generally to the field of medicine, in particular diagnostics and surgery. By applying endoscopy in the diagnostics and surgery sector, surgical instruments, apparatus or processes are used for examining the interior of living organisms and/or for operative interventions. As such, said invention relates to a medical instrument, in particular a surgical instrument, for use in the endoscopy, comprising a tubular element, work element and an operating element. The operating element advantageously consists of an ergonomic axial grip with an integrated locking mechanism and an instrument shaft cleaning connection.

Abstract: A surgical access apparatus includes a liner base and an access housing for positioning outside the body. The liner base includes an inner member adapted for insertion through an opening within body tissue for positioning within the body; a sleeve member connected to the inner member and dimensioned to extend from the inner member through the opening within the body tissue, and a plurality of tensioning elements connected to the inner member and associated with the sleeve member to impart a tensioning effect on the sleeve member. The access housing includes a first element and a second element. The second element is operatively connected to the tensioning elements and adapted for rotational movement relative to the first member to cause the tensioning elements to displace the inner member toward the access housing and to cause the sleeve member to engage and retract tissue defining the opening within the body.

Abstract: Provided is an operating tool for organism, in particular, a microwave endoscope forceps. In terms of the operating tool for organism, provided is a multifunctional operating tool which has holding and scissors functions simultaneously, and may further perform coagulation (tissue fixation) by microwaves. The operating tool has no definite fulcrum, and has both the holding and scissors functions with a simple structure by deforming a long-track rod called beam. Two blades are insulated from each other so as to allow microwave current supply. With this structure, an operating tool having three functions, i.e., “a holding function”, “a coagulating function”, and “a cutting function” with a single tool may be developed.

Abstract: An endoscopic bipolar forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The forceps also includes a drive assembly which moves the jaw member relative to one another for manipulating tissue and a knife assembly for cutting tissue disposed between jaw members. The forceps also includes a knife lockout mechanism operatively connected to the drive assembly. Movement of the drive assembly moves the knife lockout mechanism from a first orientation in obstructive relationship with the knife bar to prevent movement thereof to a second position which allows selective, unencumbered movement of the knife assembly to cut tissue disposed between the jaw members.

Abstract: The present device relates to a laparoscopic medical instrument, particularly those used for minimally invasive surgery. The instrument has a movable and a stationary handle portion and an extended shaft assembly with a removable actuating rod. An opening on the side of the stationary handle portion allows a user to visually confirm the removable actuating rod is locked into place within the movable handle portion. An opening in the back of the stationary handle portion allows for cleaning and visual inspection of the interior of the shaft assembly portion once the rod is removed. The actuating rod has a grasping mechanism for performing work during surgery. A flush port is located near the distal end of the stationary handle portion.

Abstract: A bipolar forceps is provided. The bipolar forceps includes a housing having a shaft including an electrically conductive distal end. A drive assembly is operable to reciprocate an actuation tube within the shaft. A portion of the actuation tube is electrically conductive. An end effector assembly operatively connects to the shaft and includes a pair of first and second jaw members biased in an open configuration. The first and second jaw members are pivotable about a living hinge. Distal reciprocation of the actuation tube causes each of the jaw members towards one another about the living hinge. One of the jaw members is in electrical communication with the distal end of the shaft and the other jaw member is in selective electrical communication with a distal end of the actuation tube such that when the jaw members are in a closed configuration a closed loop electrical circuit is formed.

Abstract: In one embodiment, a surgical instrument includes a first and second lever arms coupled by a first pivot. A ratchet bar is coupled to the first lever arm by a second pivot. The ratchet bar has a toothed portion extending from an interior face of the first lever arm and a paddle portion extending from an exterior face of the first lever arm. A catch is disposed at a proximate end of the second lever arm and arranged to engage teeth of the toothed portion of the ratchet bar. Engagement with the teeth couples the proximate ends of the first and second lever arms. The ratchet bar is further arranged to rotate about the second pivot in response to downward pressure upon the paddle. Depression of the paddle causes the teeth of disengage the catch, decoupling the first and second lever arms.

Abstract: A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

Abstract: A surgical instrument comprising a surgical instrument with opposing jaw members for clamping tissue therebetween. The surgical instrument may comprise a latch at a distal end of the end effector. The latch latches the distal end of the first jaw member to the distal end of the second jaw when the jaw members are in the closed position. Also, one of the jaw members may comprise a moveable tissue-contacting portion and a thermally-controlled spring adjacent to the tissue-contacting portion. The thermally-controlled spring is transitionable between a contracted state and an expanded state. The thermally-controlled spring may comprise a temperature-dependent, two-way memory effect, shape memory material. In the expanded state, the thermally-controlled spring urges the moveable tissue-contacting portion in a direction toward the other jaw member when the jaw members are in the closed position.

Abstract: The invention relates to a bipolar electrosurgical instrument comprising a handle and a tool head. In the case of bipolar instruments, at least two mutually separate conducting paths must be provided within the instrument to supply the bipolar tool head. Reliable electrical insulation of these conducting paths relative to one another is often associated with a high cost in known electrosurgical instruments, such as scissors and clamps, since these instruments have a crossed joint. The present invention solves this problem in that the tool head is connected to the handle without crossing over itself.

Abstract: A medical instrument, especially a uterus manipulator, comprises a shaft, an actuator movable relative to said shaft in order to move a tool and a locking device to lock the actuator relative to the shaft. It is now proposed that the locking device comprises a clamping element which is slidably arranged therein.

Abstract: An endoscopic forceps is provided and includes a housing having a handle assembly including a movable handle having a mechanical interface disposed thereon. An end effector assembly connected to a distal end of the shaft includes a pair of first and second jaw members movable relative to one another from an open to a clamping position. A drive assembly includes a resilient member. A lock assembly is pivotably coupled to the housing and in operative communication with the movable handle. The lock assembly is movable with the handle assembly. The mechanical interface moves along the lock assembly when the movable handle is moved proximally causing the lock assembly to rotate about the pivot point and into communication with the resilient member such that the resilient member is prevented from moving distally against the bias provided therefrom such that the first and second jaw members remain in the clamping position.

Abstract: A surgical instrument includes first and second shaft members each having a jaw member disposed at a distal end thereof. One (or both) of the shaft members is moveable with respect to the other from a spaced-apart position to an approximated position for grasping tissue between the jaw members. A first ratchet component is coupled to the first shaft member and defines an engagement plane. A second ratchet component is coupled to the second shaft member and is moveable between a retracted position, wherein the second ratchet component is displaced from the engagement plane, and a deployed position, wherein the second ratchet component is aligned with the engagement plane. When the second ratchet component is in the deployed position, the ratchet components are engageable with one another upon movement of the shaft member(s) to the approximated position to fix the position of the jaw members relative to one another.

Abstract: A tissue grasping apparatus includes a control member, an elongated shaft, and a tissue grasping member attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the tissue grasping member. In an embodiment, the tissue grasping member includes a pair of jaws configured to open to an included angle between the jaws of 180 degrees or more. In an embodiment, the activation mechanism includes a flexible drive wire attached to the penetrating member.

Abstract: Absorbable polyester fibers, braids, and surgical meshes with improved handling properties have been developed. These devices are preferably derived from biocompatible copolymers or homopolymers of 4-hydroxybutyrate. These devices provide a wider range of in vivo strength retention properties than are currently available and have a decreased tendency to curl, in the preferred embodiment, due to the inclusion of relaxation and annealing steps following extrusion and orientation of the fiber. Filaments prepared according to these methods are characterized by the following physical properties: (i) elongation to break from about 17% to about 85% (ii) Young's modulus of less than 350,000 psi, (iii) knot to straight ratio (knot strength/tensile strength) of 55-80% or (iv) load at break from 1100 to 4200 grams.

Abstract: An ambidextrous locking clamp system for providing a user the ability to use the right or left hand to engage and disengage a ratcheting means on the clamp. The locking clamp has a hingedly connected first and second elongated member each with a finger engaging member, and a working head. At least two inter-engaging latching members are attached to the first and the second elongated members. The latching members each have a ratcheting head adapted to interact with each other, and are removably or fixedly attached to their respective finger engaging members. At least one of the latching members can have a flexible arm.

Abstract: A laparoscopic surgical access device comprises a first frame and a second frame having relative axial positions. A flexible and resilient iris valve is connected to the first and second frames and has a closed position and an opened position based on the relative angular position of the first and second frames. A lock is connected to the first and second frames, the lock being selectively operative to prevent relative rotational movement in a first rotational direction. One embodiment uses a ratchet and pawl mechanism operable with a control ring. Another embodiment uses a ratchet and pawl mechanism operable with a button. Yet another embodiment uses a wedge track and ball mechanism.

Abstract: An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.

Abstract: A surgical instrument particularly suited to endoscopic use articulates an end effector by including an articulation mechanism in an elongate shaft that incorporates an electrically actuated polymer (EAP) articulation locking mechanism actuator. Thereby, additional options for articulation become feasible, especially those that are actively powered and would otherwise dissipate heat and power if required to maintain position. Alternatively, a mechanically actuated articulation mechanism may be designed with reduced strength, and thus size, since the EAP articulation lock mechanism assists in preventing back driving after articulation. Versions of a. EAP articulation locking mechanism lock a pivoting articulation joint and others lock a flexible neck articulation joint.

Abstract: An end effector assembly with increased clamping force for a surgical instrument including a hollow shaft having a proximal end and a distal end, a clevis coupled to the distal end of the hollow shaft, a flat support coupled to the clevis, a deflection member, a procedural member assembly rotatably coupled to the flat support and a pair of actuation means attached to the procedural member assembly and slidable relative to the hollow shaft for rotationally moving the procedural member assembly between a closed and an open position wherein the deflection member engaged the actuation means. The deflection member may be integral with the clevis, coupled to the clevis and the flat support, coupled to just the flat support, may be adjustable or rotatable or coupled to hollow shaft.

Abstract: The invention relates to a surgical instrument comprising a shank and a slide which is mounted so as to be slideable along the shank. At least one guide element guided in at least one longitudinal groove is provided on the shank or the slide. The shank and the slide are each connected to a handle part, one handle part being mobile in relation to the other handle part about a pivot and being provided with a slot in which a cross bracket of the slide engages. The invention is characterized in that the position of the handle part in relation to the other handle part can be altered in the region of the pivot.

Abstract: Various embodiments are directed to a surgical instrument comprising a handle, a shaft coupled to the handle and extending along a longitudinal axis, an end effector, and a cable. The end effector may comprise a first jaw member, a second jaw member and a reciprocating member. The cable may extend distally from the handle through the shaft to a first pulley of the first jaw member. From the first pulley, the cable may extend proximally to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.

Abstract: A surgical device is provided that includes a jaw portion, having a first jaw in opposed correspondence with a second jaw, the second jaw including a surgical member. The surgical device may include a shaft portion coupled to a proximal end of the jaw portion and at least one motor configured to rotate the jaw portion relative to the shaft portion, to move the jaw portion relative to the shaft portion, move the first jaw relative to the second jaw and move the surgical member within the second jaw. The surgical member may be prevented from moving within the second jaw unless the first jaw is in a closed position relative to the second jaw. Advantageously, the surgical member may be, e.g., a cutting element and/or a stapling element, disposed within one of the jaws.

Abstract: A forceps for pathological diagnosis includes first and second proximate arm segments including finger-operable grip ends that are movable towards or away from each other, first and second distal arm segments including grasping-jaw ends that are movable towards or away from each other, a coupling member disposed to bring the relative movement between the first and second proximate arm segments into synchronization with that between the first and second distal arm segments, an ultrasonic probe mounted to the grasping-jaw end of the first distal arm segment, and adapted to transmit ultrasonic waves towards a target tissue that is clamped between the grasping-jaw ends and to receive reflected ultrasonic waves traveling from the target tissue, and a shielding member disposed on the grasping-jaw end of the second distal arm segment, and capable of partially reflecting ultrasonic waves transmitting through the target tissue.

Abstract: A manipulator has a working unit in which when at least a first end effector finger and a second end effector finger are maximally closed on each other, at least the distance between a third joint axis and a first joint axis is greater than the distance between the first joint axis and a distal end of the second end effector finger, or the distance between the third joint axis and the first joint axis is greater than the distance between third joint axis and a second joint axis, or the angle formed between a direction from the third joint axis to the first joint axis and a direction from the third joint axis to the second joint axis is not ?.

Abstract: The invention relates to a medical instrument having on its proximal end a shaft with a handle consisting of two gripping members and on its distal end a tool consisting of two jaw members and in which, to open and close the tool, at least one jaw member can rotate with respect to the other jaw member around a point of rotation by means of a push-pull rod and in which the push-pull rod is connected on the proximal side with a rotatable gripping member of the handle. To produce a medical instrument that can be used even in closely confined spaces and with sufficient transmission of force, it is proposed with the invention that the point of rotation should be configured as a variable, virtual point of rotation that is dependent on the position of the jaw members to one another.

Abstract: A laparoscopic disk assembly for a Hand Assisted Laparoscopic Surgery (HALS) procedure includes an exteriorly visible laparoscopic disk (seal cap) attached to a retractor skirt. The laparoscopic disk provides an adjustable exterior opening. A downward annular surface is supported by an attached flexible or resilient (“soft) support member that in turn forms an annular contact upon a patient's abdomen wall surrounding an incision to form a sealing connection, to facilitate improved manipulation or degrees of freedom through the laparoscopic disk without loss of insufflation pressure, to minimize, if not eliminate, bruising, to prevent rotation movement of a retractor skirt in the incision, and to reduce fatigue. Versions include a resilient pad, a resilient skirt that adheres to the patient's skin, a skirt with horizontal pleats, and a toroidal bladder that comfortably depresses into the skin.

Abstract: An implant having a receiver that is adapted to receive a polyaxial screw in the bore and either an internal or external cap. The cap can be an external or internal cap and the implant further has at least one locking aid in the form of at least one of a tactile feedback, a visual feedback or an enhanced fixation between the cap and a rod that is received in the receiver.

Abstract: The present invention is a device having a rigidly linked jaw that is decoupled from an articulating wrist. The device provides for articulating motion as well as actuation that may be used in grasping, cutting, suturing or the like.

Abstract: The present invention relates to an easy-to-control tool for minimally invasive surgery.

Abstract: In one embodiment of the invention, a robotic surgical tool having opposing jaws, the working element of the robotic surgical tool is made of a different material from the drive element of the robotic surgical tool. The two elements may be manufactured independently and assembled together at a later stage. The material comprising each element may thus have properties more appropriate to the function each element plays in the robotic surgical tool. For example, the metal selected to comprise the blade of a surgical scissor may be corrosion resistant and capable of being sharpened to a high degree.

Abstract: A surgical instrument can comprise a first drive system for advancing a knife bar between a first position and a second position in order to close a jaw, or clamping, member of an end effector. The first drive system can comprise a toggle clamp which can generate and transmit an asymptotical clamping load to the jaw member. The surgical instrument can further comprise a second drive system for advancing the knife bar between the second position and a third position. The second drive system can comprise a rack and pinion system and the surgical instrument can comprise a single trigger for actuating both the first drive system and the second drive system on the same stroke.

Abstract: A medical instrument for grasping an object, in particular a surgical needle holder, including an elongated shaft, two jaw parts arranged at a distal end of the shaft, at least one of the jaw parts being pivotable with respect to the other of the jaw parts between a grasp state for grasping the object between the jaw parts and a release state for releasing the object. A handle is arranged at a proximal end of the shaft and has at least one operating element for moving the at least one pivotable jaw part between the grasp state and the release state via an axially movable force transmission element operatively connected with the at least one operating element and with the at least one pivotable jaw part via an articulated joint. The instrument further includes a latching mechanism for immobilizing the at least one pivotable jaw part in the grasp state.

Abstract: A minimal incision maximal access system allows for maximum desirable exposure along with maximum access to the operative field utilizing a minimum incision as small as the METRx and Endius systems. Instead of multiple insertions of dilating tubes the design is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing hinged bi-hemispherical or oval working tubes applied over an introducer obturator which is controllably dilated to slowly separate muscle tissue. Deeper end working and visualization areas with maximum proximal access and work dimensions are provided to makes the operative procedure safer in application and shorten the surgeons's learning curve because it most closely approximates the ability to use open microdiskectomy techniques. a dual frame system enables full or partial spreading of a working tube set, while an open frame facilitates a four point retraction system.

Abstract: A medical instrument with a shaft on whose distal end a tool is positioned and on whose proximal end a handle is positioned consisting of at least two gripping members, such that the tool can be actuated by a gripping member of the handle that is moveably configured and such that at least one gripping member of the handle consists of a rigid partial area and a pivotable partial area that can pivot around the rigid partial area. To create a medical instrument that is of simple structure and can be quickly and thoroughly cleaned, it is proposed with the invention that the pivotable partial area of the gripping member can be removably affixed to the rigid partial area of the gripping member by a catch mechanism.

Abstract: The invention relates to a medical grasping and holding instrument with a handle consisting of two handgrips and with a holding portion that consists of at least two jaw members and can be activated by the handle. The jaw members of the holding portion can be locked by means of a spring element both in an end position that releases the holding portion and in an end position that locks the holding portion. In order to create a medical grasping and holding instrument that is of simple construction, can be operated with just one hand, and is easy to clean, it is proposed with this invention that the spring element, configured as a flat spring, for locking the jaw members in their end positions is mounted between the handgrips of the handle so as to connect the two handgrips to one another in such a way that the spring element can be moved by way of a bearing point of a handgrip at the spring element between two end positions that release the spring element.

Abstract: A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.

Abstract: An ambidextrous locking clamp system for providing a user the ability to alter the configuration of a hand operated device allowing a right or left handed user to operate the device. The device has a hingedly connected first and second elongated member each with a finger engaging member, a working head, and an indicator for identifying if the clamp is setup for left or right handed operation. At least two inter-engaging latching members are removably attachable to the first and the second elongated members. The latching members are symmetrical, interchangeable, and reversible, allowing a user to change the configuration of the ambidextrous device. The latching members can be retained to the elongated members by a rotatably lever, a removable retaining cap, or a removable retaining pin. Additionally, the latching members can be incorporated into removable finger engaging members, thereby allowing the entire finger engaging member and latching member to be removed, interchanged or reversed.

Abstract: An improved endoscopic tissue grasping apparatus and method provide for enhanced tissue retention. In one separate aspect, an endoscopic tool may include an improved handle comprising a rachet interface for retaining first and second jaw members at in a closed position at a distal end of the tool. In another separate aspect, a tissue grasper is provided in which opposing first and second jaw members may be effectively locked in a closed position by virtue of an articulating linkage arrangement.

Abstract: A bending forceps 1 has at least three degrees of freedom including relative opening/closing of a pair of gripping members 11a, 11b, rotation of both the gripping members around a first axis 15 and rotation of both the gripping members around a second axis 42 existing on an imaginary plane substantially perpendicular to the first axis 15. A drive power from an actuator is converted to each motion of the opening/closing of the gripping members, rotation thereof around the first axis and rotation thereof around the second axis by first to third link mechanisms 5, 6 and 7. The present invention enables the durability and control accuracy to be raised by employing a link mechanism as a drive power transmitting means. Further, the present invention facilitates sterilization, cleaning and attachment/detachment to/from a driving means.

Abstract: An ambidextrous locking clamp system for providing a user the ability to alter the configuration of a hand operated device allowing a right or left handed user to operate the device. The device has a hingedly connected first and second elongated member each with a finger engaging member and a working head. At least two inter-engaging latching members are removably attached to the first and the second elongated members. The latching members are symmetrical, interchangeable, and reversible, allowing a user to change the configuration of the ambidextrous device. The latching members can be retained to the elongated members by a rotatably lever, a removable retaining cap, or a removable retaining pin. Additionally, the latching members can be incorporated into removable finger engaging members, thereby allowing the entire finger engaging member and latching member to be removed, interchanged or reversed.

Abstract: A hemostatic forceps for an endoscope has a support section for supporting the pair of clamp pieces and so that they can rotate and change their distal parts direction. The pair of clamp pieces and are formed in tapered shape so that widths of the pair of clamp pieces gradually decrease in a direction from a side of the support section to a side of the distal parts. Length of the pair of clamp pieces at arbitrary location along the direction from a side of the support section to the distal sides, times the width of the pair of clamp pieces at the same location, is set to be substantially constant.

Abstract: The surgical instrument includes a shaft having a distal end portion and a proximal end portion; an operative device is disposed on the distal end portion. A hand mechanism has a first handle and a second handle and is disposed on the proximal end portion. Movement of the second handle relative to the first handle actuates the operative device. A ratchet, attached to the second handle, locks the operative device and moves with the second handle. The ratchet is pivotally attached to the second handle and pivots between a locked position and an unlocked position. A biasing device biases the ratchet toward the locked position and a release mechanism for moves the ratchet from the locked position. At least one of the release mechanism and the ratchet has a feature permitting relative movement between the release mechanism and the ratchet.

Abstract: A surgical device and tool for use in stabilizing tissue, such as an organ relative to a clamp, the surgical device having an elongate rigid member with a proximal end of the device having a stabilizing structure that rests against the skin of the subject and includes a vessel guide for guiding a blood vessel attached to the organ or tissue, and a tapered distal end that mounts on the clamp. The surgical tool includes the combination of a clamp and the above-mentioned surgical device, with the clamp having a hinge pin with tapered socket that receives mounted the distal end of the device and a flap positioned on the proximal end. The tool is used to stabilize an organ by placement of the stabilizing structure against the skin of the subject, guiding a blood vessel with the vessel hook, using the flap to hold tissue away from the organ, and clamping such vessel distal to the vessel guide. A ligature is then placed across the vessel between the vessel guide and the clamp.

Abstract: A medical forceps has a shaft, a handle at the proximal end of the shaft, which handle has at least one movable grip part which is pivotable about a pivot axis, at least one movable tool at the distal end of the shaft, and a force transmission element, which runs in the direction of the longitudinal axis of the shaft and is axially movable and with one end is in operative connection with the at least one movable tool and with the other end is in operative connection with the at least one movable grip part. The force transmission element is connected to a slide which is guided linearly with an exact fit in a sliding bearing and is axially movable in the direction of the force transmission element, the slide being connected to the movable grip part by means of an articulated lever, which is articulated with one end on the slide and with another end on the movable grip part.

Abstract: A hemostat includes a housing which has a shaft extending distally therefrom. The shaft has an end effector assembly distally attached thereto. The hemostat also includes a pair of first and second handles which are connected to the housing. The first and second handles are operatively connected to the end effector assembly. At least one of the first and second handles are moveable relative to the other handle to effectively actuate the end effector assembly. The hemostat further includes a magnetic closure mechanism which has a first magnet connected to the first handle and a second magnet connected to the second handle. The first and second magnets each have a magnetic potential and are securely engageable with one another when the handles are moved from a first spaced configuration to a second closer position.

Abstract: An endoscopic surgical instrument for sealing tissue includes an elongated shaft defining a proximal shaft axis and a distal shaft axis. The shaft axes may be misaligned to appropriately position and orient an end effector coupled to the distal end of the elongated shaft. The instrument is configured such that the shaft may resist a tendency to realign itself as the end effector moves from an open configuration for receiving tissue to a closed configuration for maintaining a closure pressure on the tissue ranging from about 3 kg/cm2 to about 16 kg/cm2. A handle coupled to the proximal end of the elongated shaft is operable to control the end effector by controlling a flow of hydraulic fluid through flow path extending s between the handle and the end effector.

Abstract: The present invention is a device having a rigidly linked jaw that is decoupled from an articulating wrist. The device provides for articulating motion as well as actuation that may be used in grasping, cutting, suturing or the like.