A method and apparatus are disclosed for cutting a strand of suture. The apparatus comprises a solid outer member defining a lumen there-through. An inner member is received at least partially within the lumen, a portion of the inner member defining a curve. The inner member further defines a feature for retaining a strand of suture. At least one of the inner and outer members are moveable with respect to the other of the inner and outer members for cutting the strand of suture.

A surgical apparatus includes an end effector having an ultrasonic blade, a clamp arm, and a clamp pad. The end effector applies ultrasonic energy at the blade. The clamp arm pivots relative to the blade. The clamp pad is positioned on the clamp arm adjacent to the blade. The clamp arm includes a latching feature to retain the clamp pad relative to the clamp arm to prevent the clamp pad from moving laterally, longitudinally, and perpendicularly relative to the clamp arm.

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.

A suture passer which is sized and shaped to be inserted through the femoral notch during a meniscal repair. The suture passer includes upper and lower jaws that may be straight or that may have an angled offset in relation to the common axis of the suture passer in order to gain an indirect access to meniscal tissue in a constricted space. The jaws of the suture passer may be angled, either to the left or to the right, up to 45 degrees from the central axis of the shaft. The suture passer is also able to grasp meniscal tissue prior to suture passing. A nitinol needle housed within one of the jaws can then be deployed to pass a preloaded suture through the tissue to be captured on the opposite side of the tissue.

The present disclosure relates generally to the field of medical devices and establishing access to a target within the body, such as placing an access needle into a renal capsule into the human body. In particular, the present disclosure relates to devices and methods for performing a percutaneous nephrolithotomy (PCNL) procedure accurately and efficiently while minimizing exposure of the medical professional to harmful radiation.

A suturing device includes a shuttle for holding a suture, a shuttle transmitter and a shuttle receiver. The shuttle transmitter includes a shuttle holder for holding the shuttle and a shuttle releaser displaceable relative to the shuttle holder for releasing the shuttle from the shuttle holder. The shuttle holder advances through a material at a first location while holding the shuttle until the shuttle engages the shuttle receiver. The shuttle releaser then releases the shuttle from the shuttle holder for withdrawal of the shuttle transmitter through the material, leaving the shuttle engaged with the shuttle receiver. The shuttle transmitter the penetrates the material at a second location opposite the shuttle receiver and retrieves the shuttle, holding it while withdrawing through the material at the second location. This sequence can be repeated to form a wide range of multi-stitch suture patterns for vascular closure and a wide range of other applications.

The present invention concerns ophthalmic surgical instruments for use during ophthalmic surgery. In one form, the present invention relates to multi-purpose ophthalmic blade for making a primary incision for entry in into an anterior chamber of an eye and a side port incision. In another form, the present invention relates to an ophthalmic surgical instrument for delivery and/or removal of fluid into or from an eye. The instrument includes a hollow shaft connectable to a blade portion adapted for making a side port incision in an eye for delivery, or removal, of the fluid.

A surgical instrument includes a shaft, an ultrasonic transducer, a waveguide acoustically coupled with the ultrasonic transducer and extending distally through the shaft, and an end effector arranged at a distal end of the shaft. The end effector includes an ultrasonic blade acoustically coupled with the waveguide, a clamp arm movable relative to the ultrasonic blade for clamping tissue, and an RF electrode operable to seal tissue with RF energy. The ultrasonic transducer is operable to drive the waveguide and the ultrasonic blade with ultrasonic energy. The surgical instrument further includes an ultrasonic electrical circuit operable to energize the ultrasonic transducer, and an RF electrical circuit operable to deliver RF energy to the RF electrode. A return path of the ultrasonic electrical circuit and a return path of the RF electrical circuit pass through a shared electrically conductive element.

A catheter includes an elongated body, a distal assembly with a shape-memory member defining a generally helical form, and a control handle. The control handle may be adapted to actuate a deflection puller wire for deflecting a portion of the elongated body and a contraction wire for contracting the generally helical form. The generally helical form carries irrigated ablation ring electrodes. A nitinol support member with shape memory extends through the distal assembly and into the elongated body to provide the helical form. The support member may have a varying stiffness along its length, for example, a decreasing stiffness toward a distal end of the support member. The support member can also be hollow so that it can receive a mandrel whose stiffness is greater than that of the support member.

In one aspect, a surgical retractor having sliders configured to have tissue engaging members connected thereto and slider drives including operating members. The operating members are rotatable to cause the slider drives to shift the sliders relative to one another. The surgical retractor includes a coupler having a coupling configuration wherein the coupler connects the slider drives and rotation of one of the operating members causes movement of the sliders. The coupler also has a decoupling configuration wherein the coupler disconnects the slider drives and rotation of the one operating member causes movement of fewer sliders than the sliders that are moved with the coupler in the coupling configuration. The retractor has an actuator connected to the coupler and movable between a dependent slider movement position and an independent slider movement position to shift the coupler between the coupling configuration and the decoupling configuration.