A surgical system includes a robot main body, a slave controller, a display device that displays an endoscopic image, and an manipulation input device. The robot main body includes an entry guide having a plurality of guide bores, an entry guide support device that supports the entry guide, an instrument manipulator that has a surgical instrument provided at a distal end and is inserted into the entry guide, and an endoscope manipulator that has an endoscopic camera provided at a distal end and is inserted into the entry guide. The slave controller operates the robot main body such that the surgical instrument advances from an exit of the entry guide after the endoscopic camera advances from the exit of the entry guide and starts capturing in response to a body cavity insertion command received by the manipulation input device.

The invention relates to a surgical device for minimally invasive surgery, comprising a shaft and a surgical module mounted to the distal end thereof. The shaft includes a tube and a pair of sliders driven by the tube via a rotary to linear linkage such that a rotation of the tube around the longitudinal axis induces a movement of the sliders along the longitudinal axis, in mutually opposite directions. The surgical device further includes wires that are each connected to a corresponding slider and to the surgical module such that a movement of the sliders, in mutually opposite directions, induces a movement of the surgical module in a first degree of freedom. The tube is also axially moveable towards the proximal end of the shaft inducing a movement of both sliders away from the surgical module, thereby inducing a movement of the surgical module in a second degree of freedom.

An end effector of a surgical tool may include a housing, a jaw support shaft, jaw members, an articulation member, and cam pulleys. The jaw members may be supported on the support shaft and may be pivotable about a pivot axis. The articulation member may have a slot and include articulation pins extending from it that are coupled to the jaw members. The slot may be adapted to receive the jaw support shaft to support the articulation member between the jaw members. The articulation member may be rotatable about the jaw support shaft to articulate the jaw members relative to the longitudinal axis. The cam pulleys may be mounted to the housing and coupled to the jaw members. The cam pulleys may be rotatable about the pivot axis to pivot the pair of jaw members between open and closed conditions.

A clip device includes a restraining tube having an insertion passage with a first arm part and a second arm part facing each other and disposed within the insertion passage and configured to protrude from the restraining tube. The clip device further includes an operation wire configured to move the first arm part. A first stopper is engaged to the first arm part and a second stopper is engaged to the second arm part. The first stopper is disposed in a region closer to a distal end of the restraining tube than the second stopper. The first stopper is configured to, in response to the operation wire moving from the distal end of the restraining tube to a proximal end of the restraining tube, move relative to the second stopper, contact the second stopper, and move in contact with the second stopper.

A tool (30) for a microinvasive surgical instrument includes a body member (40). A proximal end (41) of the body member is mechanically connected to or is configured to be mechanically coupled to a distal end (16) of a shaft (14) of a microinvasive surgical instrument (10). A first jaw (50) has a mechanically articulated connection to the body member. A second jaw (60) has a mechanically articulated connection to the body member. The first jaw and the second jaw are configured to be pivoted independently from each other. The second jaw provides the shape of a U or O at least partially encircling a fenestration (61). The tool provides open configurations, each with an angular distance between the first jaw and the second jaw. The tool provides a closed configuration with the first jaw at least partially accommodated in or capping the fenestration of the second jaw.

Surgical assemblies and related methods are disclosed that provide for decoupling of instrument shaft roll and end effector actuation. A surgical assembly includes a base, an instrument shaft rotationally mounted to the base, an end effector supported at a distal end of the instrument shaft and including an actuation mechanism driven by a rotational motion, a drive shaft rotationally coupled with the actuation mechanism and configured to provide the rotational motion to the actuation mechanism, and a differential rotationally coupled to the drive shaft and receiving a first input motion and a second input motion. The differential combines the first and second input motions to generate an output motion that rotates the drive shaft. The first input motion is rotationally coupleable to an actuation source. The second input motion is coupled to rotation of the instrument shaft relative to the base.

A robotic surgical instrument comprising a shaft, an articulation attached to the distal end of the shaft, and a driving mechanism at the proximal end of the shaft. The articulation comprises a plurality of joints for articulating an end effector, the plurality of joints driveable by at least first and second pairs of driving elements. The driving mechanism comprises a pulley arrangement and a pulley drive. The pulley arrangement comprises first and second pulleys attached together such that their separation is fixed, wherein the first pair of driving elements is constrained to move around the first pulley, and the second pair of driving elements is constrained to move around the second pulley. The pulley drive is configured to linearly displace the pulley arrangement, such that a linear displacement in one direction away from the distal end of the shaft causes the first pair of driving elements to be tensioned and the second pair of driving elements to be de-tensioned, and a linear displacement in an opposing direction towards the distal end of the shaft causes the second pair of driving elements to be tensioned and the first pair of driving elements to be de-tensioned.

An end effector of a surgical tool may include a housing, a jaw support shaft, jaw members, an articulation member, and cam pulleys. The jaw members may be supported on the support shaft and may be pivotable about a pivot axis. The articulation member may have a slot and include articulation pins extending from it that are coupled to the jaw members. The slot may be adapted to receive the jaw support shaft to support the articulation member between the jaw members. The articulation member may be rotatable about the jaw support shaft to articulate the jaw members relative to the longitudinal axis. The cam pulleys may be mounted to the housing and coupled to the jaw members. The cam pulleys may be rotatable about the pivot axis to pivot the pair of jaw members between open and closed conditions.

A treatment tool unit according to one or more embodiments may be attachable to an actuation unit including an actuation-side shaft which accommodates rigid actuation-side elongate elements. The treatment tool unit may include: a distal end portion; flexible elongate elements coupled to the distal end portion to manipulate the distal end portion; rigid distal end-side elongate elements each including a first end coupled to a corresponding one of the flexible elongate elements and a second end capable of being coupled to a corresponding one of the actuation-side elongate elements; a distal end-side shaft which accommodates the rigid distal end-side elongate elements and is attachable to the actuation-side shaft; and a distal end-side movement restricting portion which restricts movements of the distal end-side elongate elements with respect to the distal end-side shaft toward the distal end portion in an axial direction of the distal end-side shaft.

A surgical instrument end effector assembly includes a first jaw member defining an insulative tissue-contacting surface and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the insulative surface. A second jaw member of the end effector assembly includes an ultrasonic blade body positioned to oppose the insulative surface of the first jaw member, and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the ultrasonic blade body and positioned to oppose the first and second electrically-conductive surfaces, respectively, of the first jaw member. The first jaw member is movable relative to the second jaw member between a spaced-apart position and an approximated position to grasp tissue therebetween. The first and second electrically-conductive surfaces of the second jaw member are movable, independent of the first jaw member, relative to the first jaw member and the ultrasonic blade body between a retracted position and an extended position.