An organizer is provided for holding surgical forceps in a ready position. Each surgical forceps includes a pair of shanks with distal tips, proximal ring handles, and a ratchet mechanism adjacent the ring handles. The organizer has a base, and a wedge-shaped core projecting upwards along a vertical axis from the base. The core has a profile adapted to fit within a respective opening of each respective forceps bounded by the shanks and the ratchet mechanism when the ratchet mechanisms are engaged. A plurality of wings project radially from the core to define a plurality of substantially U-shaped channels between adjacent wings. The channels are configured to nest the shanks of the forceps so that the respective forceps are locked in the grooves by their respective ratchet mechanisms.

An organizer is provided for holding surgical forceps in a ready position. Each surgical forceps includes a pair of shanks with distal tips, proximal ring handles, and a ratchet mechanism adjacent the ring handles. The organizer has a base, and a wedge-shaped core projecting upwards along a vertical axis from the base. The core has a profile adapted to fit within a respective opening of each respective forceps bounded by the shanks and the ratchet mechanism when the ratchet mechanisms are engaged. A plurality of wings project radially from the core to define a plurality of substantially U-shaped channels between adjacent wings. The channels are configured to nest the shanks of the forceps so that the respective forceps are locked in the grooves by their respective ratchet mechanisms.

A hand tool has a pivot connection pivotally attaching a first arm to a second arm, with the pivot connection fixed relative to the first arm and movable to first and second positions relative to the second arm. A spring urges the pivot connection into the first position. When jaws on the front ends of the arms clamp tissue with force greater than a pre-set threshold, the spring force is overcome and the jaws may move linearly apart, allowing for more uniform clamping of the tissue. The first arm may have an arm spring extending between a front segment pivotally attached to a rear segment of the first arm.

A hand tool has a pivot connection pivotally attaching a first arm to a second arm, with the pivot connection fixed relative to the first arm and movable to first and second positions relative to the second arm. A spring urges the pivot connection into the first position. When jaws on the front ends of the arms clamp tissue with force greater than a pre-set threshold, the spring force is overcome and the jaws may move linearly apart, allowing for more uniform clamping of the tissue. The first arm may have an arm spring extending between a front segment pivotally attached to a rear segment of the first arm.

Devices and methods for articulating a distal end of a surgical device are provided. In one exemplary embodiment, the device includes an articulation joint that includes both an inner guide and an outer sleeve. The inner guide includes one channel extending therethrough that receives both a cutting mechanism and a closure band. Further, an outer surface of the inner guide, in conjunction with the outer sleeve, can define two additional channels that each receive an articulation band for articulating an end effector coupled to the articulation joint. The outer surface of the inner guide can include a plurality of ribs that also help define the two additional channels. Further, the outer sleeve can include a plurality of slots formed in it to improve flexibility and stability. Additional configurations of articulation joints, and configurations of components of a surgical device, are also provided, as are methods for using the same.

A tissue approximation device for wound closure having a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, the second arm connected to the first arm. A first rake member is connected to the distal end of the first arm and has a first plurality of tissue engaging members extending therefrom to engage tissue. A second rake member is attached to the distal end of the second arm, the second rake member having a second plurality of tissue engaging members extending therefrom to engage tissue. A transverse bar can extend through the first and second rake members such that the first and second rake members movable along the transverse bar. Systems and methods for wound closure are also disclosed.

A pituitary rongeur medical instrument has jaws that can controllably articulate radially from a longitudinal axis of a shaft assembly of the pituitary rongeur and beyond a perimeter of a cannula during use. The pituitary rongeur is characterized by a handle, a shaft assembly defining a proximal end extending from the handle, a distal end, and a longitudinal axis, with the jaws pivotally connected to the distal end of the shaft assembly for articulating radial movement of the jaws relative to the longitudinal axis of the shaft assembly, a jaw controller associated with the shaft assembly and configured to controllably close and open the jaws, and an articulation controller associated with the shaft assembly and configured to controllably articulate the jaws. The handle is formed by a handgrip portion configured to receive a palm of a user and a lever portion with a finger loop configured to receive fingers of the user.

A pituitary rongeur medical instrument has jaws that can controllably articulate radially from a longitudinal axis of a shaft assembly of the pituitary rongeur and beyond a perimeter of a cannula during use. The pituitary rongeur is characterized by a handle, a shaft assembly defining a proximal end extending from the handle, a distal end, and a longitudinal axis, with the jaws pivotally connected to the distal end of the shaft assembly for articulating radial movement of the jaws relative to the longitudinal axis of the shaft assembly, a jaw controller associated with the shaft assembly and configured to controllably close and open the jaws, and an articulation controller associated with the shaft assembly and configured to controllably articulate the jaws. The handle is formed by a handgrip portion configured to receive a palm of a user and a lever portion with a finger loop configured to receive fingers of the user.

Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.

A medical clip for holding a medical device. The medical clip includes a first jaw and a second jaw rotatably coupled to the first jaw, the first jaw and the second jaw being rotatable with respect to each other between a closed position and an open position; an elastomeric insert configured to be positioned between the first jaw and the second jaw. The elastomeric insert defining a cavity having a cavity depth that receives a medical device between the first jaw and the second jaw. In the closed position, a distal face of the first jaw and the second jaw define a distal opening configured to receive a portion of the medical device through the distal opening; and, a proximal face of the first jaw and the second jaw define a proximal opening configured to receive a second portion of the medical device through the proximal opening.