A surgical stapling instrument includes a releasable stapling end effector. The stapling end effector includes a body portion, a jaw assembly pivotally secured to the body portion, and an articulation mechanism extending between the body portion and the jaw assembly. The jaw assembly is articulable between a non-articulated position and at least one articulated position. The articulation mechanism includes a barrel member and first and second linkage assemblies. The barrel member defines a channel and each of the first and second linkage assemblies include a protrusion received within the channel. Rotation of the barrel member in a first direction causes the first linkage assembly to move in a proximal direction and the second linkage assembly to move in a distal direction to cause the jaw assembly to move from the non-articulated position to the at least one articulated position.

A method is described for performing a percutaneous operation on a patient to remove an object from a cavity within the patient. The method includes advancing a first alignment sensor into the cavity through a patient lumen. The first alignment sensor provides its position and orientation in free space in real time. The alignment sensor is manipulated until it is located in proximity to the object. A percutaneous opening is made in the patient with a surgical tool, where the surgical tool includes a second alignment sensor that provides the position and orientation of the surgical tool in free space in real time. The surgical tool is directed towards the object using data provided by both the first and the second alignment sensors.

A surgical instrument for placement of a movement restriction device for use in a surgical procedure for treating reflux disease in a patient. The instrument comprises a sleeve and a holding device configured to engage the movement restriction device, wherein the holding device is configured to be placed within the sleeve and be displaceable in relation to the sleeve. The instrument further comprises a first handling portion connected to the sleeve, and a second handling portion connected to the holding device. The handling of at least one of the first and second handling portion creates relative displacement of the holding device in relation to the sleeve, which disengages the holding device from the movement restriction device for performing the placement of the movement restriction device.

A surgical tool includes a slider, converters, and transmission wires. The slider is disposed movably in a linear direction relative to a main body, the main body including at least a treatment portion configured to perform a medical procedure. The converters move for a converted movement amount which is obtained by converting a movement amount of the slider with a magnification factor. The transmission wires transmit the converted movement amount to a treatment portion of the surgical tool.

A fetal intrauterine positioning fixation device is configured for entering an amniotic cavity through a vaginal cervical fetal membrane access and/or abdominal wall uterine fetal membrane access to adjust and fix a fetal position in a maternal uterus. The fetal intrauterine positioning fixation device includes a manipulator, a mechanical arm and a surgical robot, the manipulator and mechanical arm can enter an amniotic cavity through a vaginal cervical fetal membrane channel or abdominal wall uterine fetal membrane channel, so that a doctor can control the manipulator and mechanical arm through the surgical robot or a handle to identify a fetus, adjust a fetal position and fix the fetus according to a preoperative planning, and monitor a fetal status in real time, expose a surgical treatment area, and create an operation space for implementing intrauterine fetal surgery.

The invention relates to a device for connecting body tissues with a head part, which has a longitudinal axis and can be pushed into a body opening, wherein a plurality of tissue staples are accommodated in the head part in a storage position which tissue staples consist of a linear main section and two engagement sections projecting perpendicularly therefrom and are each aligned in a first plane which is substantially perpendicular to the longitudinal axis. Optimal usability in the human body is achieved in that a hydraulic cylinder and/or a cylinder rod are at least partially arranged in the interior of the space which lies between the engagement sections of the tissue staples in the storage position, and preferably that the cylinder rod is firmly connected to a slider.

A stylet assembly and method of forming an in vivo image acquiring stylet assembly. The stylet assembly includes an elongate flexible body and an image acquiring device that is supported at a location that is offset from an in vivo facing terminal end of the stylet assembly. A terminal end portion of the stylet assembly is defined by a manipulator that is oriented to extend in a crossing direction relative to a longitudinal axis of the elongate body. The terminal end portion of the stylet assembly is steerable relative to the elongate body and is operable to manipulate positions or adjacent anatomy and/or effectuate guidance of the imaging device relative thereto during use.

An endoscope device including an endoscope body, a suture device, and a needle. The endoscope body has a proximal portion and a distal portion opposite each other and includes a working channel. The suture device includes a first arm and a second arm opposite each other. The working channel connects the proximal portion and the distal portion. The first arm and the second arm extend toward a distal direction. At least one of the first arm and the second arm are pivotally connected to the distal portion and can be opened or closed with respect to the other. The operation method thereof is also provided.

A tissue clip application fitting set or retrofitting set includes a cap attachment for placement on the distal head of a medical endoscope, which has a placement section and a tissue clip holding section. The cap attachment is notched at least at two angular positions forming at least two notches/slots/grooves. A working channel leads into the hollow chamber and exits the hollow chamber radially in a region distal to the placement section and proximal to the radially supported tissue clip. A first guiding or leading element is arranged after the working channel belonging to the retrofitting set, as seen in the distal direction. A corresponding second guiding or leading element is arranged within the hollow chamber at an angular distance from the first guiding or leading element so as to be oriented in extension to a working channel belonging to the endoscope.

A clip unit includes: an arm portion including arms extending from a proximal end portion to a distal end portion so as to be openable and closeable; a holder than can hold the arms in a closed state by accommodating the proximal end portion of the arm portion; and a thread grip attached to at least one of the arms and positioned between the arms. In a state where the arms are spread open, a dimension of the thread grip in the opening/closing direction of the arms is equal to or larger than a distance between the arms in the closed state. The thread can be elastically deformed in the closed state.