A surgical instrument includes a shaft defining an axis, an end effector coupled to a distal portion thereof, a fixed handle coupled to a proximal portion thereof, a drive bar, a movable handle, and a linkage. The drive bar is disposed within the shaft and operably coupled to the end effector. The movable handle is movable relative to the fixed handle between open and closed positions and is coupled to the drive bar via a first pin on the axis. The linkage includes a first end portion coupled to the movable handle via a second pin and a second end portion coupled to the shaft via a third pin on the axis. In the closed position of the movable handle, the second pin is disposed in a near-over-center position relative to the axis to reduce a force necessary to maintain the movable handle in the closed position.

A surgical device comprising: (a) a first jaw; (b) a second jaw opposing the first jaw, the first jaw, the second jaw, or both being movable relative to one another between a jaw nominal position and a jaw clamped position; (c) a clamp lever in communication with the first jaw and the second jaw, the clamp lever moving the first jaw, the second jaw, or both from the jaw nominal position to the jaw clamped position when an external force is imparted upon the clamp lever in a first direction; and (d) a stop bias member that stops movement of the clamp lever when the external force is removed so that the first jaw and the second jaw are in the jaw nominal position at rest; wherein the first jaw and the second jaw are movable from the jaw nominal position to a jaw spread position when the clamp lever is moved in a second direction that opposes the first direction by an external force deforming the stop bias member so that a distance between the first jaw and the second jaw is larger in the jaw spread position than in the jaw nominal position.

A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction.

A powered handle for a surgical stapler can have a drive system including an electric motor. The powered handle can include a manual articulation mechanism to articulate a jaw assembly coupled to a reload shaft connected to the handle. The manual articulation mechanism can include a ball screw mechanism that translates an articulation member responsive to rotation of an articulation knob. The articulation mechanism includes a release function that allows the jaw assembly to return to a longitudinally centered orientation. The powered handle includes a battery pack serving as a power supply for the drive system. A control system can control actuation of the motor based on user inputs and operating parameters of the stapler. The powered handle can include a manual return mechanism.

A surgical instrument. In one form, the surgical instrument comprises a first jaw and a second jaw that is movably supported relative to the first jaw for selective movement between open and closed positions relative to the first jaw. A firing drive shaft is rotatably supported in one of the first and second jaws. A firing member operably interfaces with the firing drive shaft for selective axial travel in response to rotation of the firing drive shaft. The surgical instrument further comprises a distal power shaft that is separate and distinct from the firing drive shaft and is configured for selective operable engagement with the firing drive shaft. A closure member is supported for axial travel on a proximal end portion of the first jaw and is configured for selective threaded engagement with a portion of the distal power shaft.

An end effector for use with a surgical fastening instrument is disclosed which comprises a staple cartridge and an anvil. The staple cartridge comprises a cartridge body including a deck and, in addition, fasteners removably stored in the cartridge body, wherein each fastener comprises a base and a leg extending from the base. The anvil comprises a tissue compression surface and forming pockets defined in the tissue compression surface. Each forming pocket comprises a first end configured to receive a staple leg, a second end, a central axis extending between the first end and the second end, a concave turning surface extending between the first end and the second end, and a channel defined in the concave turning surface, wherein the channel is laterally offset from the central axis.

A surgical instrument is disclosed. In one form, the surgical instrument comprises an elongate shaft assembly and an end effector that is configured for selective rotation relative to the axis of the elongate shaft assembly. The surgical instrument can include a rotary locking system for locking the surgical end effector in rotary orientations about the shaft axis upon application of axial locking and axial unlocking motions to the rotary locking system. The surgical instrument may further comprise a rotary drive system that is configured to apply rotary control motions to a firing member as well as to apply rotary positioning motions to the surgical end effector.

A surgical instrument comprising a lockout is disclosed.

A surgical instrument comprising an end effector is disclosed. The end effector comprises a staple cartridge including a cartridge body comprising an annular array of staple cavities, staples removably stored in the staple cavities, a firing drive configured to eject the staples from the staple cavities, and a cutting member circumscribed by the staple cavities. The end effector further comprises an anvil including a tissue compression surface, forming surfaces configured to deform the staples and a tissue block. The anvil is movable toward the cartridge body to compress tissue between the cartridge body and the tissue block and the cutting member is configured to incise the tissue and the tissue block during a cutting stroke of the cutting member.

Provided is a medical treatment tool, the distance between a first advance and retraction axis, and a tip end is shorter than the length of the first link member, and the length when a line segment connecting the base end and the center of a forceps rotation shaft is projected on the first advance and retraction axis is shorter than the length is projected on the first advance and retraction axis. The distance between a second advance and retraction axis, and a tip end is shorter than the length of the second link member, and the length when a line segment connecting the base end and the center of a forceps rotation shaft is projected on the second advance and retraction axis is shorter than the length projected on the second advance and retraction axis.