Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the one-handed operation, namely embodiments in which relative axial movement between the inner tensioning device and outer driver device is optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions, are described herein. Other preferred embodiments of the present invention relate to multi-anchor constructs that may employ threaded implants exclusively, push-in implants exclusively, or a combination of threaded and push-in implants.

An ultrasonic surgical system is disclosed including an end effector, an elongate shaft, an articulation joint, and an articulation system. The end effector is rotatable relative to the elongate shaft about the articulation joint. The articulation system includes a distal plate, a first cable, a second cable, and a gear. The distal plate is configured to articulate toward a first side of the gear based on the gear rotating in a first direction and articulate toward a second side of the gear based on the gear rotating in a second direction. The end effector is configured to articulate in a first articulation direction about the articulation joint based on the distal plate articulating toward the first side of the gear. The end effector is configured to articulate in a second articulation direction about the articulation joint based on the distal plate articulating toward the second side of the gear.

Endoscope apparatus includes: a tube unit coupled to a rotary shaft to which a rotational force is transmitted so as to be rotatable, the tube unit being formed to extend in one direction; steering unit having one end installed at one end of the tube unit to rotate with respect to the tube unit so that a direction thereof facing forward is adjusted, the steering unit rotating together with the tube unit by the rotational force transmitted from the tube unit; an end effector installed inside the steering unit to rotate together with the steering unit due to the rotation of the steering unit, the end effector being disposed to face forward; and shaft-fixing tube body installed at the end effector, wherein the direction of the steering unit facing forward and relative rotation of the steering unit with respect to the end effector are adjustable.

The present invention relates to a hysteresis compensation control apparatus of a flexible tube and a method thereof for compensation control of hysteresis of a surgical instrument disposed in a channel of an overtube. The hysteresis compensation control apparatus includes: an input unit receiving image information and tension information of a flexible surgical instrument required for mode switching; a mode switching determining unit for determining a current state of the surgical instrument on the basis of the image information of the surgical instrument, and generating a control mode switching signal according to the current state of the surgical instrument; a mode switching unit for switching a control mode from a flexible tube control based on the image information to a flexible tube control based on the tension information according to the control mode switching signal; and a compensation control unit for compensatingly controlling a flexible surgical instrument having hysteresis characteristics on the basis of a tension error value calculated by a learning model.

Embodiments of the present disclosure provide robotic systems, apparatuses, and methods. One such robotic system comprises a robotic surgical tool; and a steering system configured to steer the robotic surgical tool based on motion angle commands along X and Y axes as the robotic surgical tool moves in an Z axis direction within a tubular passageway. The system further comprises a computing device that executes an artificial intelligence program configured to control the steering system by computing the motion angle commands based on a current position of the robotic surgical tool along planar axes of the tubular passageway and center positions of the passageway along the planar axes. Other systems and methods are disclosed.

An external endoluminal fixator device to fix rectal prolapse and/or vaginal and/or uterine and/or urinary bladder prolapse by passing through it, includes a head configured at distal end of the external endoluminal fixator device such that the head passes through an anorectum or a vagina of a body. The device then includes a hollow shaft connected with the head which is in angulation corresponding to usage in the anorectum or a sacral hollow or the vagina of the body and an endoluminal fixator device handle connected with the hollow shaft at proximal end of the external endoluminal fixator device, configured to remain outside of anus or vagina to have a sturdy grip so as to push up the head of the endoluminal fixator device either trans-anally or vaginally with the anorectum or the vagina against undersurface of the anterior abdominal wall.

A catheter adapted for deflection in a narrow tubular region and/or sharp turn, has an elongated body, a deflection section having a support member adapted for heat activation to assume a trained configuration, and a lead wire configured to deliver a current to the support member for heat activation. The support member is constructed of a shaped memory alloy, for example, nitinol, and the lead wire is adapted to directly heat the support member. Moreover, the catheter may include a thermally insulating layer covering at least a portion of the support member. The trained configuration of the support member extends in a single dimension, in two dimensions or in three dimensions.

A neurovascular access catheter can comprise an elongate, flexible tubular body. The tubular body can comprise a proximal end, a distal end, and a side wall at least partially defining a central lumen. The central lumen can extend axially through the side wall. The tubular body can include a distal microcatheter segment that extends proximally from the distal end. The tubular body can include a proximal shaft that extends distally from the proximal end. The tubular body can include a tapered dilator segment being positioned in between the distal microcatheter segment and the proximal shaft segment.

A medical manipulator includes: an end effector provided at a distal side of the medical manipulator; a proximal housing provided at a proximal side of the medical manipulator; and an elongated portion coupled to both the end effector and the proximal end. The elongated portion includes: a first elongated member coupled to both the end effector and the proximal housing; a second elongated member coupled to only either one of the end effector and the proximal housing, the second elongated member being configured to form by surrounding the first elongated member; and to be slidable in a longitudinal direction relative to the first elongated member; and a third elongated member coupled to both the end effector and the proximal housing, the third elongated member being configured to form an exterior of the elongated portion by surrounding the second elongated member.

A surgical instrument comprising a sensing system is disclosed.