摘要 |
A surgical system includes an endoscope (3), a pair of end effectors (26,28) provided on the outside of the distal end of an endoscope (on-scope), in which one end effector is rotatable or otherwise movable relative to the second end effector and in which such movement is effected via control elements (18) which do not extend through a lumen of the endoscope, and another instrument extending through the lumen (7) of the endoscope (through-scope), and which preferably also has a pair of end effectors. The on-scope device may be clamping jaws, needle passers, clip appliers, staplers , and releasable hemoclips, among other end devices. The through-scope end effectors may be graspers and clip appliers, among other end effectors. |