Abstract:
Surgical instruments and control systems therefor are disclosed. A surgical instrument (1010) can comprise: a power circuit comprising a power source and a switch, a microcontroller coupled to the power circuit, a handle (1042) comprising an attachment portion, and a control circuit in signal communication with the microcontroller. The attachment portion can comprise a first electrical contact in signal communication with the microcontroller. The control circuit can comprise a sensor configured to detect an attachment state of the attachment portion. The control circuit can communicate the detected attachment state to the microcontroller, and the microcontroller can ignore signals from the first electrical contact when the control circuit communicates a detached state. The attachment portion can comprise a second electrical contact coupled to a second power circuit, and the second power circuit can decouple the second electrical contact and the second power source when the sensor detects the detached state.
Abstract:
The invention relates to a device for guiding a medical instrument (2) inserted into a natural duct (101) or an artificial duct of a patient in order to bring at least a distal end (1) of the instrument in proximity to an internal organ (100), the device comprising an articulated arm (3) with a plurality of degrees of freedom, for moving a proximal end (4) of the instrument, and controlled blocking means (7) for blocking the degrees of freedom of the articulated arm. According to the invention, the blocking means are designed in such a way that, for at least one of the degrees of freedom, a blockage imposed on said degree of freedom can be enforced when an outer stress exerted on the instrument (2) exceeds a predetermined threshold.
Abstract:
Apparatus, systems, and methods for laparoscopic abdominal surgery are disclosed. For example, a system or kit is provided for performing a procedure within a surgical space within a patient's body that includes a plurality of tool heads, and a tool head carrier including features for removably receiving one or more tool heads, the tool head carrier sized for introduction through a trocar or other port into a surgical space. The system or kit may also include a surgical tool including a tool shaft introduceable into the surgical space and including features for securing a tool head to the tool. Optionally, the tool head carrier may include a clip for securing the tool head carrier to an endoscope.
Abstract:
Beim Reinigen von Endoskopen werden Endoskopkanäle (2-7) gruppenweise alternierend mit unter Druck stehender Reinigungsflüssigkeit, Spülflüssigkeit oder Druckluft beaufschlagt oder davon abgesperrt. Der Druck in mindestens einem der von dieser Zufuhr abgesperrten Kanäle wird gemessen und mit einem vorgegebenen Wert verglichen. Hiermit kann erkannt werden, ob ein Kanal ordnungsgemäß angeschlossen ist.
Abstract:
A surgical stapling apparatus (10) comprising a housing, handle (24), elongated body (14), advancement assembly, and retraction mechanism (58) is provided. The movable handle is supported by the hosing, the movable handle being movable through an actuation stroke. The elongated body extends distally from the housing and defines a longitudinal axis, the elongated body having a distal end adapted to releasably engage a disposable loading unit. The advancement assembly includes an actuation shaft (46) and a driving pawl (42), the actuation shaft having a toothed rack (48) and being supported at least in part within the housing, the driving pawl being operatively associated with the movable handle and biased into engagement with the rack, wherein during the actuation stroke, the driving pawl is movable to effect longitudinal advancement of the actuation shaft. The retraction mechanism includes a release plate (64) operatively associated with the actuation shaft, the release plate being movable relative to the actuation shaft into operative engagement with the driving pawl to disengage the driving pawl from the rack.
Abstract:
A surgical stapling apparatus comprising a handle assembly (12) including a movable handle (24), the movable handle being movable through at least one actuation stroke; an elongated body (14) extending distally from the handle assembly and defining a longitudinal axis, a tool assembly (17) mounted for articulation adjacent a distal end of the elongated body; a flexible and longitudinally movable drive beam (266) to effect the ejection of surgical staples from the tool assembly, an actuation sled engaged by the drive beam, and an actuation shaft (46) mounted for longitudinal movement in response to manipulation of the movable handle, the actuation shaft being arranged to move the drive beam longitudinally.
Abstract:
A handpiece for removably attaching one of a plurality of probes including a housing, an actuation assembly arranged on the housing, a linkage assembly arranged on the housing and adapted to couple motion of the actuation assembly to actuation of the probe and an alignment feature arranged on the housing and adapted to control the orientation of a connected probe. Several probes are also disclosed in addition to method of performing a procedure.
Abstract:
A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains the articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.
Abstract:
A surgical stapling apparatus comprising a handle assembly (12) including a moveable handle (24), the movable handle being movable through at least one actuation stroke; an elongated body (14) extending distally from the handle assembly and defining a longitudinal axis, a tool assembly(17) mounted for articulation adjacent a distal end of the elongated body; a flexible and longitudinally movable drive beam (266) to effect the ejection of surgical staples from the tool assembly, and an actuation shaft (46) mounted for longitudinal movement in response to manipulation of the movable handle, the actuation shaft being arranged to move the drive beam longitudinally.
Abstract:
A surgical stapling apparatus (10) comprising a housing, handle (24), elongated body (14), advancement assembly, and retraction mechanism (58) is provided. The movable handle is supported by the hosing, the movable handle being movable through an actuation stroke. The elongated body extends distally from the housing and defines a longitudinal axis, the elongated body having a distal end adapted to releasably engage a disposable loading unit. The advancement assembly includes an actuation shaft (46) and a driving pawl (42), the actuation shaft having a toothed rack (48) and being supported at least in part within the housing, the driving pawl being operatively associated with the movable handle and biased into engagement with the rack, wherein during the actuation stroke, the driving pawl is movable to effect longitudinal advancement of the actuation shaft. The retraction mechanism includes a release plate (64) operatively associated with the actuation shaft, the release plate being movable relative to the actuation shaft into operative engagement with the driving pawl to disengage the driving pawl from the rack.