An implant for therapeutically separating bones of a joint has two endplates each having an opening through the endplate, and at least one ramped surface on a side opposite a bone engaging side. A frame is slideably connected to the endplates to enable the endplates to move relative to each other at an angle with respect to the longitudinal axis of the implant, in sliding connection with the frame. An actuator screw is rotatably connected to the frame. A carriage forms an open area aligned with the openings in the endplates. The openings in the endplates pass through the carriage to form an unimpeded passage from bone to bone of the joint. The carriage has ramps which mate with the ramped surfaces of the endplates, wherein when the carriage is moved by rotation of the actuator screw, the endplates move closer or farther apart.

A control unit for a medical device having an articulating shaft is provided. The control unit includes an interface immovably attached to a housing connectable to the medical device and a sensing unit for translating a rotation angle of the housing into a different rotation angle of an articulated region of the shaft.

A stapling assembly comprising a shaft, a first iaw, a second iaw, a detachable cartridge portion, a firing member, a motor-driven firing system, and a lockout is disclosed. The firing member comprises a first cam configured to engage the first jaw and a second cam configured to engage the second jaw when the firing member is advanced from an initial position. The first iaw comprises a clearanced opening configured to receive the first cam when the firing member is in the initial position such that the first cam is not engaged with the first jaw when the firing member is in the initial position. The motor-driven firing system is configured to advance the firing member toward a distal end of the stapling assembly. The lockout is configured to block the advancement of the firing member when the detachable cartridge portion is not attached to the stapling assembly.

A stitching device includes a handle assembly and an elongate shaft assembly. The handle assembly includes a main rod and a drive conversion assembly including a cam wheel, a pivot block, first and second links, and a pawl. The pawl is operatively coupled to the main rod, wherein the pawl is configured to engage the pivot block to cause rotation of the pivot block which, in turn, causes reciprocating displacement of the first and second links. The elongate shaft assembly includes first and second blade drive members coupled to the cam wheel. The tool assembly includes first and second jaws and first and second blades. The first and second blades are operatively coupled with the respective first and second blade drive members, wherein axial displacement of the main rod transitions the first and second jaws between open and closed positions and causes reciprocating axial displacement of the first and second blades.

A tool apparatus and a method for actuating a tool apparatus are disclosed. The tool apparatus includes an actuator housing, and an elongate tool manipulator extending outwardly from the actuator housing and having a plurality of control links extending along a length of the tool manipulator. The control links are operable to cause movement of a distal end of the tool manipulator in response to movement of the control links in an actuating direction generally aligned with the length of the tool manipulator. The apparatus also includes a plurality of actuators, each actuator being associated with at least one of the control links and being mounted in the actuator housing to facilitate a range of travel in a transverse direction substantially orthogonal to the actuating direction, and a plurality of linkages.

A system includes a wiring harness and an encapsulation assembly for encapsulating a connection region between electronic components of the wiring harness. The wiring harness includes a force sensor electrically coupled to a flex cable at a connection region. The encapsulation assembly includes a mold having a first and second mold halves configured to retain the force sensor therein and define a cavity above the connection region of the wiring harness.

A device handle is disclosed for grinding substances inside a body lumen, the device handle comprising: a high-speed drive source configured to rotate a treatment member connected to a distal end of a drive shaft; and a low-speed drive source connected to a revolution shaft, and wherein the revolution shaft is configured to cause the treatment member to move about a central axis of the revolution shaft, and wherein the central axis of a proximal portion of the revolution shaft is different from a central axis of the treatment member.

A surgical instrument having a handle, elongate shaft protruding from handle and end-effector located at end of shaft is described. To allow for rotation of the end-effector the shaft is connected to a rotation wheel mounted on handle, towards rearward end of handle proximal to the user. The rotation wheel is in the form of a thumbwheel, having an ergonomically designed shape that tapers from distal direction to proximal direction, with angle of the taper matching angle of the outer surface of the handle. The outer tapered surface of the thumbwheel has a number of shaped cut-out or scalloped portions arranged around the outer circumference of the wheel, and arranged in use to receive the tip of a user's thumb to allow the user to rotate the wheel in order to set the rotational orientation of the end-effector. Such an arrangement provides a comfortable and easy to use instrument.

A shaft assembly for a surgical instrument that includes a movable drive member. In at least one form, the surgical instrument includes a spine assembly that is couplable to the surgical instrument and has a surgical end effector coupled thereto by an articulation joint. The shaft assembly in one form includes a proximal firing member and an intermediate firing member that is coupled to a distal firing member. The distal firing member is configured for selective travel through the surgical end effector. At least one articulation driver is coupled to the surgical end effector to apply articulation motions thereto. A clutch assembly interfaces with the primary and intermediate firing members and the articulation driver such that when in an articulation orientation, movement of the drive member results in movement of the articulation driver and when in a firing orientation, movement of the drive member results in movement of the intermediate and distal firing members. A separate articulation motor may be employed to actuate the articulation driver.

A device for delivering a bone material to a surgical site is provided. The device comprises a body having an upper portion and a lower portion. The lower portion of the body is substantially transverse to the upper portion and has an opening for receiving a bone material. An internal chamber is disposed within the upper portion and the lower portion, and a plunger is slidably disposed in at least the internal chamber of the body. The plunger has a distal end configured for delivering the bone material out of the lower portion of the body, wherein movement of the plunger in a first position toward the lower portion of the body delivers the bone material from the lower portion of the body to the surgical site. Methods of delivering the bone material are also provided.