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.

An ultrasonic device may include an electromechanical ultrasonic system defined by a predetermined resonant frequency, in which the system may include an ultrasonic transducer coupled to an ultrasonic blade. A method of estimating a state of an end effector of the ultrasonic device may include applying a drive signal defined by a magnitude and a frequency to the ultrasonic transducer, sweeping the frequency of the drive signal from below a first resonance to above the first resonance of the electromagnetic ultrasonic system, measuring and recording, impedance/admittance circle variables R.sub.e, G.sub.e, X.sub.e, and B.sub.e, comparing, the measured impedance/admittance circle variables R.sub.e, G.sub.e, X.sub.e, and B.sub.e to reference impedance/admittance circle variables R.sub.ref, G.sub.ref, X.sub.ref, and B.sub.ref, and determining, a state or condition of the end effector based on the result of the comparison. An electromechanical ultrasonic system may include a control circuit to effect the method.

Methods and apparatus for treating disorders of the ear, nose, throat or paranasal sinuses, including methods and apparatus for dilating ostia, passageways and other anatomical structures, endoscopic methods and apparatus for endoscopic visualization of structures within the ear, nose, throat or paranasal sinuses, navigation devices for use in conjunction with image guidance or navigation system and hand held devices having pistol type grips and other handpieces.

An assembly allowing retraction of soft tissue away from a reference plane; the assembly including at least one retracting element each having a distal end with a formation allowing anchorage of the at least one retracting element. The assembly also includes a proximal end of the at least one retracting element capable of movement through at least one degree of freedom relative to the anchorage.

A method of ultrasonic sealing includes activating an ultrasonic blade temperature sensing, measuring a first resonant frequency of an ultrasonic electromechanical system that includes a transducer coupled to the blade via a waveguide, making a first comparison between the measured first resonant frequency and a first predetermined resonant frequency, and adjusting a power level applied to the transducer based on the first comparison. The first predetermined frequency may correspond to an optimal tissue coagulation temperature. The method may further include measuring a second resonant frequency of the system, making a second comparison between the measured second frequency and a second predetermined frequency, and adjusting the power level based on the second comparison. The second predetermined frequency may correspond a melting point temperature of a clamp arm pad. An ultrasonic instrument and a generator may implement the method.

A surgical tool has an elongate tool body that supports a retractable scalpel blade at a working end of the tool body. A bougie passage extends through the tool body to receive a bougie slidable longitudinally through the passage in the tool body. The tool body may be a single scalpel handle, or a pair of forceps. In either instance, the tool may be used to perform a cricothyrotomy procedure on patient or introduce a thoracostomy tube into a patient. In each instance, the scalpel blade forms an incision, followed by retraction of the blade and insertion of the bougie while the tool remains inserted into the patient. After removal of the tool, the bougie is used to guide subsequent insertion of a tube into the patient.

A surgical instrument, operable to compress, staple, and cut tissue, includes a body, a shaft, and an end effector with a pair of jaws. A placement tip that is bent, angled, or curved and extends distally from one of the jaws of the end effector. The placement tip is elastically deformable when the placement tip is subject to a clamping force, such as when the end effector is closed with the jaws in contact or when tissue is clamped between the jaws of the end effector. When the placement tip deflects, relative angles defined in part by the placement tip vary compared to an initial state without the clamping force. Furthermore, a distal end of the placement tip may change position based on the state of deflection of the placement tip in response to the clamping force.

A cuff is described for a target anatomic feature within a body, along with a system for utilizing the cuff. The cuff includes a band defining a circumferential opening extending along a length of the band; and a pair of engagement surfaces defined by or affixed to the cuff, the engagement surfaces structured for application of a spreading force to be distributed continuously along a portion of the circumferential opening, thereby increasing the circumferential opening and expanding the cuff for a closed configuration to an open configuration sized for placement of the cuff. The cuff is structured to remain in the closed configuration in the absence of the spreading force and automatically return to the closed configuration after removal of the spreading force.

A medical instrument and method for producing a medical instrument. The medical instrument includes at least one instrument arm. A toothing with at least two teeth is formed on a distal end of the instrument arm. Each of the teeth project transversely from the distal end and has two tooth flanks facing away from one another. Each tooth flank has at least one planar first surface region and at least one planar second surface region. The at least one planar first surface region and the at least one planar second surface region are inclined toward one another by a surface to region angle. The first and second surface regions are formed by milling, in particular with a CNC machine.

This disclosure relates to a medical device. The medical device comprises a first and a second component. The first component comprises a first portion having a first handle part and a second portion having a grip. The second component is linked to the first component and is configured to be in communication with the first component to be actuated from an open to a closed position. The second component defines a third portion and a fourth portion, the third portion defining a second handle part and the fourth portion defining a second grip that is configured to grip a tissue in combination with the first grip portion of the first component. In certain embodiments, the first component or second component comprises a substantially straight member attached distally from the grip.