A treatment tool includes: a pair of grippers configured to grip living tissue, at least one of the pair of grippers being configured in an openable and closable manner; a transmission portion connected to the at least one of the pair of grippers, the transmission portion being configured to move forward and backward along a first direction to open and close the pair of grippers; an operating portion configured to receive user operation for gripping the living tissue; an elastic body configured to transmit, to the transmission portion, an operating force applied to the operating portion by the user operation while being compressively deformed in accordance with the operating force; and an adjustment mechanism configured to adjust an amount of compressive deformation of the elastic body when the user operation is performed on the operating portion, to thereby adjust a gripping force of the pair of grippers.

A method for treating OAB in a female patient includes positioning a visualization scope in the patent's vagina; advancing a guide wire through a working channel of a visualization scope, until a tissue penetrating distal tip of the guide wire advances out of the working channel and penetrates a wall of the superior portion of the vagina; continuing to advance the guidewire tip submucosally through the wall of the vagina, until it is positioned within tissue of the bladder trigone; advancing a balloon dilation catheter over the guidewire until a balloon carried on a distal end portion of the balloon dilation catheter is positioned proximate the distal tip of the guidewire within the bladder trigone tissue; and inflating said balloon to form a first dissection plane between separated layers of tissue within the bladder trigone.

A surgical system includes at least one input coupler, an end effector assembly having a pair of jaw members configured to grasp tissue, and an actuation assembly. The pair of jaw members are caused to transition from an open position to a closed position to apply a jaw force to tissue. The surgical system also includes an articulating section configured to transition the end effector assembly between an un-articulated position and at least one articulated position and a storage device storing setting information and adjustment information. The setting information enables determination of a first input to cause the pair of jaw members to apply the jaw force to the tissue. The adjustment information enables adjustment of the setting information based on the position of the end effector assembly, for determination of a second input to cause the pair of jaw members to apply the jaw force to the tissue.

A surgical instrument comprising an articulatable end effector that is attached to an elongate shaft at an articulation joint. The end effector comprises a first jaw and a second jaw that is movably supported relative to the first jaw between an open position and a closed position. The instrument also includes a rotary closure shaft that operably interfaces with a closure assembly located distal to the articulation joint. The closure assembly interfaces with the second jaw and is configured to move axially in response to rotary closure motions applied thereto by the rotary closure shaft. Axial movement of the closure assembly results in an application of pivotal closure motions to the second jaw to move the second jaw between the open position and the closed position.

A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg.

A surgical end effector assembly is disclosed. The surgical end effector assembly comprises a shaft, an end effector comprising a first jaw and a second jaw movable relative to the first jaw, and an articulation joint attaching the end effector to the shaft, wherein the articulation joint defines an articulation axis about which said end effector is articulatable relative to the shaft. The articulation joint comprises a first rotary drive member rotatable about the articulation axis and a second rotary drive member rotatable about the articulation axis, wherein the first rotary drive member and the second rotary drive member are rotatable in the same direction to articulate the end effector about the articulation axis. The surgical end effector assembly further comprises a jaw drive output cooperatively driven by the first rotary drive member and the second rotary drive member configured to clamp and unclamp tissue with the second jaw.

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.

The invention relates to a medical instrument having a hollow shaft, whose proximal end can be connected to an operating unit and having a tool tip arranged at the distal end of the shaft having a tool arranged at the distal end of the tool tip, wherein the tool has two jaw parts , which can be pivoted relative to one another and wherein the jaw parts are pivoted via actuating elements, which are mounted so as to be axially displaceable in the shaft and which can be actuated on the proximal side via the operating unit and wherein the tool tip can be pivoted via a joint mechanism relative to the longitudinal axis of the shaft.

In order to provide a medical instrument, which ensures a uniform transmission of tensile and compressive forces even via the pivot region to the tool tip, it is proposed according to the invention that the pivotable jaw parts are each coupled via an articulated drive element to the distal end of an actuating element mounted so as to be axially displaceable in the shaft such that the articulated drive element spans the region of the joint mechanism between the distal end of the shaft and the proximal end of the tool tip.

A robotic surgical instrument, comprising: a shaft; an end effector element; an articulation at a distal end of the shaft for articulating the end effector element, the articulation comprising a first joint permitting the end effector to adopt a range of configurations relative to the longitudinal axis of the shaft, the first joint being driveable by a first pair of driving elements; and an instrument interface at a proximal end of the shaft, comprising: a chassis formed from the securement of a first chassis portion to a second chassis portion, wherein the first pair of driving elements are secured relative to the chassis, the chassis portions being configured to be secured together by sliding the chassis portions relative to each other in a longitudinal direction parallel to the longitudinal axis of the shaft.

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.