A myringotomy device includes a housing; an elongated tube extending from the housing; and a retractable cutting tool extendable through the elongated tube, the cutting tool comprising a blade. The cutting tool is configured such that when advanced, the blade of the cutting tool extends beyond a distal end of the elongated tube. The cutting tool is also configured such that when retracted, the blade is retracted into the elongated tube and a fluid conduit is created from the distal end of the elongated tube to the housing.

Disclosed herein are minimally invasive systems and methods for intravascularly accessing the heart and performing a transcatheter repair of a heart valve by inserting a suture as an artificial chordae into a heart valve leaflet. In various embodiments, such systems and methods can be employed in other heart valve repair procedures such an edge to edge repair to coapt leaflets by inserting one or more sutures that retain the leaflets in a coapted positioned or inserting a suture to repair a tear in a leaflet, for example.

A surgical stapling attachment is disclosed. The surgical stapling attachment comprises an attachment portion, a shaft assembly, an articulation joint, and an end effector assembly. The end effector assembly comprises a drive system comprising a main drive and a lockout drive driven by a single rotary input. The main drive is configured to capture, clamp, and staple tissue. The lockout drive is configured to prevent the main drive from being driven in the event a staple cartridge is not installed within the end effector assembly. Another lockout is provided to prevent the drive system from being actuated when a spent staple cartridge is installed within the end effector assembly.

A surgical stapling attachment is disclosed. The surgical stapling attachment comprises an attachment portion, a shaft assembly, an articulation joint, and an end effector assembly. The end effector assembly comprises a drive system comprising a closure drive and a firing drive configured to be selectively driven by a single input. The closure drive is configured to clamp tissue between an anvil and a staple cartridge assembly. The firing drive is configured to cut the tissue by deploying a knife and staple the tissue by ejecting a plurality of staples removably stored within the staple cartridge assembly.

A surgical stapling attachment configured to clamp, staple, and cut tissue is disclosed. The surgical stapling attachment comprises an attachment portion, a shaft assembly, an articulation joint, and an end effector assembly. The end effector assembly comprises a firing system configured to cut tissue only after the tissue has been stapled.

Circular and curved surgical stapling instruments are disclosed comprising circular and curved stapling configurations. A circular staple cartridge comprises a plurality of staples arranged in an inner row, an intermediate row, and an outer row. Staples in certain rows can have different unformed heights. Some arrangements include deck features that protrude from the staple cartridge deck. Various anvil arrangements are also disclosed to attain staples having different formed heights.

A surgical system includes an anvil that has, one, an elongate slot extending longitudinally along a length of the anvil and, two, a plurality of first staple-forming pockets. The surgical system further includes an anvil modification member releasably attachable to the anvil, wherein the anvil modification member comprises a plurality of second staple-forming pockets. In addition, the surgical system also includes a staple cartridge that has a plurality of staples formable by the plurality of first staple-forming pockets when the anvil modification member is not attached to the anvil, and wherein the staples are formable by the plurality of second staple-forming pockets when the anvil modification member is attached to the anvil.

A surgical instrument and method for indicating that a cartridge has been fired includes an end effector receiving a cartridge having at least one of a knife and a plurality of staples, a shaft assembly connected to the end effector, and a handle assembly. The handle assembly has a handle housing, a firing member configured to selectively actuate from a first position to a second position as a firing stroke, and a feedback generator operatively connected to the firing member. The firing member is configured to actuate the cartridge from an unfired cartridge position to a fired cartridge position when the firing member is actuated. The feedback generator is configured to communicate an audible sound and a visual indicia to an operator indicative of the firing member completing the firing stroke for actuating the cartridge to the fired cartridge position.

An endoscopic treatment instrument includes a guide sheath. The guide sheath includes a second distal end, which has an inside diameter to insert the insertion portion therethrough so that the distal end of the insertion portion is configured to protrude relative to the second distal end. The guide sheath is inserted through the guide pipe so that the second distal end is configured to protrude relative to the first distal end of the guide pipe.

An apparatus comprises a body, a shaft assembly, an end effector assembly, and a drive assembly. The body may include a handpiece with an integral motor. The shaft assembly may include two pairs of concentric shafts. The end effector assembly may include arms that selectively grasp and release a suturing needle. The drive assembly is operable to drive the end effector assembly via the shaft assembly. The drive assembly is operable to convert a single rotary input into at least two rotary outputs. In some versions, the drive assembly comprises a plurality of shaft assemblies that include an input shaft, a first output shaft, a second output shaft, and a third output shaft. The drive assembly is operable to selectively rotate and hold the shaft assemblies in accordance with a predetermined sequence, such as to perform tissue suturing through a trocar in a minimally invasive surgical procedure.