An actuation mechanism for a surgical instrument (100) includes a sleeve (202) configured to receive the surgical instrument and including one or more parts (208, 210, 226), with studs (250, 252) provided on each part, on some parts only, or distributed over the different parts. At least two wheels (204, 206) are mounted on the sleeve on either side of the part or parts, each wheel being equipped with at least one groove (242) and a mechanical transmission element (244). The groove of each wheel movably receives one of the studs in the groove. At least two drive shafts (212, 214), each being equipped with a first mechanical transmission element (254), cooperate with the mechanical transmission element (244) of one of the wheels.

A system for treating mitral regurgitation may include an outer sheath having a lumen extending to a distal end of the outer sheath, an intermediate sheath slidably disposed within the lumen of the outer sheath, the intermediate sheath having a lumen extending to a distal end of the intermediate sheath, and an inner sheath slidably disposed within the lumen of the intermediate sheath, wherein the inner sheath includes a first anchor disposed within a lumen of the inner sheath, the first anchor being configured to penetrate and secure to a first papillary muscle. The intermediate sheath may include a tissue grasping mechanism at the distal end of the intermediate sheath, the tissue grasping mechanism being configured to hold and stabilize the first papillary muscle for penetration and securement of the first anchor to the first papillary muscle.

A medical grasping device is disclosed. The medical grasping device may be configured to retrieve an object from within a body lumen. A medical grasping device assembly, wherein a portion of the medical grasping device is disposed within a lumen of a delivery sheath, and methods of using the medical grasping device assembly are also disclosed.

In various aspects, a 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 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. A sleeve lumen disposed within the tool package slidably receives the shaft for releasable lockable engagement of the tool package proximal end with the handle and with the shaft distal end being generally coextensive with the tool package distal end. Light source(s) and image sensor(s) located proximate the shaft distal end allow viewing of the tool when the tool package is mounted to the shaft. Exemplary methods of use of the microsurgical apparatus are also disclosed herein.

Tissue manipulation during ocular surgery may be achieved by a variety of systems and techniques. In particular implementations, a system may include spaced apart levers, hinge members, a grasping mechanism, and a guide mechanism located between the levers. A first hinge member may extend from one of the levers to the guide mechanism and move the guide mechanism in one of a proximal or distal direction when the levers are moved toward each other. The grasping mechanism may be coupled to the guide mechanism and extend distally from the guide mechanism. A second hinge member may extend from one of the levers and be coupled to a tube that surrounds a portion of the grasping mechanism. The second hinge member distally displaces the tube when the levers are moved towards each other. The relative motion of the guide mechanism and the tube may cause actuation of the grasping mechanism.

A device for surgery that accommodates multiple different implements. The implements may be exchanged or changed out for one another over the course of a surgery in a manner that does not require disengagement of the device from a surgical site. As a result, the need to re-insert the device into the patient and other hazards associated with multiple trips into the surgical site may be minimized. In one embodiment, the device includes cannula architecture to avoid use of a separate cannula at the surgical site.

An atraumatic microsurgical forceps may include an actuation structure, an actuation sleeve having an actuation sleeve distal end and an actuation sleeve proximal end, a surgical blank, and atraumatic forceps jaws of the surgical blank having atraumatic forceps jaws distal ends and atraumatic forceps jaws proximal ends. The surgical blank may be disposed within the actuation sleeve wherein at least a portion of the atraumatic forceps jaws extends from the actuation sleeve distal end. A compression of the actuation structure may be configured to gradually extend the actuation sleeve over the atraumatic forceps jaws proximal ends. An extension of the actuation sleeve over the atraumatic forceps jaws proximal ends may be configured to gradually close the atraumatic forceps jaws wherein the atraumatic forceps jaws initially contact at the atraumatic forceps jaws distal ends.

A micro forceps 12 according to the present invention comprises: a housing 22 having an opening part 27 on a side 23 thereof; a rotating body 32 that is retained in the housing 22, rotatable around a long axis of the housing 22, and partially exposed from the opening part 27; a clip part 52 for clipping an object; a wire rod part provided with the clip part 52 on one side, and connected to the rotating body 32 on the other side; an opening/closing operation part 62 that is retained in the housing 22, movable along the long axis direction of the housing 22, and partially exposed from the opening part 27; and a tubular part 72 connected to the opening/closing operation part 62; wherein the clip part 52 is in a closed state where the clip part 52 is placed in the tubular part 72 when the opening/closing operation part 62 is moved to a clip part 52 side; and the clip part 52 is in an opened state where the clip part 52 comes out of the tubular part 72 when the opening/closing operation part 62 is moved to opposite to the clip part 52 side.

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.

A forceps comprising a first jaw and a second jaw arranged along a longitudinal axis of the forceps for relative movement toward and away from one another. The first and second forceps jaws have respective first and second jaw surfaces facing each other. The first and second jaw surfaces have a serrated surface texture at least on a distal part thereof. A serration direction of the serrated surface texture is at an angle which is non-perpendicular to the longitudinal axis, resulting in additional profile structure elements at a tip portion surface, allowing to handle and manipulate fine tissue materials such as membranes in an eye.