摘要:
The medical device for engaging tissue comprises a housing (42) defining an internal passageway and a longitudinal axis extending between proximal and distal ends of the housing, a first jaw (44) rotatable relative to the housing, the first jaw (44) having proximal and distal ends, and a second jaw (46) rotatable relative to the housing, the second jaw (46) having proximal and distal ends. A driver (148) is engaged with the proximal ends of the first and second jaws, and longitudinal movement of the driver rotates the first and second jaws relative to the housing. A biasing strip (190) is operatively connected to at least one of the first and second jaws to bias the jaws radially, wherein a middle portion of the biasing strip (190) is fixed to a distal end (166) of the driver and moves therewith. An elongated drive wire (22) is selectively connected to the driver for longitudinal movement therewith.
摘要:
An endoscopic surgical clip applier includes an endoscopic assembly and a handle assembly. The endoscopic assembly includes a shaft assembly and a pair of jaw members. The handle assembly includes a housing, a fixed handle, a trigger, a drive bar, and a ratchet assembly. The ratchet assembly includes a first rack operatively coupled to the drive bar, the first rack defining a plurality of first rack teeth, wherein the first rack includes a first length between a distal end and a proximal end thereof, and a second rack operatively coupled to the drive bar, spaced apart from the first rack, the second rack defining a plurality of second rack teeth, wherein the second rack includes a second length between a distal end and a proximal end thereof, the second length of the second rack being less than the first length of the first rack.
摘要:
A force transmission mechanism for a surgical instrument includes a worm drive, a lever arm, and an actuation element. The lever arm may include a follower member at a first end of the lever arm. The follower member engages the worm drive and is configured to be driven by the worm drive. The actuation element is connected the lever arm. The actuation element is configured to transmit force to actuate an end effector of the surgical instrument. Rotational movement of the worm drive imparts translational movement to the actuation element via the lever arm.
摘要:
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. The medical device of the system may include a biasing strip engaged with the jaws, and/or a gripping strip attached to at least one of the jaws to improve the engagement of the tissue between the jaws.
摘要:
An ultrasonic surgical instrument includes an inner tube, an outer tube, an ultrasonic blade, and a clamp member pivotably moveable relative to the ultrasonic blade. The ultrasonic blade is acoustically coupled to an ultrasonic transducer. The clamp member pivotably movable relative to the ultrasonic blade between an open configuration and an approximated configuration with respect to the ultrasonic blade, wherein the clamp member is pivotably coupled to the inner tube, wherein the clamp member is pivotably coupled to the outer tube, and wherein movement of the outer tube relative to the inner tube between the first position and the second position transitions the clamp member between the open configuration and the approximate configuration.
摘要:
An endoscopic surgical instrument is provided. The instrument includes a housing, a handle, an elongated shaft extending distally from the housing and defining a longitudinal axis, an end effector assembly (120), a drive assembly, a clevis (150), a first link (160), and a second link (170). The end effector assembly is disposed adjacent a distal end of the elongated shaft and includes a first jaw member (130) and a second jaw member (140). The first link (160) is pivotably connected to the clevis (150) about a first pivot axis (152), and is pivotably connected to the first jaw member about a first jaw member pivot. The second link (170) is pivotably connected to the clevis (150) about a second pivot axis (154), and is pivotably connected to the second jaw member about a second jaw member pivot. The first pivot axis (152) and the second pivot axis (154) are offset from the longitudinal axis.