An integrated disposable rotational speed reduction assembly having a shaft assembly, a housing, an output assembly, and a plurality of planetary gears each having a plurality of gear teeth. The shaft assembly is configured to cause rotation of the planetary gears with a sun gear. The rotation of the planetary gears is configured to cause rotation of an output shaft, with a reduction of rotational speed relative to the rotation of the shaft assembly.

A surgical guide assembly for performing a knee osteotomy procedure, the assembly comprising: a body for securing to a patient's tibia bone; and a plurality of guide modules removably attachable to the body, each guide module being adapted to receive a corresponding surgical tool and to guide the corresponding surgical tool along a predetermined path during the knee osteotomy procedure.

Tissue access devices and methods of using the same are disclosed. The devices can have a sensor configured to occlude a flow path by deflecting a membrane into the flow path when the devices become dislodged from tissue. The sensor can be configured to partially or fully occlude the flow path. The sensor can have a spring. The spring can be biased to move the sensor from a sensor first configuration to a sensor second configuration when a force applied by the sensor first surface against a non-sensor surface changes from a first force to a second force less than the first force. The membrane can be deflected into the flow path when the sensor is in the sensor second configuration.

A system for treating tissue includes a cap mounted over a distal end of an endoscope, a clip mountable over the cap and including first and second jaws movably connected to one another between an insertion configuration, in which the first and second jaws extend over the cap to receive a target tissue therebetween, a review configuration, in which at least a portion of the clip extends into a field of view of the optical system of an endoscope, and a deployed configuration in which the clip is moved distally off of the cap so that the first and second jaws are drawn toward one another. A control element is configured so that movement proximally through the cap via a first distance moves the clip from the insertion configuration to the review configuration and a second distance moves the clip from the review configuration to the deployed configuration.

Devices and methods for setting position of a medical tool within an endoscope. In an illustrative embodiment, a device includes a housing that is configured to be connectable to a distal end of a scope and a sheath stop component that is configured to limit distal movement of a sheath received within the scope.

A mechanism for holding surgical instruments includes a carrier mounted on a machine tool and multiple holding modules mounted on the carrier. At least one of the holding modules is selected to be used during surgical operation. A swing element of the selected holding module enables a guidance sleeve to be swung to allow a guidance hole on the guidance sleeve to face toward a surgical operation region. The guidance sleeve is provided to hold one surgical instrument for surgical operation.

A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or a connector for a tool; wherein a long axis of one or more of the flexible sections is bendable in a single bending plane; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis.

A surgical instrument that includes a shaft assembly that defines a shaft axis and includes a proximal articulation joint that defines a first articulation axis that is transverse to the shaft axis and a distal articulation joint that defines a second articulation axis that is transverse to the shaft axis and the first articulation axis. The instrument further includes an anvil that is non-removably attached to the shaft assembly and a channel that is removably attachable to the shaft assembly and configured to operably support a surgical staple cartridge.

An orthopedic surgical instrument comprising: a customized patient-specific acetabular reaming guide comprising an at least partially circular body, having an inner surface defining a slot sized to receive an acetabular reamer head, and further having a top surface defining a contact element; at least one support element configured for supporting the at least partially circular body on a patient-specific anatomy of a coxal bone; and further comprising at least one acetabular reamer head comprising a bone milling portion configured for insertion in the slot of the acetabular reaming guide; a connecting element configured for removable attachment to a reamer's shank for operation of the at least one acetabular reamer head; wherein the orthopedic surgical instrument further comprises an abutment element attached to a top portion at least one acetabular reamer head and configured to limit a milling depth of the bone milling portion, by resting on the contact element of the acetabular reaming guide.

Tissue access devices and methods of using and making the same are disclosed. The devices can have a needle, a housing having wings, a tube having a flow channel, a tube first extension, and a tube second extension, and a torsion spring having a first coil and a second coil. The first coil can have a first coil first arm and a first coil second arm. The first coil first arm can be shorter than the first coil second arm. The second coil can have a second coil first arm and a second coil second arm. The second coil first arm can be shorter than the second coil second arm. The devices can have a sensor. More energy can stored in the torsion spring when the sensor is in a sensor closed configuration than when the sensor is in a sensor open configuration.