A surgical robotic system is provided comprising a wrist comprising a surgical instrument and an elongated shaft configured to transmit actuation forces from a drive assembly to the spherical wrist to actuate rotation of the spherical wrist. The surgical instrument is a hinged surgical instrument comprising jaws, wherein the jaws are biased in a normally open position by a resilient biasing element, wherein the surgical instrument is actuatable by the drive assembly towards a closed position by a preloaded string which runs from the drive assembly through the elongated shaft to the surgical instrument and which preloads the surgical instrument.

A surgical robotic system is provided comprising a wrist comprising a surgical instrument and an elongated shaft configured to transmit actuation forces from a drive assembly to the spherical wrist to actuate rotation of the spherical wrist. The surgical instrument is a hinged surgical instrument comprising jaws, wherein the jaws are biased in a normally open position by a resilient biasing element, wherein the surgical instrument is actuatable by the drive assembly towards a closed position by a preloaded string which runs from the drive assembly through the elongated shaft to the surgical instrument and which preloads the surgical instrument.

Provided is a bending structure and a joint function part, capable of ensuring sufficient flexibility and rigidity in an axial direction. The bending structure is provided with an outer coiled part formed of a wire wound in a coiled shape and an inner coiled part formed of a wire wound in a coiled shape and arranged in the outer coiled part, wherein the outer coiled part has a plurality of gaps to distance adjacent coils, and coils of the inner coiled part are provided so as to correspond to the gaps of the outer coiled part and fit between the adjacent coils while being in contact with the adjacent coils of the outer coiled part.

A medical device that includes a shaft having a proximal end and a distal end, the shaft defining a lumen extending from the proximal end of the shaft to an opening on a side of the shaft. The medical device includes a grasping tool proximate to the distal end of the shaft and configured to fix the distal end relative to a target site. The medical device further includes a lock at the proximal end of the shaft and configured to fix the proximal end to an ancillary device.

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 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 for minimally invasive, inter-layer surgical procedures advantageously forms a wedge for advancing between adjacent tissue layers and provides a jaw that can be actuated to create a working space for a cutting tool and other instruments within a plane between the tissue layers. The device may also usefully employ an open or wireframe structure for the opposing jaws to preventing tissue or fluid accumulation between the jaws and maximize visibility around the surgical site.

An endoscopic suturing system and method are disclosed as are devices for use with the system and method such as a suture dispenser, a cinch device, and a tissue grasper. In one embodiment the suturing system includes a cap assembly arranged at the distal end portion of an endoscope or guide member, with the cap assembly including a rotatable needle holder. The needle holder is actuated through a transmission element extending outside the endoscope or guide member. A needle capture device may be inserted through a channel of the endoscope or guide member in order to capture a needle held in the needle holder when the needle holder is rotated so that the needle punctures tissue.

A system is provided that furnishes expert procedural guidance based upon patient-specific data gained from surgical instruments incorporating sensors on the instrument's working surface, one or more reference sensors placed about the patient, sensors implanted before, during or after the procedure, the patient's personal medical history, and patient status monitoring equipment. Embodiments include a system having a surgical instrument with a sensor for generating a signal indicative of a property of a subject tissue of the patient, which signal is converted into a current dataset and stored. A processor compares the current dataset with other previously stored datasets, and uses the comparison to assess a physical condition of the subject tissue and/or to guide a procedure being performed on the tissue.

A surgical apparatus for application of surgical clips to body tissue is provided. The surgical apparatus includes a housing, a drive assembly, a trigger, and a shaft assembly. The trigger is operatively connected with the drive assembly. The drive assembly is at least partially positioned within the housing. The shaft assembly extends distally from the housing and has a first tubular member pivotally connected with a second tubular member located distally from the first tubular member. An articulation mechanism is operatively connected between the first and second tubular members, and includes a gear rack, at least one gear, and a gear segment, respectfully connected with each other to pivot the second tubular member about the pivot axis. The gear rack and at least one gear are located within the first tubular member. The gear segment extends proximally from the second tubular member.