A surgical instrument comprising a shiftable transmission is disclosed. The transmission comprises a mechanism for assuring that the transmission is in one of a plurality of predefined configurations.

A forceps having at least a first jaw with a longitudinal axis is disclosed. The first jaw can include a body portion, a first flange, a second flange and a cam pin. The first flange can define a first cam slot with a longitudinal extent along the longitudinal axis. The second flange can be spaced from the first flange a distance transverse to the longitudinal axis of the first jaw and can have a second cam slot. The cam pin, with a longitudinal axis, can be moveably secured within the first cam slot and the second cam slot. A diameter of the cam pin can be less than a width between a first longitudinal edge that defines a first side of each of the first cam slot and the second cam slot and a second longitudinal edge that defines a second opposing side of each of the first cam slot and the second cam slot so that the cam pin is moveably received by both the first cam slot and the second cam slot. With the first jaw pivoted to at least a first position, the cam pin and first flange can be configured such that the first longitudinal edge is contacted by the cam pin but the second longitudinal edge is spaced from the cam pin. The cam pin and second flange can be configured such that the first longitudinal edge is spaced from the cam pin but the second longitudinal edge is contacted by the cam pin.

A method for producing a medical hand-held instrument having two grip elements, pivotable relative to each other, and a spring element, with the method steps to be performed in the following sequence: providing the two grip elements each with a pivot-pin receiver eyelet formed thereon, at their one end portion and an articulation eyelet for the spring element formed thereon, providing the spring element with pivot pins arranged at or formed integrally with each spring end, inserting the pivot pins of the spring element into the articulation eyelets of the grip elements not yet pivotally coupled to each other, and bringing together the grip elements in the region of their pivot pin receiver eyelets and pivotally coupling the grip elements by inserting a pivot pin into the overlapping pivot pin receiver eyelets.

An ophthalmic surgical instrument for cataract removal surgery includes a helical coil structure including a wire or elongated structure coiled in a plurality essentially similar diameter coils of 360-degree turns in a corkscrew having a coil diameter sufficiently small to fit within an incision of a human ocular lens capsule for entering the human ocular lens capsule during a cataract removal surgery. A pointed sharp end pierces and grasps a human ocular lens under the control of a surgeon upon being inserted in a human ocular lens capsule within said ocular lens capsule during a cataract removal surgery. The corkscrew structure firmly holds the human ocular lens and controls the position and movement of the human ocular lens during said cataract removal surgery.

A surgical tool can include a handle, an outer tube, an end effector, an inner tube, and a guide tube. The outer tube can be connected to the handle and can extend along a longitudinal axis. The end effector can be connected to the outer tube. The inner shaft can be located within the outer tube and can extend along the longitudinal axis. The inner shaft can be connected to the end effector and the outer shaft. The handle can be operable to translate the inner shaft with respect to the outer tube to operate the end effector. The guide tube can be located within the outer tube between the handle and the end effector. The guide tube can include a conduit extending therethrough.

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force.

A surgical instrument system comprising a first motor, a second motor, and a third motor is disclosed. The surgical instrument system comprises a first handle comprising a first number of controls, a second handle comprising a second number of controls, and a shaft assembly. The shaft assembly is attachable to the first handle in a first orientation in order to engage one of the motors. The shaft assembly is attachable to the second handle in a second orientation to engage a different motor. The surgical instrument system is configured to perform a different function of an end effector in the first orientation and the second orientation.

An operating structure of a surgical clip applier is provided to drive a clip clamping unit. The operating structure of the surgical clip applier comprises: a body; a front driving element for driving the clip clamping unit; a restoring spring for driving the front driving element to move backward; a press-control element pivotally connected to the body; a front driving arm pivotally connected to the press-control element; and a lower driving arm with two ends pivotally connected to the body and the front driving arm, respectively, to drive the front driving element to move forward.

The suturing instrument uses a tissue suturing method consisting in introducing a quick-hardening biocompatible mass (hereinafter referred to as the ‘mass’) into the tissues to be connected or drawing it from them through hollow needles. The instrument has housing (1) with tissue gripping jaws (2 and 3) with control handles (5, 14). One of the jaws contains needle holder (19) with mechanism (17) moving it both ways. The needle holder contains mass receptacle (25, 28) above needles (18) that is connected to needle mouths via damper (33). A mechanism squeezing the mass out of the receptacle is located above the receptacle: inflatable bladder (29) that is open to external source of elevated pressure (31), rod or lock plate (59) with a device securing it to jaw walls (3) or instrument housing walls (1) on needle withdrawal from tissues. The mass receptacle presses against the fixed lock plate on needle lifting, and the mass is uniformly fed into tissues. The instrument can also be mounted on surgical forceps, (FIG. 1).

A bipolar sealing instrument includes a first actuating mechanism for manual actuation of a tool provided at a distal instrument tip at least in a low-load working force range. A second actuating mechanism includes an electric motor configured to be automatically activated when a high-load working force range is reached, in order to subsequently transfer the tool into a high-load working posture/position in a motor-assisted or fully automatic manner supporting the manual actuation.