A61B2017/2939

Surgical stapling devices with improved rotary driven closure systems

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.

End effectors, surgical stapling devices, and methods of using same

An end effector for use to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. The anvil has an anvil face and a first staple pocket defined by the anvil face, where the first staple pocket comprises a first cup and a second cup for staple formation. The cartridge has a first staple and a first driver. The first staple, once deployed by the first driver and deformed by the first staple pocket, has a formed configuration in which a first portion of a first staple leg and a second portion of a second staple leg are bent relative to a crown and cross the midpoint of the crown and one of the first portion and the second portion overlaps the other of the first portion and the second portion.

Surgical clip applier with parallel closure jaws

An end effector for a surgical clip applier includes a housing, and jaws that include opposed first and second jaw members each comprising an independent structure movable relative to the other, the first jaw member defining a first inner surface and the second jaw member defining a second inner surface opposite the first inner surface. An actuation mechanism is arranged within the housing and is operable to move the jaws between an open position and a closed position, the actuation mechanism including a linear drive that provides transition pins engageable with angled slots defined in the first and second jaw members. Linear movement of the linear drive moves the jaws between the open and closed positions, and the first and second inner surfaces remain substantially parallel to each other as the jaws move between the open and closed positions.

CABLE-DRIVEN ACTUATION SYSTEM FOR ROBOTIC SURGICAL TOOL ATTACHMENT
20230119119 · 2023-04-20 ·

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.

MEDICAL INSTRUMENT
20230123097 · 2023-04-20 ·

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.

MEDICAL INSTRUMENT
20230123251 · 2023-04-20 ·

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.

MEDICAL INSTRUMENT
20230123949 · 2023-04-20 ·

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.

SURGICAL INSTRUMENT FOR BLUNT DISSECTION, DILATION OF INCISIONS, AND SEPARATION OF ADHESIONS
20220323093 · 2022-10-13 ·

Apparatus for blunt dissection, dilation of incisions, and separation of adhesions, the apparatus comprising: a frame; first and second belt supports mounted to the frame, the first and second belt supports being reconfigurable between a closed position and an open position; first and second continuous loop belts movably supported by the first and second belt supports, respectively, wherein the first and second continuous loop belts provide first and second outside surface face portions, respectively, and further wherein the first outside surface face portion is separated from the second outside surface face portion by a first distance when the first and second belt supports are in their closed position, and the first outside surface face portion is separated from the second outside surface face portion by a second, larger distance when the first and second belt supports are in their open position.

Articulating surgical instrument

A surgical instrument for use with a robotic manipulator includes an end effector assembly having one or two end effector members, each having a distal treatment end, a proximal end, and a tendon pass-through. Each end effector member is sandwiched between a corresponding pair of pulley members that, when assembled define an annular tendon pathway that is between the pulley members and that is aligned with the pass-through. For each end effector member, a tendon having a distal loop portion ends through the tendon pass-through, with its legs passing proximally from the pass-through, extending in opposite directions around the tendon pathway and proximally through the instrument's shaft.

Wristed instrument with shared pitch and yaw axes existing at the jaw pivot
11627977 · 2023-04-18 · ·

A surgical instrument includes a shaft and a pair of jaw members disposed on the shaft and extending from an at least partially spherical element. The jaw members are moveable in pitch and yaw relative to the center of the sphere in response to actuation forces applied to a proximal drive mechanism of the instrument. The surgical instrument may include a manually operated handle for manual input of actuation forces by a user, or it may be removably mounted to a drive component of a robotic system such that its proximal drive mechanism is operatively engaged with actuators that generate mechanical output that is transferred to the proximal drive mechanism.