The present invention provides a robotic locomotive device (1) that is capable of driving itself forwards and backwards, anchoring and steering itself whilst inside a tubular structure (200), for example, the human colon, or any structure comprising two opposing walls (202, 204). In this respect, the device is made up of two or three segments (102, 104, 106) covered in an elastic material and driven by an internal actuating mechanism. All of the segments (102, 104, 106) have a concertina configuration that enable a shortening and lengthening motion. As well as contracting and extending in length, at least one of the end segments (102, 106) is capable of bending at an angle away from the longitudinal axis such that it becomes wedged or jammed between the walls (202, 204) of the tubular structure (200). That is, the end segments (102, 106) are capable of both a bending action and a contracting and extending action. The device (1) moves by alternately jamming a segment (102, 104, 106) between the walls (202, 204) of the tubular structure (200), and then contracting or extending the segments (102, 104, 106) to inch the device (1) forward with a more effective locomotive action. As such, the present invention provides a simplified design that is more robust to harsh or unclean environments, whilst still maintaining the level of performance required from such a device.

The present invention provides a robotic locomotive device that is capable of driving itself forwards and backwards, anchoring and steering itself whilst inside a tubular structure, for example, the human colon, or any structure comprising two opposing walls. In this respect, the device is made up of two or three segments covered in an elastic material and driven by an internal actuating mechanism. All of the segments have a concertina configuration that enable a shortening and lengthening motion. As well as contracting and extending in length, at least one of the end segments is capable of bending at an angle away from the longitudinal axis such that it becomes wedged or jammed between the walls of the tubular structure. That is, the end segments are capable of both a bending action and a contracting and extending action. The device moves by alternately jamming a segment between the walls of the tubular structure, and then contracting or extending the segments to inch the device forward with a more effective locomotive action. As such, the present invention provides a simplified design that is more robust to harsh or unclean environments, whilst still maintaining the level of performance required from such a device.

A coupling device for detachably connecting a medical or dental instrument to a drive unit or a supply hose for transfer of at least one of data, energy, a driving movement and a working medium between the drive unit or the supply hose and the instrument includes a first coupling element and a second coupling element. One of the coupling elements includes a coupling recess and the other includes a coupling protrusion insertable therein. One of the coupling elements includes a positioning element and the other includes an indentation into which the positioning element can be inserted to position the coupling elements in a defined angular position about a shared axis. One of the coupling elements includes a memory unit for storage of data and the other includes a transfer unit, so that data can be transferred from the memory unit by the transfer unit to the other coupling element.

A surgical instrument for treating the tissue of a patient is disclosed. The surgical instrument comprises a staple cartridge. The staple cartridge comprises staple cavities and a longitudinal slot. The surgical instrument further comprises staples removably positioned in the staple cavities, a cutting member movable within the longitudinal slot, a firing system configured to elect the staples from the staple cavities to staple the tissue, a cutting system configured to move the cutting member within the longitudinal slot to cut the tissue, and a control system configured to operate the firing system and the cutting system independently of one another.

Medical devices, systems, and methods for catheter-based structural heart therapies, including positioning of prosthetic mitral valves, make use of catheter structures that can flex when advanced over a pre-bent guidewire. Telescoping transseptal access systems use steering segments that are disposed proximal of a relatively rigid catheter segment (the segment optionally supporting a prosthetic valve) by engaging tissue adjacent the right atrium near the proximal end of the valve, and by telescoping a relatively rigid needle guide distally from the valve across the right atrium to engage tissue of the fossa ovalis. Hybrid pull-wire/balloon articulation systems may optionally employ relatively stiff pull-wire articulation within the right atrium, and relatively flexible balloon articulation systems within the left atrium. More generally, hybrid systems may have catheter systems with pullwires or movable sheath, along with fluid drive and robotic control components.

A surgical device for stabilizing or immobilizing moved tissue or for positioning organs, especially a part of a beating heart, includes a flexible arm, especially a link arm, fixed or fixable to a base member which arm can be brought into different positions and/or attitudes and at the free end of which at least one retaining element is arranged, and comprising a tightening mechanism by which the arm can be fixed at a desired position. The tightening mechanism is tightened and/or released by means of a manually controllable external power source.

Minimally invasive instrument for robotic surgery including a functional element, a force, torque and/or pressure transmission device for transmitting force, torque and/or pressure from a drive to the functional element, a coupling device for coupling the instrument to a medical robot such that the functional element can be actuated by the drive, wherein an operating element for manually operating the functional element in a state in which the instrument is uncoupled from the medical robot.

A method for repairing a torn portion of fibrous connective tissue including placing the torn portion of the fibrous connective tissue within a tubular construct consisting of a biocompatible, surgically implantable material, wherein the tubular construct is equipped with at least one barbed drawstring having a plurality of barbs on a surface thereof, and wherein the drawstring transforms the tubular construct from a first configuration in which the tubular construct has a first minimum diameter, to a second configuration in which the tubular construct has a second minimum diameter that is less than the first minimum diameter; and using the drawstring to transform the tubular construct into the second configuration; wherein, when the tubular construct is in the second configuration, the plurality of barbs engage the fibrous connective tissue.

A device having a plurality of anchors configured to be driven into a tissue, and a closure element extending between the anchors and configured to urge the anchors toward each other, closing a wound and complying with motion of the tissue.

A robotic surgical system includes a fluid drive system and a surgical instrument removably positioned in operative engagement with the drive system. A sterile barrier covers non-sterile portions of the surgical system. Features of the sterile barrier are used to transfer motion output from the fluid drive system to the instrument for actuation of the instrument.