A powered circular stapling device (10) includes a transfer switch assembly (90) for a transmission assembly (40) to selectively direct power between clamping and firing mechanisms of the stapling device (10). The transfer switch assembly (90) includes a carriage (92), a worm gear assembly (94), and first and second biasing mechanisms (96). The worm gear assembly (94) is supported on the carriage (92) and movable in relation to the carriage (92) to allow the worm gear assembly (94) to engage with a first or second gear (44, 46) of the transmission assembly (40). The biasing mechanisms (96) allow the worm gear assembly (94) to move in relation to the carriage (92) when the gear teeth of the worm gear (94) are misaligned with the gear teeth of one of the first and second gears (44, 46) of the transmission assembly (40), to allow the gear teeth of the worm gear (94) to move into alignment with the gear teeth of the other one of the first and second gears (44, 46) of the transmission assembly (40).

A surgical tool for use with a drill bit to prevent skiving at an implant insertion site on a bone includes a cannulated sleeve having a distal end defining a burr surface. The distal end may be detachable from a body of the cannulated sleeve. The tool may be used with more than one distal end, each of the distal ends defining a burr surface having a different cutting surface from the others. The tool may form a system that includes the drill bit.

The disclosure includes a vein ablation system, comprising a catheter having an elongated body. In some embodiments, the vein ablation system comprises an ablation device at a distal portion of the elongated body. According to some embodiments, the vein ablation system comprises a control device at a proximal portion of the elongated body. The control device may comprise an input mechanism configured to simultaneously control at least two of a longitudinal translation of the ablation device through a target vessel, a rotation of the ablation device about a central longitudinal axis, and an infusion of a chemical agent into the target vessel.

A device suitable for use in a body lumen and comprises an elongated control member having a distal and a proximal end, and a radially expansible member disposed at or near the distal end and adapted for collection and/or shearing of matter (i.e. thrombus) from a wall of the body lumen (i.e. a vein or an artery). The radially expansible member has a proximal end and a distal end and is adjustable between a contracted orientation and an expanded orientation. The elongated control member comprising a proximal arm connected at or adjacent to the proximal end of the radially expansible member and a distal arm connected at or adjacent to the distal end of the radially expansible member such that movement of one arm relative to the other arm effects adjustment of the diameter or radial strength of the radially expansible member. The device comprises a control mechanism operatively connected to both arms and adapted to provide resistance to the movement of one arm relative to the other. The control mechanism may be a biasing means, a brake means, or both.

An occluding device includes a sealing disc. The sealing disc includes a proximal disc surface and a distal disc surface, as well as an edge connecting the proximal disc surface and the distal disc surface. The sealing disc is provided with at least one buffer member. The at least one buffer member is distributed along the edge. The occluding device can reduce the damage inflicted on internal tissues caused by the edge of the sealing disc, better protect the internal tissues and reduce the risk of surgery.

An atherectomy device for removing deposits such as plaque from an interior of a vessel including an outer member and a rotatable shaft positioned for rotational movement within the outer member and fixed axially within the outer member. A tip is mounted to the distal region of the rotatable shaft and is positioned distally of the distal end of the outer member to create a gap between the proximal end of the rotatable tip and the distalmost edge of the outer member. The rotatable tip has a longitudinal axis mounted to the rotatable shaft for rotation about its longitudinal axis upon rotation of the shaft, the shaft including a guidewire lumen for receiving a guidewire to enable over the wire insertion of the device.

The present invention is directed to material removal instrument for forming cavities in interior body regions, particularly cavities in intervertebral discs and vertebrae. The instrument includes a cannula and a rotation mechanism disposed at least partially within the cannula. A cutting element extends from the rotation mechanism and impacts and dislocates tissue as the rotation mechanism is rotated within the body. Dislocated tissue with withdrawn from the body via the cannula.

A surgical tool for use with a robotic system that includes a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to robotically-generate output motions. A drive system is configured to interface with a corresponding portion of the tool drive assembly for receiving the robotically-generated output motions and applying the output motions to a drive shaft assembly which is configured to apply control motions to a surgical end effector operably coupled thereto. A manually-actuatable control system operably interfaces with the drive shaft assembly to facilitate the selective application of manually-generated control motions to the drive shaft assembly.

A medical device capable of safely cutting a lesion area with relatively high accuracy while supplying a liquid into a body and discharging a cut object. The medical device that removes an object in a body lumen includes: a rotatable drive shaft; a cutting portion fixed to a distal portion of the drive shaft and configured to cut the object; an outer tubular shaft configured to rotatably accommodate the drive shaft; and a handle, in which the outer tubular shaft includes a tubular inner layer and a tubular outer layer fixed to the inner layer and surrounding the inner layer, a first lumen is formed between the outer layer and the inner layer, a second lumen is formed between the inner layer and the drive shaft, and the outer tubular shaft is rotatable with respect to the handle.

A tool for delivery and/or compaction of bone graft material includes a cannula with an inner lumen extending along a longitudinal axis from a hopper end of the cannula to a delivery tip of the cannula. A hopper with an internal volume for storing bone graft material is connected to the hopper end of the cannula with the internal volume of the hopper in communication with the inner lumen of the cannula for delivery of bone graft material from the hopper to the delivery tip of the cannula. An output shaft within the inner lumen extends along the longitudinal axis. The output shaft includes a helical screw thread extending radially outward from the output shaft toward an inner surface of the cannula. An actuator is connected to the hopper and to the output shaft to drive the output shaft rotationally relative to the hopper and to the cannula.