РУКОЯТКА ДЛЯ ХИРУРГИЧЕСКОГО СВЕТИЛЬНИКА С ГОЛОСОВЫМ УПРАВЛЕНИЕМ И ХИРУРГИЧЕСКИЙ СВЕТИЛЬНИК

Группа изобретений относится к медицинской технике, в частности к рукоятке для хирургического светильника, содержащей элемент рукоятки, предназначенный для прикрепления к плафону хирургического светильника и образующий поверхность рукоятки на внешней стороне. Модуль голосового управления, содержащий по меньшей мере один датчик звука, присоединен к элементу рукоятки с возможностью отсоединения. Кроме того, настоящее изобретение относится к хирургическому светильнику, содержащему рукоятку. 2 н. и 13 з.п. ф-лы, 20 ил.

ПРОНИЦАЕМЫЕ ДЛЯ ОКТ-ДИАГНОСТИКИ ХИРУРГИЧЕСКИЕ ИНСТРУМЕНТЫ И СВЯЗАННЫЕ С НИМИ СПОСОБЫ

Группа изобретений относится к медицине. Офтальмологический хирургический инструмент содержит стержень, имеющий просвет. Инструмент также содержит первое плечо, выступающее из просвета, при этом первое плечо имеет первый дистальный участок, имеющий первый плоский наконечник. Инструмент также содержит второе плечо, выступающее из просвета, при этом второе плечо имеет второй дистальный участок, имеющий второй плоский наконечник, расположенный таким образом, чтобы второй плоский наконечник контактировал с первым плоским наконечником, когда первое плечо прижимают в направлении второго плеча. Первое плечо и второе плечо по меньшей мере частично содержат первый материал, по существу, проницаемый для электромагнитного излучения с длиной волны в диапазоне приблизительно 700-1200 нанометров (нм) и, по существу, непроницаемый для электромагнитного излучения с длиной волны в диапазоне приблизительно 400-700 нм. При этом офтальмологическая хирургическая система помимо медицинского инструмента содержит ...

ГИНЕКОЛОГИЧЕСКИЙ МОДУЛЬ И АППАРАТ

ФОТОТЕРАПЕВТИЧЕСКОЕ УСТРОЙСТВО НА ОРГАНИЧЕСКИХ СВЕТОДИОДАХ

... 1. Фототерапевтическое устройство, содержащее:участок ограждения, охватывающий приемное пространство, выполненное с возможностью приема грудного ребенка, при этом участок ограждения, по меньшей мере, частично содержит прозрачный материал; ипо меньшей мере, один светоизлучающий участок, составляющий единое целое с ограждением, при этом светоизлучающий участок содержит, по меньшей мере, один участок со светоизлучающими диодами, проецирующий свет с длиной волны от 400 нм до 550 нм и плотностью потока излучения от 10 мкВт/см/нм до 35 мкВт/см/нм при подаче на него питания.2. Фототерапевтическое устройство по п.1, в котором участок ограждения включает в себя, по меньшей мере, одно отверстие, имеющее, по меньшей мере, один присоединенный к нему участок перчатки, так что пользователь может манипулировать одним или несколькими объектами в приемном пространстве, используя, по меньшей мере, один участок перчатки.3. Фототерапевтическое устройство по п.1, в котором, по меньшей мере, один участок участка ...

Arthroskopisches Instrumentarium

BESTECK ZUR PUNKTION EINES KOERPERHOHLRAUMES

Lighting system

A LASER GUIDANCE DEVICE FOR USE WITH IMAGE INTENSIFIERS IN SURGERY

APPARATUS AND METHODS OF STERILISATION

Cannula with proximally mounted camera

A cannula 6 and obturator 22 with a tapered tip 22 which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip 22 is near brain tissue or blood. The obturator 6 may have a shaft of diameter nearly equal to the inner diameter of the cannula 6, or a significantly thinner shaft (30, Figure 11). The cannula 6 may have a camera 5 attached at the proximal end, which may overhang and obstruct the lumen of the cannula 6. The camera may comprise a prism and a lens, and may be moveable into position obstructing part of the lumen by sliding or pivoting. The cannula may have LED lights, and may have baffles on the inner walls to inhibit glare. The cannula 6 may be for treating intracranial hemorrhages.

Medical device loading and carrier tool

CONNECTING ARRANGEMENTS, IN PARTICULAR FOR TRANSPLANT ION ORGANS

DEVICE FOR USE WITH WELFARE PROCESSES

Medizinischer Schutzbeutel

Ein Medizinischer Schutzbeutel zum Auffangen von beim Morcellieren eines Resektats abgetrennten Gewebepartikeln, wobei der Schutzbeutel mit einem Gas aufblasbar ist und im aufgeblasenen Zustand einen gasgefüllten Aufnahmeraum für das Resektat aufweist. Der Schutzbeutel (1) weist eine erste Öffnung (21) zum Einbringen des Resektats in den Aufnahmeraum des Schutzbeutels und zumindest einen in den Aufnahmeraum mündenden von einem Schlauch (30) gebildeten Hals (3) mit einer zweiten Öffnung (31) auf, wobei der Schutzbeutel einen Ausgangszustand aufweist, in welchem ein erster Abschnitt (34) der Längserstreckung des Schlauchs (30) umgestülpt ist und einen zweiten Abschnitt der Längserstreckung (35) des Schlauchs umgibt. Der Hals (3) ist zumindest über einen Teil seiner Länge doppelwandig und zur Verlängerung seiner Länge ausziehbar.

LIQUID-COOLED SURGICAL EQUIPMENT

Devices and methods facilitating sleeve gastrectomy procedures

DEVICES AND METHODS FACILITATING SLEEVE GASTRECTOMY A sleeve gastrectomy device, that has an elongated flexible tube member having a proximal end portion defining an opening, and a distal end portion. The flexible tube has a longitudinally extending lumen in communication with the opening, and a series of perforations in the distal end portion. The series of perforations are in communication with the lumen. The sleeve gastrectomy device also has an elongated, resilient rod member slidably coupled to the flexible tube. The rod member is movable relative to the flexible tube between a contracted position, in which the rod member is disposed alongside the flexible tube, and a deployed position, in which a portion of the rod member bows outwardly from the flexible tube and assumes a predefined configuration that complements a greater curvature portion of a stomach.

Sterile barrier for surgical lightheads

An infection mitigation device providing a temporary, disposable sterile barrier between a sterile field and the non-sterile, light-emitting region of surgical lightheads. A surgical team member can easily apply and remove the protective barrier when needed. The device minimizes the opportunity for biohazardous materials from being transmitted between patients, thereby reducing the chance of infection, and ultimately providing patients with improved clinical outcomes. The center region of the barrier can be adapted to receive and/or cover (partially or completely) one or more types of centrally located surgical lighthead adjustment handles. The device can be manufactured with a unitary or composite construction. Depending on the specific composition of the barrier and application, a supportive carrier device may provide additional geometric stability for the barrier while it is maneuvered into its operational location on the lighthead. The device can be configured for compatibility will ...

Endoscopic vessel harvesting system components

Surgical kits and methods

A kit for implantation of material into a body, a kit for extraction of tissue from a body and a tissue transplantation kit. A method for implanting material into a body, a method for extracting tissue from a body and a method for transplanting tissue into a body.

SYSTEM FOR STABILIZING A PORTION OF THE SPINE

Surgical visual obturator

An obturator apparatus for penetration of tissue and for permitting visualization includes an elongated shaft having proximal and distal ends, and defining a longitudinal axis and an optical transmitting member mounted adjacent the distal end of the elongated shaft. The optical transmitting member comprises a transparent material for permitting passage of light therethrough and has internal surfaces defining a hollow internal chamber and external surfaces adapted to penetrate tissue. The optical transmitting member is further adapted to provide an inclined field of view inclined relative to the longitudinal axis. The elongated shaft may include a longitudinal opening adapted for reception of an endoscope.

Access assembly with flexible cannulas

ACCESS ASSEMBLY WITH FLEXIBLE CANNULAS An access assembly (10) configured to receive one or more surgical instruments is provided. The access assembly (10) includes a compressible port (50) having a s proximal end and a distal end, the port (50) defining a plurality of longitudinal passageway (51) extending from the proximal end to the distal end and a flexible cannula assembly (100) received in each of the longitudinal passageway (51) of the port (50). The cannula (100) assemblies each including a seal (142) configured to receive an instrument inserted therethrough in a sealing manner. 148 (K 146 140 "d" 142 -114 136 /--120 150 - 102 - -2-- - 2 -118 126- -144 104-\ -110 ...

TISSUE REMOVAL DEVICE

Insufflating surgical access system

H:\avk\Imem~en\NRPortbl\DCC\AVK65R4954_I.DOC-7B/2014 Systems, devices, and methods permit insufflation of a body cavity prior to the insertion of a cannula into the body cavity. Some embodiments of an access system comprise an obturator, a trocar, and a fluid flow channel. The access system has a closed configuration, in which a distal end of the access system is fluidly isolated from the fluid flow channel, and an open configuration, in which the distal end of the access system is fluidly connected to the fluid flow channel, thereby permitting fluid flow, for example, an insufflation gas into a body cavity.

Hand held electromechanical surgical system including battery compartment diagnostic display

An electromechanical surgical system is provided and includes a hand-held surgical device (100). The surgical device (100) includes a device housing (102) defining a connecting portion (108a) for selectively connecting with an adapter assembly (200), the housing (102) being configured to removably receive a battery (156) therein; at least one drive motor supported in the device housing (102) and being configured to rotate a drive shaft; and a circuit board (150) disposed within the housing (102) for controlling power delivered from a battery (156) to the motor. The system includes a battery (156) configured for disposition in the device housing (102), the battery (156) being capable of powering the at least one drive motor, the battery (156) including at least one display (157a). The device housing (102) is configured such that the at least one display (157a) of the battery (156) is visible therethrough. 8204410_1 ...

Elastomeric articles having a welded seam made from a multi-layer film

Elastomeric articles, such as gloves (10), are made by welding together two plies of a multi- layer film (40). The film plies are welded together through ultrasonic bonding, thermal bonding, or mixtures thereof. The multi -layer film (40) includes at least three layers (42,44,46) that, in one embodiment, are coextruded. Each layer (42,44,46) of the multi -layer film is made from a different composition that produces layers having different properties.

Sterile barrier for surgical lightheads

An infection mitigation device providing a temporary, disposable sterile barrier between a sterile field and the non-sterile, light-emitting region of surgical lightheads. A surgical team member can easily apply and remove the protective barrier when needed. The device minimizes the opportunity for biohazardous materials from being transmitted between patients, thereby reducing the chance of infection, and ultimately providing patients with improved clinical outcomes. The center region of the barrier can be adapted to receive and/or cover (partially or completely) one or more types of centrally located surgical lighthead adjustment handles. The device can be manufactured with a unitary or composite construction. Depending on the specific composition of the barrier and application, a supportive carrier device may provide additional geometric stability for the barrier while it is maneuvered into its operational location on the lighthead. The device can be configured for compatibility will ...

Circumferential pulmonary vein ablation using a laser and fiberoptic balloon catheter

HEATLESS BLOOD VESSEL HARVESTING DEVICE

... ²²²A method and device are disclosed directed at harvesting of vessels, such as ²arteries and veins, especially as required in vessel grafting procedures. The ²device and method discloses a cannula-like device that provides, ²identification, capture, manipulation, hemostasis and cleavage of branch ²vessels from the harvested vessel without need for further devices. In certain ²preferred embodiments of the disclosed method and device, the disclosed ²harvesting device achieves branch vessel cleavage and hemostasis without the ²use of heat producing means such as cautery. In addition, certain embodiments ²utilize a clip/coil magazine technology so as to enable severance and ²hemostasis of multiple branch vessels without need for removal of the device ²from the surgical site. Further embodiments disclose the incorporation and use ²of irrigants containing CO2, as well as other agents capable of stimulate ²release of nitric oxide from vascular endothelium are applied to subject ²vessels so as ...

ACCESS SHEATH WITH REMOVABLE OPTICAL PENETRATING MEMBER

A system for accessing underlying tissue includes an elongated access sheath defining a longitudinal axis and a penetrating tip releasably mounted to the access sheath and dimensioned for facilitating passage through tissue. The penetrating tip is removable through the access sheath. The penetrating tip may include a transparent region adapted to permit passage of light.

VISUAL VERESS NEEDLE ASSEMBLY

A visual veress needle assembly is provided including an optically conductive veress needle for puncturing tissue and having a hollow interior and an optical stylet insertable through the hollow interior of the veress needle. The veress needle is constructed of translucent material enabling light to pass through from a proximal end to a distal end to illuminate the area of the incision and the operative site. The optical stylet includes a lens at a distal end for obtaining an image of the operative site and a connector at the proximal end for transmitting optical data to auxiliary viewing devices. The distal end of the stylet is flexible and incorporates structure to orient the lens relative to the hollow veress needle.

SYSTEMS, IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods.

FLUID COOLED APPARATUS FOR SUPPORTING DIAGNOSTIC AND THERAPEUTIC ELEMENTS IN CONTACT WITH TISSUE

Surgical apparatus, for positioning diagnostic an therapeutic elements on an organ surface, that include tissue cooling apparatus.

LIGATING BAND DISPENSER

An improved distal end for a ligating band dispenser having a transverse groove or ridge profile that promotes rolling of the bands. In one embodiment, the ligating bands and the transverse grooves or ridges are dimensioned such that the width of the bands when stretched on the support surface is substantially the same as the pitch of the transverse grooves or ridges. In another embodiment, the ligating bands and the transverse grooves or ridges are dimensioned such that the width of the bands when stretched on the support surface is less than the pitch of the transverse grooves or ridges. Having the width of the bands when stretched on the support surface be substantially the same as or less than the pitch of the transverse grooves or ridges allows the bands to fit within the grooves, which helps insure that the bands are sufficiently held back by the ridge crests to induce a rolling action. In addition, the transverse grooves or ridges may also be dimensioned such that the height of the ...

DEVICES AND METHODS FOR TISSUE REMOVAL

Methods and apparatus are provided for selective surgical removal of tissue, e.g., for enlargement of diseased spinal structures, such as impinged lateral recesses and pathologically narrowed neural foramen. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. Once the sharp tip of the needle is in the epidural space, it is converted to a blunt tipped instrument for further safe advancement. A nerve stimulator optionally may be provided to reduce a risk of inadvertent neural abrasion. Additionally, safe epidural placement of the working barrier and epidural tissue modification tools may be further improved with the- use of electrical nerve- stimulation- capabilities within the invention that, when combined with neural stimulation monitors, provide neural localization capabilities to the surgeon.

DEVICE FOR VENIPUNCTURE

LIGHTED CANNULA SYSTEM

A cannula suitable for use in minimally invasive surgery is improved with a highly polished and very smooth luminal wall and/or LED's or other light sources focused at particular angles relative to the axis of the cannula. The devices provide for improved lighting and/or reduced lighting requirements for cannulas used for minimally invasive surgery.

FORCE MODULATING TISSUE BRIDGES, ASSOCIATED TOOLS, KITS AND METHODS

Force modulating tissue bridges, and associated applicators, kits and methods are provided. A force modulating tissue bridge can be a medical article for at least partially covering a wound and/or scar tissue. The medical article can include an elastic arch extending over an area, and a medial strut connected to the arch and extending into the area over which the central section extends.

TISSUE REMOVAL DEVICE

In a tissue removal device (10) for receiving and removing body tissue from an interior portion of a body in a minimally invasive surgical procedure, the tissue removal device including a tubular body (20) having a distal end, a proximal end and defining a lumen (22) therethrough, a bag support structure (40) configured and dimensioned to be receivable within the lumen of the tubular body, wherein the bag support structure has a first configuration for positioning within the lumen of the tubular body and a second configuration for opening a bag (30) operatively coupled thereto, and a bag operatively coupled to the bag support structure, the bag including a first end portion (32) defining an open end (31).

HANDLE DEVICE FOR A SURGICAL LIGHT WITH VOICE CONTROL, AND SURGICAL LIGHT

The invention relates to a handle device (1) for a surgical light (10), which comprises a handle element (3), prepared for attachment to a receiving body (2) of the surgical light (10) and forming a handle surface (5) in an exterior region (4). A voice control module (6) that has at least one acoustic sensor (29) is detachably connected to the handle element (3). The invention further relates to a surgical light (10) having said handle device (1).

HAND-HELD ELECTROMECHANICAL SURGICAL SYSTEM

A hand-held electromechanical surgical device is configured to selectively connect with a surgical accessory. The surgical device includes a power-pack, an outer shell housing, and a gasket. The power-pack is configured to selectively control a surgical accessory. The outer shell housing includes a distal half-section and a proximal half-section, the distal half-section and the proximal half-section together defining a cavity configured to selectively encase substantially the entire power-pack therein. The gasket is located between the distal half-section and the proximal half-section of the outer shell housing. The gasket is configured to create a seal between the distal half-section and the proximal half-section and to provide a sterile barrier between the power-pack and an outside environment outside the outer shell housing.

DOSE DIVIDER SYRINGE

A syringe includes a barrel having an internal surface defining an internal bore therein; a plunger having a distal end disposed within the internal bore of the barrel, and a proximal end disposed outside the internal bore of the barrel, the proximal end of the plunger being opposite the distal end of the plunger along a longitudinal direction; and a dose divider. The dose divider includes a divider flange extending at least partly in a radial direction, the radial direction being perpendicular to the longitudinal direction, the divider flange having a distal surface that faces the barrel, the distal surface of the divider flange bearing on the proximal end of the plunger, and a concave shell extending away from the distal surface of the divider flange along the longitudinal direction.

COATED SURGICAL STAPLES AND AN ILLUMINATED STAPLE CARTRIDGE FOR A SURGICAL STAPLING INSTRUMENT

A surgical stapling device comprising: a handle; an elongate tubular member extending distally from the handle; an illuminated staple containing cartridge mounted on a distal end of the elongate tubular member; and a light source associated with the distal end of the elongate tubular member, such that light emitted from the light source is transmitted to the illuminated staple containing cartridge.

SURGICAL ACCESS SYSTEM

A surgical access assembly (100) is disclosed. The surgical access assembly comprises an outer sheath (102) and an obturator (104). The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either device within the brain.

BLADELESS OBTURATORS AND BLADELESS OBTURATOR MEMBERS

A surgical obturator that includes an elongated shaft defining a longitudinal axis and an obturator member disposed adjacent a distal end of the elongated shaft. The obturator member may include a proximal section being convex along a majority of its length. It may also include a central section disposed adjacent the proximal section, the central section including a first pair of surfaces disposed relative to each other on radially opposite sides of the central section, and a second set of surfaces disposed between the first pair of surfaces and further being disposed relative to each other on radially opposite sides of the central section. at least a portion of a length of each one of the first pair of surfaces being concave, and at least a portion of a length of each one of the second pair of surfaces being convex. The obturator member may also include a guiding nub disposed distally of the central section and including a rounded distal-most portion. The rounded distal-most portion of ...

ACCESS ASSEMBLY WITH FLEXIBLE CANNULAS

An access assembly configured to receive one or more surgical instruments is provided. The access assembly includes a compressible port having a proximal end and a distal end, the port defining a plurality of longitudinal passageway extending from the proximal end to the distal end and a flexible cannula assembly received in each of the longitudinal passageway of the port. The cannula assemblies each including a seal configured to receive an instrument inserted therethrough in a sealing manner.

METHOD OF USING A STERILIZATION WRAP SYSTEM

A method of using a sterilization wrap system including a permeable material having barrier properties and having a first surface and a second opposing surface, the exterior panel being substantially opaque or having a first level of translucence, and an interior panel including a permeable material having barrier properties and having a first surface and a second opposing surface, the interior panel having a level of translucence that is higher than the translucence of the exterior panel, the panels being joined together over at least a portion of their surfaces. Also disclosed is inspection of the sterilization wrap system for exterior panel breaches by looking for light passing through a panel facing the viewer.

SURGICAL INSTRUMENT CONTROLS WITH ILLUMINATED FEEDBACK

An electromechanical powered surgical instrument includes a handle assembly and a control assembly. The handle assembly is configured to engage an end effector to manipulate a tool assembly thereof The control assembly is positioned on the candle assembly and includes a plurality of buttons. Each of the plurality of buttons is associated with a function of the end effector. Each of the plurality of buttons is also associated with a light source. The light source is configured to selectively backlight the associated button.

TWO-SHOT MOLDED OPTICAL OBTURATOR

A method of manufacturing an optical obturator includes providing an injection mold including a mold cavity defining an outer surface of the optical obturator and a core pin centrally positioned within the mold cavity. The core pin defines an inner surface of the optical obturator. In particular, the core pin may be cantilevered to the injection mold. The method further includes injecting a first material between the core pin and the mold cavity to form the tubular shaft and injecting a second material between a distal portion of the core pin and a distal portion of the mold cavity to form the optical tip.

DEVICES AND METHODS FACILITATING SLEEVE GASTRECTOMY PROCEDURES

A device for use in bariatric surgery includes a tube member, a coupling member, and a rod member. The tube member includes a proximal portion and a distal portion having a distal end. The coupling member is affixed to the tube member. The rod member includes a proximal portion and a distal portion having a distal end. The rod member is slidably coupled with the coupling member. The distal end of the rod member is fixedly coupled to the distal end of the tube member. The proximal portion of the rod member is translatable relative to the tube member to transition the distal portion of the rod member between a contracted position, wherein the distal portion of the rod member extends along the distal portion of the tube member, and a deployed position, wherein the distal portion of the rod member bows outwardly relative to the tube member.

Device for setting skin clips.

AN OPERATING SYSTEM WITH A OCT DEVICE

Operating system with an OCT device.

Die Erfindung betrifft ein Operationssystem (10) mit einer OCT-Einrichtung (20) für das Abtasten eines in einem Objektbereich (18) angeordneten Objektbereichvolumens (22) mit einem OCT-Abtaststrahl (21). Das Operationssystem enthält eine Einrichtung (58) für das Einstellen der Position (P) des mit dem OCT-Abtaststrahl (21) in dem Objektbereich (18) abgetasteten Objektbereichvolumens (22). Erfindungsgemäss umfasst das Operationssystem (10) ein Operationsinstrument (24), das einen in dem Objektbereich (18) anordenbaren, mit der OCT-Einrichtung (20) in dem Objektbereichvolumen (22) lokalisierbaren Wirkabschnitt (26) hat. In dem Operationssystem (10) gibt es eine mit der OCT-Einrichtung (20) verbundene Rechnereinheit (60) mit einem Computerprogramm für das Ermitteln der Position des Wirkabschnitts (26, 26´) in dem abgetasteten Objektbereichvolumen (22) durch Verarbeiten von mit der OCT-Einrichtung (20) durch Abtasten des Objektbereichvolumens (22) gewonnener Abtastinformation. Weiterhin betrifft ...

UNIT TIP CLAMPING TROCAR

BALLOON CATHETER SUTURING SYSTEMS, METHODS, AND DEVICES HAVING PLEDGETS

GYNECOLOGICAL TRANSFER DEVICE

VISUALIZATION TROCAR

A surgical trocar and penetrating tip therefor are provided. The tip includes a generally transparent body having proximal and distal ends and an opaque distal tip portion, an integral penetrating edge arranged at a distal end of the body, and inwardly tapered opposed facets formed on the body, converging with one another at the integral penetrating edge.

TROCAR SYSTEM

The invention relates to a trocar system comprising a trocar (10) and a trocar sleeve (16), wherein in the trocar sleeve (16) at least one work channel (22) leads continuously from a proximal inlet opening (24) to a distal outlet opening (26).

METHOD OF USING A STERILIZATION WRAP SYSTEM

A method of using a sterilization wrap system including a permeable material having barrier properties and having a first surface and a second opposing surface, the exterior panel being substantially opaque or having a first level of translucence, and an interior panel including a permeable material having barrier properties and having a first surface and a second opposing surface, the interior panel having a level of translucence that is higher than the translucence of the exterior panel, the panels being joined together over at least a portion of their surfaces. Also disclosed is inspection of the sterilization wrap system for exterior panel breaches by looking for light passing through a panel facing the viewer.

A MINIMALLY INVASIVE SKIN BIOPSY DEVICE FOR REMOVAL OF SKIN CONDITIONS IN THE EPIDERMIS

An embodiment in accordance with the present invention provides a device for performing a skin biopsy that includes a generally curved blade to cut the skin at a predetermined depth disposed within or an integral part of a blade holder assembly. The blade holder assembly has an outer surface and the generally curved blade is coupled to the outer surface of the blade holder assembly. The device also includes a housing having an outer wall and said outer wall defining an interior space within the housing, such that the blade holder assembly and generally curved blade are disposed substantially within the inner space of the housing. The device also includes a handle coupled to the blade holder assembly and configured to rotate the blade holder assembly and in turn the generally curved blade within the inner space of the housing to perform the skin biopsy or removal of skin conditions.

ULTRASOUND TRANSDUCERS FOR IMAGING AND THERAPY

Ultrasound applicators able to both image a treatment site and administer ultrasound therapy include an array of transducer elements that can be focused. In several embodiments, an electronically phased array is used for controlling the focal point of an ultrasound beam. The ultrasound beam produced thereby can also be electronically steered. To reduce the quality factor or Q of the array when the array is used for imaging, an electronic switch is selectively closed, placing a resistance in parallel with each of the array elements. A flexible array is employed in several embodiments and is selectively bent or flexed to vary its radius of curvature and thus control the focal point and/or a direction of focus of the array. In another embodiment, each of the transducer elements comprising the array are individually mechanically pivotable to steer the ultrasonic beam produced by the transducer elements.

Multiple-firing crimp device and methods for using and manufacturing same

A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.

Device to be used in healing processes

A device for tamponade of body cavities and for mechanical anchoring of a catheter, the device including a flexible tube segment (2) having an inner wall (4) and an outer wall (6) that surround an interior space (8), wherein the tube segment (2) is inflatable, and is configured without through-passing support bodies so that a displacement of tube wall material between the inner wall (4) and the outer wall (6) of the tube segment (2) is possible by inflation of the tube segment, wherein the tube segment is provided with two ends (7,9), which are fastened to a same closing element (10), configured so that a torus geometry is striven for as the inflatable tube segment (2) is inflated and the closing element (10) is a pipe nipple and the two ends (7,9) of the tube segment (2) are joined together fluid-tightly.

Less-invasive devices and methods for treatment of cardiac valves

Devices and methods are provided for less-invasive surgical treatment of cardiac valves whereby the need for a gross thoracotomy or median sternotomy is eliminated. In one aspect of the invention, a delivery system for a cardiac valve prosthesis such as an annuloplasty ring or prosthetic valve includes an elongated handle configured to extend into the heart through an intercostal space from outside of the chest cavity, and a prosthesis holder attached to the handle for releasably holding a prosthesis. The prosthesis holder is attached to the handle in such a way that the holder, prosthesis and handle have a profile with a height smaller than the width of an intercostal space when the adjacent ribs are unretracted, preferably less than about 30 mm. In a further aspect, the invention provides a method for repairing or replacing a heart valve which includes the steps of introducing a prosthesis through an intercostal space and through a penetration in a wall of the heart, and securing the ...

Instruments for use in femoroacetabular impingement procedures

Improved instruments (tools) and surgical techniques are provided for use in surgical procedures that treat femoroacetabular impingement of both the Cam and Pincer types.

Orthopaedic pin isolator

A wound management accessory (10) and a method of dressing a wound (28,30) in the vicinity of an external orthopaedic fixator pin (24) are provided. The accessory (10) has a resilient body with a sleeve (12) defining an inner bore (18) that is shaped and dimensioned to fit around the circumference of the fixator pin (24) with an interference fit. The body also defines a flange (14) extending radially from the bore. The method comprises applying the accessory (10) to the pin (24) by passing the pin through the bore (18), covering the wound (28,30) at least in part with an occlusive adherent film (34), attaching at least the flange (14) of the accessory to the film in a generally sealing manner and applying a negative pressure to the wound beneath the film.

Apparatus and methods for coronary sinus access

Apparatus and methods for locating morphological features within a body cavity using a catheter including proximal and distal ends, a transparent balloon carried on the distal end, and an optical imaging assembly carried on the distal end for imaging through the balloon. The balloon includes a channel extending therethrough to a lumen extending through the catheter. A guidewire or other localization member is received in the lumen that is extendable through the channel. During use, the catheter is inserted into a right atrium of a heart, and the balloon is expanded and placed against the wall of the heart to locate the coronary sinus. Sufficient force is applied to clear blood between the surface and the wall and clear the field of view of the imaging assembly. The catheter is manipulated to locate the coronary sinus, whereupon the localization member is advanced into the coronary sinus.

Illumination device for illuminating a body cavity in a surgical space

The present disclosure relates to an illumination device for illuminating a body cavity in a surgical space during a surgical procedure. The illumination device comprises: a flexible elongated member comprising a proximal end portion and a distal end portion; an illumination module disposed at the distal end portion of the flexible elongated member, the illumination module comprising a set of lighting elements for emitting light; and a control module disposed at the proximal end portion of the flexible elongated member, the control module comprising a set of user input elements for controlling the set of lighting elements of the illumination module, wherein the illumination module is moveable with the flexible elongated member to an illumination position in the surgical space, such that light from the set of lighting elements is emitted into the body cavity for illumination thereof; and wherein the flexible elongated member is configurable for maintaining the illumination module at said ...

Specimen retrieval device

A specimen retrieval device is provided. The specimen retrieval device includes an applicator. A specimen retrieval pouch operably is disposed within the applicator and deployable therefrom. The specimen retrieval pouch defines a longitudinal axis therethrough and includes a closed bottom portion and an open upper portion. The closed bottom portion includes a plurality of spikes configured to grasp a specimen positioned within the confines closed bottom portion. The upper closed portion includes one or more axial folds that are movable from a folded configuration to an unfolded configuration when a predetermined force is applied to a portion of the specimen retrieval pouch.

DEVICES AND METHODS FACILITATING SLEEVE GASTRECTOMY PROCEDURES

A device for use in bariatric surgery includes a tube member, a coupling member, and a rod member. The tube member includes a proximal portion and a distal portion having a distal end. The coupling member is affixed to the tube member. The rod member includes a proximal portion and a distal portion having a distal end. The rod member is slidably coupled with the coupling member. The distal end of the rod member is fixedly coupled to the distal end of the tube member. The proximal portion of the rod member is translatable relative to the tube member to transition the distal portion of the rod member between a contracted position, wherein the distal portion of the rod member extends along the distal portion of the tube member, and a deployed position, wherein the distal portion of the rod member bows outwardly relative to the tube member.

Apparatus and Methods for Performing Brain Surgery

Less invasive surgical techniques for performing brain surgery are disclosed in which a dilating obturator and cannula assembly is inserted into brain tissue until the obturator tip and cannula are adjacent the target tissue. The obturator is removed and surgery is performed through the cannula. In preferred embodiments the obturator and cannula are placed using image guidance techniques and systems to coordinate placement with pre-operative surgical planning. A stylet with associated image guidance may he inserted prior to insertion of the obturator and cannula assembly to guide insertion of the obturator and cannula assembly. Surgery preferable is performed using an endoscope partially inserted into the cannula with an image of the target tissue projected onto a monitor.

DEVICES, SYSTEMS, AND METHODS FOR PROVIDING SURGICAL ACCESS AND FACILITATING CLOSURE OF SURGICAL ACCESS OPENINGS

A suture passer includes a handle, an elongated sleeve defining a distal end, an inner shaft slidably disposed within the elongated sleeve, and an end effector assembly disposed at a distal end of the inner shaft. The end effector assembly includes first and second arms, at least one which is movable relative to the other between a spaced-apart position and an approximated position for retaining a portion of a suture therebetween. The inner shaft and elongated sleeve are relatively movable between a first condition, wherein the first and second arms are disposed in the approximated position and the distal end of the elongated sleeve is exposed, a second condition, wherein the first and second arms are disposed in the approximated position and the distal end of the elongated sleeve is shielded, and a third condition, wherein the first and second arms are disposed in the spaced-apart position.

Balloon catheter suturing systems, methods, and devices having pledgets

A direct visualization catheter includes an elongate shaft defining a lumen and having a distal end portion and a proximal end portion and a transparent balloon attached to the distal end portion of the shaft. The balloon includes a first layer comprising a thermoset polymer and a plurality of polymeric fibers at least partially embedded in the thermoset polymer and a second layer disposed on the first layer and comprising a hydrogel.

BLADELESS OPTICAL OBTURATOR

Bladeless optical obturator

The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections ...

SYSTEM AND METHOD FOR HARVESTING A TENDON

СШИВАЮЩИЕ ИНСТРУМЕНТЫ И СИСТЕМЫ ДЛЯ НАЛОЖЕНИЯ ШВОВ

... 1. Кассета для хранения и/или удаления в отходы приемника иглы (NR), содержащая NR, пригодный для фиксации хирургической иглы, по желанию, иглы с шовным материалом или без него, и корпус, при этом упомянутый корпус содержит, по меньшей мере, одно отверстие, выполненное в размер для вставки и извлечения рычага пинцета, и выполнен с возможностью прикрепления или съема NR и, по желанию, иглы с шовным материалом или без него к дистальному концу или с дистального конца упомянутого рычага пинцета, при вставке упомянутого рычага. ! 2. Кассета по п.1, содержащая индикатор для идентификации состояния упомянутой кассеты как новой, так и использованной. ! 3. Кассета по п.1 или 2 в сочетании с пинцетом, содержащим первый рычаг и второй рычаг, соединенные на проксимальном конце и ограничивающие пространство между первым рычагом и вторым рычагом, которое можно увеличивать или уменьшать, и при этом приемник иглы (NR) закреплен на дистальном конце рычага на внутренней стороне, внешней стороне и/или боковой ...

УЛЬТРАЗВУКОВОЕ УСТРОЙСТВО, СИСТЕМА ТЕРАПИИ И СПОСОБ ИНТЕНСИФИКАЦИИ РАБОЧИХ ОПЕРАЦИЙ

... 1. Ультразвуковое устройство (10), содержащее: ! средство (2) опоры для размещения участка пациента (14), при этом упомянутое средство опоры содержит первую емкость (8) для передающей среды, ! источник (9) ультразвуковых волн, имеющий излучающую поверхность (7), выполненную с возможностью ориентации в направлении участка пациента (14) во время использования; ! при этом ! средство (2) опоры смонтировано с, по существу, прозрачной апертурой (26), выполненной с предоставлением возможности контроля первой емкости (8), причем ультразвуковое устройство дополнительно содержит вторую емкость (11), выполненную с возможностью наполнения контактной средой, и причем вторая емкость размещена вблизи участка пациента, при этом апертура дополнительно выполнена с предоставлением возможности контроля поверхности (27а) контакта, по меньшей мере, между первой емкостью (8) и второй емкостью (11). !2. Ультразвуковое устройство (10) по п.1, в котором первая емкость (8) выполнена с возможностью вмещения участка ...

ХИРУРГИЧЕСКИЕ НАБОРЫ И СПОСОБЫ

... 1. Набор для имплантации материала в тело, отличающийся тем, что он содержит имплантационную трубку (1), проникающий стержень (2) и контейнер (3), причем проникающий стержень (2) выполнен с возможностью размещения в имплантационной трубке (1) для формирования полости в теле, имплантационная трубка (1) поддерживает сформированную полость, а контейнер (3), предназначенный для размещения в нем материала для имплантации в сформированную полость, выполнен с возможностью вставки в имплантационную трубку (1), когда в ней отсутствует проникающий стержень (2). ! 2. Набор по п.1, дополнительно содержащий плунжер (10) для удержания имплантированного материала на месте в сформированной полости во время удаления имплантационной трубки (1) и контейнера (3). ! 3. Набор по п.1, дополнительно содержащий нить (13) и по меньшей мере одну иглу (12) для подтягивания материала на место в сформированной полости и/или удержания имплантированного материала на месте в сформированной полости во время удаления имплантационной ...

FLÜSSIGKEITSGEKÜHLTES CHIRURGISCHES GERÄT

Instrumenten-Identifikationsvorrichtung

Vorrichtung zur Identifikation medizinischer Instrumente bestehend aus einer Sensorenstation zur Ermittlung mehrerer unterschiedlicher Charakteristika eines medizinischen Instruments, die mit einem Rechner verbunden oder verbindbar ist, der die ermittelten Charakteristika mit produktspezifischen Informationen, abgespeichert in einem rechnerverwalteten Archiv vergleicht und basierend auf dem Vergleichsergebnis zumindest ein medizinisches Instrument als passend oder identisch identifiziert.

Cannula with proximally mounted camera

Transparent retractor with light

A surgical retractor 10 comprising a main body portion 12 having at least one formation 16 adapted for retracting tissue during a surgical procedure, and at least one light source 58 e.g. LED, located within the main body portion 12, wherein the main body portion is manufactured from transparent or translucent material. The device may further include a battery 76 and switch 80 and the light 58, battery 76 and switch 80 may be encapsulated within the main body portion 12. The retractor may further include one or more suction conduits 34 for aspirating fluids from the surgical site.

Medical device holder for a loading and carrier assembly

A medical device loading and carrier assembly includes a tubular holder 40 having at least one see-through section. The holder has a flared proximal end (42, figure 3) for compressing a gripper element 22 of a device carrier 24. The carrier can thus be activated to grip a medical device by pushing the gripper element into the tubular holder. A safety lock 50 locks the medical device and carrier assembly in the holder to prevent inadvertent removal during storage and transportation. The holder has a distal end 70 designed to be connected to the proximal end of a delivery sheath (60, figure 1), which may be a luer connector 80, such that the medical device and device carrier assembly can be slid from the holder into the sheath. The see-through section of the holder may be transparent or translucent material or may be an open window. Preferably the entire holder is transparent.

COLLAPSIBLE CONTAINER FOR USE AS A COMPACT & PORTABLE STERILISING CHAMBER

Apparatus for use in sterilising babies and infants feeding and teething equipment, comprises a collapsible liquid tight container which has therein a quantity of material (e.g. sodium dichloroisocyanurate) which when admixed with water will form a sterilising solution. The container may be of a translucent or transparent plastics (e.g. polyethylene) material and have a line, or other indicia on a wall in a position indicating the container has been filled with a predetermined volume of water. The container may comprise a bag formed at its mouth with a hem through which extends one or more drawstrings by which the bag may be closed after filling and by means of which the bag may be supported e.g. on a hook. The material in the bag to form the sterilising solution is preferably in tablet form and is located within a perforated sachet or pocket within the bag. A sachet, if provided may be loose within the bag. The pocket may be on a side wall of the bag (Fig. 1) or be a perforated portion ...

EPIDURAL SPACE LOCATION DEVICE.

A device functioning as an epidural space location aid comprises a rotor-containing chamber fitted on to the end of a syringe vessel and with the syringe needle projecting from the end of the chamber and in fluid-flow communication via the chamber with the syringe vessel. The negative pressure experienced at the tip of the needle as it enters the epidural space of a patient, in use, is transmitted via the needle to the chamber and causes the rotor to rotate. The rotation is visible through the transparent walls of the chamber and as soon as it is seen it tells the practitioner that he has found the epidural space. The device, consisting of rotor-containing chamber with needle projecting from one end thereof, and with the other end of the device fitting on to the syringe vessel in use, may be manufactured as a self-contained unit; or it may form an inherent extension of the syringe vessel and be constructed as part of the syringe from the outset. ...

Improved laparoscopic camera system and apparatus

A laparoscope having a body 12 having a distal end 18 and a proximal end 16. The laparoscope comprises a camera 20 and a light source 22 at the distal end. The laparoscope also comprises an operable interface 28 adjacent the proximal end 16, for operating the camera 20 and/or light source 22 and a processor and data storage are located in the body 12 and operable to provide an interface for managing the camera 20, light source 22 and recording images. The camera 20 and light source 22 may be manoeuvrable. A lens 38 may be provided at the distal end 18 of the device. The operable interface may comprise a display or control buttons. The device may comprise a plurality of cameras. The processor may be configured to move the field of view of the camera and to adjust at least one of the focus, depth of filed or image parameter. A sheath for the laparoscope is also provided. A case configured to enclose a laparoscope comprising a trocar tip is also provided. A kit comprising at least one of a ...

VENIPUNCTURE DEVICE

... 1286789 Venipuncture device D W EDWARDS 19 April 1971 [24 July 1970] 24438/ 71 Heading A5R A venipuncture device for use in withdrawing a blood sample comprises a cannula 10 having a point 14 at an open end and a longitudinally-extending slot 22 extending from or spaced from the point 14, and a sleeve 44 which slides on the cannula 10 selectively to cover or expose the slot 22, the sleeve 44 forming a seal against the cannula 10. Sleeve 44 may also seal against the patient's skin 32 by means of a base 46 disposed at an oblique angle to the axis of the sleeve 44. The base 46 is preferably made of transparent material to facilitate positioning of the cannula over a vein 36, and may carry adhesive to improve the seal against the skin. In the embodiment shown, point 14 is at one side of the cannula 10 and the slot 22 is in the opposite side of the cannula 10, extending axially from the end opening. In a further embodiment, Fig. 5-7 (not shown) an additional axially-extending slot (24) is provided ...

Cannula with proximally mounted camera

BIO PSI PLIERS WITH TRANSPARENT OUTSIDE ONES COVERING

DELIVERY DEVICE FOR LIGATIONSBÄNDER

IMPROVED RADIAL OF EXPAND-CASH RETRAKTOR FOR THE MINIMALINVASIVE SURGERY

Medizinischer Schutzbeutel

Ein Medizinischer Schutzbeutel zum Auffangen von beim Morcellieren eines Resektats abgetrennten Gewebepartikeln, wobei der Schutzbeutel mit einem Gas aufblasbar ist und im aufgeblasenen Zustand einen gasgefüllten Aufnahmeraum für das Resektat aufweist. Der Schutzbeutel (1) weist eine erste Öffnung (21) zum Einbringen des Resektats in den Aufnahmeraum des Schutzbeutels und zumindest einen in den Aufnahmeraum mündenden von einem Schlauch (30)gebildeten Hals (3) mit einer zweiten Öffnung (31) auf, wobei der Schutzbeutel einen Ausgangszustand aufweist, in welchem ein erster Abschnitt (34) der Längserstreckung des Schlauchs (30) umgestülpt ist und einen zweiten Abschnitt der Längserstreckung (35) des Schlauchs umgibt. Der Hals (3) ist zumindest über einen Teil seiner Länge doppelwandig und zur Verlängerung seiner Länge ausziehbar.

ENDOVASKULARE SPLIT PIN DEVICES

Surgical clips without protusions

System and method for performing surgical procedures with a reusable instrument module

SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE A method of assembling a surgical instrument, the method comprising: providing an outer housing shell (280) that defines a cavity (282), the outer housing shell (280) including an upper outer housing (280A) and a lower outer housing (280B) extending from the upper outer housing (280A), the outer housing shell (280) having a face that defines an opening that is in communication with the cavity (282); providing an instrument module (110) including an inner housing shell (111) that defines a cavity therein, the inner housing shell (111) having an upper inner housing and a lower inner housing extending from the upper inner housing; and inserting the instrument module (110) into the cavity (282) of the outer housing shell (280) through the opening of the outer housing shell (280), thereby positioning the upper inner housing of the inner housing shell in the upper outer housing of the outer housing shell and ...

Device to be used in healing processes

Retractor cannula system for accessing and visualizing spine and related methods

Endoscopic balloon tissue dissector and retractor

In endoscopic surgery, a retractor having independently spreadable retractor blades mounted at the distal end of a tube is introduced percutaneously. A balloon dissector is passed through the tube and expanded. Following dissection by expansion of the balloon, the balloon is contracted, the tube is advanced, and the dissected tissue is spread by moving the blades apart from each other. The balloon dissector is withdrawn and another instrument is then introduced to carry out surgery on the anatomical structure exposed by the dissection and spreading steps.

Bladeless obturators and bladeless obturator members

A surgical obturator that includes an elongated shaft defining a longitudinal axis and an obturator member disposed adjacent a distal end of the elongated shaft. The obturator member may include a proximal section being convex along a majority of its length. It may also include a central section disposed adjacent the proximal section, the central section including a first pair of surfaces disposed relative to each other on radially opposite sides of the central section, and a second set of surfaces disposed between the first pair of surfaces and further being disposed relative to each other on radially opposite sides of the central section, at least a portion of a length of each one of the first pair of surfaces being concave, and at least a portion of a length of each one of the second pair of surfaces being convex. The obturator member may also include a guiding nub disposed distally of the central section and including a rounded distal-most portion. The rounded distal-most portion of the guiding nub may be atraumatic to tissue.

Oled phototherapy device

The invention provides a phototherapy device that includes a controlled environment defined by a plurality of transparent panels and at least one light emitting diode portion that projects light into the controlled environment.

Knotless graft fixation using an implant having a pointed tip

A method for securing soft tissue to bone which does not require the surgeon to tie suture knots to secure the tissue to the bone. Suture is passed through the graft at desired points. A cannulated plug or screw is pre-loaded onto the distal end of a driver provided with an eyelet implant at its distal end. Suture attached to the graft is passed through the eyelet of the implant located at the distal end of the driver. The distal end of the driver together with the eyelet implant is inserted into the bone. Tension is applied to the suture to position the graft at the desired location relative to the bone. The screw or plug is advanced into the pilot hole by turning the interference screw or tapping the plug until the cannulated screw or plug securely engages and locks in the eyelet implant, so that the cannulated plug or screw with the engaged eyelet implant is flush with the bone. Once the screw or plug is fully inserted and the suture is impacted into the bone, the driver is removed and any loose ends of the sutures protruding from the anchor site are then clipped short.

Apparatus and methods for coronary sinus access

Apparatus and methods for locating features within a body cavity using a catheter including proximal and distal ends, a transparent balloon carried on the distal end, and an optical imaging assembly carried on the distal end for imaging through the balloon. The balloon includes a channel extending therethrough to a lumen extending through the catheter. A guidewire or other localization member is received in the lumen that is extendable through the channel. During use, the catheter is inserted into a right atrium of a heart, and the balloon is expanded and placed against the wall of the heart to locate the coronary sinus. Sufficient force is applied to clear blood between the surface and the wall and clear the field of view of the imaging assembly. The catheter is manipulated to locate the coronary sinus, whereupon the localization member is advanced into the coronary sinus.

Laparoscopic device insertion cannula

The present invention is directed to a laparoscopic device insertion cannula (“LDIC”). The LDIC can be configured to store a surgical implant and can be formed from a hollow cylindrically shaped tube including a tapered closed tip at a distal end and a cap at a proximal end. The hollow tube can also include an opening adjacent the distal end. The opening can be covered, for example, by a flexible window. The flexible window can include a slit from which the surgical implant can be extracted from the LDIC. The surgical implant can be, for example, a gastric band.

Endoscopic Cannulas and Methods of Using the Same

Endoscopic cannulas and methods of their use are disclosed. In some embodiments, an endoscopic cannula may include an elongated body having a proximal end and a distal end. A viewing channel and a working channel may extend through the elongated body. The viewing channel can be configured for passing therethrough an endoscope to the distal end of the elongated body for viewing outside the elongated body, while the working channel can be configured for passing therethrough an injection needle distally of the elongated body. The cannula may also include a suction pod disposed on a bottom surface of the elongated member, the suction pod being in communication with a suction channel extending through the elongated body to create suction between the suction pod and a tissue surface to temporary attach the elongated body to the tissue surface.

Specimen Retrieval Device

A specimen retrieval device is provided. The specimen retrieval device includes an applicator. A specimen retrieval pouch operably is disposed within the applicator and deployable therefrom. The specimen retrieval pouch defines a longitudinal axis therethrough and includes a closed bottom portion and an open upper portion. The closed bottom portion includes a plurality of spikes configured to grasp a specimen positioned within the confines closed bottom portion. The upper closed portion includes one or more axial folds that are movable from a folded configuration to an unfolded configuration when a predetermined force is applied to a portion of the specimen retrieval pouch.

Nir/red light for lateral neuroprotection

The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: a) making an incision in a patient, b) inserting an access device into the patient through the incision to at least partially create a path to a spine of the patient, and c) irradiating nervous tissue adjacent the path with an amount of NIR or red light effective to provide neuroprotection.

Clot evacuation and visualization devices and methods of use

An integrated clot evacuation device having visualization for use in neurosurgical applications, particularly for the evacuation of clots formed as a result of intracranial hemorrhage (ICH). The device may further include an integrated camera and light for visualizing the interior of the brain and the clot itself. Further, the device is configured to evacuate clots through aspiration and irrigation.

Trocar

A trocar with a trocar sleeve, comprising a valve device arranged at the proximal end of the trocar sleeve and comprising a trocar pin which can be inserted axially into the trocar sleeve through the valve device and which has a hollow shaft and a tapering transparent distal tip. An endoscopic optical unit, such that the adjacent body tissue can be observed through the distal tip, can be introduced into the hollow shaft of the trocar pin, and a proximal insufflation connection allows a gas to be introduced into the trocar sleeve.

HEMOSTATIC DEVICE

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment. 1. A hemostatic device comprising:a flexible band portion and a more rigid portion, the flexible band portion being configured to be wrapped around at least a portion of a limb of a patient to apply the hemostatic device to the limb of the patient;the more rigid portion being more rigid than the flexible band portion, the more rigid portion possessing an inner side that faces towards the limb of the patient when the hemostatic device is applied to the limb of the patient;the inner side of the more rigid portion comprising a flat inner side part that is flat and a curved inner side part that is curved;an inflatable balloon that inflates when a fluid is introduced into the balloon, the inflatable balloon being located at the inner side of the more rigid portion so that the inflatable balloon is between the inner side of the more rigid portion and the limb of the patient when the hemostatic device is applied to the limb of the patient; andthe balloon being positioned relative to the curved inner side part of the more rigid portion such that when the hemostatic device is applied to the limb of the patient and the inflatable balloon is inflated, ...

METHOD TO STOP BLEEDING AT A PUNCTURE SITE

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment. 1. A method to stop bleeding at a puncture site of an artery on a wrist of a patient comprising:wrapping a flexible band of a hemostatic device around at least a portion of the wrist of the patient, the hemostatic device also comprising a member more rigid than the flexible band, a balloon, and a visually identifiable marker used to position the balloon at the puncture site;the wrapping of the flexible band around at least the portion of the wrist of the patient comprising wrapping the flexible band around at least the portion of the wrist of the patient while the balloon is in an uninflated state and while an introducer sheath is in place at the puncture site;using the visually identifiable marker to position balloon relative to the puncture site, while viewing the puncture site through the balloon and the member, such that the balloon overlies the puncture site;introducing a fluid into the balloon to inflate the balloon and apply compression against the puncture site; andmaintaining inflation of the balloon and compression against the puncture site.2. The method of claim 1 , wherein the marker is positioned to identify a center of the ...

Hemostatic device

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment.

HEMOSTATIC DEVICE

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment. 1. A hemostatic device configured to be applied to a limb of a patient , the hemostatic device comprising:a flexible band to be applied to the limb of the patient in a wrapped state in which the flexible band is wrapped around at least a portion of the limb of the patient to apply the hemostatic device to the limb of the patient at a site where bleeding is to be stopped;means for securing the band in the wrapped state to the patient's limb;a frame member made of a material more rigid than the flexible band, the frame member and the flexible band being connected to each other so that when the flexible band is in the wrapped state the frame member is positioned on the limb of the patient at the site on the limb where bleeding is to be stopped, the frame member possessing an inner peripheral side which faces toward the limb of the patient when the flexible band is in the wrapped state, a portion of the inner peripheral side of the frame member being a curved portion that is curved toward the inner peripheral side;an inflatable balloon that is inflatable upon introducing fluid into the balloon, the balloon being located on the inner peripheral ...

ANCHOR INSERTION DEVICE WITH WINDOW SPIKE TIP

A surgical device includes a generally elongated shaft having a cannulated interior dimensioned for slidably receiving an anchor. A distal end of the shaft includes a cutaway portion and a window. The window may be positioned within the cutaway portion or overlie at least a portion of the distal end of the shaft including the cutaway portion. The window may be transparent or partially-transparent, allowing the window to provide lateral support as well as visualization of an anchor sliding through and/or emerging from the distal end of the shaft. The cutaway portion may be open on at least one side (e.g., a distal-facing side). 1. A surgical device comprising:a generally elongated shaft having a cannulated interior extending along a longitudinal axis between a proximal end and a distal end, the cannulated interior dimensioned for slidably receiving an anchor or instrumentation therein;a proximal end responsive to surgical control for insertion of the insertion shaft into a surgical site along an axis defined by the cannulated interior; anda window positioned at the distal end of the shaft in visual communication with the cannulated interior of the shaft, the window further providing lateral support to an anchor sliding through the distal end of the shaft.2. The surgical device of claim 1 , further comprising a cutaway portion formed in the distal end of the shaft claim 1 , wherein the window is formed from a material that covers at least a portion of the cutaway portion.3. The surgical device of claim 2 , wherein the window is transparent.4. The surgical device of claim 2 , wherein the window is partially transparent.5. The surgical device of claim 1 , wherein the cutaway portion is open on at least one side.6. The surgical device of claim 5 , wherein the at least one open side of the cutaway portion includes a distal-facing side.7. The surgical device of claim 1 , wherein the window comprises a cutaway portion formed in the distal end of the shaft that is bounded on ...

Imaging capsule

Described embodiments include a capsule, including a cyclically everting sleeve shaped to define a sleeve interior, a fluid, configured to facilitate the everting of the sleeve, contained within the sleeve interior, and a plurality of electrically-conductive coils coupled to the sleeve. The coils are configured to, when at least two of the coils are magnetized, advance the capsule within a lumen by applying an everting force to the sleeve. Other embodiments are also described.

HEMOSTATIC DEVICE

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment. 1. A hemostatic device configured to be applied to a limb of a patient , the hemostatic device comprising:a flexible band to be applied to the limb of the patient in a wrapped state in which the flexible band is wrapped around at least a portion of the limb of the patient to apply the hemostatic device to the limb of the patient at a site where bleeding is to be stopped;means for securing the band in the wrapped state to the patient's limb;a member more rigid than the flexible band, the member and the flexible band being connected to each other so that when the flexible band is in the wrapped state the member is positioned on the limb of the patient at the site on the limb where bleeding is to be stopped, the member possessing an inner peripheral side which faces toward a surface of the limb of the patient when the flexible band is in the wrapped state;one portion of the inner peripheral side of the member being a curved portion that is curved toward the inner peripheral side, an other portion of the inner peripheral side of the member being a flat portion;an inflatable balloon that is inflatable upon introducing fluid into the balloon, the ...

SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE

A surgical instrument includes an outer housing shell defining a cavity, the outer housing shell defining an upper outer housing half and a lower outer housing half, wherein the upper outer housing half defines a longitudinal axis and an instrument module selectively insertable into the cavity of the outer housing shell. The instrument module includes an inner housing shell, at least one motor disposed within the inner housing shell, a control board being in electrical communication with the at least one motor and an energy source being in electrical communication with the at least one motor and the control board. The instrument module is inserted into the cavity of the outer housing shell in such a manner that the operative axis of the at least one motor is substantially parallel to the longitudinal axis of the upper outer housing half. 132-. (canceled)33. A handle assembly of a surgical instrument , the handle assembly comprising: an upper outer housing portion; and', 'a lower outer housing portion extending substantially perpendicularly from the upper outer housing portion; and, 'an outer housing shell defining a cavity and including [ an upper inner housing portion configured for receipt in the upper outer housing portion; and', 'a lower inner housing portion extending substantially perpendicularly from the upper inner housing portion and configured for receipt in the lower outer housing portion;, 'an inner housing shell including, 'a plurality of elongated motors disposed within the upper inner housing portion and extending parallel with a longitudinal axis defined by the upper inner housing portion; and', 'a plurality of drive shafts drivingly coupled to the respective plurality of motors and extending distally from the upper inner housing portion., 'an instrument module configured to be inserted into the cavity of the outer housing shell and including34. The handle assembly according to claim 33 , wherein the plurality of drive shafts extend through a gap ...

VAGINAL DILATOR/MANIPULATOR

A dilator/manipulator for use in treating pelvic organ prolapse, including a support member having a proximal end, a distal end, and an adjustable width, and a handle extending upwardly at an angle from the support member. Also included are methods for surgically correcting pelvic organ prolapse with the use of such a dilator/manipulator. 1. A dilator/manipulator for use in treating pelvic organ prolapse , comprising:a support member having a proximal end, a distal end, and an adjustable width; anda handle extending upwardly at an angle from the support member.2. The dilator/manipulator of claim 1 , wherein the pelvic organ prolapse comprises vaginal prolapse.3. The dilator/manipulator of claim 1 , wherein the support member comprises:an outer frame with a slot extending along at least a portion of its length; andan inner slide member slideably engaged with the slot of the outer frame.4. The dilator/manipulator of claim 3 , wherein the slot is smooth along at least a portion of its length.5. The dilator/manipulator of claim 3 , wherein the slot includes at least one protrusion along its length for selective engagement with an outer surface of the inner slide member.6. The dilator/manipulator of claim 1 , wherein the support member has a constant thickness along its width.7. The dilator/manipulator of claim 1 , in combination with a Y-shaped implant.8. The dilator/manipulator of claim 7 , wherein the Y-shaped implant comprises at least one of a synthetic mesh claim 7 , a biological graft claim 7 , and another biocompatible material.9. The dilator/manipulator of claim 1 , further comprising a light source.10. The dilator/manipulator of claim 9 , wherein the dilator/manipulator is made of a material that is at least partially translucent.11. The dilator/manipulator of claim 10 , wherein the transluscent material provides for light emission in at least one predetermined area.12. The dilator/manipulator of claim 9 , further comprising at least one protrusion through ...

NIR/RED LIGHT FOR LATERAL NEUROPROTECTION

The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: 1. A method of protecting nerves , comprising the steps of:a) making an incision in a patient,b) inserting an expandable retractor into the patient through the incision,c) expanding the retractor to at least partially create a path to a spine of the patient and retract nervous tissue,d) irradiating the retracted nervous tissue adjacent the path with an amount of NIR or red light, ande) receiving a message from a neuromonitoring system that provides information concerning the health of the retracted nervous tissue,wherein the expandable retractor is fitted with a detector capable of detecting the health of the retracted nerve.2. The method of wherein the light is NIR light.3. The method of wherein the light is red light.4. The method of wherein the irradiation is carried out in response to a warning.5. The method of wherein the warning is from a neuromonitoring system6. The method of wherein the irradiation is carried out automatically via direction from a neuromonitoring system.7. The method of wherein the neuromonitoring system has detected a nerve within a predetermined proximity.8. The method of wherein the neuromonitoring system has detected a decline in nerve health.9. The method of wherein the irradiation is carried out prophylactically.10. The method of wherein the path leads to an intervertebral disc space11. The method of wherein the path is a lateral path to an intervertebral disc space.12. The method of wherein the path is a posterolateral path to an intervertebral disc space.13. The method of wherein the path is an anterolateral path to an intervertebral disc space.14. The method of wherein the path is a translaminar path to the intervertebral disc space.15. The method of wherein the access device has a NIR/red light emitter thereon claim 1 , and step c) is carried ...

NIR/RED LIGHT FOR LATERAL NEUROPROTECTION

The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: 158-. (canceled)59. A retractor system , comprising:a first component adapted to retract tissue;a second component adapted to retract tissue, the second component being movable relative to the first component to provide a working channel through tissue, the second component including an electrode in electrical connection with a neuromonitoring system adapted to monitor nerve status or health; anda light delivery device inserted through the working channel, the light delivery device being connected to an endoscope.60. The system of claim 59 , further comprising the neuromonitoring system claim 59 , wherein the neuromonitoring system is configured to provide a warning when it detects a decline in nerve status or health.61. The system of claim 59 , wherein the light delivery device is connected to a light source disposed outside a patient's body.62. The system of claim 59 , wherein the second component has an arc-shaped outer wall having the electrode thereon.63. The system of claim 59 , wherein the light delivery device runs down the length of an inner wall of the first component.64. The system of claim 59 , wherein the light delivery device is secured within a channel or bore of the first component.65. The system of claim 64 , wherein the light delivery device is secured within a channel formed in an inner wall of the first component.66. The system of claim 59 , wherein the light delivery device is removably coupled to the first component.67. The system of claim 59 , wherein the light delivery device is secured to the first component via a taper-lock configuration.68. The system of claim 59 , wherein the light delivery device runs along a proximal portion of the first component and terminates in a distal end portion of the first component.69. The system of claim 59 , wherein ...

RETRACTOR CANNULA SYSTEM FOR ACCESSING AND VISUALIZING SPINE AND RELATED METHODS

Retractor cannula systems may be used for accessing and visualizing the spine and related methods of treatment, including a forward-looking retractor cannula system for creating a working space and the retractor cannula system having atraumatic dissection capability to allow visualization in spine. The devices and methods described may be used, for example, to perform annulus repair, herniated disc excision, and denervation of neurological tissue; to dispense pharmacological agents and/or cell or tissue therapy agents; to diagnose disc degeneration and bony degeneration, spinal stenosis, and nucleus decompression, and to perform disc augmentation. 129.-. (canceled)30. A retractor cannula device comprising:a first tubular body having a central axis and a distal end, the tubular body comprising at least one lumen configured to hold an endoscope;a second tubular body slidably positioned within the first tubular body; anda retractor assembly located at the distal end of the tubular body, the retractor assembly including at least one movable element having a distal tip, and having a first closed configuration and a second open configuration, the retractor assembly coupled to the first tubular body and the second tubular body, such that the retractor assembly transitions from the first closed configuration to the second open configuration in response to movement of the second tubular member in a distal direction, the distal tip of a first of the at least one moveable element configured to pass through the central axis of the second tubular body as the retractor assembly transitions from the first closed configuration to the second open configuration.31. The device of claim 30 , wherein the retractor assembly is coupled to the first tubular body through a living hinge.32. The device of claim 30 , further comprising an endoscopic system.33. The device of claim 30 , wherein the at least one movable element comprising a curved surface.34. The device of claim 30 , wherein the ...

High speed chronic total occlusion crossing devices

An occlusion crossing device includes an outer shaft, an inner shaft, an optical fiber, and a handle attached to the inner shaft and the outer shaft. The inner shaft extends within the outer shaft. The inner shaft includes a drill tip at a distal end thereof. The optical fiber extends within the inner shaft substantially along a central axis of the inner shaft. The distal tip of the optical fiber is attached to the drill tip. The handle is configured to rotate the inner shaft and drill tip at speeds of greater than 500 rpm.

Minimally invasive no touch (mint) procedure for harvesting the great saphenous vein (gsv) and venous hydrodissector and retractor for use during the mint procedure

A hydrodissector for hydrodissecting a vein, the hydrodissector comprising a handle, a shaft extending from the handle at an angle and including a tip at a distal end thereof, at least one port configured to be coupled to a fluid supply for supplying fluid at a substantially constant pressure, and provided at the distal end of the shaft, and an image capturing assembly configured to provide direct visualization of the vein during hydrodissection. A minimally invasive method for dissecting a greater saphenous vein (GSV) from surrounding tissues using the hydrodissector is also described.

Bladeless obturators and bladeless obturator members

A surgical obturator that includes an elongated shaft defining a longitudinal axis and an obturator member disposed adjacent a distal end of the elongated shaft. The obturator member may include a proximal section being convex along a majority of its length. It may also include a central section disposed adjacent the proximal section, the central section including a first pair of surfaces disposed relative to each other on radially opposite sides of the central section, and a second set of surfaces disposed between the first pair of surfaces and further being disposed relative to each other on radially opposite sides of the central section, at least a portion of a length of each one of the first pair of surfaces being concave, and at least a portion of a length of each one of the second pair of surfaces being convex. The obturator member may also include a guiding nub disposed distally of the central section and including a rounded distal-most portion. The rounded distal-most portion of the guiding nub may be atraumatic to tissue.

Unitary Endoscopic Vessel Harvesting Devices

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices may comprise an elongated body having a proximal end and a distal end. A conical tip may be disposed at the distal end of the elongated body. In addition, the surgical instrument may include one or more surgical instruments moveable in a longitudinal direction along an axis substantially parallel to a central longitudinal axis of the cannula from a retracted position proximally of a distal end of the tip to an advanced position toward the distal end of the tip to seal and cut a blood vessel. 1. A method for harvesting a blood vessel comprising:advancing a cannula having a conical dissection tip disposed at a distal tip of an elongated body along a main vessel to separate the main vessel and its branch vessels from the surrounding tissue;moving one or more surgical instruments in a longitudinal direction along an axis substantially parallel to a central longitudinal axis of the cannula from a retracted position proximal of a distal end of the tip to an advanced position toward the distal end of the tip;manipulating the one or more surgical instruments to seal and cut the branch vessel.2. The method of claim 1 , wherein claim 1 , in the step of advancing claim 1 , the tip is removable to expose the distal end of the elongated body.3. The method of claim 1 , wherein claim 1 , in the step of advancing claim 1 , the tip is retractable over the elongated body to expose the distal end of the elongated body.4. The method of claim 1 , wherein claim 1 , in the step of advancing claim 1 , the tip includes one or more optical windows.5. The method of claim 4 , wherein the cannula further comprises a cover moveable from a first position over the one or more optical windows to cover the one or more optical windows to a second position away from the one or more optical windows to expose the one or more optical windows.6. The method of claim 1 , wherein claim 1 , in the step of moving ...

HEMOSTATIC DEVICE AND HEMOSTATIC METHOD

A hemostatic device can perform hemostasis by compressing a puncture site on a hand of a patient, and can prevent a movable range of fingers from being narrowed or can prevent misalignment at a wearing position, when the hemostatic device is worn on the hand. The hemostatic device has a covering portion to cover a site where bleeding is to be stopped on a hand of a patient, and a pressing portion that compresses the site where bleeding is to be stopped, in a state where the covering portion covers the site where bleeding is to be stopped. The covering portion includes a securing portion that surrounds at least a portion of the hand while covering the pressing portion, and a restriction portion that restricts a movement of the securing portion in an axial direction. The restriction portion is disposed between adjacent fingers and of the hand. 1. A hemostatic device comprising:a covering portion disposed so as to cover a site where bleeding is to be stopped on a hand of a patient;a pressing portion that compresses the site where bleeding is to be stopped when the covering portion covers the site where bleeding is to be stopped;a marker portion for aligning the pressing portion with the site where bleeding is to be stopped so that the pressing portion overlies the site where bleeding is to be stopped; ["a securing portion configured to surround at least a portion of the patient's hand while covering the pressing portion, and", 'a restriction portion that restricts movement of the securing portion in an axial direction;, 'the covering portion includingthe restriction portion being positionable between adjacent fingers of the patient's hand; ["a band portion wrappable around a periphery of the patient's hand at the site where bleeding is to stopped; and", "a holding portion that secures the band portion in a state in which the band portion is wrapped around the periphery of the patient's hand at the site where bleeding is to stopped;"], 'the securing portion including a ...

Endoluminal sleeve gastroplasty

Devices and methods of endolumenal formation of gastric sleeves are described. Some embodiments allow templating of a gastric sleeve by a gastric bougie, exposing a selected amount of tissue for suturing access, while maintaining sufficient internal working space for suturing within the template lumen.

Devices, systems, and methods for providing surgical access and facilitating closure of surgical access openings

A surgical system includes a cannula and a guide member. The cannula is configured for positioning within an opening in tissue. The cannula includes a base and an elongated tubular member extending distally from the base. The elongated tubular member includes an annular wall defining a longitudinal passageway and defines at least one slot extending through the annular wall. The guide member includes a guide housing configured for releasably engaging the guide member with the cannula and an elongated guide shaft configured for insertion into the elongated tubular member of the cannula. The guide member defines at least one lumen extending therethrough and is configured such that, upon engagement of the guide member with the cannula, the at least one lumen is aligned with the at least one slot of the cannula to define a guide passageway through the guide member and cannula.

HEMOSTATIC DEVICE AND HEMOSTATIC METHOD

A hemostatic device can perform hemostasis by compressing a puncture site on a hand of a patient, and can prevent a movable range of fingers from being narrowed or can prevent misalignment at a wearing position, when the hemostatic device is worn on the hand. The hemostatic device has a covering portion to cover a site where bleeding is to be stopped on a hand of a patient, and a pressing portion that compresses the site where bleeding is to be stopped, in a state where the covering portion covers the site where bleeding is to be stopped. The covering portion includes a securing portion that surrounds at least a portion of the hand while covering the pressing portion, and a restriction portion that restricts a movement of the securing portion in an axial direction. The restriction portion is disposed between adjacent fingers and of the hand. 1. A hemostatic device comprising:a covering portion configured to cover a site where bleeding is to be stopped on a hand of a patient;a pressing portion that compresses the site where bleeding is to be stopped when the covering portion covers the site where bleeding is to be stopped;a marker portion for aligning the pressing portion with the site where bleeding is to be stopped so that the pressing portion overlies the site where bleeding is to be stopped; ["a securing portion configured to surround at least a portion of the patient's hand while covering the pressing portion, and", 'a restriction portion that restricts movement of the securing portion in an axial direction;, 'the covering portion includingthe restriction portion being positionable between adjacent fingers of the patient's hand; ["a band portion wrappable around a periphery of the patient's hand at the site where bleeding is to stopped, the band portion including a midpoint between oppositely located first and second free ends of the band portion, the pressing portion being mounted on the band portion at an intermediate position between the first and second free ...

Medical tools for and methods of gaining access to extravascular spaces

In some examples, a tool for, e.g., creating a sub-sternal tunnel in a patient or other use, is described. The tool may include a handle and a tunneling shaft coupled to the handle. The tunneling shaft extends from a proximal end to a distal end, and at least a portion of the tunneling shaft extends in a curved orientation between the first end to the distal end. The distal end of the tunneling shaft includes a cutting tool having a sharp edge. The cutting tool is moveable from a recessed position in which the sharp edge of the cutting tool is recessed into the distal end of the tunneling shaft to a deployed position in which the sharp edge of the cutting tool extends beyond the distal end of the tunneling shaft in the deployed position, e.g., to cut pericardium, scar tissue, and/or connective tissue with the sharp edge.

NIR/RED LIGHT FOR LATERAL NEUROPROTECTION

The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: 1. A method of protecting nerves , comprising the steps of:a) making an incision in a patient,b) inserting an access device into the patient through the incision to at least partially create a path to a spine of the patient,c) irradiating nervous tissue adjacent the path with an amount of NIR or red light effective to provide neuroprotection.2. The method of wherein the light is NIR light.3. The method of wherein the light is red light.4. The method of wherein the irradiation is carried out in response to a warning.5. The method of wherein the warning is from a neuromonitoring system6. The method of wherein the irradiation is carried out automatically via direction from a neuromonitoring system.7. The method of wherein the neuromonitoring system has detected a nerve within a predetermined proximity.8. The method of wherein the neuromonitoring system has detected a decline in nerve health.9. The method of wherein the irradiation is carried out prophylactically.10. The method of wherein the path leads to an intervertebral disc space11. The method of wherein the path is a lateral path to an intervertebral disc space.12. The method of wherein the path is a posterolateral path to an intervertebral disc space.13. The method of wherein the path is an anterolateral path to an intervertebral disc space.14. The method of wherein the path is a translaminar path to the intervertebral disc space.15. The method of wherein the access device is a cannula16. The method of wherein the access device is a retractor.17. The method of wherein the access device is an expandable refractor.18. The method of wherein the access device has a NIR/red light emitter thereon claim 1 , and step c) is carried out by actuation of the red light emitter.19. The method of wherein the red light emitter comprises a ...

Laparoscopic Morcellation Bag and Laparoscopic Morcellation Kit Including a Morcellation Bag

The disclosure relates to a morcellation bag including at least one film of plastic material attached so as to define a surface of the bag with a first closed end and a second open end for introducing surgical specimens and a morcellator; characterized in that it is provided with at least one transparent region, said transparent region having an area of at least 1 cm 2 and a thickness less than 200 μm; said transparent region being made of a material or materials with a total transmittance greater than 80%, a clarity greater than 80% and a haze less than 25%.

Methods of repairing abdominal wall defects

The present invention provides a method of repairing a defect in an abdominal wall of a subject, including the steps of: making a small incision through a skin layer above the defect in the abdominal wall, introducing a surgical device including a deformable body through the incision to reach a preperitoneum underlying the abdominal wall around the defect, using the surgical device to identify a protruded region of the preperitoneum extending towards the abdominal wall around the defect, and flattening the protruded region of the preperitoneum and separating the protruded region of the preperitoneum from the abdominal wall with the deformable body in an expanded condition. The method results in low recurrence of abdominal wall defect, less pain, and a shorter hospital stay after surgery.

INFLATABLE RADIAL ARTERY COMPRESSION DEVICE

Radial artery compression devices with an inflatable chamber and a substantially rigid frame are disclosed. The inflatable chamber of the radial artery compression devices can be inflated and then deflated according to a predetermined protocol. Some substantially rigid frames can form a wall of the inflatable chamber. Some substantially rigid frames can include indicia to facilitate positioning of the inflatable chamber relative to a puncture site of a patient. 1. A method for achieving hemostasis at an access site of a radial artery , the method comprising: an inflatable chamber;', 'a substantially rigid frame; and', 'a wristband;, 'providing a radial artery compression device, the device comprisingsecuring the radial artery compression device to a wrist of a patient such that the inflatable chamber of the radial artery compression device is positioned adjacent to the access site of the radial artery; andinflating the inflatable chamber to increase pressure that is applied to the access site;wherein the access site is visible through the frame and the inflatable chamber.2. The method of claim 1 , wherein a wall of the inflatable chamber is defined by the frame.3. The method of claim 1 , further comprising aligning a first indicium on the frame with a puncture site in the patient's skin.4. The method of claim 1 , further comprising removing air from the inflatable chamber over a plurality of stages according to a predetermined protocol.5. The method of claim 4 , further comprising activating a timer on the device.6. The method of claim 5 , wherein the predetermined protocol correlates to indicia on the timer.7. The method of claim 1 , further comprising positioning a curved portion of the frame around a thumb-side portion of the patient's wrist.8. The method of claim 1 , further comprising opening a valve in fluid communication with the inflatable chamber.9. The method of claim 8 , wherein opening the valve comprises coupling an inflation device to the valve such ...

ENDOSCOPIC SURGICAL BLADE AND USE THEREOF

An endoscopic surgical blade is disclosed. The blade is part of an endoscopic knife assembly which also has a knife tube and alignment ring. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly though a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. The blade has an upper and a lower cutting surface on the forward edge, which meet at an angle at a crotch. 16-. (canceled)7. An endoscopic knife assembly , comprising a blade , a knife tube and an alignment ring , wherein the assembly is insertable into a slotted cannula ,wherein the blade comprises:a planar main blade body comprising a distal portion and a proximal portion, and a notch formed within the planar main blade body,wherein the distal portion of the planar main blade body comprises a radiused top edge facing away from the planar main blade body, an upper cutting surface and a lower cutting surface on a forward edge of the distal portion of the planar main blade body, said cutting surfaces meeting at an angle at a crotch,wherein at least a portion of a lower edge of the planar main blade body is in contact with a surface of the knife tube, wherein the lower edge of the blade is on an opposite side of the blade from the radiused top edge of the distal blade portionwherein the planar main blade body extends along an axis parallel to a longitudinal centerline of the knife tube,wherein the notch is formed on the lower edge of the blade so that the notch is on the opposite side of the blade from the radiused top edge of the distal blade portion, and is adjacent to the surface of the knife tube,wherein the distal end of the blade is a portion of the blade distal from the notch.8. The endoscopic knife assembly of claim 7 , wherein the planar main blade body comprises a transition on the lower surface for mating the blade with the knife tube.9. The endoscopic knife assembly of claim 7 , wherein the height ...

COORDINATED SIZER-PUNCH TOOL FOR ARTICULAR CARTILAGE REPAIR

A tool system for the repair of joint articular cartilage defects is disclosed. The tool system may include a non-trephine cutting tool, having a handle coupled to a movable support and a cutter section, coupled to the handle. The cutter section has a closed geometric peripheral shape sized to surround a lesion in cartilage of an articular joint. The cutter section also has a cutting edge that is sufficiently sharp to cut, by the application of force normal to the cutting edge, through cartilage surrounding a joint articular cartilage lesion from a repair site while having insubstantial effect on subchondral bone underlying the cartilage surrounding the joint articular cartilage lesion cartilage being cut, and a cartilage repair patch. 1. A system for use in repairing joint articular cartilage lesions , the system comprising: i) a closed geometric peripheral shape, wherein the peripheral shape of the first non-trephine cutting tool is different from the second non-trephine cutting tool in at least one of a size, a geometric peripheral shape, or a curvature of a cutting edge, and', a) cartilage surrounding a joint articular cartilage lesion from a repair site while having insubstantial effect on subchondral bone underlying the cartilage surrounding the joint articular cartilage lesion cartilage being cut, and', 'b) a cartilage repair patch;, 'ii) the cutting edge is sufficiently sharp to cut, by the application of force normal to the cutting edge, through'}], 'A) a first non-trephine cutting tool and a second non-trephine cutting tool, each having'} i) a first of the at least two lesion sizing elements having a first site marking feature that allows for placement of registration markings on cartilage surrounding a joint articular cartilage lesion for the first cutting tool, and', 'ii) a second of the at least two lesion sizing elements having a second site marking feature that allows for placement of registration markings on cartilage surrounding a joint articular ...

CANNULA WITH PROXIMALLY MOUNTED CAMERA

A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. 1. A cannula system for accessing a surgical field , said cannula system comprising:a cannula comprising a cannula tube with a proximal end and a distal end and a lumen extending from the proximal end to the distal end; anda camera assembly secured to the proximal end of the cannula, with a portion of the camera assembly overhanging the lumen and extending into a cylindrical space defined by the lumen of the cannula tube; whereinthe camera assembly has a distal-most optical surface, and said distal-most optical surface is disposed proximate the proximal end of the cannula tube.2. The cannula system of claim 1 , wherein:the distal-most optical surface of the camera system is spaced proximally from the proximal end of the cannula tube.3. The cannula system of claim 1 , wherein:the distal-most optical surface of the camera system is disposed over the proximal end of the cannula tube.4. The cannula system of claim 1 , wherein:the camera assembly has a viewing axis, and the distal-most optical surface of the camera system is disposed over the proximal end of the cannula tube and angled to aim the viewing axis to intersection with a central longitudinal axis of the cannula tube at the distal end of the cannula tube.5. The cannula system of claim 1 , wherein:the distal-most optical surface is spaced apart from the distal end of the cannula tube by at least about 80% or 90% of the length of the tubular body6. The cannula system of claim 1 , wherein:the portion of the camera assembly overhanging the lumen extends into the lumen of the cannula tube.7. ...

Systems and methods for increased operating room efficiency

Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.

Catheter construction to eliminate static and noise

An apparatus includes a catheter having a flexible outer sheath and a flexible irrigation tube. The flexible outer sheath defines a first lumen. The flexible irrigation tube is positioned inside the first lumen and includes an inner layer and an outer coating layer. The inner layer is formed of a synthetic polymer compound and has a uniform cross-section with a hollow interior defining a second lumen. The outer coating layer is disposed around the inner layer. The outer coating layer is formed of a polymeric compound and includes first and second isomers. The first isomer is configured to carry a positive electric charge and the second isomer is configured to carry a negative electric charge.

Surgical instrument and system

An electrosurgical system includes an electrosurgical unit electrically coupled to a surgical retractor. The electrosurgical unit includes an RF output and an RF return. The surgical retractor includes a return pad electrically coupled to the RF return of the electrosurgical unit. The electrosurgical unit includes an RF output configured to be coupled to an electrosurgical device, such as an electrosurgical device configured in a monopolar mode. A controller is configured to determine an impedance in tissue at a surgical area electrically disposed between the RF output and the and the RF return. The surgical retractor includes a handle and a blade configured to interface with tissue. The blade includes a return electrode.

Systems for coupling and storing an imaging instrument

An imaging coupler comprises an elongate device connector configured to couple to an elongate device. The imaging coupler further comprises an instrument connector configured to couple to an imaging instrument. The imaging instrument is configured to be slidably received within a lumen of the elongate device. The imaging coupler further comprises a body portion extending between the elongate device connector and the instrument connector. The imaging coupler further comprises a tubular member coupled to the instrument connector and extending within the body portion. The instrument connector is movable in parallel with a longitudinal axis of the tubular member while the elongate device is coupled to the elongate device connector.

ACCESS SHEATH WITH REMOVABLE OPTICAL PENETRATING MEMBER

A system for accessing underlying tissue includes an elongated access sheath defining a longitudinal axis and a penetrating tip releasably mounted to the access sheath and dimensioned for facilitating passage through tissue. The penetrating tip is removable through the access sheath. The penetrating tip may include a transparent region adapted to permit passage of light. 19-. (canceled)10. A surgical method , comprising:advancing an access sheath having a penetrating tip releasably mounted thereto through tissue to an underlying tissue site;inserting an elongated removal member within the access sheath;coupling the removal member with the penetrating tip;removing the penetrating tip through the access sheath with the removal member; andintroducing a surgical instrument through the access sheath to perform a surgical procedure at the tissue site.11. The surgical method according to wherein the penetrating tip includes a transparent window and wherein advancing the access sheath includes visualizing the tissue through the transparent window.12. The surgical method according to wherein visualizing the tissue includes positioning a laparoscope within the access sheath.13. The surgical method according to including establishing a seal about the surgical instrument within the access sheath.14. The surgical method according to wherein establishing the seal about the surgical instrument is performed with a seal mounted relative to the access sheath.15. The surgical method according to including insufflating a peritoneal cavity to expand a peritoneal cavity wall and wherein advancing the access sheath includes passing the access sheath through the cavity wall to access an underlying organ.16. The surgical method according to wherein the removal member and the penetrating tip includes cooperating structure for effecting releasable mounting of the elongated removal member to the penetrating tip claim 10 , and wherein removing the penetrating tip includes engaging the ...

High speed chronic total occlusion crossing devices

An occlusion crossing device includes an outer shaft, an inner shaft, an optical fiber, and a handle attached to the inner shaft and the outer shaft. The inner shaft extends within the outer shaft. The inner shaft includes a drill tip at a distal end thereof. The optical fiber extends within the inner shaft substantially along a central axis of the inner shaft. The distal tip of the optical fiber is attached to the drill tip. The handle is configured to rotate the inner shaft and drill tip at speeds of greater than 500 rpm.

Enclosures for electronics of surgical instruments and methods of manufacturing the same

An enclosure configured to hermetically seal electronics of a surgical instrument therein includes a first casing component defining a first weld deck about a perimeter thereof, a second casing component defining a second weld deck about a perimeter thereof, and an energy director extending from the first weld deck and configured to facilitate ultrasonic welding of the first and second weld decks of the first and second casing components, respectively, with one another to establish a weld seam hermetically sealing the first and second casing components. The first weld deck lies in multiple planes.

SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE

A surgical instrument includes an outer housing shell defining a cavity. The outer housing shell defines an upper outer housing half and a lower outer housing half. The upper outer housing half defines a longitudinal axis. An instrument module is selectively insertable into the cavity of the outer housing shell. The instrument module includes an inner housing shell, at least one motor disposed within the inner housing shell, a control board being in electrical communication with the at least one motor, and an energy source being in electrical communication with the at least one motor and the control board. The instrument module is inserted into the cavity of the outer housing shell in such a manner that the operative axis of the at least one motor is substantially parallel to the longitudinal axis of the upper outer housing half. 1an outer housing shell defining a cavity, the outer housing shell defining an upper outer housing half and a lower outer housing half, wherein the upper outer housing half defines a longitudinal axis; and an inner housing shell;', 'at least one motor disposed within the inner housing shell, the at least one motor including a drive shaft defining an operative axis of rotation;', 'a control board disposed within the inner housing and being in electrical communication with the at least one motor; and', 'an energy source disposed within the inner housing and being in electrical communication with the at least one motor and the control board;, 'an instrument module selectively insertable into the cavity of the outer housing shell, the instrument module includingwherein the instrument module is inserted into the cavity of the outer housing shell in such a manner that the operative axis of the at least one motor is substantially parallel to the longitudinal axis of the upper outer housing half.. A surgical instrument, comprising: The present application is a Continuation Application of U.S. patent application Ser. No. 13/719,344, filed on Dec. 19 ...

Unitary Endoscopic Vessel Harvesting Devices

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a tip disposed at the distal end of the elongated body; and a cutting unit having a first cutting portion and a second cutting portion, the first cutting portion and the second cutting portion being moveable in a longitudinal direction relative to the elongated body to capture a blood vessel between the first cutting portion and the second cutting portion, and being rotatable relative to one another circumferentially about the tip to cut the captured blood vessel. 1. A method for harvesting a blood vessel comprising:advancing, towards a blood vessel, a cannula having a cutting unit disposed at a distal end of an elongated body;moving the cutting unit in a distal direction relative to the elongated body to capture a blood vessel; andoperating a control handle to energize the cutting unit to perform at least one of sealing and cutting the blood vessel.2. The method of wherein the step of operating the control handle to energize the cutting unit includes depressing an energy control button on the control handle to supply energy to the cutting unit.3. The method of claim 2 , wherein the energy supplied to the cutting unit includes at least one of bipolar RF energy claim 2 , monopolar RF energy claim 2 , resistive heating and ultrasound heating.4. The method of claim 2 , wherein the cutting unit includes a sharpened claim 2 , thin edge for concentrated application of the energy to the blood vessel.5. The method of claim 1 , wherein the cutting unit includes at least one electrode for bipolar RF cutting or sealing claim 1 , at least one electrode or protrusion for monopolar spot cautery claim 1 , or a combination thereof.6. The method of claim 5 , including two or more electrodes claim 5 , wherein each of the two or more electrodes can be controlled independently of one another by operation of the control handle.7 ...

IMPLANT EXCISION AID

An implant excision aid comprising a first plate comprising an external surface, an internal surface, a top portion, a bottom portion, a right side and a left side, wherein the bottom portion of the first plate is in communication with the patient's skin during use; a second plate comprising an external surface and an internal surface, a top portion, a bottom portion, a right side and a left side, wherein the bottom portion of the second plate is in communication with the patient's skin during use, wherein at least a portion of the bottom portion of the first or second plate or the internal surface of the first plate or second plate comprises a polymer or a metal, wherein the polymer or the metal generates enough friction so that the portion of the bottom of the first or second plate or the internal surface of the first plate or second plate is capable of moving the patient's skin during use; and a hinge wherein the hinge connects the top of the first plate to the top of the second plate. 1. An implant excision aid for removing a subdermal or subcutaneous implant from a patient comprising:a first plate comprising an external surface, an internal surface, a top portion, a bottom portion, a right side and a left side, wherein the bottom portion of the first plate is in communication with the patient's skin during use;a second plate comprising an external surface and an internal surface, a top portion, a bottom portion, a right side and a left side, wherein the bottom portion of the second plate is in communication with the patient's skin during use, wherein at least a portion of the bottom portion of the first or second plate or the internal surface of the first plate or second plate comprises a polymer or a metal, wherein the polymer or the metal generates enough friction so that the portion of the bottom portion of the first or second plate or the internal surface of the first plate or second plate is capable of moving the patient's skin during use; anda hinge ...

Minimally invasive occlusion device and methods thereof

A minimally invasive occlusion device is disclosed. The minimally invasive occlusion device includes a first link having a first end and a second end, a second link having a first end and a second end; the first end of the second link connected to the first end of the first link by a compensating coupler. Another minimally invasive occlusion device may include a delivery frame or a shaft having an articulating cradle coupled to the shaft. A method of occluding tissue is also disclosed. The method of occluding tissue includes placing a first link of an occlusion device laterally at a base of tissue, placing a second link of an occlusion device on an opposing side of the base of tissue, substantially parallel with the first link, and securing the first link and the second link to fully occlude the base of tissue.

Surgical access assembly and method of using same

A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either within the brain. Once positioned at a desired location, the obturator is removed, leaving a distal end of the outer sheath adjacent an area of interest, and creating a working corridor. Interrogation of the area of interest may be performed to evaluate a disorder and/or abnormality, as well as evaluate treatment regimes. Interventional devices may also be introduced to the area of interest, as well as a variety of treatments.

MEDICAL DEVICE

A medical device including: an insertion portion configured to be inserted into a body; and a sheet provided at a distal end of the insertion portion, the sheet being configured to cover a body wall. The sheet including: an attaching portion provided around a periphery of the sheet, the attaching portion being configured to directly contact with the body wall; and a notifying portion for notifying a surgeon that an incision has been made through the body wall and towards a surface of the sheet. 1. A medical device comprising:an insertion portion configured to be inserted into a body; and an attaching portion provided around a periphery of the sheet, the attaching portion being configured to directly contact with the body wall; and', 'a notifying portion for notifying a surgeon that an incision has been made through the body wall and towards a surface of the sheet., 'a sheet provided at a distal end of the insertion portion, the sheet being configured to cover a body wall, the sheet comprising2. A medical device according to claim 1 , further comprising:an opening-closing mechanism configured to cause the sheet to be deformed between an open form and an closed form;wherein the open form being configured to increase a size of the sheet in a direction intersecting with a longitudinal direction of the insertion portion, andthe closed form being configured to decrease the size of the sheet in the direction intersecting with the longitudinal direction of the insertion portion as compared to the open form.3. A medical device according to claim 1 , wherein the notifying portion comprising a color layer disposed on the surface claim 1 , a color of the color layer being substantially complementary to a color of the body wall.4. A medical device according to claim 1 , wherein the attaching portion being configured to protrude from the surface of the sheet in a longitudinal direction of the insertion portion.5. A medical device according to claim 4 , wherein the attaching ...

SYSTEM FOR ILLUMINATION DURING A CORRIDOR BASED PROCEDURE

A system for illumination during a corridor based procedure is provided, comprising: a light source; and, an optical probe comprising: a tube having a distal end, a proximal end and one or more sidewalls there between, the optical probe and the light source arranged so that light from the light source is received by the one or more sidewalls, the one or more sidewalls configured to convey the light to the distal end, the distal end configured to receive the light and illuminate a sample adjacent thereto. 1. An optical port system for a corridor based procedure comprising:one or more light sources; and,an optical probe comprising: a tube having a distal end, a proximal end and one or more sidewalls there between, the optical probe and the one or more light sources arranged so that light from the one or more light sources is received by the one or more sidewalls, the one or more sidewalls configured to convey the light to the distal end, the distal end configured to receive the light and illuminate a sample adjacent thereto.2. The optical port system of claim 1 , wherein the one or more sidewalls are substantially cylindrical.3. The optical port system of claim 1 , wherein the one or more sidewalls are further configured to one or more of: mix the light when received therein; homogenize the light when received therein; and integrate the light when received therein.4. The optical port system of claim 1 , wherein the one or more sidewalls comprise an integrated light guide.5. The optical port system of claim 1 , wherein the one or more sidewalls are generally transparent between the distal end and the proximal end.6. The optical port system of claim 1 , wherein the one or more light sources is in optical communication with the proximal end claim 1 , the proximal end configured to receive the light from the one or more light sources.7. The optical port system of claim 1 , further comprising one or more optical fibers configured to convey the light from the one or more ...

SURGICAL ACCESS DEVICE

A valve assembly for use with a surgical instrument is disclosed. The valve assembly includes a housing and a seal assembly disposed within the housing, the seal assembly including a septum seal including an orifice configured to sealingly engage a surgical instrument inserted therethrough, at least a portion of the septum seal defining a seal curvature, a first guard member including a plurality of curved first guard portions defining slits therebetween, and a second guard member including a plurality of curved second guard portions defining slits therebetween. The first and second guard members may be positioned in an overlapping relationship with the plurality of first guard portions rotationally offset with respect to the second guard portions. The wide, triangular shaped slits of the guard members may improve flexibility of the guard portions. 1. A valve assembly for use with a surgical instrument , the valve assembly comprising:a housing; a septum seal including an orifice configured to sealingly engage a surgical instrument inserted therethrough;', 'a first guard member including a plurality of first guard portions defining slits therebetween, wherein, in a rest position of the first guard member, each slit progressively increases in width as it extends radially outward from a center aperture such that the slits are generally triangular in shape;', 'a second guard member positioned in an offset position relative to the first guard member, the second guard member including a plurality of second guard portions defining slits therebetween, wherein, in a rest position of the second guard member, each slit progressively increases in width as it extends radially outward from a center aperture such that the slits are generally triangular in shape., 'a seal assembly disposed within the housing, the seal assembly including2. The valve assembly of claim 1 , further comprising an upper seal support and a lower seal support claim 1 , the septum seal and the first and ...

MEDICAL RETRACTOR

A medical retractor is capable of ensuring visibility in a field of operation and in the periphery of the field of operation while realizing the reduction of weight of the retractor compared to a conventional steel-made retractor. A medical retractor includes: a grip portion; and a resin functional portion made of a transparent resin and extending from the grip portion. The resin functional portion has: a trunk portion which has a proximal end thereof connected to the grip portion; and a hook-shaped portion extending in a hook shape from a distal end of the trunk portion. The resin functional portion is configured to allow the viewing of an affected part which opposedly faces a back surface of the resin functional portion from a front surface side in a see-through manner. 1. A medical retractor comprising:a grip portion; anda resin functional portion made of a transparent resin and extending from the grip portion, whereinthe resin functional portion has: a trunk portion which has a proximal end thereof connected to the grip portion; and a hook-shaped portion extending in a hook shape from a distal end of the trunk portion,the resin functional portion is configured to allow a viewing of an affected part which opposedly faces a back surface of the resin functional portion from a front surface side in a see-through manner,the grip portion has an accommodating space in which a light source is accommodated,the grip portion has a hole at a distal end of the grip portion, the hole communicates with the accommodating space, and the hole is covered with a transparent flat part,the proximal end of the trunk portion is configured to cover a distal end surface of the grip portion and a side surface of the grip portion, and light from the light source in the accommodating space can be incident on the proximal end of the trunk portion.2. The medical retractor according to claim 1 , wherein the resin functional portion includes a layered structure where layers are stacked so as to ...

NIR/RED LIGHT FOR LATERAL NEUROPROTECTION

The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: 1. A method of protecting nerves , comprising the steps of:a) making an incision in a patient,b) inserting an access device into the patient through the incision to at least partially create a path to a spine of the patient,c) irradiating nervous tissue adjacent the path with an amount of NIR or red light effective to provide neuroprotection.2. The method of wherein the light is NIR light.3. The method of wherein the light is red light.4. The method of wherein the irradiation is carried out in response to a warning.5. The method of wherein the warning is from a neuromonitoring system6. The method of wherein the irradiation is carried out automatically via direction from a neuromonitoring system.7. The method of wherein the neuromonitoring system has detected a nerve within a predetermined proximity.8. The method of wherein the neuromonitoring system has detected a decline in nerve health.9. The method of wherein the irradiation is carried out prophylactically.10. The method of wherein the path leads to an intervertebral disc space11. The method of wherein the path is a lateral path to an intervertebral disc space.12. The method of wherein the path is a posterolateral path to an intervertebral disc space.13. The method of wherein the path is an anterolateral path to an intervertebral disc space.14. The method of wherein the path is a translaminar path to the intervertebral disc space.15. The method of wherein the access device is a cannula16. The method of wherein the access device is a retractor.17. The method of wherein the access device is an expandable refractor.18. The method of wherein the access device has a NIR/red light emitter thereon claim 1 , and step c) is carried out by actuation of the red light emitter.19. The method of wherein the red light emitter comprises a ...

METHOD FOR RELEASING A SUBSTANCE INTO A SUBJECT USING AN INSERTION ARRANGEMENT (as amended)

An exemplary tissue detection and location identification apparatus can include, for example, a first electrically conductive layer at least partially (e.g., circumferentially) surrounding a lumen, an insulating layer at least partially (e.g., circumferentially) surrounding the first electrically conductive layer, and a second electrically conductive layer circumferentially surrounding the insulating layer, where the insulating layer can electrically isolate the First electrically conductive layer from the second electrically conductive layer. A further insulating layer can be included which can at least partially surrounding the second electrically conductive layer. The first electrically conductive layer, the insulating layer, and the second electrically conductive layer can form a structure which has a first side and a second side disposed opposite to the first side with respect to the lumen, where the first side can be longer than the second side thereby forming a sharp pointed end via the first side at a distal-most portion. The exemplary configuration can be used for (a) determination/detection of a tissue type using impendence of the electrically conductive layers, and/or (ii) determination of a location of at least one portion or the insertion device/apparatus. Another exemplary apparatus can include, for example, a base structure comprising a lumen extending along a length thereof, and at least one optically-transmissive layer circumferentially surrounding the base structure and provided at least at a distal end of the base structure. For example, in operation, the optically-transmissive layer can be configured to transmit a particular optical radiation at the distal end thereof toward a target tissue.

SURGICAL INSTRUMENT COMPRISING AN INDICATOR WHICH INDICATES THAT AN ARTICULATION DRIVE IS ACTUATABLE

A surgical instrument comprising an end effector and an articulation drive system operable to articulate the end effector about an articulation joint is disclosed. The articulation drive system comprises an actuator which indicates whether the articulation drive system is in an operable state.

HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM

A hand-held electromechanical surgical device configured to selectively connect with a surgical accessory, is provided and includes a handle assembly having a power pack with a core assembly. The core assembly includes a plurality of motors, with each motor having a rotatable drive shaft extending therefrom, wherein each drive shaft is parallel to one another; a processor connected to and configured to control each motor; and a battery electrically connected to the processor and each motor. The power pack includes an inner housing encasing at least the plurality of motors, the processor, and the battery. The handle assembly includes an outer shell housing configured to selectively encase substantially the entire power pack therein, wherein a rotation from each rotatable drive shaft of each motor is transmitted through the inner housing and the outer shell housing. 1. A hand-held electromechanical surgical device configured to selectively connect with a surgical accessory , the electromechanical surgical device , comprising: [ [ a plurality of motors, with each motor having a rotatable drive shaft extending therefrom, wherein each drive shaft is parallel to one another;', 'a processor connected to and configured to control each motor; and', 'a battery electrically connected to the processor and each motor; and, 'a core assembly having, 'an inner housing encasing at least the plurality of motors, the processor, and the battery, the inner housing including at least one control interface actuatable to control a functionality of at least one of the plurality of motors;, 'a power pack including, 'an outer shell housing configured to selectively encase substantially the entire power pack therein, wherein a rotation from each rotatable drive shaft of each motor is transmitted through the inner housing and the outer shell housing, and wherein the outer shell housing includes at least one control button in operative registration with each control interface of the power pack;, ...

KNOTLESS GRAFT FIXATION ASSEMBLY

An illustrative example inserter assembly for securing soft tissue in a position adjacent bone includes an inserter having a proximal end and distal end. The inserter includes a handle near the proximal end and a shaft between the handle and the distal end. An anchor body is situated near the distal end of the inserter. A suture includes a portion establishing a suture loop near the distal end where the suture loop is distal of the anchor body. The suture includes a portion within the shaft. The suture has two ends that protrude from the inserter near the proximal end. 1. A method of securing soft tissue in a position adjacent bone using an anchor assembly that includes an inserter , an anchor body near a distal end of the inserter , and a suture situated at least partially within the inserter , the suture establishing a suture loop near the distal end of the inserter , the method comprising:manipulating a portion of the suture that protrudes from the inserter near a proximal end of the inserter to capture a portion of the soft tissue within the suture loop;placing at least the suture loop and the portion of the soft tissue within a blind hole in bone; andcausing relative motion between the suture loop and the anchor body to thereby secure the anchor body within the blind hole in a position where the anchor body traps at least the portion of the soft tissue in the bone.2. The method of claim 1 , comprising performing the manipulating and placing without passing a suture through the soft tissue.3. The method of claim 1 , wherein the portion of the suture that protrudes from the inserter near the proximal end of the inserter comprises two ends of the suture.4. The method of claim 3 , wherein the suture has a length and a portion of the length extends through the inserter.5. The method of claim 4 , wherein the two ends of the suture protrude from the inserter near a handle of the inserter.6. The method of claim 1 , wherein causing the relative motion comprises moving a ...

PERINEAL PROTECTION DEVICE AND EXTRACTION BAG, PERINEAL HORSESHOE AND SLEEVE

A device to protect the perineal and an extraction bag. This device has a perineal horseshoe and an optionally perineal forchette. The perineal horseshoe is a “U-shaped” piece with a wide base. The side opposite to the wide base defines a curved surface. The bag is a sleeve folded on itself, producing two concentric tubes. These tubes formed a pair of traction handles. The perineal horseshoe has at least one guide rail and one of the tubes, whether internal or external, have a guide that works in coordination with the herein mentioned guide rail. The perineal forchette consists of a supportive central axis, a handle, a tab and two articulated arms linked to the central axis. The sleeve can have a pair of additional traction handles in its distal end. 113-. (canceled)15. The perineal protection device from claim 14 , wherein the guide rail is a sharp close through hole.16. The perineal protection device from claim 14 , wherein the guide rail is an open through hole.17. The perineal protection device from claim 14 , wherein the perineal forchette comprises a supportive central axis claim 14 , a handle claim 14 , a lift tab and two articulated arms linked to the central axis.18. The perineal protection device from claim 17 , wherein the central axis is tilted away from the central axis of the tubes.19. The perineal protection device from claim 17 , wherein the handle further has a trigger layout claim 17 , comprising a trigger with a command section and an operative section that goes through the supportive central axis in a first opening claim 17 , being the pivot point between both sections and aligned with the first opening claim 17 , and wherein the distal end of the operative section is linked from a first bolt to a pushrod that goes through the supportive central axis by a second opening claim 17 , and wherein the second end of the pushrod is connected with a second bolt by the lower end of the pushrod claim 17 , which also goes through the central axis by a third ...

Hand-held electromechanical surgical system

A hand-held electromechanical surgical device is configured to selectively connect with a surgical accessory. The surgical device includes a power-pack, an outer shell housing, and a gasket. The power-pack is configured to selectively control a surgical accessory. The outer shell housing includes a distal half-section and a proximal half-section, the distal half-section and the proximal half-section together defining a cavity configured to selectively encase substantially the entire power-pack therein. The gasket is located between the distal half-section and the proximal half-section of the outer shell housing. The gasket is configured to create a seal between the distal half-section and the proximal half-section and to provide a sterile barrier between the power-pack and an outside environment outside the outer shell housing.

VISUAL INSUFFLATION PORT

A visual insufflation obturator is provided. The obturator includes seals, valves, screens and/or various other tip features to eliminate the ingress of fluids, matter and/or gas that can disrupt the visual field of the laparoscope disposed within the obturator. The obturator provides additional features such as lens and anti-fog features to further increase visibility of the scope, efficiently insufflate the patient and ultimately provide an access channel into the insufflated abdomen once the visual insufflation obturator is removed. 1. A visual insufflation obturator comprising:an elongate body having a proximal end, a distal end and a body lumen extending from the proximal end of the elongate body to the distal end of the elongate body;a handle connected to the proximal end of the elongate body and having a handle lumen extending from a proximal end of the handle to the proximal end of the elongate body and aligned to the body lumen;a transparent tip connected to the distal end of the elongate body and having a tip cavity aligned to the handle lumen, the tip having a distal enclosed end and an outer surface extending from the distal end of the elongate body to the distal enclosed end with an aperture extending through the outer surface into the tip cavity; anda laparoscope seal attached to the proximal end of the elongate body comprising an anti-fog applicator saturated with an anti-fog solution and positioned in a direct pathway through the seal and into the elongate body.2. The obturator of wherein the laparoscope seal further comprises a zero seal and an instrument seal axially aligned to and preceding the zero seal.3. The obturator of further comprising a trocar cannula and a trocar housing attached to the trocar cannula claim 1 , the elongate body and transparent tip insertable through the trocar housing and cannula and the transparent tip extendable out of a distal end of the trocar cannula.4. The obturator of wherein the tip is generally conical with the ...

Surgical systems and trays

According to one example, a medical tray for a surgical procedure is disclosed. The medical tray can optionally comprise: a housing; and one or more tray inserts configured to be received within the housing and having a first major surface and one or more support. The one or more tray inserts are configured to receive a plurality of dental surgical instruments via a plurality of receptacles formed therein. The plurality of receptacles having corresponding openings in the first major surface. The one or more tray inserts configured to be at least one of: removable from the housing and configured with the one or more supports so as to be positionable exterior to and independent of the housing, or the plurality of receptacles are angled such that the dental surgical instruments when received therein are positioned at an acute angle relative to the first major surface.

TRANSAPICAL INTRODUCER

A transapical introducer includes a housing near a proximal end of the introducer, a first valve in the housing, a proximal tube coupled to the housing, and a distal tube coupled to a distal end of the proximal tube. 1. An introducer comprising:a housing near a proximal end of the introducer;a foam seal located in the housing;a flexible proximal tube coupled to the housing; anda rigid distal tube coupled to a distal end of the proximal tube;wherein the proximal tube is more flexible than the distal tube and is capable of being clamped to prevent fluid flow therethrough.2. The introducer of claim 1 , wherein the proximal tube is translucent.3. The introducer of claim 1 , wherein the foam seal includes a first slit on a first surface of the foam seal and a second slit on a second surface of the foam seal claim 1 , the first surface being opposite the second surface and the first slit being generally perpendicular to the second slit.4. The introducer of claim 1 , wherein the housing further comprises a shoulder and a housing cap claim 1 , the foam seal being positioned between the shoulder and the housing cap.5. The introducer of claim 4 , wherein the housing further comprises at least one foam seal retaining element.6. The introducer of claim 5 , wherein the at least one foam seal retaining element is a spike extending radially inward from the housing.7. The introducer of claim 4 , wherein the housing further comprises a plurality of spikes spaced circumferentially around an inside of the housing claim 4 , each of the plurality of spikes extending radially inward from the housing.8. The introducer of claim 1 , wherein the proximal tube is formed of a material selected from the group consisting of polytetrafluoroethylene claim 1 , polyfluoroethylene claim 1 , polyurethane claim 1 , and polyethylene.9. The introducer of claim 1 , wherein the distal tube is formed of a material selected from the group consisting of stainless steel claim 1 , carbon reinforced nylon claim ...

Pericardial access device

A method is provided for accessing a pericardial space of a subject. The method includes advancing a guide member toward a heart, having (a) a transparent blunt distal end, and (b) a side-facing suction port. During advancing of the guide member, an imaging device disposed in the guide member generates an image of part of the heart. Subsequently to contacting the pericardium with the suction port, the imaging device is retracted proximally in the guide member. Subsequently, a portion of the pericardium is drawn into the guide member through the suction port. Following the drawing of the portion into the guide member, an image of the pericardium disposed within the suction port, is generated. Subsequently, a puncturing element is advanced in the guide member to puncture the portion of the pericardium that is in the guide member. Other applications are also described.

Devices, systems, and methods for securing tissue

The present disclosure pertains to medical devices. More particularly, the present disclosure pertains to devices, systems, and methods for securing tissue, such as a tissue defect or wound resulting from an endoscopic procedure, e.g., an endoscopic mucosal resection or submucosal dissection procedure. In one example, a device for securing tissue may include a loop portion configured to be disposed about a distal end of a delivery device in a delivery configuration and configured to be secured about the tissue in a deployed configuration. A locking member may be disposed on the loop portion. A tether portion having a proximal end extendable proximally within the delivery device and a distal portion extending from the loop portion slidably through the locking member.

Tissue removal systems and methods

Components, systems and kits for capturing and removing tissue from mammalian bodies include a tissue container that may be introduced into a body cavity and within which a tissue specimen may be placed, cut and removed from the body cavity. Methods of using these components, systems and kits are also described.

Surgical instrument stabilization device

In some embodiments, apparatuses and methods are provided herein useful to guide and support a medical device, such as a needle, relative to the skin of a patient. In some embodiments, the apparatus is attached to the skin of a patient through suction or adhesive materials, and allows for accurate placement of the medical instrument.

Cannula with proximally mounted camera and transparent obturator

A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).

FORCE MODULATING TISSUE BRIDGES, ASSOCIATED TOOLS, KITS, AND METHODS

Force modulating tissue bridges, and associated applicators, kits and methods are provided. A force modulating tissue bridge can be a medical article for at least partially covering a wound and/or scar tissue. The medical article can include an elastic arch extending over an area, and a medial strut connected to the arch and extending into the area over which the central section extends. 1. A medical article for at least partially covering a wound and/or scar tissue , the medical article comprising: at least the central section of the body being elastically configured to be deformed from an at rest configuration to an extended configuration, and to return toward the at rest configuration in response to being released from the extended configuration, wherein the lower sections are farther apart from one another in the extended configuration than in the at rest configuration, and', 'a first of the flanges having opposite upper and lower surfaces that are each larger than a thickness defined between the upper and lower surfaces of the first flange; and, 'a body comprising a central section extending over an area, and flanges respectively extending outwardly from opposite lower sections of the central section,'} the foot pad extending inwardly into the area over which the central section extends,', 'the foot pad having opposite upper and lower surfaces that are each larger than a thickness defined between the upper and lower surfaces of the foot pad, and', 'the upper surface of the foot pad and the lower surface of the first flange facing toward one another., 'a foot pad connected to the first flange for at least partially moving with the first flange,'}2. The medical article according to claim 1 , wherein:the central section comprises an arch extending over the area over which the central section extends;the foot pad is a first foot pad;a second of the flanges has opposite upper and lower surfaces that are each larger than a thickness defined between the upper and ...

Marker delivery device for use with mri breast biopsy system

A marker delivery device, “adaptor”, for a MRI breast biopsy system is described and claimed. The marker adaptor for the MRI breast biopsy device provides the operator with the ability to easily mark after an MRI biopsy procedure through the biopsy sleeve. The flexible shaft marker snaps into the marking adaptor which creates the oval shape that mates with the inner surface of the sleeve. This locks the orientation of the sleeve and marker, with adaptor, together. The marker adaptor also contains a hard-stop which allows the user to place the biopsy marker in the correct location.

Endoscopic surgical blade and use thereof

An endoscopic surgical blade is disclosed. The blade is part of an endoscopic knife assembly which also has a knife tube and alignment ring. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly though a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. The blade has an upper and a lower cutting surface on the forward edge, which meet at an angle at a crotch.

Surgical incision and closure apparatus

An apparatus for closing a surgical incision comprises left and right base panels, a plurality of closure components, and a plurality of left and right axial supports coupled to the respective base panels. The closure components couple the left and right base panels to each other laterally and have left and right ends coupled to the respective base panels. The closure components are positioned laterally across the left and right panels, the left axial supports are disposed between pairs of left closure component ends, the right axial supports are disposed between pairs of right closure component ends, and the left and right axial supports are offset from one another such that a serpentine arrangement of consecutive closure components and axial supports is formed. The apparatus can be made of antimicrobial materials or materials impregnated with antimicrobial agents. A flexible adhesive cover can be provided over the apparatus when in use.

MEDICAL IMPLANT AND DELIVERY DEVICE FOR A MEDICAL IMPLANT

The invention relates to medical implant () that is adapted to close a defect (D) or a cavity, preferably a defect in an atrial or septal wall (W) or a left atrial appendage. The implant () comprises an occlusion device () and has two states. It is adapted to, in a first state, be deployed to a defect site (D), where it can be brought into a second state by an activation mechanism. It is adapted to close said defect (D) in said second state. 135-. (canceled)36. A medical implant that is adapted to close a defect or a cavity , whereinthe medical implant comprises an occlusion device,the medical implant comprises two states and is adapted to, in a first state, be deployed to a defect site,where it can be brought into a second state by an activation mechanism and is adapted to close said defect or cavity in said second state.37. The medical implant according to claim 36 , wherein the medical implant comprises at least one peripheral disk.38. The medical implant according to claim 37 , wherein the at least one peripheral disk is adapted to mechanically anchor the occlusion device.39. The medical implant according to one of the claims 37 , wherein the occlusion device is connected or connectable to at least one peripheral disk by an interconnector.40. The medical implant according to claim 36 , comprising a braided structure claim 36 , wherein the medical implant is adapted such that it has a substantially elongated shape in its first state claim 36 , and comprises at least one disk that extends orthogonally from its longitudinal axis in its second state.41. The medical implant according to claim 36 , wherein the medical implant comprises an adhesive composition claim 36 , wherein in the first state claim 36 , the adhesive composition is contained in the medical implant and the medical implant is adapted to release said adhesive composition in its second state.42. The medical implant according to claim 41 , wherein the medical implant comprises at least two cavities and ...

PHYSIOLOGIC SIMULATOR SYSTEM

Systems for the simulation of percutaneous medical procedures are disclosed. The systems can include a simulated vasculature including a first component configured to allow for introduction of a medical device into the system through an introductory port, a second component connected to the first component and shaped to simulate a portion of a human vasculature, and a third component connected to the second component and shaped to simulate a delivery site for the medical procedure. The system can be configured to allow for a medical device to be delivered to the third component by passing through the introductory port of the first component and passing through the second component. The system can be configured to replicate simulated conditions of use for the medical procedure. Methods for simulating a percutaneous medical procedure using a simulated vasculature are also disclosed. 144-. (canceled)45: A system for the simulation of a percutaneous medical procedure , the system comprising:a simulated vasculature including an introductory port configured to allow for introduction of a medical device into the system and a delivery site for the simulation of the percutaneous medical procedure;a pump fluidly connected to the simulated vasculature for pumping fluid through the simulated vasculature to simulate blood flow during the simulation of the percutaneous medical procedure;a first fluid reservoir fluidly connected to the simulated vasculature; anda one-way valve fluidly connected to the simulated vasculature, the one-way valve positioned downstream of the first fluid reservoir and upstream of the pump.46: The system of claim 45 , wherein the one-way valve simulates a mitral valve.47: The system of claim 46 , wherein the one-way valve is a prosthetic valve.48: The system of claim 46 , wherein the one-way valve is mounted into a bottom surface of the first fluid reservoir.49: The system of claim 45 , wherein the pump is a motor-driven reciprocating piston pump.50: The ...

HIGH SPEED CHRONIC TOTAL OCCLUSION CROSSING DEVICES

An occlusion crossing device includes an outer shaft, an inner shaft, an optical fiber, and a handle attached to the inner shaft and the outer shaft. The inner shaft extends within the outer shaft. The inner shaft includes a drill tip at a distal end thereof. The optical fiber extends within the inner shaft substantially along a central axis of the inner shaft. The distal tip of the optical fiber is attached to the drill tip. The handle is configured to rotate the inner shaft and drill tip at speeds of greater than 500 rpm. 1. An occlusion crossing device comprising:an outer shaft;an inner shaft extending within the outer shaft, the inner shaft including a drill tip at a distal end thereof;an optical fiber extending within the inner shaft substantially along a central axis of the inner shaft, a distal tip of the optical fiber attached to the drill tip; anda handle attached to the inner shaft and the outer shaft and configured rotate the inner shaft and drill tip at speeds of greater than 500 rpm.2. The occlusion crossing device of claim 1 , wherein the inner shaft and optical fiber are removable from the outer shaft.3. The occlusion crossing device of claim 2 , wherein the handle includes a luer lock configured to lock and unlock the inner shaft relative to the outer shaft.4. The imaging device of claim 1 , wherein the outer shaft includes an articulating feature configured to allow the outer shaft to bend claim 1 , the articulating feature activated by moving the inner shaft along the central axis relative to the outer shaft.5. The imaging device of claim 4 , wherein the articulating feature includes a backbone and a plurality of circumferential cuts.6. The imaging device of claim 4 , wherein the inner shaft includes an annular member configured to engage with an inner lip of the outer shaft to bend the outer shaft when the inner shaft is pushed distally.7. The imaging device of claim 4 , wherein the inner shaft includes an annular member configured to engage with ...

Optical obturator visualization system

A visualization system includes an obturator assembly and an endoscope. The obturator assembly includes two body halves defining a longitudinal split line. Each of the two body halves includes a housing portion and an elongate member portion extending distally from the housing portion. The two body halves define a longitudinal bore extending between proximal and distal ends thereof. The endoscope is configured for insertion into the longitudinal bore of the obturator assembly, wherein at least a portion of the obturator assembly is transparent to permit visualization of tissue with the endoscope.

SURGICAL INCISION AND CLOSURE APPARATUS

An apparatus for closing a surgical incision comprises left and right base panels, a plurality of closure components, and a plurality of left and right axial supports coupled to the respective base panels. The closure components couple the left and right base panels to each other laterally and have left and right ends coupled to the respective base panels. The closure components are positioned laterally across the left and right panels, the left axial supports are disposed between pairs of left closure component ends, the right axial supports are disposed between pairs of right closure component ends, and the left and right axial supports are offset from one another such that a serpentine arrangement of consecutive closure components and axial supports is formed. The apparatus can be made of antimicrobial materials or materials impregnated with antimicrobial agents. A flexible adhesive cover can be provided over the apparatus when in use. 1adhering first and second base panels to first and second sides of an incision or wound, respectively, each base panel comprising an upper surface, a tissue adherent lower surface, an outer lateral edge, and an inner lateral edge placed adjacent the incision or wound;coupling the first and second base panels together with a plurality of lateral ties; andadhering at least one skirt to skin lateral of one or more of the outer lateral edge of the first base panel or the outer lateral edge of the second base panels,wherein the at least one skirt is coupled to one or more of the first base panel upper surface or the second base panel upper surface, andwherein the at least one skirt has greater compliance than a composite structure of the first and second base panels and the plurality of lateral ties, thereby providing strain relief between exposed skin lateral of the at least one skirt and one or more of the first base panel or second base panel as well as between skin covered by the first and second base panels and the tissue adherent ...

Methods and systems for advancing a catheter to a target site

A catheter has a cannulated guiding rail extending therethrough, an advance segment of the rail extending at least about 10 cm beyond the distal end of the catheter. The catheter and rail are advanced over a guidewire until the distal end of the advance segment is at a target vascular site. The catheter is thereafter advanced along the rail to the target vascular site.

Methods and systems for treating a pulmonary embolism

A large bore catheter has a guiding rail extending therethrough and an advance segment of the rail extends at least about 10 cm beyond the distal end of the catheter. The advance segment is advanced from the vena cava through the tricuspid and pulmonary valves of the heart into the central pulmonary artery while the distal end of the large bore catheter remains in the vena cava. The large bore catheter is thereafter distally advanced over the rail until the large bore catheter distal end is at least as far as the central pulmonary artery. The rail is thereafter proximally removed from the large bore catheter, and at least a portion of a clot is drawn from a pulmonary artery into the large bore catheter.

Fetching assembly and releasing assembly for anastomosis clamp

A fetching assembly for an anastomosis clamp. The fetching assembly includes a fetching cap, a fetching hook and an anastomosis clamp. The fetching cap is configured to be mounted on a front end of an endoscope and has an outer diameter smaller than an inner diameter of the anastomosis clamp. The fetching hook is configured to pass through the fetching cap and hook onto the anastomosis clamp. When the fetching hook is pulled backward, the anastomosis clamp can be sleeved on an outer peripheral surface of the fetching cap to restore the closed anastomosis clamp.

Hemostasis band with inflatable compartments and methods of using same

The present application discloses various embodiments of a hemostasis band comprising inflatable compartments and methods of using same. These inflatable compartments provide enhanced fit and/or comfort features.

COMPACT ENDOSCOPIC SURGICAL BLADE ASSEMBLY AND METHOD OF USE THEREOF

An endoscopic surgical device comprising a slotted clear cannula, a blade and a housing, wherein the cannula is attached to the housing, and wherein the blade is enclosed in the housing and is slidable into the cannula is disclosed. The blade is enclosed within the housing and cannula, and has a horizontally-oriented pushing component and a vertically-oriented cutting component that protrudes through the slot of the cannula. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic surgical device is also described. 1. An endoscopic surgical device , comprising:(a) a housing having a proximate end and a distal end;(b) a slotted clear cannula attached to said distal end of said housing, said slotted clear cannula comprises a cannula body having a proximate end and a distal end, and a slot extending from said proximate end of said cannula to the proximity of said distal end of said cannula; a slide lock having a proximate end, a distal end and two notches at said distal end;', 'a scraper;', 'a blade assembly; and', 'a circular revolver body comprising a selector switch;, '(c) a revolver assembly located within said housing, comprisingwherein said scraper and said blade reside at said two notches of said slide lock in a pre-deployment position and wherein said selector switch allows selection of said scraper or said blade for deployment; and(d) a tube assembly having a proximate end and a distal end, said distal end of said tube assembly is located within said housing and extends through said revolver, said tube assembly is capable of entering said slotted clear cannula from said proximate end of said clear cannula.2. The endoscopic surgical device of claim 1 , wherein the end of the slotted clear cannula distal to the housing is closed.3. The endoscopic surgical device of claim 1 , wherein the closed end of the cannula is tapered.4. The endoscopic surgical device of claim 1 , wherein said housing further comprises further a ...

NIR/RED LIGHT FOR LATERAL NEUROPROTECTION

The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: 158.-. (canceled)59. A retractor system , comprising:a first component adapted to retract tissue;a second component adapted to retract tissue, the second component being movable relative to the first component to provide a working channel through tissue, the second component including an electrode in electrical connection with a neuromonitoring system adapted to monitor nerve status or health; anda light delivery device inserted through the working channel, the light delivery device being connected to an endoscope.60. The system of claim 59 , further comprising the neuromonitoring system claim 59 , wherein the neuromonitoring system is configured to provide a warning when it detects a decline in nerve status or health.61. The system of claim 59 , wherein the light delivery device is connected to a light source disposed outside a patient's body.62. The system of claim 59 , wherein the second component has an arc-shaped outer wall having the electrode thereon.63. The system of claim 59 , wherein the light delivery device runs down the length of an inner wall of the first component.64. The system of claim 59 , wherein the light delivery device is secured within a channel or bore of the first component.65. The system of claim 64 , wherein the light delivery device is secured within a channel formed in an inner wall of the first component.66. The system of claim 59 , wherein the light delivery device is removably coupled to the first component.67. The system of claim 59 , wherein the light delivery device is secured to the first component via a taper-lock configuration.68. The system of claim 59 , wherein the light delivery device runs along a proximal portion of the first component and terminates in a distal end portion of the first component.69. The system of claim 59 , wherein ...

Radial and ulnar compression band

A radial compression band employs a substantially rigid U-like cuff that fits over a patient's arm and then snaps onto a tightening band. A movable bubble member is positioned for movement along the band separate from the attachment to the patient and is inflatable to provide pressure to an incision or the like to accomplish hemostasis. A plural bubble member version provides multiple pressure application positions.

OPTICAL COHERENCE TOMOGRAPHY SYSTEM INCLUDING A PLANARIZING TRANSPARENT MATERIAL

An optical coherence tomography (“OCT”) system that includes a planarizing transparent material is provided. The OCT system comprises: an OCT probe comprising: a body having a distal end and a proximal end; a positioner adapter located at the proximal end; a connector to an OCT analysis device, the connector located at the proximal end; and, an OCT scan lens located at the distal end; and, a transparent material configured to planarize tissue at a scan plane of the OCT scan lens. 1. An OCT (Optical Coherence Tomography) system comprising: a positioner adapter located at the proximal end;', 'an OCT scan lens located at the distal end;', 'an first tracking device located at the proximal end;, 'an OCT probe having a proximal end and a distal end, the OCT probe comprising a transparent material transparent to OCT light and configured to planarize tissue at a scan plane of the OCT scan lens;', 'a handle attached to the transparent material and configured to: extend through a surgical port; and be held by a human hand to manipulate the transparent material independent of the OCT probe to place pressure on the tissue to planarize the tissue;', 'a second tracking device located at a respective proximal end of the handle;, 'a device comprisingan arm configured to hold the OCT probe using the positioner adapter; anda navigation system configured to: to cause the arm to position the OCT probe relative to the transparent material to maintain focus at the planarized tissue as the navigation system tracks respective positions of the first tracking device and the second tracking device.2. The OCT system of claim 1 , wherein a tissue-facing side of the transparent material is substantially flat.3. The OCT system of claim 1 , further comprising an immersion material on a tissue-facing side of the transparent material claim 1 , the immersion material configured to physically couple the transparent material to the tissue.4. The OCT system of claim 1 , further comprising an index ...

BALLOON CATHETER SUTURING SYSTEMS, METHODS, AND DEVICES HAVING PLEDGETS

A direct visualization catheter includes an elongate shaft defining a lumen and having a distal end portion and a proximal end portion and a transparent balloon attached to the distal end portion of the shaft. The balloon includes a first layer comprising a thermoset polymer and a plurality of polymeric fibers at least partially embedded in the thermoset polymer and a second layer disposed on the first layer and comprising a hydrogel. 1. A balloon catheter suturing system comprising:an elongate shaft defining a lumen and having a distal end portion and a proximal end portion;a balloon attached to the distal end portion, the balloon being a weeping balloon having a transparent wall; anda suturing tool positionable within the elongate shaft to pass one or more fasteners therethrough.2. The balloon catheter suturing system of claim 1 , wherein the transparent wall defines at least one detachable section claim 1 , the suturing tool configured to pass the one or more fasteners through the at least one detachable section.3. The balloon catheter suturing system of claim 1 , wherein the weeping balloon includes at least three punctured holes through a wall thereof.4. The balloon catheter suturing system of claim 3 , wherein the weeping balloon allows for an inflation media flow rate of between 1 and 50 ml per minute.5. The balloon catheter suturing system of claim 1 , wherein the weeping balloon has a plurality of pores claim 1 , with a greater pore density in a center of a field of view through the elongate shaft and a lower pore density around a periphery of the field of view.6. The balloon catheter suturing system of claim 1 , wherein the transparent wall comprises at least a first layer comprising a thermoset polymer and a plurality of polymeric fibers at least partially embedded in the thermoset polymer.7. The balloon catheter suturing system of claim 6 , wherein the transparent wall comprises at least a second layer disposed on the first layer.8. The balloon catheter ...

Surgical Handpiece Housing A Visible Light Emitter And Elements For Transmitting The Visible Light Emitted By The Visible Light Emitter

A surgical handpiece and an autoclavable surgical handpiece are disclosed. The surgical handpiece and the autoclavable surgical handpiece include a housing and a visible light emitter disposed within the housing. The surgical handpiece includes a cable adjacent to the housing and a strain relief member coupled to the cable, the strain relief member being disposed adjacent to the housing and configured to transmit visible light emitted by the visible light emitter therethrough. The autoclavable surgical handpiece includes a potting material disposed between the visible light emitter and the housing, the potting material having a melting point above 120 degrees Celsius and being configured to thermally insulate the visible light emitter and to transmit visible light emitted by the visible light emitter therethrough.

LAPAROSCOPIC GUIDE

A laparoscopic guide comprises a hollow body having a longitudinal mid-plane and a cross sectional area that tapers from a proximal end to a distal end thereof. The distal end has a distal end face being oriented substantially perpendicular to the longitudinal mid-plane. The distal end face is adapted for communication with an inlet of a trocar port. The proximal end is adapted for receiving a laparoscopic surgical instrument or the like therein prior to the laparoscopic surgical instrument passing through the trocar port. The proximal end comprises an open end face that is oriented obliquely relative to the distal end face. 1. A laparoscopic guide comprisinga hollow body having a longitudinal mid-plane and a cross sectional area that tapers from a proximal end to a distal end thereof,the distal end having a distal end face being oriented substantially perpendicular to the longitudinal mid-plane, the distal end face being adapted for communication with an inlet of a trocar port,and the proximal end being adapted for receiving a laparoscopic surgical instrument or the like therein prior to the laparoscopic surgical instrument passing through the trocar port,wherein the proximal end comprises an open end face that is oriented obliquely relative to the distal end face.2. The laparoscopic guide of claim 1 , wherein the hollow body has a generally conical or part conical shape.3. The laparoscopic guide of claim 2 , wherein the hollow body is radially symmetrical about a longitudinal axis thereof.4. The laparoscopic guide of claim 2 , wherein the hollow body is radially asymmetrical about a longitudinal axis thereof.5. The laparoscopic guide of any one of to claim 2 , wherein an angle subtended by a plane defined by the open end face of the proximal end and the longitudinal mid-plane is 45 degrees or less.6. The laparoscopic guide of claim 5 , wherein the angle is 30 degrees or less.7. The laparoscopic guide of or claim 5 , wherein the angle is 10 degrees or less.8. The ...

SELF-ILLUMINATING CHEEK RETRACTOR

A chemi-luminescent cheek retractor, wherein, the chemi-luminiscence is not localized to a specific location but the whole cheek retractor has multiple compartments to provide adequate and uniform illumination. Further, the cheek retractor is inflated with chemi-luminescent reagent and triggered by triggering agent thus allowing a chemi-luminescent reaction. The chamber is made of transparent heat resistant flexible material to withstand the heat generated during the chemi-luminescent reaction. An angular oris is lined with a reflective coating on the mouth facing surface to aid in better and uniform illumination; one detachable extendable flange is provided to abet attachments for providing multi-functionality, the purpose of detachable components is to facilitate easy cleaning and sterilization. 1106108. A chemi-luminescent cheek retractor for illuminating a buccal cavity comprising a housing , an angular oris () and a handle (); wherein:{'b': 101', '106', '108, 'the housing encloses a chemi-luminescence chamber () extending from the angular oris () to the handle (), said housing is made of a flexible heat resistant material;'}{'b': 106', '106', '106, 'i': a', 'b, 'the angular oris () comprises an anterior transparent wall () and a posterior wall () lined with a reflective coating;'}{'b': 106', '111, 'said angular oris () is attached to a detachable filter () to provide illumination at selected wavelengths;'}{'b': 109', '104, 'the handle comprises a one way pressure valve at an inlet (), and slots () for attaching detachable components of the cheek retractor;'}{'b': '101', 'said cheek retractor is inflatable with atleast one chemi-luminescent chemical reagent when injected through the one way pressure valve for impelling the chemi-luminescent chemical reagent to reach the chemi-luminescence chamber ();'}the cheek retractor is illuminated by a chemi-luminescence reaction, said chemi-luminescence reaction is triggered with atleast one triggering agent injected ...

Hemostatic device

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment.

Image processing device, image processing method, and program

[Object] To improve work efficiency with respect to work using a transparent object, such as a transparent operation tool, for example. [Solution] An image region where an object exists as a target region is detected on the basis of a second captured image, when a first captured image is a captured image obtained by selectively receiving a light of a first wavelength band, and the second captured image is a captured image obtained by selectively receiving a light of a second wavelength band, the captured images being obtained by capturing the object that is transparent for the light of the first wavelength band and is opaque for the light of the second wavelength band. Subsequently, an outline of the object is superimposed on the first captured image on the basis of information of the target region detected by the target detecting unit.

Endoscopic system

When light reflected off a treatment tool and light reflected off an organ during in vivo observation are equal in brightness and wavelength, both the treatment tool and organ appear clear with an unwanted object acting as a disturbing element. Also, there is a problem in that a desired object cannot be observed conversely in amniotic fluid due to high transparency when fiber is used alone. A treatment tool is made of transparent material, provided with illuminating light for treatment tool observation differing at least partially in wavelength from illuminating light for in vivo observation, and configured to allow intensity to be adjusted independently. Visibility of the treatment tool in a wavelength range of the illuminating light for treatment tool observation is configured to be higher than visibility of the treatment tool in a wavelength range of the illuminating light for in vivo observation.

Method for performing single-stage cranioplasty reconstruction with a clear custom craniofacial implant

A method for performing a cranioplasty includes the steps of prefabricating a sonolucent craniofacial implant based upon information generated by preoperative scans, creating a cranial, craniofacial, and/or facial defect, and attaching the craniofacial implant to the cranial, craniofacial, and/or facial defect. The craniofacial implant is composed of a material that is sonolucent and exhibits attenuation of less than 6 dB/cm.

HEMOSTATIC DEVICE

A hemostatic device includes a flexible band adapted to be wrapped around a patient's limb at a site on the limb where bleeding is to be stopped, a portion for securing the band in a wrapped state to the limb, a curved plate which is made of a material more rigid than the band and at least a portion of which is curved toward the inner peripheral side thereof, a main balloon which is provided on the inner peripheral side of the curved plate and which inflates when a fluid is introduced therein, and a pressing member which is provided between the curved plate and the main balloon so that at least a portion thereof overlaps with the balloon and which is adapted for pressing against the balloon. The device provides an excellent hemostatic effect and prevents numbness and poor circulation in areas peripheral to the site of attachment. 1. A hemostatic device configured to be applied to a limb of a patient , the hemostatic device comprising:a flexible band to be applied to the limb of the patient in a wrapped state in which the flexible band is wrapped around at least a portion of the limb of the patient to apply the hemostatic device to the limb of the patient at a site where bleeding is to be stopped;means for securing the band in the wrapped state to the patient's limb;a member more rigid than the flexible band, the member and the flexible band being connected to each other so that when the flexible band is in the wrapped state the member is positioned on the limb of the patient at the site on the limb where bleeding is to be stopped, the member possessing an inner peripheral side which faces toward a surface of the limb of the patient when the flexible band is in the wrapped state, the member also possessing an outer peripheral side opposite the inner peripheral side;one portion of the inner peripheral side of the member being a curved portion that is curved toward the inner peripheral side, an other portion of the inner peripheral side of the member being a flat ...

Devices, systems, and methods for otology

Devices, systems, and methods can be employed to facilitate performing procedures in the outer, middle, and/or inner ear in order to diagnose and/or treat disorders including, but not limited to, hearing loss and other ear disorders. For example, this document describes devices, systems and methods that include instruments and techniques to minimize the invasiveness and/or to enhance the efficacy of procedures that are performed in the outer, middle, and/or inner ear spaces such as mastoidectomy, tympanoplasty, cholesteatoma treatments, otosclerosis treatments, and Eustachian tube treatments.

Unitary Endoscopic Vessel Harvesting Devices

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a tip disposed at the distal end of the elongated body; and a cutting unit having a first cutting portion and a second cutting portion, the first cutting portion and the second cutting portion being moveable in a longitudinal direction relative to the elongated body to capture a blood vessel between the first cutting portion and the second cutting portion, and being rotatable relative to one another circumferentially about the tip to cut the captured blood vessel.

BALLOON CATHETER SUTURING SYSTEMS, METHODS, AND DEVICES HAVING PLEDGETS

A direct visualization catheter includes an elongate shaft defining a lumen and having a distal end portion and a proximal end portion and a transparent balloon attached to the distal end portion of the shaft. The balloon includes a first layer comprising a thermoset polymer and a plurality of polymeric fibers at least partially embedded in the thermoset polymer and a second layer disposed on the first layer and comprising a hydrogel. 1. A balloon catheter suturing system comprising:an elongate shaft defining a lumen and having a distal end portion and a proximal end portion;a balloon attached to the distal end portion, the balloon having a transparent wall defining at least one detachable section; anda suturing tool positionable within the elongate shaft to pass one or more fasteners through one or more detachable sections to suture an anatomical structure outside the balloon to at least a first detachable section.2. The balloon catheter suturing system of claim 1 , wherein the transparent wall comprises at least a first layer comprising a thermoset polymer and a plurality of polymeric fibers at least partially embedded in the thermoset polymer.3. The balloon catheter suturing system of claim 2 , wherein the transparent wall comprises at least a second layer disposed on the first layer.4. The balloon catheter suturing system of claim 3 , wherein the second layer comprises a hydrogel.5. The balloon catheter suturing system of claim 4 , wherein the hydrogel comprises polyethylene glycol (PEG).6. The balloon catheter suturing system of claim 4 , wherein the hydrogel envelopes about a portion of the plurality of polymeric fibers protruding from the first layer and mechanically engages with a portion of plurality of polymeric fibers.7. The balloon catheter suturing system of claim 2 , wherein the polymeric fibers are electrospun fibers.8. The balloon catheter suturing system of claim 2 , wherein the polymeric fibers are randomly oriented within the thermoset polymer.9. ...

RECTOSCOPE

Rectoscope designed to be inserted in the anorectal cavity of an individual with diagnostic and/or surgical purposes which incorporates a radial light source, gradually displaceable, which creates a radial beam of light with the object of transilluminating both the tubular body of the rectoscope and the portion of the rectum wherein it is inserted to allow, in first place, a precise observation of the inside of said cavity and, in second place, in if any foreign body such a tumour is detected, to be surgically removed, it allows a precise determination of the distal resection margin to minimize the rectal portion removed. 112.-. (canceled)14. The rectoscope of claim 13 , wherein the radial light source comprises:a rod which displaces inside the tubular body, comprising in turn a third end and a fourth end,a housing defined in the third end to house a power source of the radial light source,a hinged lid to cover the housing,a ring-shaped support, solidly joined to the fourth end of the rod, of dimensions slightly less than those of the interior of the tubular body, anda plurality of light sources uniformly distributed on the outer face of the ring-shaped support, designed to emit the radial beam of light.15. The rectoscope of claim 13 , further comprising a moving front light source claim 13 , designed to emit a longitudinal beam of light parallel to the axis of the tubular body.16. The restoscope of claim 13 , wherein the radial light source comprises a rod which displaces inside the tubular body claim 13 , comprising in turn a third end and a fourth end claim 13 , a ring-shaped support claim 13 , solidly joined to the fourth end of the rod claim 13 , of dimensions slightly less than those of the interior of the tubular body claim 13 , and further comprising a moving front light source claim 13 , designed to emit a longitudinal beam of light parallel to the axis of the tubular body.17. The rectoscope of claim 16 , wherein the front light source is disposed in the ...