A tissue clipping apparatus, comprises a flexible, elongate member, a proximal end of which remains external to the body accessible to a user while a distal end of the flexible member is inserted into the body to a location adjacent to target tissue to be clipped and a control wire extending through the flexible member in combination with a capsule releasably coupled to a distal end of the flexible member and a clip a proximal portion of which is received within the capsule. A joint releasably coupling the clip to the control wire, includes a yoke extending around a proximal end of the clip and a frangible link which fails when subject to a predetermined force to separate the clip from the control wire.

Valve repair systems and clips for attachment to one or more leaflets of a heart valve. The clip can include an elongated member configured to be positioned between two leaflets of the heart valve. The elongated member can have a first portion and a second portion that extends from the first portion. A width of the second portion can be greater than the width of the first portion. A pair of arms can be coupled to the first portion and extend toward the second portion. The pair of arms can extend radially away from the elongated member as the pair of arms extend away from the first portion toward the second portion when the arms are in an open position. And the pair of arms can be moveable from the open position to a closed position to pinch each leaflet between one of the arms and the elongated member.

A tissue clip application fitting set or retrofitting set includes a cap attachment for placement on the distal head of a medical endoscope, which has a placement section and a tissue clip holding section. The cap attachment is notched at least at two angular positions forming at least two notches/slots/grooves. A working channel leads into the hollow chamber and exits the hollow chamber radially in a region distal to the placement section and proximal to the radially supported tissue clip. A first guiding or leading element is arranged after the working channel belonging to the retrofitting set, as seen in the distal direction. A corresponding second guiding or leading element is arranged within the hollow chamber at an angular distance from the first guiding or leading element so as to be oriented in extension to a working channel belonging to the endoscope.

A surgical fastener applier including a housing containing a compartment, an elongated member extending distally from the housing, first and second jaws and a firing mechanism positioned within the housing. The firing mechanism is movable between a first position and a second position to effect firing of fasteners into the tissue clamped between the first and second jaws. A cover on the housing is openable to access the compartment. A power pack is removably loadable into the compartment, the power pack having a motor and an engagement member removably engageable with the firing mechanism within the compartment when the power pack is loaded into the compartment to effect movement of the firing mechanism from the first position to the second firing position.

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed.

A hemostatic clip and an auxiliary system are disclosed. The hemostatic clip includes a first clip arm (110), a second clip arm (120), a tightening tube (140), a middle clip arm (150), an intermediate assembly (160), a traction assembly (170), a control handle (180) and at least two separators (190). The traction assembly (170) is connected to both the control handle (180) and the intermediate assembly (160), and the intermediate assembly (160) is connected to the tightening tube (140). Both the first clip arm (110) and the second clip arm (120) are proximally connected to the traction assembly (170). The middle clip arm (150) extends through the tightening tube (140) and is fixed proximally to the intermediate assembly (160). The first clip arm (110) and the second clip arm (120) are disposed on opposite sides of the middle clip arm (150). The first clip arm (110) makes up a first clip together with the middle clip arm (150), and the second clip arm (120) makes up a second clip together with the middle clip arm (150). The control handle (180) is configured to open or close the first clip and/or the second clip corresponding to the first clip arm (110) and/or second clip arm (120). The separators (190) are disposed in a lumen of the tightening tube (140) in such a manner that they are individually located between the first clip arm (110) and the middle clip arm (150) and between the second clip arm (120) and the middle clip arm (150), thus reducing the risk of device faults caused by interference of the first clip arm (110) and the second clip arm (120) with the middle clip arm (150).

The present disclosure provides a multiple-processing device for an endoscope. The multi-processing device may comprise a plurality of processing units, a conveying component, and an operation component. The processing units may include a capsule body and clamping arms. A proximal end of the capsule body may be provided with a first limit part that may be available for deformation or failure under an external force. The distal end of a conveying pipe of the conveying component and/or the proximal end of the capsule body may be provided with a second limit part configured to expand and contract along a radial direction of the conveying pipe. The multiple-processing device not only enhances the combination between the capsule body and the conveying pip, so as to control the opening and closing of the clamping arms, but also prevents the processing units from interfering or jamming the inner wall of the conveying pipe due to the expanded first limit part, which can ensure the smooth movement of the processing units in the conveying pipe, so that the processing units can be effectively repeatedly opened and closed before being released. The present disclosure also provides a use method of a multi-multi-processing device for an endoscope.

An endoscopic clip device for closure of a mucosal defect or transmural perforation in a gastrointestinal wall may include a sleeve and a clip disposed at least partially within and coupled to the sleeve. The clip may be configured for reversibly moving between an open configuration for positioning relative to the wall and a closed configuration for closing the defect or perforation. The clip may include a first clip arm configured for engaging the mucosal and submucosal layers of the wall and including a first needle extending to a distal end of the first clip arm and configured for advancing through the mucosal layer and into at least the submucosal layer, and a second clip arm disposed opposite the first clip arm and configured for engaging the mucosal layer. The device may be configured for advancing through an operative channel of an endoscope or overtube having a tortuous shape.

Surgical clip appliers are provided and includes a channel assembly extending distally from a housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within said channel of said clip carrier; a wedge plate reciprocally disposed within said channel assembly, said wedge plate being operatively connected to said handles and including a plurality of apertures formed along a length thereof; and a clip follower slidably disposed within said channel of said clip carrier and disposed proximally of said plurality of clips, said clip follower being configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate. The clip follower is configured and adapted to urge said plurality of clips, in a distal direction relative to said clip carrier, upon reciprocal movement of said wedge plate.

A method for producing a surgical instrument is disclosed. The method comprises obtaining a handle, wherein the handle comprises a distal end comprising a shaft interface surface and a first set of magnetic elements. The method further comprises obtaining a shaft, wherein the shaft comprises a proximal end comprising a handle interface surface, a second set of magnetic elements, and a third set of magnetic elements. The method further comprises attaching the shaft to the handle, wherein the shaft interface surface is configured to engage the shaft at the handle interface surface, wherein an attractive magnetic force is configured to pull the handle towards the shaft when the first set of magnetic elements interact with the second magnetic elements, and wherein a repulsive magnetic force is configured to repel the handle from the shaft when the first set of magnetic elements interacts with the third set of magnetic elements.