A purse string suture instrument includes an end effector with first and second jaws disposed at a distal portion of an elongate tubular shaft. The first and second jaws are pivotably coupled to each other and to the elongate tubular shaft. The first and second jaws are spaced apart and define a gap therebetween. First and second pluralities of teeth extend perpendicularly from the first and second jaws respectively, and the first plurality of teeth is longitudinally offset from the second plurality of teeth. The first and second jaws are transitionable between open and approximated configurations. The approximated configuration is adapted to clamp tissue in the gap between the first and second jaws, thereby displacing sections of tissue outwardly between the first and second pluralities of teeth.

A surgical device for operating on tissue comprises an end effector, a disposable shaft assembly, and an interface assembly. The shaft assembly comprises an articulation section operable to provide deflection of the end effector relative to the longitudinal axis of the shaft. The interface assembly comprises a plurality of pivotable base sections. The interface assembly comprises a plurality of drive components associated with drive shafts driven by an external system and each drive component is associated with a section of the base. The drive components are operable to cause rotation of one or both of the shaft or end effector and movement of components of the end effector. The drive components are further operable to cause articulation of the articulation section. The base sections are pivotable toward each other to couple with the shaft assembly or away from each other to disengage the shaft assembly.

A surgical kit includes an instrument and two or more cartridges. The instrument includes a body, a shaft assembly, and a cartridge receiving assembly. The cartridge receiving assembly has a movable output feature, which is configured to move in response to activation of the actuation input feature. The cartridges may include a first suturing cartridge and a second suturing cartridge, with first and second suture needles, respectively. The second suture needle may extend along an arc that has a larger radius of curvature than an arc associated with the first suture needle. The cartridges may also include a drive assembly that is operable to drive the needle along an orbital path in response to movement of the actuation input feature. The cartridges may also include features that are operable to apply clips or staples. The cartridges may also include features that are operable to grasp or cut.

Apparatuses, systems, and methods are disclosed for a surgical clamp for Lapidus bunion surgery. A surgical clamp has handles disposed at opposing branches of a surgical clamp. A hinge is disposed at an intersection of the opposing branches about which the opposing branches pivot. A first gripper is disposed at a distal portion of the first opposing branch and is shaped to hook around and grip a neck of a first metatarsal. A second gripper is disposed at a distal portion of the second opposing branch and is shaped to hook around and grip a neck of a different metatarsal. The grippers extend at a non-zero angle away from the opposing branches. A lock extends between the opposing branches and selectively fixes a relative position of the opposing branches so that the grippers selectively hold a position of the first metatarsal relative to the different metatarsal.

A surgical clamp including a pair of jaws, which may be used to ablate or create lesions in tissue. In an exemplary embodiment, the jaws are movable between an articulated position in which the jaws are separated and not parallel to one another, an opened position in which the jaws are separated and substantially parallel to one another, and a closed position in which the jaws are adjacent and substantially parallel to one another.

A device is described for treating a nasal airway by modifying a property of a nasal tissue of or near a nasal valve of the airway, without using a surgical incision or an implant, to decrease airflow resistance or perceived airflow resistance in the nasal airway. Various embodiments include an elongate shaft, a bipolar radiofrequency delivery member extending from one end of the shaft, and a handle attached to the elongate shaft at an opposite end from the radiofrequency delivery member. The radiofrequency delivery member is sized to be inserted into a nose and configured to at least temporarily deform the nasal tissue and deliver radiofrequency energy. The radiofrequency delivery member includes two rows of protruding electrodes disposed on a tissue contact surface, and the device is configured to deliver radiofrequency energy from one row of electrodes to the other row of electrodes.

A forceps includes a disposable shaft and a reusable shaft. The shafts each including a jaw member disposed at a distal end thereof. The shafts are releasably coupled to one another about a pivot and are moveable relative to one another for moving the jaw members between an open position and a closed position. The disposable shaft includes a first tissue sealing plate disposed thereon and an electrical connector coupled thereto that includes a plurality of wires extending therethrough and into the disposable shaft member. One or more wires is coupled to the first tissue sealing plate and one or more wires is coupled to a second tissue sealing plate that is configured for releasable engagement with the jaw member of the reusable shaft member. The tissue sealing plates are adapted to conduct energy through tissue for sealing tissue grasped between the jaw members.

A one-piece handle assembly and a method of assembling the one-piece handle assembly. The one-piece handle assembly includes an outer tube connected to a fixed jaw and an inner tube connected to a moveable jaw. The inner tube is installed within the outer tube. The surgical instrument assembly further includes a handle body overmolded onto the outer tube and a handle grip connected to the handle body. The handle grip controls movement of the moveable jaw along an axis about defined through the outer tube. The one-piece handle assembly further includes a knife plunger for controlling activation of a knife rod assembly. The one-piece handle assembly is void of any welds, adhesives, or fasteners to complete the final assembly of the one-piece handle assembly.

A combination medical includes a first arm and a second arm interconnected to the first arm. The first arm and the second arm are biased towards each other by a closing force. A biasing member is disposed between the first arm and the second arm. The biasing member has a first position that biases the first arm and the second arm away from each other against the closing force and a second position that does not oppose the closing force. The combination medical device may be an electrosurgical device with a mono-polar and bi-polar configuration.

An instrument (10) having a tool (15) of a particularly simple design comprises jaws (16, 17) with jaw supports (46) supported by spaced-apart hinges on a shared socket part 18. The hinge axes (27, 28) of the hinges are oriented parallel relative to each other and are at a distance from each other. A slit (24) for precisely guiding a knife (25) may be provided between the two. The jaw supports (46) of the jaws (16, 17) are guided in their own hinges with minimal play and hence in a precise manner. They are held against each other by transverse interlocking means (37), thereby ensuring a simple assembly and precise guiding.