An applicator is provided for a flowable media, particularly an adhesive contained in a container and the applicator includes an elongate body member having an internal cavity that holds the container. The cavity has a distal end with a breaking means that is actuated by an axial force. Various embodiments of the actuator are shown to apply the force, including a wire cracker and a molded integral handle member with a lever linkage that bears against a ram which holds the ampoule and having a spring arm that rides within the cavity to oppose a pivoting force on the handle. These embodiments also enable single handed use.

A treatment tool includes an end effector, an elongated tubular shaft part, a first deflection part having a proximal end connected to a distal end of the tubular shaft part, a second deflection part having a proximal end connected to a distal end of the first deflection part and having a distal end connected to a proximal end of the end effector, and an operation part configured to operate the end effector, in which, when the first deflection part is deflected with respect to an axis of the tubular shaft part, the second deflection part is deflected to an opposite side with respect to the axis and a distal end of the end effector moves on the axis.

A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or a connector for a tool; wherein a long axis of one or more of the flexible sections is bendable in a single bending plane; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis.

A surgical fastener applier having a housing containing a compartment therein, an elongated member extending distally from the housing and first and second jaws. A firing mechanism is positioned within the housing movable to a second position to effect firing of fasteners. A power pack is removably loadable into the compartment, the power pack having one or both of a) a first motor and a first engagement member removably engageable with the firing mechanism when the power pack is loaded into the compartment to effect movement of the firing mechanism; and b) a second motor and a second engagement member removably engageable with an articulating mechanism in the housing of the surgical fastener applier to effect movement of an articulation mechanism to effect articulation. One or both of a firing position and an articulation position are tracked during the surgical procedure. Sensors are provided to detect select parameters and instrument functions.

The present disclosure relates to trocar-cannula insertion tools for ophthalmic procedures. In certain embodiments, a cap for a trocar-cannula insertion tool includes a body having a proximal end and a distal end opposite the proximal end. A marking element extends in a distal direction from the distal end of the body and includes at least one marking tip for forming one or more indentations on a patient's eye during an ophthalmic procedure. A manipulation element extends from the body in a direction different from the marking element and includes at least one manipulation tip for gripping a tissue of the patient's eye during the ophthalmic procedure. In certain embodiments, the cap further includes at least one window for exposing a photoluminescent cannula of the trocar-cannula insertion tool to light, enabling the cannula to absorb photons prior to insertion thereof.

A surgical instrument includes a housing, an elongated shaft assembly extending from the housing, and an end effector extending from the elongated shaft assembly. An inner shaft of the assembly defines proximal and distal portions and a longitudinal lumen. The proximal portion inhibits passage of gas while the distal portion permits passage of gas. An intermediate collar is disposed about the inner shaft between the proximal and distal portions. An outer sleeve of the assembly is disposed about the inner shaft and the intermediate collar to define a proximal area therebetween proximally of the intermediate collar and a distal annular area therebetween distally of the intermediate collar. The outer sleeve includes a proximal portion surrounding the proximal annular area and a distal portion surrounding the distal annular area. The proximal portion permits passage of gas while the distal portion inhibits passage of gas.

A uterine manipulator device includes: an elongated cannulated tube having proximal and distal ends, a cervical cup positioned on the elongated cannulated tube with a top distal portion of a first diameter and a base proximal portion of a second smaller diameter, and a balloon occluder assembly. The balloon occluder assembly can be used independently or positioned proximally from the cervical cup on the elongated cannulated tube.

Drilling devices, systems, kits and methods for drilling cartilage defects are disclosed. A system includes a handle device having an adjustable shaft collar rotatable to adjust a drill set distance between the adjustable shaft collar and the handle. The handle device can include a distal drill guide extending from the handle at an end opposite the adjustable shaft collar. The system includes a drill collar attachable to a drill bit and configured to remain stationary along a length of the drill bit once attached. The system includes a rotatable disk positionable between the adjustable shaft collar and the drill collar. The rotatable disk can include a central hole sized to accept the drill bit.

A surgical apparatus includes a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide includes a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section includes a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The rigidizing member is configured to selectively engage at least a portion of the articulation section to thereby selectively provide rigidity to the articulation section.

A handle for a surgical tool including a shaft having a proximal end and a distal end with a gripping handle affixed to the proximal end of the shaft. A bushing is attached to the distal end of the shaft, the bushing including a plurality of flexible members circumferentially spaced apart. The handle further includes a sleeve circumscribing the shaft and the bushing. The sleeve is moveable between a first position substantially covering an entirety of the bushing and a second position spaced from a most distal end of the bushing.