A minimally invasive spinal instrument and method for use of the same are disclosed. In some embodiments, a body includes an outer shaft and an inner shaft. A passageway accepts the inner shaft such that the outer shaft at least partially encloses the inner shaft. Each of the outer shaft and the inner shaft have spaced rings with locking grooves interleaved therewith. Each set of locking grooves is sized to accept a clamp such that the spaced rings mitigate longitudinal sliding of the clamp. A locking knob selectively secures the outer shaft and inner shaft thereto. A tip is removably secured to the inner shaft. In a single shaft configuration, in response to the locking knob being selectively disengaged from the outer shaft, the inner shaft and the locking knob are separated from the outer shaft such that the passageway is accessible to accept a metallic wire therethrough.

A minimally invasive spinal instrument and method for use of the same are disclosed. In some embodiments, a body includes an outer shaft and an inner shaft. A passageway accepts the inner shaft such that the outer shaft at least partially encloses the inner shaft. Each of the outer shaft and the inner shaft have spaced rings with locking grooves interleaved therewith. Each set of locking grooves is sized to accept a clamp such that the spaced rings mitigate longitudinal sliding of the clamp. A locking knob selectively secures the outer shaft and inner shaft thereto. A tip is removably secured to the inner shaft. In a single shaft configuration, in response to the locking knob being selectively disengaged from the outer shaft, the inner shaft and the locking knob are separated from the outer shaft such that the passageway is accessible to accept a metallic wire therethrough.

An intravascular catheter device includes an expandable portion secured to a flexible catheter tube and configured for controllable movement between a first position where at least a portion of each of a plurality of struts is moved outward so as to extend beyond an outer surface of a sheath and a second position where the struts are compressed. A limiter for restricting expansion of the expandable portion is interposed between the expandable portion and a tip member located distal to the expandable portion. An incising element associated with one of the struts is configured to incise tissue located within a blood vessel when the expandable portion is placed in the first position and retracted axially along the blood vessel.

An intravascular catheter device includes an expandable portion secured to a flexible catheter tube and configured for controllable movement between a first position where at least a portion of each of a plurality of struts is moved outward so as to extend beyond an outer surface of a sheath and a second position where the struts are compressed. A limiter for restricting expansion of the expandable portion is interposed between the expandable portion and a tip member located distal to the expandable portion. An incising element associated with one of the struts is configured to incise tissue located within a blood vessel when the expandable portion is placed in the first position and retracted axially along the blood vessel.

A microsurgical device and methods of its use can be used for treatment of various conditions including eye diseases, such as glaucoma, using minimally invasive surgical techniques. A device can be used for cutting the trabecular meshwork (“TM”) in the eye. The device tip provides entry into the Schlemm’s canal via its size (i.e., for example, 0.2-0.3 mm width) and configuration where a ramp elevates the TM away from the outer wall of the Schlemm’s canal and guides the TM to first and second lateral elements for creating first and second incisions through the TM. The dimensions and configuration of the device is such that an entire strip of TM is removed without leaving TM leaflets behind and without causing collateral damage to adjacent tissues.

A microsurgical device and methods of its use can be used for treatment of various conditions including eye diseases, such as glaucoma, using minimally invasive surgical techniques. A device can be used for cutting the trabecular meshwork (“TM”) in the eye. The device tip provides entry into the Schlemm’s canal via its size (i.e., for example, 0.2-0.3 mm width) and configuration where a ramp elevates the TM away from the outer wall of the Schlemm’s canal and guides the TM to first and second lateral elements for creating first and second incisions through the TM. The dimensions and configuration of the device is such that an entire strip of TM is removed without leaving TM leaflets behind and without causing collateral damage to adjacent tissues.

A surgical access system is disclosed. The surgical access system having a cannula may include a distal tip having one or more longitudinal channels distributed around a circumference of the distal tip, and one or more circumferential channels around the distal tip. The surgical access system also includes an obturator coaxially insertable within the cannula which may include a distal tip and a retractable cutting element having an actuator. The surgical access system also includes an articulation interface. The surgical access system may also include a distal tip of the cannula that may further include one or more bridges distributed circumferentially along the one or more circumferential channels of the distal tip. The obturator further may include an elongated tube and a slidable plunger element configured to control fluid flow inside the elongated tube of the obturator.

A surgical access system is disclosed. The surgical access system having a cannula may include a distal tip having one or more longitudinal channels distributed around a circumference of the distal tip, and one or more circumferential channels around the distal tip. The surgical access system also includes an obturator coaxially insertable within the cannula which may include a distal tip and a retractable cutting element having an actuator. The surgical access system also includes an articulation interface. The surgical access system may also include a distal tip of the cannula that may further include one or more bridges distributed circumferentially along the one or more circumferential channels of the distal tip. The obturator further may include an elongated tube and a slidable plunger element configured to control fluid flow inside the elongated tube of the obturator.

This application provides a driving switching mechanism for a stapling instrument. An actuation driving assembly includes a driving sleeve for driving an end effector to perform a closing action and a knife bar driving rod for driving the end effector to perform a stapling action. A handle driving assembly includes a driving handle and a knife bar driving assembly which includes a knife driving member and a handle driving connecting member. The handle driving connecting member is connected to a handle driving portion. The knife driving member is movably connected to the handle driving connecting member, and is movable relative to the handle driving connecting member to a driving position or a driving disengagement position. When the knife driving member is in the driving position, the knife driving member and the knife bar driving rod are engaged as the handle driving portion moves toward a second position.

This application provides a driving switching mechanism for a stapling instrument. An actuation driving assembly includes a driving sleeve for driving an end effector to perform a closing action and a knife bar driving rod for driving the end effector to perform a stapling action. A handle driving assembly includes a driving handle and a knife bar driving assembly which includes a knife driving member and a handle driving connecting member. The handle driving connecting member is connected to a handle driving portion. The knife driving member is movably connected to the handle driving connecting member, and is movable relative to the handle driving connecting member to a driving position or a driving disengagement position. When the knife driving member is in the driving position, the knife driving member and the knife bar driving rod are engaged as the handle driving portion moves toward a second position.