Disclosed is an instrument assembly usable in a procedure. The instrument includes a connection for a working portion and to a tool handle. The assembly includes a method and system for interconnection and/or identification of the working portion and the handle. The instrument may also include various trackable features to allow for a navigated procedure.

Disclosed is a reusable surgical instrument (1) with an articulated end-effector (3), such as a dissector, scissor or grasper, to enhance a surgeon's performance during various surgical procedures. The longitudinal axis of the instrument is defined by a shaft (2), comprising an internal structural element (2″) covered by an external tube (2′), which may be inserted through a surgical incision into the body of a patient, optionally through a trocar. The articulated end-effector (3) is mounted on the distal extremity of the shall's internal structural element and comprises a plurality of links interconnected by a plurality of joints, whose movements are remotely actuated by the surgeon's hands. This remote actuation is accomplished via mechanical transmission (5, 6, 7), mainly composed of flexible elements, which are able to deliver motion from a set of actuation elements, placed at a proximal extremity of the shaft (2), to the instrument's articulated end-effector (3). The external tube (2) can be easily and individually detached from the shalt (2) after each procedure, so that the instrument (1) can be more effectively cleaned and sterilized.

A surgical instrument is provided having an actuator mechanism with an integrated extension element. The surgical instrument comprises a handle assembly, an elongate shaft, and an end effector. The end effector comprises a jaw assembly having atraumatic pads to reduce force on grasped tissue. An actuator is movable within the elongate shaft to actuate jaws of the jaw assembly responsive to a movable handle of the handle assembly. The actuator can have an integrated extension element that allows the actuator to translate within the elongate shaft upon application of a relatively low force and translate and extend upon application of a relatively higher force to the actuator to limit the force applied by the jaw assembly. The actuator also utilizes forces stored with the integrated extension element to provide a dynamic amount of force used to grasp the tissue when the tissue volume decreases while in the jaws.

A medical device includes: a drive shaft that is rotatable; a drive unit that is connected to a proximal portion of the drive shaft and rotates the drive shaft; a housing that accommodates the proximal portion of the drive shaft; and a handle portion that accommodates the drive unit and the housing, in which the housing includes an accommodation portion that is provided therein, a shaft support that is disposed in the accommodation portion and has a lumen through which the proximal portion of the drive shaft is inserted, and an elastic body that is disposed between an outer peripheral surface of the shaft support and an inner peripheral surface of the accommodation portion, and since an outer diameter of the shaft support is smaller than an inner diameter of the accommodation portion, the shaft support is movable in the accommodation portion.

An ultrasonic transducer assembly of an ultrasonic surgical instrument includes a piezoelectric stack, an ultrasonic horn secured to and extending distally from the piezoelectric stack and including a body and a nose extending distally from the body, an overmold seal formed about the body of the ultrasonic horn, and a casing disposed about the piezoelectric stack, the body of the ultrasonic horn, and the overmold seal. The casing defines a distal opening through which the nose of the ultrasonic horn extends. The overmold seal establishes a hermetic seal with the casing to define a hermetically sealed interior enclosing the piezoelectric stack and the body of the ultrasonic horn therein.

An ultrasonic catheter assembly includes a sheath having a sheath lumen. A core wire is at least partially disposed within the sheath lumen. The core wire has a proximal portion and a distal portion. The proximal portion of the core wire is configured to be coupled to an ultrasound-producing mechanism. A working length of the distal portion of the core wire extends distally from the sheath. The working length is configured for longitudinal displacement, transverse displacement, or a combination of longitudinal and transverse displacement, in accordance with a plurality of output modes for vibrational energy supplied to the core wire proximal portion by the ultrasound-producing mechanism.

Disclosed herein is a medical device including a dynamic seal and a movable member. The device allows the movable member to translate proximally and distally through the dynamic seal while fluid does not flow proximally to the dynamic seal member.

A surgical fastener applier including a housing containing a compartment, an elongated member extending distally from the housing, first and second jaws and a firing mechanism positioned within the housing. The firing mechanism is movable between a first position and a second position to effect firing of fasteners into the tissue clamped between the first and second jaws. A cover on the housing is openable to access the compartment. A power pack is removably loadable into the compartment, the power pack having a motor and an engagement member removably engageable with the firing mechanism within the compartment when the power pack is loaded into the compartment to effect movement of the firing mechanism from the first position to the second firing position.

An electrosurgical instrument (10) with two branches (11, 12) that are pivotably supported at each other by means of a pivot joint (13) is disclosed. The pivot joint (13) has a support pin (34) and a support cavity (37). The support pin (34) is particularly torque-proof connected with one of the branches (11) or (12) and rotatably supported in the support cavity (37) of the respective other branch (12) or (11). Between the branches (11, 12) a seal (45) is provided that sealingly abuts at the two branches (11, 12) and that surrounds the support pin (34) completely in the circumferential direction. Preferably, the support pin (34) is sealingly connected with the respective branch (11, 12) at its axial ends. In doing so, entering of contaminants in the area between the support pin (34) and the support cavity (37) from all sides or access possibilities is inhibited.

Forceps including a housing, a first body, a second body and a drive shaft. The first body has a passageway extending therethrough. The drive shaft extending through the passageway and connected to the first body such that the first body and the drive shaft are slidable with respect to the housing to drive jaws located at a distal portion of the drive shaft between an open position and a closed position. The second body having a second passageway. The drive shaft extending through the second passageway such that the second body is guided by the drive shaft and is slidable relative to the first body and the drive shaft to displace a blade shaft between a retracted position and an extended position.