A surgical instrument includes a first power source and a second power source. The first power source is configured to deliver power to a surgical instrument at a first rate of discharge. The second power source is configured to deliver power to the first power source at a second rate of discharge. The first power source and the second power source are positioned within the surgical instrument. The first power source and the second power source are further configured to communicate with a control module. The control module may rely on power from the first power source to drive an end effector of the surgical instrument. The end effector may comprise a harmonic/ultrasonic blade, RF electrosurgical electrodes, powered cutting/stapling features, and/or various other types of components.

In a treatment instrument, one of a pair of jaws is supported by a supporter while being pivot able around the supporter with respect to the supporter. A drive member moves along a longitudinal axis so that the pair of the jaws are closed with respect to each other, thereby applying an axial force onto an elongated member from the drive member by way of the one of the jaws and the supporter in a direction along the longitudinal axis. A contact surface of the elongated member abuts on a housing when the elongated member moves with respect to the housing under the axial force, thereby suppressing rotation of the elongated member around the longitudinal axis with respect to the housing.

A medical treatment tool includes a tubular sheath having a longitudinal axis, a treatment section supported by a distal end of the sheath in a rotatable manner around the longitudinal axis, an operating section connected to a proximal end of the sheath, and a transmission mechanism that transmits an operational amount applied to the operating section so as to rotate the treatment section around the longitudinal axis. The transmission mechanism includes two transmitting sections that transmit different rotational amounts to the treatment section in accordance with two different kinds of operations performed on the operating section. At least one of the transmitting sections converts an operational amount applied to the operating section along a direction of the longitudinal axis into a rotational amount around the longitudinal axis between the operating section and the treatment section and transmits the rotational amount to the treatment section.

An improved surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle. The end-effector is capable of different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a trigger mechanism contained within the handle. In some embodiments, the end effector includes a pair of curved jaw members and blade assembly having a cutting blade at its distal end. The trigger mechanism drives blade assembly longitudinally within the elongate shaft such that the cutting blade protrudes between the jaw members. To help the trigger mechanism push the blade assembly around the curved jaws, the distal end of blade has a graduated flexibility that easily bends to the shape of the jaw members. The distal end of the blade may also be provided with a low friction coating so that it can easily slide between the jaw members.

The application relates to a medical instrument with a hollow shaft, at the proximal end a handle is arranged, and at the distal end a tool with two jaw parts is arranged, of which at least one jaw part is pivotable, wherein the distal end is configured as a tool tip that can be deflected, and the tool tip is rotatable, wherein the rotation of the tool tip is effected via a first actuation element which is operatively connected at the proximal end to the handle, and wherein the deflection of the tool tip is effected via a second actuation element which is operatively connected to the handle, and wherein the at least one pivotable jaw part is adjustable between a closed position and an open position via a pull/push element. The pull/push element is mounted eccentrically in the tool tip and parallel to the longitudinal axis.

A surgical instrument includes a handle, and an elongated shaft extending from the handle. An end effector extending from the elongated shaft is in communication with a source of electrosurgical energy and defines an end effector axis. A roll joint couples the end effector to the elongated shaft and includes a first tubular structure extending distally from the elongated shaft and a second tubular structure rotatably coupled to the first tubular structure. The second tubular structure supports the end effector such that the end effector is rotatable about the end effector axis.

A surgical instrument including housing having a shaft extending distally therefrom, an outer sleeve disposed about the shaft and selectively translatable relative to the shaft, a first drive shaft disposed within the shaft and translatable relative to the shaft independently of the outer sleeve, a second drive shaft disposed within the first drive shaft and coupled to the outer sleeve to translate in conjunction with the outer sleeve, and a rotatable nose wheel. The rotatable nose wheel is mounted about a distal end of the housing and is rotatably coupled to each of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft such that rotation of the rotatable nose wheel effects corresponding rotation of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft in conjunction with one another and relative to the housing.

An improved surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle. The end-effector is capable of several different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a trigger mechanism contained within the handle. The end effector includes a pair of curved jaw members and a blade assembly having a cutting blade at its distal end. The trigger mechanism is arranged to drive the blade assembly longitudinally within the elongate shaft such that the cutting blade protrudes between jaw members. In order to help trigger mechanism push the blade assembly around the curved jaws, the distal end of the blade has a graduated flexibility such that it can more easily bend to the shape of the jaw members. The distal end of blade may also be provided with a low friction coating.

In one embodiment, a strike instrument that couples to an insertion handle of an intramedullary nail has a shaft that extends along a shaft axis, and an abutment that extends outward relative to the shaft. The abutment is rotationally fixed to the shaft such that the shaft can rotate the abutment between a first orientation, where the abutment can be removed or inserted into the insertion handle, and a second orientation, where the abutment forms an interference with the insertion handle that prevents the abutment from being removed from the handle. The strike instrument includes a strike surface that can transfer an impaction force to the insertion handle, and a lock that engages the insertion handle so as to prevent the abutment from rotating from the second orientation to the first orientation after the abutment is rotated within the insertion handle from the first orientation to the second orientation.

A surgical instrument includes a rotatable electrical coupling assembly having a first part and a second part that electrically couple and rotate relative to each other. The second part is carried by and rotates with a tube collar coupled to a transducer. A portion of the transducer is inserted through an aperture of the second part, but does not contact the second part. The first part of the assembly may electrically couple to the second part via pogo pins, brush contacts, or ball bearings. Alternatively, the first part may comprise conductive channels formed in the casing. The second part may comprise a rotatable drum with a conductive trace. In some versions, one or more components may comprise MID components. In another version, the rotatable electrical coupling assembly comprises a rotatable PC board and brush contact. Further still, a circuit board may be provided with the transducer inside a transducer casing.