A tissue approximation device for wound closure having a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, the second arm connected to the first arm. A first rake member is connected to the distal end of the first arm and has a first plurality of tissue engaging members extending therefrom to engage tissue. A second rake member is attached to the distal end of the second arm, the second rake member having a second plurality of tissue engaging members extending therefrom to engage tissue. A transverse bar can extend through the first and second rake members such that the first and second rake members movable along the transverse bar. Systems and methods for wound closure are also disclosed.

Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.

A medical device having a mechanism adapted to convert a single translational input into multiple rotational outputs. An embodiment includes a hinge pin assembly in operable communication with a single input actuator. The hinge pin assembly includes a housing configured to translate in response to actuation of the input actuator. The housing translates about the length of a hinge pin. The housing has a plurality of concentrically aligned annular rings. An upper pinion and a lower pinion are in operable communication with the housing such that linear translation of the housing cause the pinions to rotate. Each pinion is in operable communication with linear gear racks, axles, or other force transferring components. The force transferring components are in operable communication with a pivotable distal end of the medical device. As a result, the linear input causes each distal end of the medical device to pivot with respect to its respective shank.

A surgical instrument includes a first lever element and a second lever element interconnected by a lever element hinge. Each lever element includes a grip portion and a jaw portion. A first spring portion and a second spring portion are proximally connected to the grip portions. A proximal free end of the first spring portion is coupled to a proximal free end of the second spring portion by a hinged joint. The hinged joint includes a hinge pin and at least one bearing eye. The at least one bearing eye forms a continuous longitudinal slit for radial insertion of the hinge pin. The slit extends diagonally relative to the axis of the at least one bearing eye so that at least one spring portion has to be twisted during radial insertion of the hinge pin into the at least one bearing eye.

A medical instrument has a shaft with a longitudinal axis, a jaw head on a distal end of the shaft having two jaw parts, at least one of the jaw parts being pivotable about a pivot axis extending transversely to the longitudinal axis, the pivotable jaw part having a wheel portion with toothing mounted about the pivot axis, at least one actuation element having a distal end portion with toothing that meshes with the toothing of the wheel portion such that movement of the actuation element along the longitudinal axis pivots the pivotable jaw part, control elements at a proximal end of the shaft controlling movement of the actuation element, said distal end portion with toothing is flexible, one of the jaws having a hollow space arranged distally to the pivot axis, wherein the distal end portion comes in or out of the hollow space when moving the actuation element.

Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

An electrosurgical forceps includes a first elongated shaft member including a first handle member and a first jaw member having a first tissue contacting surface, and a second elongated shaft member including a second handle member and a second jaw member having a second tissue contacting surface. At least one of the first and second handle members is movable relative to the other between an open position, a first approximated position where the first and second tissue contacting surfaces are diametrically opposed to one another, and a second approximated position where the first and second tissue contacting surfaces are laterally offset from one another. A handle connector assembly is selectively engageable with the second handle member and is configured to selectively communicate electrosurgical energy between the first and second tissue contacting surfaces when the first and second handle members are disposed in the first approximated position.

An orthopedic clamp to assist in reducing the displacement between bone ends of a fracture, and to position a fixation device, during open fracture reduction surgery is described. The clamp includes a holder to hold the fixation device against the bone. The clamp may also swivel in relation to the holder while the position of the fixation device remains unchanged. The clamp may be modular so that components thereof may be released and/or attached.

A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction.

An electrosurgical instrument with first and second branches pivotably arranged at a hinge is disclosed. The hinge is formed by a support pin at the second branch and a corresponding support cavity at the first branch. At one side adjacent to the hinge location at which the support pin extends into the support cavity, a knife guide cavity is provided in the second branch for a moveable guided support of a knife. Parallel to the pivot axis defined by the hinge, the knife guide cavity is arranged adjacent to an axial end of the support pin. The hinge or the hinge location formed by the hinge at which the support pin is arranged in the support cavity is only arranged on one side of the knife guide cavity viewed in a direction parallel to the pivot axis. The respective other side is free from hinge components.