A surgical suturing system is disclosed. The surgical suturing system comprises a shaft, a firing drive comprising a motor, and an end effector extending distally from the shaft. The end effector comprises a needle driver configured to be actuated by the motor, wherein the needle driver is configured to drive a needle installed within the end effector. The end effector further comprises a needle track configured to guide the needle installed within the end effector through a needle firing stroke, wherein the end effector is configured to accommodate suturing needles having different sizes. The surgical suturing system further comprises a control circuit configured to sense the size of the suturing needle installed within the end effector and adjust the actuation stroke of the motor to accommodate the size of the needle installed within the end effector.

A surgical tool including a housing having a proximal end and a distal end the housing including a guide rail. The tool also includes a yoke slidably coupled to the housing, a handle pivotally coupled to the housing, and a link coupling the handle to the housing, the link having a first end and a second end, the first end of the link rotatably coupled to the handle and the second end of the link rotatably coupled to the yoke and slidable within the guide rail. The tool further includes a yoke pivot pin pivotably coupling the second end of the link to the yoke and a handle pivot pin coupling the link to the handle, wherein the handle pivot pin is disposed proximal compared to the yoke pivot pin.

A surgical suturing system is disclosed. The surgical suturing system comprises a firing drive, an end effector, and a needle configured to be driven by said firing drive. The end effector comprises a track defined therein configured to guide the needle through a needle firing stroke. The surgical suturing system further comprises a needle driver configured to be driven by the firing drive and configured to drive the needle through the needle firing stroke.

A medical insertion device includes an elongated shaft extending from a proximal end to a distal end and having flexibility sufficient for insertion through a working channel of an endoscope along a tortuous path. The elongated shaft includes a coil extending from the proximal end to the distal end and having a channel extending longitudinally therethrough and a braided portion extending around a portion of the coil, the braided portion including a plurality of lines wound together such that first and second ones of the lines intersect to enclose a predetermined angle therebetween, the angle being between 25 and 55 degrees.

Aspects of a device are described. One aspect is a device comprising: a housing having a first portion engageable with a scope, and a second portion engageable with a handle of a retrieval device; a platform that is movable relative to the housing, and engageable with a slider of the retrieval device; and a link assembly that is coupled the housing and the platform, and operable to move the platform and slider relative to the housing and handle. Aspects of related devices and systems also are described.

Provided is an instrument for surgery and, more specifically, to an instrument for surgery which can be manually operated in order to be used for laparoscopic surgery or various types of surgery.

A knot pusher for quickly loading suture without needing to thread a distal end. The knot pusher includes an actuator housing having an actuator moveable between an open position and a closed position and an elongated tube extending from the actuator housing. The knot pusher includes at least two slots, a gate slot extending through the elongated tube and a suture loading slot extending through the elongated tube and traversing the gate slot. A moveable gate cross bar is connected to the actuator such that the gate cross bar moves with the actuator between the open position and the closed position. When the actuator is in the closed position, the gate cross bar extends through at least a portion of the suture loading slot. The knot pusher may also include an ergonomic loop handle that enforces the correct orientation of the knot pusher for use.

A surgical tool including a housing having a proximal end and a distal end the housing including a guide rail. The tool also includes a yoke slidably coupled to the housing, a handle pivotally coupled to the housing, and a link coupling the handle to the housing, the link having a first end and a second end, the first end of the link rotatably coupled to the handle and the second end of the link rotatably coupled to the yoke and slidable within the guide rail. The tool further includes a yoke pivot pin pivotably coupling the second end of the link to the yoke and a handle pivot pin coupling the link to the handle, wherein the handle pivot pin is disposed proximal compared to the yoke pivot pin.

Surgical instrument is provided. The surgical instrument is capable of being operated manually or automatically for use in laparoscopic surgery or various surgeries and includes a locking device capable of locking and/or unlocking at least one operation.

A robotic surgical tool includes a handle having a drive input and a spline, a bailout ring arranged at the handle, and a slipper clutch mechanism received within the bailout ring. The slipper clutch mechanism including a slip carrier rotationally fixed to the bailout ring and defining a vertical slot that slidably receives a pin, a first ring arranged within the slip carrier and defining a first interface, a second ring arranged within the slip carrier atop the first ring and defining a second interface, and a pinion gear operatively coupled to the spline and arranged to intermesh with radial gear teeth defined on the second ring. Manual rotation of the bailout ring rotates the slip carrier and the pin and thereby rotates the first and second ring in succession to rotate the spline and manually bail out a function of the robotic surgical tool.