In various aspects, the microsurgical apparatus disclosed herein includes a shaft having a shaft distal end, a shaft proximal end with a handle mounted to shaft proximal end. The shaft may have a constant cross-section. In various aspects, the microsurgical apparatus includes a tool package having an actuator at a tool package proximal end of the tool package and a tool at a tool package distal end of the tool package. The actuator cooperates mechanically with the tool to alter the tool between a disengaged position and an engaged position as the actuator is altered between a first actuator position and a second actuator position, in various aspects. A sleeve disposed within the tool package forms a sleeve lumen that extends generally between the tool package proximal end and the tool package distal end, and the sleeve lumen slidably receives the shaft for releasable lockable engagement of the tool package proximal end with the handle, in various aspects. Light source(s) and image sensor(s) located proximate the shaft distal end view the tool when the tool package is mounted to the shaft, in various aspects. Exemplary methods of use of the microsurgical apparatus are also disclosed herein.

A surgical instrument including one or both of a shield on a distal end portion of a shaft and a counterweight in a handle for enhanced functionality, efficiency and/or efficacy. The shield covers portions of a linkage that extend beyond outer dimensions of the shaft during operation of the instrument. The counterweight is proximal to a hand grip and configured to locate a center of gravity of the instrument within the hand grip. The instrument may be configured as a video-assisted thoracoscopic (VATS) and/or minimally invasive cardiac surgery (MICS) device.

Surgical instrument subcomponent integration by additive manufacturing may include identifying at least two subcomponents of a multi-component assembly wherein a first subcomponent of the at least two subcomponents has a first functionality and wherein the first subcomponent of the at least two subcomponents is manufactured from a first material having a first set of material properties. Surgical instrument subcomponent integration by additive manufacturing may include modifying one or more properties of the first subcomponent of the at least two subcomponents to reproduce the first functionality when the first subcomponent is manufactured from a second material having a second set of material properties. Surgical instrument subcomponent integration by additive manufacturing may comprise integrating the at least two subcomponents by manufacturing an integral component by additive manufacturing wherein the integral component is manufactured from the second material and wherein the first functionality is retained.

Certain embodiments provide a surgical instrument comprising surgical instrument comprising an device having a functional end and a main handle comprising a distal end coupled to the device. The surgical instrument further comprises an actuation handle insert comprising a number of first rolling components and an actuation tube coupled to the actuation handle insert, wherein the functional end of the device at least partially extends outside of the actuation tube when the device is deactivated. The surgical instrument further comprises levers comprising second rolling components. The surgical instrument further comprises a plurality of rolling elements, wherein each of the rolling elements is placed between one of the second rolling components and one of the first rolling components and pressing one or more of the levers pushes the actuation handle insert forward relative to the device, causing the actuation tube to transition the device from the deactivated state to an activated state.

Systems and methods for forming a handle apparatus may include shaping a strip of composite material with a flexible central portion, two grips, and two end portions. The strip may be bent onto itself such that the end portions are fastened together by a fastening device. The handle apparatus may also include a hole disposed in the flexible central portion through which a tool actuator may be passed.

An actuating element for actuating an instrument for performing minimally invasive interventions comprises a first handle half-shell and a second handle half-shell movable relative to each other and connected with each other at one end by a biasing mechanism; a tube arranged substantially centrally between the handle half-shells; a linkage mechanism arranged between the handle half-shells and the tube in order to transmit an actuating movement of the handle half-shells; a locking mechanism with a latching rocker arranged on the first handle half-shell and a locking rocker arranged on the second handle half-shell, wherein the two rockers enter into locking connection with each other through an opening provided therefor in the tube when the handle half-shells are moved together, and wherein the rockers are mounted around a pivot axis such that a swiveling or pivoting movement of the rockers lies within a plane defined by the handle half-shells.

The present disclosure is directed to medical devices and methods of manufacturing medical devices, such as an ophthalmologic medical device.

The present disclosure describes systems and methods for pressure-driven micro-surgical tool actuation. The systems and methods may encompass the use of a remote handle held by a first hand of a user as well as a surgical tool located in the eye of a patient. A primary actuator may be included in remote handle and operable to be actuated by a mechanical force exerted on the handle. Actuating the primary actuator pressurizes a fluid within a length of tubing. The pressurized fluid may be transmitted to a dynamic tool held by a second hand of the user, where the pressurized fluid may be used to actuate a subordinate actuator. Actuation of the subordinate actuator may actuate a dynamic component of the dynamic tool.

An energizable surgical attachment system is configured for engagement about a mechanical clamp. The energizable surgical attachment includes a clamp sleeve having a first sleeve portion configured to receive a first jaw member of a mechanical clamp and a second sleeve portion configured to receive a second jaw member of a mechanical clamp. Each sleeve portion defines an open proximal end, an enclosed distal end, a lumen extending longitudinally therethrough, and an inner surface. First and second electrically-conductive plates are operably associated with the inner surfaces of the clamp sleeve portions. A connector is coupled to each electrically-conductive plate and a cable management hub is configured to releasably couple the electrosurgical cable with the mechanical clamp.

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.