Entries |
Document | Title | Date |
20080234550 | Minimally Traumatic Portal - A less invasive access port for use in minimally invasive surgery allows for manipulation of the viewing angle into the working site in a transverse plane. According to one exemplary embodiment, the less invasive access port is designed to minimize the need for muscle retraction. Additionally, the less invasive access portal provides sufficient light, irrigation, suction and space for sundry medical instruments. According to one exemplary embodiment, a less invasive access port device includes a retractor assembly having four retractor blades secured in various positions by pins placed within slots on the retractor blades. A cannula includes integrated interfaces for light, irrigation and suction. A housing forms a collar around a top of the cannula and houses the light, irrigation and suction mechanisms. Instruments and implants may be passed through the cannula and into the working space created by the retractor assembly. Visualization of the working site can be attained under direct vision. | 09-25-2008 |
20080242939 | Retractor system for internal in-situ assembly during laparoscopic surgery - A method of laparoscopic (or robotic) surgery, using a hand-port, comprising providing a trocar port operably disposed within a first abdominal incision opening of a patient, providing a hand-port operably disposed within a second abdominal incision opening, introducing an elongate positioner dimensioned to extend through the trocar, introducing a spatulate element through the hand port and joining the spatulate element to the positioner. The procedure further comprises removing an internal organ or other tissue from the operating area in order to make room and add visibility for the laparoscopic intervention, detaching the spatulate element from the positioner, and withdrawing the positioner through the trocar port and the spatulate through the hand port. | 10-02-2008 |
20080249371 | Hand assisted laparoscopic seal assembly with detachable attachment ring - A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having a central access opening allowing access to a body cavity as desired. The seal cap is provided with a housing in which a seal is positioned. The seal cap also includes an attachment ring that is selectively detachable therefrom for selective attachment of a retractor. | 10-09-2008 |
20080255427 | LIGATION APPARATUS AND A LIGATION MEMBER - Provided is a grasper including an introduction tube that is capable of being inserted into a body cavity; an operational elongate body that is inserted into the introduction tube so as to advance and retract; and a clip that is attached to a distal end portion of the introduction tube and is operated by the relative movement between the operational elongate body and the introduction tube so as to grasp a body tissue, then is indwelled in a body. The clip has a plurality of grasping arms which are operated to be moved by the operational elongate body or the introduction tube, at least in a direction where the grasping arms are closed, so as to grasp the body tissue; and a retracting portion which retracts a portion of the body tissue between the plurality of grasping arms. | 10-16-2008 |
20080269566 | ENDOSCOPIC DEVICE - An endoscopic instrument for performing surgical procedures. The instrument includes an elongate member having a distal end for insertion into a patient's body and a proximal end opposite the distal end. The member has a distal portion adjacent the distal end and a central portion adjacent the distal portion. The distal portion has a first mechanical stiffness of a stiffness type selected from a tensile stiffness, a compressive stiffness and/or a bending stiffness. The central portion has a second mechanical stiffness of the stiffness type of the first mechanical stiffness. The first mechanical stiffness is different from the second mechanical stiffness. | 10-30-2008 |
20090062618 | TISSUE RETRACTORS - Methods and devices are provided for performing surgical procedures using tissue retractors. In general, the methods and devices allow a surgeon to use a retractor to capture a large or small amount of tissue in a fabric and to move the fabric to relocate the tissue to one or more convenient locations during the procedure. The flexible nature of the fabric can allow the fabric to be moveable between an open position, in which the fabric can support tissue, and a closed position, in which the fabric can be folded, rolled, or otherwise compressed in size and fit through a port, such as a trocar or an incision in a tissue wall. Furthermore, the position of the fabric and thus the tissue held in the fabric can be adjusted and readjusted by pushing or pulling one or more grasping elements coupled to the fabric. | 03-05-2009 |
20090082632 | Rotational control for a hand assisted laparoscopic seal assembly - A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having a seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion, wherein the seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. The upper seal ring includes a first ring member and a second ring member oriented for movement relative thereto, wherein a latching mechanism is positioned between the first ring member and the second ring member for selectively controlling movement of the first ring member relative to the second ring member. The seal assembly also includes a rotational control mechanism controlling motion of the upper seal ring relative to the lower seal ring. | 03-26-2009 |
20090093683 | SURGICAL PORTAL KIT FOR USE IN SINGLE INCISION SURGERY - A surgical kit for performing a surgical procedure includes at least two portal members, possibly, at least three portal members, and an obturator positionable within each of the portal members. Each portal member includes a portal housing and a portal sleeve extending from the portal housing, and having a passageway therethrough for reception of a surgical object, the portal head having a reduced profile, an object seal adapted to establish a fluid tight seal about the surgical object introduced therethrough and an insufflation port for permitting passage of insufflation gases. At least one of the at least two portal members includes an insufflation plug. The insufflation plug is positionable within the insufflation port to substantially close the insufflation port. | 04-09-2009 |
20090118586 | Surgery accessory and method of use - In laparoscopic or thorascopic surgery, a trocar is used to provide an passage into the body cavity of a patient for injecting an inert gas to inflate it. A laparoscope or thorascope is passed through a sealing membrane of the trocar so the patient may be observed without releasing a large quantity of the inert gas. If the scope lens is clouded with body liquids or tissue, the scope is removed from the trocar and its lens cleaned. The trocar cannula is cleaned by running a swab through the sealing membrane into the cannula and removing body liquids, tissue and/or check valve lubricant from the inside of the cannula. The swab includes radiopaque markers on the sorbent end, measuring marks on the swab handle and an enlargement on the swab handle. The enlargement is positioned so it may be grasped and the swab pushed into the cannula a distance which is insufficient to push the sorbent end out of the end of the cannula. | 05-07-2009 |
20090137877 | TISSUE RETRACTORS - Methods and devices are provided for performing surgical procedures using tissue retractors. In general, a surgical retractor device is provided that includes a flexible fabric tissue retractor configured to support tissue. At least one grasping element can be coupled to a perimeter of the flexible fabric, and the grasping elements can be manipulated to couple the flexible fabric to a surgical port, e.g., a trocar, inserted through a body wall and extending into a body cavity. The grasping element can also be configured to move the flexible fabric and thereby move the tissue. | 05-28-2009 |
20090156902 | Instruments and methods for minimally invasive tissue retraction and surgery - Methods and devices retract tissue for minimally invasive surgery in a patient. A retractor includes a working channel formed by a first portion and a second portion. The first and second portions are movable relative to one another from a first configuration for insertion that minimizes trauma to skin and tissue to an enlarged configuration after insertion to further retract skin and tissue in a minimally invasive manner. An optional intermediate retractor assembly is positionable between the first and second retractor portions to provide further tissue retraction capabilities. | 06-18-2009 |
20090156903 | ARTICULATING HOOK ELEVATOR AND ARTHROSCOPIC METHOD FOR USING SAME - An articulating hook elevator for manipulating tissue during arthroscopic procedures. The articulating hook elevator comprises a shaft, a proximal end, and a distal end provided with an articulating paddle. The hook may be actuated by a switch and can articulate into a standard tip for traditional manipulation of tissue, or into a rotated or articulated position. In this manner, effective manipulation and retraction of tissue from the surgical site without tissue collapse may be achieved, allowing a surgeon to better visualize the internal condition of the arthroscopic site and speed up the overall procedure. | 06-18-2009 |
20090287061 | SURGICAL ACCESS DEVICE FOR MINIMALLY INVASIVE SURGERY - A method for employing a device to enable access at a surgical location adjacent to a spine, thereby allowing one or more surgical instruments to perform a minimally invasive spine operation, is provided herein. The device for providing access to the surgical location includes an elongate body that includes an outer tube and an inner tube. The inner tube is moveably received (e.g., via a worm drive) within the outer tube. Accordingly, the inner tube is selectively extensible and retractable relative to the outer tube in a telescopic manner. The extension and retraction capabilities of the device facilitate proper placement of the device within the surgical location. In addition, both the inner tube and the outer tube include inner surfaces. These inner surfaces define a passage extending through the elongate body. In operation, the passage allows for inserting surgical instruments through the device into the surgical location. | 11-19-2009 |
20100081883 | METHODS AND DEVICES FOR PERFORMING GASTROPLASTIES USING A MULTIPLE PORT ACCESS DEVICE - Methods and devices are provided for performing gastroplasties. In one embodiment, a method of performing a gastroplasty includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall. A multiple port access device having two or more sealing ports through which surgical instruments can be inserted can be positioned in the abdominal opening. Various instruments can be inserted through the various sealing ports to perform certain steps, such as tensioning and cutting tissue, sizing and transecting the stomach, viewing the surgical site, etc. The methods and devices can be used to perform a Magenstrasse and Mill procedure in which only a portion of the stomach is transected. | 04-01-2010 |
20100130824 | LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEMS FOR TRANS-UMBILICAL LAPAROSCOPIC SURGERY - Laparoscopic instruments and trocars are provided for performing laparoscopic procedures entirely through the umbilicus. A generally C-shaped trocar provides increased work space between the hands of the surgeon as well as S-shaped laparoscopic instruments placed through the trocar when laparoscopic instrument-trocar units are placed through the umbilicus. In order to facilitate retraction of intra-abdominal structures during a laparoscopic procedure, an angulated needle and thread with either one-or two sharp ends is provided. Alternatively, an inflatable unit having at least one generally C-shaped trocar incorporated within the unit's walls can be placed through the umbilicus following a single incision. Generally S-shaped laparoscopic instruments may be placed through the generally C-shaped trocars to facilitate access to intra-abdominal structures. | 05-27-2010 |
20100130825 | LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEMS FOR TRANSUMBILICAL LAPAROSCOPIC SURGERY - Laparoscopic instruments and trocars are provided for performing laparoscopic procedures entirely through the umbilicus. A generally C-shaped trocar provides increased work space between the hands of the surgeon as well as S-shaped laparoscopic instruments placed through the trocar when laparoscopic instrument-trocar units are placed through the umbilicus. In order to facilitate retraction of intra-abdominal structures during a laparoscopic procedure, an angulated needle and thread with either one-or two sharp ends is provided. Alternatively, an inflatable unit having at least one generally C-shaped trocar incorporated within the unit's walls can be placed through the umbilicus following a single incision. Generally S-shaped laparoscopic instruments may be placed through the generally C-shaped trocars to facilitate access to intra-abdominal structures. | 05-27-2010 |
20100130826 | LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEMS FOR TRANS-UMBILICAL LAPAROSCOPIC SURGERY - Laparoscopic instruments and trocars are provided for performing laparoscopic procedures entirely through the umbilicus. A generally C-shaped trocar provides increased work space between the hands of the surgeon as well as S-shaped laparoscopic instruments placed through the trocar when laparoscopic instrument-trocar units are placed through the umbilicus. In order to facilitate retraction of intra-abdominal structures during a laparoscopic procedure, an angulated needle and thread with either one-or two sharp ends is provided. Alternatively, an inflatable unit having at least one generally C-shaped trocar incorporated within the unit's walls can be placed through the umbilicus following a single incision. Generally S-shaped laparoscopic instruments may be placed through the generally C-shaped trocars to facilitate access to intra-abdominal structures. | 05-27-2010 |
20100137691 | Laparoscopic instrument and trocar systems for trans-umbilical laparoscopic surgery - Laparoscopic instruments and trocars are provided for performing laparoscopic procedures entirely through the umbilicus. A generally C-shaped trocar provides increased work space between the hands of the surgeon as well as S-shaped laparoscopic instruments placed through the trocar when laparoscopic instrument-trocar units are placed through the umbilicus. In order to facilitate retraction of intra-abdominal structures during a laparoscopic procedure, an angulated needle and thread with either one-or two sharp ends is provided. Alternatively, an inflatable unit having at least one generally C-shaped trocar incorporated within the unit's walls can be placed through the umbilicus following a single incision. Generally S-shaped laparoscopic instruments may be placed through the generally C-shaped trocars to facilitate access to intra-abdominal structures. | 06-03-2010 |
20100185058 | Devices for and Methods of Performing Minimally-Invasive Surgical Procedures Through a Single Incision - The present invention relates to surgical access devices (or surgical access ports) and related methods. More particularly, the present invention relates to such devices that are advantageously adapted for use in single-incision laparoscopic surgical (“SILS”) procedures The present invention also relates to kits and methods involving such surgical access devices. | 07-22-2010 |
20100228092 | SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED PATHS - Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation. | 09-09-2010 |
20100228093 | TISSUE RETRACTION DEVICE - A visceral barrier has a barrier element that is changeable between an opened and a closed configuration. The barrier element may be positioned while in the opened configuration to temporarily reposition the viscera within the body cavity. A method of repositioning the viscera in a body cavity of a patient during a surgical procedure includes providing a visceral barrier, introducing the visceral barrier into the body cavity when the barrier element is in the closed configuration, opening the barrier element to the opened configuration, and positioning the barrier element within the body cavity to reposition the viscera and provide a space for performing a surgical procedure. | 09-09-2010 |
20100240959 | RETRACTOR AND SEALING SYSTEM FOR SURGICAL/NON-SURGICAL INSTRUMENTS - A universal retractor and sealing system used in conjunction with surgical instruments such as cannulas, endoscopes surgical or non-surgical instruments or other tools. The user manipulates the instrument so as to create a projecting surface located inside the cavity. An outward force applied to the instrument body seats the projecting surface against the inner wall of the cavity, which can be used to form at least a partial seal against fluid. With the projecting surface positioned against the cavity wall, the instrument can be manipulated so as to act as a retractor, expanding the workable area and/or the field of view as required. | 09-23-2010 |
20100249517 | PORTAL DEVICE - A surgical portal device includes a body portion defining a longitudinal axis and having a proximal end, a distal end, and a lumen configured to allow a surgical instrument to pass therethrough. At least one securing member is disposed in mechanical cooperation with the body portion and is longitudinally translatable with respect to the body portion between a first, non-actuated position and a second, actuated position. The one securing mechanism has a fixation segment configured to grasp tissue when the one securing member is in the second, actuated position to facilitate fixation of the body portion within the tissue. The body portion may include a channel. The one securing member may be disposed at least partially within the channel and is longitudinally translatable with respect to the channel. | 09-30-2010 |
20100249518 | THREE PIECE ELASTIC DISK - A seal device to create an airtight seal around a variety of laparoscopic instruments passed through laparoscopic ports. The seal device comprises a plurality of overlapping elastic disks with each disk defining an aperture and configured to accommodate an instrument. The elasticity of each disk maintains a seal around the instrument as the instrument is manipulated. | 09-30-2010 |
20100261971 | ARTICULATING RETRACTORS - The invention provides an articulating mechanism useful, for example, for remote manipulation of various surgical instruments and diagnostic tools within, or to, regions of the body. Movement of segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. The proximal and distal segments are connected by a set of cables in such a fashion that each proximal segment forms a discrete pair with a distal segment. This configuration allows each segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations. The articulating mechanisms may also be combined in such a way to remotely mimic finger movements for manipulation of an object or body tissue. | 10-14-2010 |
20100268035 | Seal For Closing-Off An Access Instrument Into A Body | 10-21-2010 |
20100312062 | MULTI-PLANAR OBTURATOR WITH FOLDABLE RETRACTOR - Various methods and devices are provided for providing surgical access to a body cavity using a surgical access device that can include an elongate flexible member having proximal and distal ends and a sidewall extending therebetween. The elongate flexible member can be movable between a first position in which the elongate flexible member has at least one longitudinal fold formed in the sidewall such that a width of a longitudinal opening extending through the elongate flexible member is reduced, and a second position in which the fold in the sidewall is unfolded such that a width of the longitudinal opening is increased. In some embodiments, an obturator having expansion members can be used to unfold the elongate flexible member. | 12-09-2010 |
20100312063 | METHODS AND DEVICES FOR ACCESSING A BODY CAVITY USING A SURGICAL ACCESS DEVICE WITH MODULAR SEAL COMPONENTS - Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location. | 12-09-2010 |
20110034775 | Surgical Retention Port and Method of Use - A surgical retention port particularly useful as an arthroscopic port for shoulder surgery is provided. The surgical retention port has an inner cannula defining a throughbore, a plurality of rotatable fingers coupled to the inner cannula, and an outer cannula extending around the inner cannula. Rotation of the inner cannula relative to the outer cannula causes the rotation of the fingers from a first position where the fingers assume a collapsed configuration to a second position where the fingers assume an extended or open configuration. | 02-10-2011 |
20110082339 | METHOD AND APPARATUS FOR STABILIZING AN ABDOMINAL WALL DURING A LAPAROSCOPIC INCISION - An apparatus and method for laparoscopic surgery provides a stabilizing tool using having movable latches. In one embodiment, the stabilizing tool includes a body portion, a moving mechanism and a latching mechanism. The moving mechanism enables a user to extend the movable latches outwardly to an extended position and retract the movable latches inwardly to a retracted position. | 04-07-2011 |
20110082340 | FOAM COLLAR FOR SURGICAL ACCESS DEVICES - A surgical access devices includes an access device and a balloon dissector assembly slidably mounted through the access device. The access device includes a cannula and an elongate collar affixed to the cannula. The balloon dissector includes a tubular member having a bore, an inflatable dissection balloon secured to a distal end of the tubular member, and an obturator slidably mounted in the bore of tubular member. The elongate collar includes a body portion which has a polyhedron prism shape and a tip portion. The body portion may extend from a surgical site inside the patient's body to the outside the patient's body. The elongate collar is made from a suitable foam or gel material having sufficient compliance to form a seal with the surgical objects and sufficiently compliant to accommodate off-axis motion of cannula during a surgical procedure. | 04-07-2011 |
20110092776 | MEDICAL MANIPULATOR - A medical manipulator and a cleaning method therefor are provided. The medical manipulator includes an operation command unit equipped with a motor, and a working unit, which is detachable with respect to the operation command unit. A connector of the working unit is connected to the operation command unit, and includes pulleys that engage with the motor, the connector serving to rotatably retain the pulleys therein. The connector has an elongate shape extending in the longitudinal direction of a connecting shaft, and a first cleaning hole is arranged in an end portion of the connector that is opposite to a side on which the connecting shaft is connected. A second cleaning hole opens into an interior cavity, in the vicinity of an end portion on the side where the connecting shaft is connected. The end portions are shaped substantially hemispherically. | 04-21-2011 |
20110092777 | REMOTE TISSUE RETRACTION DEVICE - A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately. | 04-21-2011 |
20110105848 | LAPAROSCOPIC TISSUE RETRACTOR - The present invention is primarily directed to a surgical retractor suitable for laparoscopic insertion, comprising an elongate shaft having two or more arms at its distal end, and a mechanism for controlling the mutual separation of said arms located at its proximal end, wherein a membrane is attached to said two or more arms, such that upon mutual separation of said arms, said membrane forms a non-planar surface suitable for use as a barrier for retracting or holding tissues or organs. | 05-05-2011 |
20110124967 | DISCRETE FLEXION HEAD FOR SINGLE PORT DEVICE - Methods and devices are provided for accessing a body cavity. A surgical access device can be configured to be positioned in tissue to provide access through a working channel of the device to a body cavity underlying the tissue. The device can include a flexible member and a plurality of discrete housing portions disposed in at least a proximal portion of an outer housing. Each of the discrete housing portions can be surrounded by the flexible member within the outer housing and be configured to move therein relative to one another and to the outer housing. The flexible member can be configured to act as a barrier between the discrete housing portions such that when one of the discrete housing portions moves, the flexible member can flex to allow the other discrete housing portions to remain in a substantially fixed position relative to the outer housing. | 05-26-2011 |
20110160538 | SURGICAL INSTRUMENTS FOR LAPAROSCOPIC ASPIRATION AND RETRACTION - Various surgical instruments for laparoscopic procedures is provided, which are adapted and configured to aspirate and retract a hollow organ, such as a gallbladder. The surgical instruments can includes a needle body, an anchor that is deployable with respect to the needle body, which is adapted and configured for engaging and retracting the hollow organ. Moreover, an aperture can be provided in connection with the needle body, which is adapted and configured for permitting aspiration of contents of the hollow organ. The anchor can be held within, and deployable from, a lumen of the needle body, or held on, and deployable from, an outside surface of the needle body, for example. | 06-30-2011 |
20110160539 | EXPANDABLE MEMBER DISSECTION PORT - Embodiments of the invention include a device to provide working access to a surgical site in a patient. The device may include a port component including an elongate member configured to pass through an opening in the patient. The elongate member may include a bore extending between a distal end and a proximal end of the elongate member. The port component may also include an expandable member disposed on the elongate member that may perform dissection and may form a seal to maintain insufflation pressure in a working space. The device may also include an insert component configured to be removably received inside the bore in the elongate member of the port component. The insert component may include at least one lumen that may removably receive at least one working instrument. | 06-30-2011 |
20110166422 | RIGIDIZABLE ENDOLUMINAL ACCESS DEVICE - A rigidizable endoluminal access device includes a handle assembly | 07-07-2011 |
20110196206 | PORT FIXATION WITH VARYING THREAD DIAMETER - A surgical portal device for use in an endoscopic procedure includes an elongated body portion dimensioned for insertion through tissue. The body portion includes an outer wall defining a longitudinal axis and having a proximal end, a distal end, and a longitudinal lumen configured to allow a surgical instrument to pass therethrough. A plurality of threaded fixation segments is disposed on an exterior surface of the outer wall of the body portion. The threaded fixation segments are dimensioned and configured to engage tissue surrounding an opening to secure the elongated body at a predefined location within the tissue. The threaded fixation segments include a proximal threaded fixation segment having an average first thread diameter and a distal threaded fixation segment having an average second thread diameter less than the average first thread diameter. In one embodiment, each of the threaded fixation segments have different average thread diameters. The average thread diameters of the threaded fixation segments may gradually increase from a distal-most threaded fixation segment to a proximal-most threaded fixation segment. | 08-11-2011 |
20110263944 | LAPAROSCOPIC RETRACTOR - A laparoscopic spacer ( | 10-27-2011 |
20110275901 | LAPAROSCOPIC DEVICES WITH ARTICULATING END EFFECTORS - Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that includes an elongate shaft having an end effector at a distal end thereof. The end effector can be configured to be movable between a first configuration in which the end effector is longitudinally aligned with or linear relative to the shaft and a second configuration in which the end effector is articulated at an angle beyond 45 degrees relative to the shaft. With the end effector in the first configuration or in the second configuration, the device can be configured to allow selective actuation of the end effector. | 11-10-2011 |
20110306841 | Surgical Retention Port and Method of Use - A surgical retention port particularly useful as an arthroscopic port for shoulder surgery is provided. The surgical retention port has a long pointed instrument such as a trocar or obturator, an inner cannula extending around the pointed instrument, a plurality of rotatable fingers coupled to the inner cannula, and an outer cannula extending around the inner cannula. In one embodiment of the invention, the inner cannula and long pointed instrument are keyed such that rotation of the long pointed instrument can effect rotational movement of the inner cannula. Rotation of the inner cannula in turn causes the rotation of the fingers from a first position where the fingers assume a collapsed configuration to a second position where the fingers assume an extended or open configuration. | 12-15-2011 |
20120016203 | METHODS AND SYSTEMS FOR MINIMALLY INVASIVE ENDOSCOPIC SURGERIES - The present invention provides systems and methods for minimally invasive endoscopic surgical procedures. In certain embodiments, the minimally invasive endoscopic surgical systems comprise a harvesting cannula having a cylindrical body sized to receive an endoscope and having a length of about 20 cm to about 26 cm, a bisector/bipolar device having finger grooves and/or other ergonomic/non-slip features, and/or a suction device to clear a visual field of the endoscope, as well as methods for using such systems. | 01-19-2012 |
20120046525 | LAPAROSCOPIC SURGICAL RETRACTION DEVICE - A laparoscopic surgical retraction device is described. The device has an insertion configuration and an operational configuration. In the insertion configuration the device is collapsible such that the dimensions of the device can be reduced so as to allow the complete insertion of the device through a trocar or cannula into the internal abdominal cavity wherein it may be expanded to adopt the operational configuration. | 02-23-2012 |
20120059225 | EXPANDABLE SPACE-OCCUPYING TISSUE RETRACTORS - This document provides methods and materials for retracting tissue during a minimally invasive surgical procedure (e.g., an endoscopic surgical procedure). For example, methods and materials for using an expandable space-occupying tissue retractor during an endoscopic surgical procedure such as a laparoscopic cholecystectomy procedure or a NOTES procedure are provided. | 03-08-2012 |
20120083657 | Remote Tissue Retraction Device - A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately. | 04-05-2012 |
20120088978 | LAPAROSCOPE POUCH - A laparoscope pouch includes: a main shaft which is therein formed with a hollow; a handle shaft which is inserted and slidably moved in the main shaft; an arm which is disposed in one side of the handle shaft; a handle which is disposed in the other side of the handle shaft and is rotated relative to the handle shaft; an extraction bag which has an opening with its upper side opened, the arm inserted in the extraction bag to hold the opening; a lead which connects the extraction bag and the handle and fixes a position of the extraction bag by providing a tension to the extraction bag by rotation of the handle; and a slider which is coupled and fixed to the main shaft when the handle shaft is moved relative to the main shaft. The extraction bag can be tightly inserted and maintained in the arm by rotating the handle even during an operation, and the lead can be adjusted to an operation situation even if the lead is not properly arranged during manufacture. | 04-12-2012 |
20120101341 | SURGICAL ACCESS DEVICE SYSTEM AND METHODS OF USE - A surgical access device can include a plurality of retractor members that together define a lumen having a first cross-sectional dimension. Each of the plurality of retractor members can be moved radially outward to at least a second cross-sectional dimension to create a surgical access passage. The surgical access device, systems and kits comprising the surgical access device, and methods of using the surgical access device can include a mechanism for inserting an elongate member from exterior the body to the surgical she, a mechanism for moving the retractor members radially outward, a mechanism for guiding the radially outward movement of the retractor members, a mechanism for securing each of the retractor members in a range of positions, and a mechanism for illuminating the surgical site. Variations of the devices, systems, kits, and methods are useful for creating and maintaining a surgical access passage for performing minimally invasive surgery. | 04-26-2012 |
20120123215 | LAPAROSCOPIC TISSUE RETRACTOR - A tissue refractor deforms while passing through an injector tool into an expanded or deployed shape suitable for engaging and retracting tissue during a minimally invasive surgical procedure. The tissue retractor may also deform once again into an undeployed shape for extraction from the surgical site. | 05-17-2012 |
20120165611 | LAPAROSCOPIC ACCESS PORT AND PORT SLEEVE ARRANGEMENT - Disclosed are embodiments of a laparoscopic access port having a head (portion | 06-28-2012 |
20120209075 | LAPAROSCOPIC RETRACTOR - The present invention provides a retractor for use during laparoscopic cholecystectomy. | 08-16-2012 |
20120253135 | CONFIGURED AND SIZED CANNULA - A dilator retractor and the dilators that are used for minimally invasive spinal surgery or other surgery are configured to accommodate the anatomical structure of the patient as by configuring the cross sectional area in an elliptical shape, or by forming a funnel configuration with the wider end at the proximate end. In some embodiments the distal end is contoured to also accommodate the anatomical structure of the patient so that a cylindrically shaped, funnel shaped, ovoid shaped dilator retractor can be sloped or tunneled to accommodate the bone structure of the patient or provide access for implants. The dilator retractor is made with different lengths to accommodate the depth of the cavity formed by the dilators. | 10-04-2012 |
20120265019 | Surgical Retractor Extensions - A surgical retractor apparatus having one or more independent, removable extension members adapted to be mounted at the distal end of the retractor, or between the blades of a spreadable retractor, after the retractor has been positioned in the patient, such that a significant portion of the extension member extends beyond the distal end of the retractor to preclude or minimize intrusion of tissue into the access area created by the retractor. The extension members may vary in size and shape so that the most appropriate extension member can be chosen to address the intrusion problem, and the extension members may be mounted at various fixed locations, using clips, mechanical interlocking structures or the like. | 10-18-2012 |
20120277538 | BODY INSERTION INSTRUMENT - A body insertion instrument has an inserting portion inserted into a body near a target organ as a target of surgery. The body insertion instrument further includes a space securing unit, disposed to the inserting portion, configured to secure a space, in which the target organ is operated on, one of between the target organ and an organ different from the target organ and between the target organ and one of an abdominal wall and a chest wall, and a drive unit configured to drive the space securing unit for acting force the one of between the target organ and the organ different from the target organ and between the target organ and the one of the abdominal wall and the chest wall. | 11-01-2012 |
20120296169 | Articulating Laparoscopic Surgical Access Instrument - A surgical instrument includes proximal and distal shaft components, an articulation assembly, and an outer sleeve. The shaft components are pivotably coupled to one another. The distal shaft component is articulatable relative to the proximal shaft component between a substantially aligned configuration and an articulated configuration. The articulation assembly includes a rack and a pinion gear engaged with one another. The rack and the pinion gear cooperate to permit incremental articulation of the distal shaft component relative to the proximal shaft component between the substantially aligned and articulated configurations. The outer sleeve is disposed about the proximal shaft component and is manipulatable relative to the proximal shaft component between a first position and a second position for articulating the distal shaft component between the substantially aligned configuration and the articulated configuration. | 11-22-2012 |
20120323079 | METHOD AND APPARATUS FOR MANIPULATING THE UTERUS AND/OR CERVIX OF A PATIENT - Apparatus for manipulating the uterus and/or cervix of a patient, the apparatus comprising: | 12-20-2012 |
20130018228 | SURGICAL RETRACTOR DEVICE - Systems, devices, and methods capable of retracting organs are disclosed. In one embodiment, a retractor body comprises a deformable resilient frame defining a central opening and a deformable membrane extending across a portion of the central opening wherein the deformable resilient frame is arranged for complete disposal within the body of a patient and for varying the size of the central opening. In some exemplary embodiments, the retractor is arranged to form a helically coiled arrangement for insertion into the body of a patient. Delivery devices for delivering a deformable resilient retractor and methods of delivery are also disclosed. | 01-17-2013 |
20130030252 | Suction-Based Tissue Manipulator - A method for grasping and holding tissue employs an apparatus including flexible sheet having walls that define adjoining top and bottom chambers which move together as a unitary part during use. The top and bottom walls of the flexible sheet conform to tissue and have corresponding first and second sets of holes. The method supplies suction to the top chamber and the first set of holes via the first fluid path to engage and hold tissue adjacent the top wall by suction forces applied through the first set of holes, and also supplies suction to the bottom chamber and the second set of holes via the second fluid path to engage and hold tissue adjacent the bottom wall by suction forces applied through the second set of holes. | 01-31-2013 |
20130041228 | MINIMALLY INVASIVE RETRACTOR AND METHODS OF USE - A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed to be coupled to a pedicle screw and then to have opposed arms of the retractor spread apart to open the wound proximally. The retractor is removed by pulling it out of the wound whereby the retractor is deformed to pass over the pedicle screw head. The retractor is intended to be made of a stiff plastic material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed. | 02-14-2013 |
20130060093 | INSTRUMENT ACCESS DEVICE - An instrument access device comprises at least a first instrument seal | 03-07-2013 |
20130066155 | LAPAROSCOPIC SURGICAL DEVICE - A laparoscopic surgical device comprising an anchor element comprising a pair of jaws defining a mouth within which at least a portion of an organ or tissue may be grasped is described. The jaws are biased towards one another so as to normally adopt a closed configuration. The anchor element is coupled to a support member, the support member being moveable about the anchor element. The device is dimensioned to be operably passed fully through a trocar into the abdominal cavity wherein it may be manipulated by a surgeon or other operator to grasp the desired target organ or tissue. | 03-14-2013 |
20130066156 | SURGICAL TOOL GUIDE AND PROTECTION CAP FOR SURGICAL TOOL GUIDE - The present invention relates to a surgical tool guide, which is easily installed and separated to reduce operating time, and furthermore surgical instruments are not separated from the abdominal walls or gas does not leak to stably perform the surgical operation. In addition, the present invention relates to a protection cap for a surgical instrument guide, which is interlocked together with surgical instruments to maintain a seal even though the surgical instruments for the operation are variously moved, thereby efficiently preventing the leakage of gas. Therefore, since it is unnecessary to inject gas again during the operation, the surgical operation can be smoothly performed. | 03-14-2013 |
20130066157 | SYSTEM FOR BODY ACCESS HAVING ADJUSTABLE DIMENSIONS - A device including a hollow pipe with a variable diameter is used for medical procedures. Means are provided for reducing the diameter either internally or externally so that the pipe can be inserted into a patient's body through an incision or an opening until the distal end of the pipe reaches a desired position. Thereafter, the diameter of the pipe is increased to allow various surgical devices to be introduced through the pipe. | 03-14-2013 |
20130072758 | VESSEL RETRACTOR - A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a first portion with an axis approximately parallel to the axis of the cannula and a second portion with an axis that can be skewed relative to the axis of the cannula. The dissection cradle is located at the distal end of the second portion of the retractor, and may include two substantially parallel, spaced legs with the retractor shaped in a loop between and in a plane skewed relative to the axes of the legs, and with the loop directed away from the surgical tool. Thus, in operation, a surgeon locates a vessel and side branch of interest and extends the retractor to cradle the vessel in the dissection cradle. Once cradled, the retractor may be deflected to urge the vessel away from the axis of the cannula to isolate the side branch for exposure to the surgical tool. Removable, transparent tips are selectively positioned at the distal end of the cannula for performing dissection and transection via a single cannula. Additionally, the tips are configured to align the apices of the tips with the central axis of the endoscope to maximize the visual field through the tips via the endoscope. Wing-like protrusions on an alternate tip for the cannula facilitate tissue dissection in forming a tunnel in tissue along a target vessel. Swept back forward edges on the wing-like protrusions promote easy tissue dissection using reduced force to advance the cannula and alternate tip through tissue surrounding the target vessel. | 03-21-2013 |
20130079597 | Endoscopic Ports and Related Kits and Methods - An endoscopic port that includes an elongate cannula defining a central lumen that extends substantially parallel to a longitudinal axis of the cannula and is sized to receive at least one endoscopic instrument therein. The cannula further defines a first opening that extends through a sidewall of the cannula at an acute angle relative to the longitudinal axis of the cannula. The first opening is sized to receive a suture passer. | 03-28-2013 |
20130085339 | SURGICAL RETRACTOR - The exemplary embodiments illustrated provide the discovery of apparatuses and methods of use of surgical retractors that solve the problems presently posed through use of the Trendelenberg position, present graspers, and present retractors. The embodiments are conformable into a sufficiently small configuration for introduction and positioning within a surgical site, and thereafter, are configurable into a larger, more rigid structure to sufficiently retain tissues and organs from the surgical site. | 04-04-2013 |
20130102849 | DEPLOYMENT METHODS AND MECHANISMS FOR MINIMALLY INVASIVE IMPLANTATION OF HEART CONTACTING CARDIAC DEVICES - The present invention provides methods, systems, kits, and devices that aid in the positioning of a direct cardiac compression device about the heart. | 04-25-2013 |
20130137932 | SURGICAL ACCESS PORT - The present embodiments provide a surgical access port comprising at least one channel having proximal and distal ends, and a lumen extending therebetween. The at least one channel comprises a first state in which the proximal end is positioned proximal to the distal end, and comprises a second state in which the at least one channel is everted by advancing the proximal end through the distal end, such that the proximal end is positioned distally beyond the distal end. An expansion member of the surgical access port is configured for insertion through a surgical incision in a contracted state, and expands to a diameter larger than the surgical incision in an expanded state. In one embodiment, the expansion member comprises a toroidal balloon that comprises a material adapted to flex and conform to tissue distal to the surgical incision in the expanded state. | 05-30-2013 |
20130172682 | Tissue Retractor Assembly - A tissue retractor assembly is provided having a cannula which houses a grasper and an anchor, the grasper extended axially from the cannula, the grasper having legs for gripping tissue and a locking ring for locking the legs, and an anchor having sharpened legs, the grasper being secured and adjusted relative to the anchor by a length of suture. Another tissue retractor assembly is provided having a cannula which houses an anchor, a wire form and a grasper, the wire form a coiled spring which expands radially, and a grasper for pulling tissue through the form. A further retractor assembly is provided having a cannula which houses an anchor and a grasper, the grasper a loop of suture configured to grasp and tighten around tissue. Another tissue retractor assembly is provided having a cannula which houses a first and second graspers, the graspers defined by C-shaped clips. | 07-04-2013 |
20130172683 | SURGICAL PORTAL WITH GEL AND FABRIC SEAL ASSEMBLY - A surgical portal assembly provides access to underlying tissue. The surgical portal has a seal which includes a gel layer and a fabric layer. The seal includes internal surfaces defining a passage for reception and passage of a surgical object in substantial sealed relation therewith. | 07-04-2013 |
20130178708 | Articulating Method Including A Pre-Bent Tube - A surgical device is provided including an access port having a tubular member with a first ring secured at a proximal end and a second ring secured at a distal end; an articulation structure having an outer tube and an inner tube; and a control mechanism coupled to one end of the inner tube for advancing the inner tube through the outer tube; wherein the outer tube includes at least one rigid section and at least one flexible section and the inner tube includes at least two pre-bent sections. | 07-11-2013 |
20130184533 | CONFIGURED AND SIZED CANNULA - A dilator retractor and the dilators that are used for minimally invasive spinal surgery or other surgery are configured to accommodate the anatomical structure of the patient as by configuring the cross sectional area in an elliptical shape, or by forming a funnel configuration with the wider end at the proximate end. In some embodiments the distal end is contoured to also accommodate the anatomical structure of the patient so that a cylindrically shaped, funnel shaped, ovoid shaped dilator retractor can be sloped or tunneled to accommodate the bone structure of the patient or provide access for implants. The dilator retractor is made with different lengths to accommodate the depth of the cavity formed by the dilators. | 07-18-2013 |
20130190570 | GUIDE SLEEVE FOR SUPRAPATELLAR SURGERY - A tissue protection sleeve for use in suprapatellar surgery is provided. The sleeve has a first end, a second end, an inner surface and an outer surface. The sleeve further comprises at least two open grooves that extend along the inner surface from the first end to the second end. The grooves are adapted to accommodate elongated fixation elements inserted into a tibia. A drill guide sleeve and a trocar for inserting a guide wire are also provided and can be accommodated by the tissue protection sleeve. | 07-25-2013 |
20130190571 | SURGICAL TISSUE PROTECTION SHEATH - A surgical sheath for use in endoscopic trans-nasal or intra-ocular surgery has an angle section joined to a conical section, with the conical section having a central axis not parallel to a central axis of the angle section. A body section is joined to the angle section, with the body section having a length at least twice the length of the angle section. The conical section, the angle section and the body section may be a flexible or compliant material. The sheath reduces collateral trauma to the tissues in the surgical pathway. | 07-25-2013 |
20130190572 | RETRACTION SYSTEM FOR LAPAROSCOPIC SURGERY - The present invention relates to a retraction system for laparoscopic surgery. According to one embodiment of the present invention, the retraction system includes: a retraction part for holding an object or tissue to be retracted; a retraction fiber control part for retracting the retraction part at the area to be retracted by means of a retraction fiber to fix the retraction part; and an abdominal wall fixer coupled to the retraction fiber control part, wherein the abdominal wall fixer is fixed to the abdominal wall. The retraction fiber control part includes: a retraction fiber control part body having a retraction hole through which the retraction fiber connected to the retraction part passes in the lower portion thereof; and a retraction fiber fixing part disposed outside the retraction fiber control part body so as to retract the retraction fiber or fix the retraction fiber such that the retraction fiber is immovable. | 07-25-2013 |
20130211202 | MINIMALLY INVASIVE SURGICAL ACESS DEVICE - A minimally invasive surgical access device that allows access to a pathology being treated while significantly reducing the risk of damaging anatomical structures proximate the pathology. The access device includes a base portion having a central bore extending therethrough, and retractor blades pivotably mounted to the base portion. An insertion handle is coupled to the base portion to thread the retractor blades into the patient. The insertion handle is removed from the base portion, and a core hollow screw is threaded into the base portion to separate the retractor blades to gain access to the pathology through the hollow screw. | 08-15-2013 |
20130225930 | WOUND RETRACTOR INCLUDING RIGID RING - A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity adapts to tissue tracts of different widths. The surgical instrument includes a proximal member, a distal member, and a sleeve extending between the proximal member and the distal member and defining a longitudinal passage therein. The proximal member includes an inflatable member that selectively adjusts the radial dimension of the proximal member. A ring member may be separately insertable by a user during a surgical procedure into the space directly adjacent to the radially-inner surface of the inflatable member, so as to selectively provide rigidity to the proximal member. | 08-29-2013 |
20130225931 | SURGICAL INTRODUCER AND ACCESS PORT ASSEMBLY - A surgical apparatus for permitting access to tissue includes an elongated introducer and a surgical port. The introducer includes an outer wall segment defining a longitudinal axis, a longitudinal port passage extending therethrough and a longitudinal slot in communication with the port passage. The introducer is dimensioned for at least partial introduction within an opening in tissue. The surgical port includes a port body mounted to the introducer with one of its leading and trailing ends disposed within the port passage and with the intermediate segment extending through the longitudinal slot and the other of the leading and trailing end external of the elongated introducer. The port body is dimensioned to be advanced within the port passage for deployment through the opening in the tissue and is adapted to transition from a compressed state to a released state. | 08-29-2013 |
20130245379 | Surgical Device Having a Port with an Undercut - A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity. The apparatus may include a seal anchor member comprising a compressible material. The seal anchor member may be adapted to transition between a first condition for insertion of at least a portion of the seal anchor member within a tissue tract and a second condition to facilitate a securing of the seal anchor member within a tissue tract and in substantial sealed relation with tissue surfaces defining a tissue tract. The seal anchor member may have proximal and distal ends and may define at least one port extending between the proximal and distal ends, the at least one port being adapted for the reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. The at least one port may include an undercut to reduce the likelihood of leaks therethrough. | 09-19-2013 |
20130253275 | Tissue Retractor Assembly - An intracorporeal surgical tissue retractor is provided having an anchor selectively deployable in a first tissue not to be retracted and a grasper selectively deployable on a second tissue to be retracted. A longitudinally selectively movable support is threadable through the anchor and attached at a substantially distal end of the movable support to the grasper. A deployment user interface is couplable to the movable support and has a proximal end manipulable by a user extracorporeally and a distal end releasably attachable to both the anchor and the grasper, adapted to intracorporeally deploy the anchor into the first tissue and the grasper onto the second tissue. The user interface includes a first actuator having an anchor positioning tool enabling selective deployment of the anchor in the first tissue, and a second actuator enabling selective opening and closing of the jaws of the grasper. | 09-26-2013 |
20130253276 | SURGICAL ACCESS DEVICE AND WOUND PROTECTOR - An access device for use in a minimally invasive surgical procedure is disclosed. The access device is configured and adapted to be placed within a body opening to provide access to an underlying body cavity. The access device provides protection to the opening and minimizes contamination and the risk of possible infection. | 09-26-2013 |
20130253277 | SURGICAL ACCESS ASSEMBLY AND METHOD OF USE THEREFOR - A surgical access assembly includes an access port and a seal anchor. The access port includes first and second rings and a sleeve extending between the first and second rings. In particular, the sleeve includes an inner surface having an attaching member. The seal anchor is adapted to be at least partially disposed in the access port. The seal anchor includes a base portion configured to detachably engage the attaching member of the access port. | 09-26-2013 |
20130253278 | SURGICAL ACCESS ASSEMBLY AND METHOD OF USE THEREFOR - A surgical access assembly includes an access port and a seal anchor. The access port includes first and second rings and a sleeve extending between the first and second rings. In particular, the sleeve includes an inner surface having an attaching member. The seal anchor is adapted to be at least partially disposed in the access port. The seal anchor includes a base portion configured to detachably engage the attaching member of the access port. | 09-26-2013 |
20130253279 | SURGICAL ACCESS ASSEMBLY AND METHOD OF USE THEREFOR - A surgical access assembly includes an access port and a seal anchor. The access port includes a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough. In particular, the proximal, intermediate and distal rings are concentrically arranged with the passage of the sleeve, and the sleeve extends between the proximal and distal rings. The seal anchor is adapted to be at least partially disposed in the access port, and defines a lumen therethrough. At least one of the proximal, intermediate, and distal rings is configured and dimensioned to engage the seal anchor in a sealing relation therewith. | 09-26-2013 |
20130261399 | EXPANDABLE TRANSLUMINAL SHEATH - Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The distal end of the sheath is maintained in the first, low cross-sectional configuration and expanded using a radial dilatation device. In an exemplary application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as ureteroscopy or stone removal. | 10-03-2013 |
20130274558 | SURGICAL DEVICE FOR INTERNALLY MANIPULATING AN ORGAN - A surgical device includes a rigid shaft connected between a handle and a head. The head of the surgical device is sized for insertion into an organ such as a vagina, a uterus, a rectum, or an esophagus. The head includes an expansion plate and a door coupled to a central plate. The central plate has a distal end connected to the rigid shaft, an anterior surface, and a recess formed in a posterior side of the central plate that provides a posterior surface opposite the anterior surface. The expansion plate is coupled to and movable relative to the anterior surface of the central plate. The door is coupled disposed within the recess of the central plate and movable relative to the posterior surface of the central plate. The expansion plate is movable independently of the door to allow the head to expand and move the organ. | 10-17-2013 |
20130281783 | Laparoscopic Instrument and Cannula Assembly and Related Surgical Method - A laparoscopic port assembly includes a cannula unit including three cannulas each extending at an acute angle relative to a base. The cannulas are flexible for receiving respective angulated laparoscopic instruments. The cannula unit is rotatingly received in a port holder for rotation about a longitudinal axis of the holder, the holder being disposable in an opening in a patient's skin. | 10-24-2013 |
20130289354 | Spinal Therapy Lateral Approach Access Instruments and Implants - Minimally invasive surgical techniques including techniques and implants for provision of therapy to a spine from a lateral approach. Implants that may be used with other approaches to the spine are disclosed. Minimally invasive surgical techniques using one or more extended retractors to create an extended access route such as the non-limiting example of lateral access to the spine. Minimally invasive surgical techniques using internal retractors that may be reversibly expanded with a removable retractor inserter to create an extended access route. A linkage jack to expand a set of two or more extended retractors to create an extended access route. | 10-31-2013 |
20130303856 | Single Use, Disposable, Tissue Suspender Device - The present invention relates to a single-use, disposable, tissue suspender device comprising a longitudinal body having a distal end and a proximal end, the thickness of the body being substantially constant along a major portion of the length of said body from said proximal end towards said distal end; wherein a region immediately preceding the distal end of the body presents a reduced thickness compared to the remainder of the longitudinal body extending back toward the proximal end; and wherein the distal end comprises a distal bar attached to the region of reduced thickness of the longitudinal body which adopts an unconstrained deviating angle to a longitudinal axis of the longitudinal body. The invention also relates to use of the device for suspending tissue in a human or animal body. | 11-14-2013 |
20130317305 | REMOVABLE MEDICAL RETRACTOR TIP - The exemplary embodiments illustrated provide the discovery of systems, methods, and apparatuses of removable tips for use with medical retractors in laparoscopic surgery that provide many benefits, including but not limited to, improving the efficiency and navigation to the target anatomy while maintaining adequate exposure to the target anatomy. | 11-28-2013 |
20130317306 | RETRACTION OF TISSUE FOR SINGLE PORT ENTRY, ROBOTICALLY ASSISTED MEDICAL PROCEDURES - A single port entry surgical instrument has an elongated structure with lumens through which surgical tools and an image capturing device may be inserted and controllably extended out of its distal end for performing a medical procedure, a tubular-shaped balloon disposed around the elongated structure, and an expandable retractor disposed around the balloon so that when the balloon is inflated, the retractor expands and locks in an expanded configuration to retract extraneous tissue. The port entry may be secured using the expandable retractor or sealed using another inflatable balloon disposed around the proximal end of the elongated structure and centered in the port entry. | 11-28-2013 |
20130317307 | Device and Method for the Positioning of Tissue During Laparoscopic or Endoscopic Surgery - A surgical device and method for the retracting, maneuvering, and re-positioning of tissue and/or a body organ during endoscopic and laparoscopic procedures. The surgical apparatus comprises at least one separable grasping device with a detachable head, and an exteriorly-operated handle mechanism, or puppet handle. The disclosed device enables a physician, using a plurality of lengths of sutures simultaneously connected to (a) stems of the exteriorly exposed puppet handle and (b) the detachable head, positioned at clasping points on the organ, to rearrange the orientation of tissue or the organ for better accessibility, analysis, and/or exposure to accompanying surgical instruments in situ. The method presented minimizes the number of bodily incisions required to perform surgery by means of endoscope or laparoscopic equipment. | 11-28-2013 |
20130324800 | Surgical device - A port for laparoscopic surgery comprises an opening for attachment to a wound protector and a flexible membrane extending therefrom to define an airtight seal around an incision in a patient. A plurality of access points are defined in the membrane, through which laparoscopic trocars and elongate laparoscopic surgical instruments can be inserted. | 12-05-2013 |
20130345519 | FLOATING, MULTI-LUMEN-CATHETER RETRACTOR SYSTEM FOR A MINIMALLY-INVASIVE, OPERATIVE GASTROINTESTINAL TREATMENT - Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner. | 12-26-2013 |
20140024899 | METHOD AND STRUCTURE FOR SELECTIVELY LOCKING PORTIONS OF A SEAL ASSEMBLY - A surgical access device that includes a seal assembly. The seal assembly includes an upper housing portion having a first seal and a lower housing portion including a second seal. The upper housing portion is rotatably connectable to the lower housing portion. The surgical access device also includes a rotation prevention mechanism configured to prevent inadvertent relative rotation of, and disconnection of, the upper housing portion and the lower housing portion. The rotation prevention mechanism is further configured to be selectively actuated by a user, such that, when actuated, the upper housing portion is selectively rotatable relative to, and disconnectable from, the lower housing portion. | 01-23-2014 |
20140031630 | MINIMALLY INVASIVE LAPAROSCOPIC RETRACTOR - An inflatable retractor for use in laparoscopic surgery of a patient's body includes an inflatable element disposed at a distal end of a retractor shaft. The retractor shaft includes a port for receiving insufflating fluid. The inflatable element is designed so that different parts of the inflatable element may be filled to different pressure levels. The inflatable element may include separately inflatable chambers. In this way, the rigidity and shape of the inflatable element is controlled by the surgeon, allowing for flexibility and ease of use. | 01-30-2014 |
20140039265 | MINIMALLY INVASIVE SURGICAL RETRACTOR WITH AN EXPANDED FIELD OF VISION - A surgical retractor includes a first component and a second component. The first component includes a first top structure and a conical outer wall. The first top structure has a first opening. The outer wall extends below the first top structure to form an ellipse-shaped second opening in communication with the first opening. The second component includes a second top structure and conical inner wall. The second top structure has a third. The inner wall extends below the second top structure to form an ellipse-shaped fourth opening in communication with the third opening. The second top structure of the second component is disposed at least partially inside the first top structure of the first component such that the second component is rotatably adjustable with respect to the first component. | 02-06-2014 |
20140051931 | CONFIGURED AND SIZED CANNULA - A dilator retractor and the dilators that are used for minimally invasive spinal surgery or other surgery are configured to accommodate the anatomical structure of the patient as by configuring the cross sectional area in an elliptical shape, or by forming a funnel configuration with the wider end at the proximate end. In some embodiments the distal end is contoured to also accommodate the anatomical structure of the patient so that a cylindrically shaped, funnel shaped, ovoid shaped dilator retractor can be sloped or tunneled to accommodate the bone structure of the patient or provide access for implants. The dilator retractor is made with different lengths to accommodate the depth of the cavity formed by the dilators. | 02-20-2014 |
20140051932 | MINIMALLY-INVASIVE PORTAL METHODS FOR PERFORMING LUMBAR DECOMPRESSION, INSTRUMENTED FUSION/STABILIZATION, AND THE LIKE - Minimally-invasive portal systems and methods for performing lumbar decompression, instrumented fusion/stabilization, and the like. In some implementations, an access tube defining a depth may be disposed at least partially within the body of a patient. A cross-sectional area of the access tube may be adjusted in one or more dimensions. One or more retractor devices may be positioned at least substantially concentrically within the access tube and then secured to the access tube in a fixed position. | 02-20-2014 |
20140088368 | SURGICAL INSTRUMENT, SURGICAL MESH AND SURGICAL RETRACTION MEANS OF THE INSTRUMENT, AND SURGICAL METHOD USING THE INSTRUMENT - A surgical instrument, a surgical mesh and a surgical retraction means of the instrument, and a surgical method using the instrument, in which the surgical retraction means is connected to the mesh and to a body tissue at opposite ends, and so the tissue retraction force can be distributed to several holding parts that fasten the mesh to the inner surface of a body cavity, thereby efficiently drawing back the body tissue in various directions. The surgical instrument includes a mesh fastened in an open state to the inner surface of the body cavity using a fastening means; and a surgical retraction means selectively and removably connected at a first end to a point of the mesh and connected at a second end to a part of the internal tissue that is required to be drawn back, so that the surgical retraction means can efficiently draw back the internal tissue. | 03-27-2014 |
20140107424 | VAGINAL MANIPULATOR WITH AN ADJUSTABLE LENGTH HEAD - A vaginal manipulator includes a shaft attached to a head and a door connected to the head. The head has an anterior side opposite a posterior side and includes a core fixed to the shaft and a sleeve coupled in a sliding relationship to the core. The door is coupled to the core and is movable relative to the posterior side of the head through an opening provided in the sleeve. A proximal end of the core defines a proximal end of the head and a distal end of the sleeve defines a distal end of the head. The proximal end of the core is fixed to the shaft. The sleeve moves relative to the core to provide the head with an adjustable length between the proximal end of the head and the distal end of the head. | 04-17-2014 |
20140121464 | VACUUM INSTRUMENT FOR SLOWING OR ARRESTING THE FLOW OF BLOOD - The invention provides a surgical vacuum device including a vacuum cup sized for attachment to and manipulation of a target tissue. The device further includes a vacuum hose for applying a vacuum to the interior of the cup, and structure for applying a tensioning force to the cup once it has been placed and a vacuum applied. The vacuum device may be utilized with minimal or no trauma to the target tissue or surrounding tissues. | 05-01-2014 |
20140121465 | SURGICAL ACCESS DEVICE - The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough. | 05-01-2014 |
20140121466 | ACCESS ASSEMBLY WITH TRANSLATING LUMENS - An assembly for accessing a body cavity during a surgical procedure. The access assembly includes a compressible body having proximal and distal ends and a substantially hourglass-shaped central portion extending therebetween and includes first and second lumen extending therethrough. The access assembly further includes a translating mechanism operably positioned within the compressible body between the first and second lumen for selectively translating the first and second lumen relative to each other. | 05-01-2014 |
20140135585 | TROCAR WITH RETENTION CANNULA - A trocar comprises a retention cannula comprising an inverted or incised retention pattern disposed thereon. Embodiments of the incised cannula exhibit reduced tissue trauma compared with screw-threaded cannula, improved fixation and/or retention compared with an unthreaded cannula, and good sealing between the cannula and the incision. | 05-15-2014 |
20140155698 | ENDOSCOPIC SURGICAL TOOL GUIDER PORT AND GAS EXHAUST VALVE FOR SURGICAL TOOL GUIDER PORT - An endoscopic surgical tool guider port, installed in a surgical puncture site of a patient during an endoscopic surgery, wherein an extraction bag for containing and preserving extractions made during surgery protrudes from a tube body to the outside so that the surgery can be continued while the extractions made in the surgical process are directly contained and stored in the extraction bag, formed on the tube body, without requiring the opening or releasing of the guide port during the surgical process. A gas exhaust valve for a surgical tool guider port, and more particularly, a gas exhaust valve for a surgical tool guider port for promptly releasing toxic gases or smoke generated during the surgical process through a simple one-touch manipulation of pushing a button, thereby improving the convenience of use and enabling a smooth endoscopic surgery, compared to a conventional gas exhaust port used during surgery. | 06-05-2014 |
20140155699 | ACCESS DEVICE INCLUDING SHAPE MEMORY DEPLOYMENT MECHANISM - A surgical access device is disclosed which includes a housing, a collar, and a plurality of deformable members. The housing defines a proximal end and a distal end and has a plurality of lumens extending therethrough. The collar is repositionable between a first position and a second position with the second position being closer to the proximal end of the housing than the first position. Each of the plurality of deformable members defines a distal portion, is coupled to the collar and is transitionable through one of the plurality of lumens. The plurality of deformable members is in a retracted state when the collar is in the first position and a deployed state when the collar is in the second position. One or more of the plurality of deformable members may also include a barb attached to the distal portion. | 06-05-2014 |
20140163323 | LAPAROSCOPIC CANNULA WITH SUTURING CAPABILITY - A cannula for use in laparoscopic surgery has a central passage which may accept a trocar to create a laparoscopic incision in a body wall to an inner body cavity. A tubular section of the cannula is then pressed into the incision to form a port. After completion of the operation a needle having a blunt distal end with a suture-engaging notch surrounded by a sheath with a sharpened edge is pressed through inclined passages in the side walls of the cannula so as to extend into the body tissue on one side of the cannula and into the body cavity, carrying the suture which is then grasped by an instrument to remove the suture and join it to a needle projecting from the opposite side of the cannula. The needle is then withdrawn so the suture may be knotted on the outer side of the body wall. | 06-12-2014 |
20140163324 | SEAL ANCHOR INTRODUCER INCLUDING BIASING MEMBER - A seal anchor member has opposing ends that define a longitudinal axis. The seal anchor member is adapted to transition between an expanded condition and a compressed condition to facilitate securing of the seal anchor member within a tissue tract in a substantially sealed relationship. The seal anchor member includes a biasing member positioned along the longitudinal axis. The biasing member is configured and adapted to facilitate the transition between the expanded and compressed conditions. The seal anchor member further includes at least one lumen extending through the seal anchor member for slidably receiving a surgical instrument. | 06-12-2014 |
20140171744 | TROCAR SEAL SYSTEM - A seal assembly for reception of an elongated surgical instrument is provided which includes a body having at least one opening configured and dimensioned to permit entry of an elongated surgical instrument and defining a central longitudinal axis; a seal member formed of a resilient material and defining an aperture therein, the aperture being configured and dimensioned such that insertion of the surgical instrument into the aperture causes the resilient material defining the aperture to resiliently contact the outer surface of the surgical instrument in a substantially fluid tight manner; and a fabric layer juxtaposed relative to the resilient material. A coating may be applied to the seal member to reduce friction between the seal member and surgical instrumentation inserted therein. The coating is preferably a hydrocyclosiloxane membrane prepared by plasma polymerization process. | 06-19-2014 |
20140171745 | SINGLE PORT DEVICE INCLUDING SELECTIVELY CLOSEABLE OPENINGS - A surgical port includes a port body having a lumen extending therethrough and a plate having an opening. The port body may be made from foam. The port is configured such that rotation of the plate with respect to the port body aligns the opening and lumen defining a passage therethrough for the insertion of surgical instruments. | 06-19-2014 |
20140171746 | PORT DEVICE INCLUDING RETRACTABLE ENDOSCOPE CLEANER - A surgical apparatus includes a housing member having leading and trailing ends that define a longitudinal axis. One or more ports longitudinally extend between the leading and trailing ends, and are configured and adapted to receive a surgical instrument therein in a substantially sealed relation. At least one cleaning port longitudinally extends between the leading and trailing ends, and is configured and adapted to receive a cleaning device therein. The cleaning device is configured and adapted to clean surgical instruments positioned within the one or more ports without necessitating removal of the surgical instruments from the one or more ports. | 06-19-2014 |
20140180014 | Tissue Retractor Assembly - An intracorporeal surgical tissue retractor is provided having an anchor selectively deployable in a first tissue not to be retracted and a grasper selectively deployable on a second tissue to be retracted. A longitudinally selectively movable support is threadable through the anchor and attached at a substantially distal end of the movable support to the grasper. A deployment user interface is couplable to the movable support and has a proximal end manipulable by a user extracorporeally and a distal end releasably attachable to both the anchor and the grasper, adapted to intracorporeally deploy the anchor into the first tissue and the grasper onto the second tissue. The user interface includes a first actuator having an anchor positioning tool enabling selective deployment of the anchor in the first tissue, and a second actuator enabling selective opening and closing of the jaws of the grasper. | 06-26-2014 |
20140180015 | TROCAR CANNULA ANCHOR AND SEAL - A cannula assembly for use in laproscopic surgery includes a cannula having a proximal end for use in orientating the assembly into an abdominal cavity, a distal end for insertion into a patient, and a passage through which surgical instruments can be inserted. An expandable feature in the form of an anchor is located toward the distal end of the cannula and is selectively expandable and collapsible. The feature in its expanded state prevents withdrawal of the cannula. A collar is pushed distally until it releasably cinches to the outside of the abdominal cavity thereby creating an airtight seal and stabilizing the assembly. The collar has a friction fit with the cannula designed to prevent excessive force against the cavity walls. | 06-26-2014 |
20140243601 | Flexible Access Assembly - A cannula assembly includes a cannula and an obturator. The cannula includes an elongated shaft dimensioned to access tissue. The elongated shaft has a lumen extending therethrough. The elongated shaft includes a first shaft segment having a first pre-determined configuration and a second shaft segment having a second pre-determined configuration different from the first pre-determined configuration. The obturator includes an elongated body adapted for insertion through the lumen of the elongated shaft. The elongated body includes a first body segment having a configuration in general accordance with the first pre-determined configuration of the first shaft segment and a second body segment selectively adaptable to conform to the second pre-determined configuration of the second shaft segment upon insertion through the lumen of the elongated shaft. | 08-28-2014 |
20140243602 | MINIMALLY INVASIVE RETRACTOR SCREW AND METHODS OF USE - A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as an integrally formed part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and pulling it out of the wound. The retractor device is intended to be made of a stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed. | 08-28-2014 |
20140275793 | Minimally Invasive Retractor - A bone screw mounted retractor apparatus for use in minimally invasive surgery, preferably minimally invasive spine surgery, comprising a screw extension detachably attached to a bone screw, a mounting ring attached to the screw extension, a connection arm attached to the mounting dag, a retractor retaining ring attached to the connection arm, and a tubular retractor body retained by the retractor retaining ring, as well as methods of minimally invasive surgery using such an apparatus. | 09-18-2014 |
20140275794 | Mechanical Gel Surgical Access Device - A mechanical cap ring/gel pad assembly useful in surgical access devices and methods for making the same, wherein the cap ring and the gel pad are formed separately and then mechanically attached to form a strong seal without the need for heating, solvents or adhesives. | 09-18-2014 |
20140296647 | Arthroscopic Flexible Portal Cannula Device and Delivery System - A flexible cannula device and delivery system for use in arthroscopic surgery. The delivery system engages the flexible cannula from the inside near the distal tip and pushes it into the surgical portal, essentially pulling the proximal portion of the cannula from the distal tip while being pushed from the proximal end with the specialized driver. The delivery system provides for single point engagement at the distal tip as well as a multiplicity of engagement points along the length of the system. | 10-02-2014 |
20140296648 | SURGICAL ACCESS DEVICE AND WOUND PROTECTOR - An access device for use in a minimally invasive surgical procedure is disclosed. The access device is configured and adapted to be placed within a body opening to provide access to an underlying body cavity. The access device provides protection to the opening and minimizes contamination and the risk of possible infection. | 10-02-2014 |
20140303444 | BUTTON PORT - The present disclosure relates to a surgical apparatus for positioning within an incision in tissue. In one aspect of the present disclosure, the surgical access apparatus includes an elongated seal member configured to removably receive at least one surgical object, and a deployment member. In another of the present disclosure, the surgical access apparatus includes a housing configured to removably receive at least one surgical object, an elongated member, and at least one filament. A method of percutaneously accessing an underlying surgical work site using the surgical apparatus is also disclosed. | 10-09-2014 |
20140303445 | Foam Introduction System Including Modified Port Geometry - A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member including leading portion, a trailing portion, and an intermediate portion disposed between the leading and trailing portions. The leading portion of the seal anchor member is configured and adapted to ease insertion of the seal anchor member into the tissue tract. Subsequent to insertion of the seal anchor member, the leading portion of the seal anchor member is also configured and adapted to facilitate securing and/or anchoring of the seal anchor member within the tissue tract. | 10-09-2014 |
20140316208 | VAGINAL MANIPULATOR HAVING A DOOR WITH AN INCLINED SURFACE - A vaginal manipulator includes a shaft, a head, and a door. The head has an anterior side opposite a posterior side and includes a core fixed to the shaft and a sleeve coupled in a sliding relationship to the core. The door has a distal end that is hinged to the sleeve and a proximal end that is movable away from the core of the head. A proximal end of the core defines a proximal end of the head and a distal end of the sleeve defines a distal end of the head, and the proximal end of the core is fixed to the shaft. The core includes a ramp and a recess that is sized to receive a portion of the door, and the door includes an inclined surface that is formed such that the distal end of the door is thinner than the proximal end of the door. | 10-23-2014 |
20140323807 | DEVICES FOR AND METHODS OF PERFORMING MINIMALLY-INVASIVE SURGICAL PROCEDURES THROUGH A SINGLE INCISION - The present invention relates to surgical access devices (or surgical access ports) and related methods. More particularly, the present invention relates to such devices that are advantageously adapted for use in single-incision laparoscopic surgical (“SILS”) procedures The present invention also relates to kits and methods involving such surgical access devices. | 10-30-2014 |
20140336470 | REMOTE TRACTION AND GUIDANCE SYSTEM FOR MINI-INVASIVE SURGERY - A guide and remote traction system for mini-invasive surgery in a body cavity that is easily positioned and hooked and causes lower injury, comprising: | 11-13-2014 |
20140343364 | WOUND RETRACTOR - A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision. | 11-20-2014 |
20140343365 | Laparoscopic Seal Bridge - A system and method for passing an end portion of a needle system from a body cavity to an outer environment through a laparoscopic port is provided. The system comprises a seal bridge which comprises an elongated body. The seal bridge is telescopically introducible at a first proximal end, through a first lumen in the port and bypassing a seal mechanism of the laparoscopic port. The seal bridge is adapted to be inserted through the proximal opening port to be deployed in the lumen of the port and thereby bridging across and/or deactivating the seal of the port. The method comprises positioning a distal portion of a needle shaft from within the body cavity into the port lumen and across the seal opened by the seal bridge. | 11-20-2014 |
20140350345 | DEVICE TO ACCOMMODATE MULTIPLE PORTS THROUGH A SINGLE INCISION FOR LAPAROSCOPIC SURGERY - A device to accommodate multiple ports through a single incision for laparoscopic surgery for replacing the three to four incisions required by standard laparoscopic surgeries with a single incision. The device to accommodate multiple ports through a single incision for laparoscopic surgery includes an incision access member having a cylindrical body with bores for accommodating various surgical instruments inside a person's body through an incision in a body cavity wall of a person. | 11-27-2014 |
20140350346 | Device for providing an access opening in a body, in particular for a spinal operation - A device for providing an access opening in a body, in particular for a spinal operation, comprised of a tubular device body ( | 11-27-2014 |
20140357957 | SELF CONTAINED ILLUMINATED INFUSION CANNULA SYSTEMS AND METHODS AND DEVICES - A cannula is described having a housing, a first lumen, a second lumen, and a port capable of fluid communication with the first lumen. The second lumen configured to receive fluid from the first lumen and to direct the fluid to a surgical site. A light emitting diode light source is positionable within the housing and configured to direct light through the second lumen to the surgical site. | 12-04-2014 |
20140357958 | CANNULA TOP AND SYSTEM - A cannula top for enclosing a surgical seal which comprises a base member having a through bore which defines a receptacle for the surgical seal and a lid member having a through bore. The lid member is movable between a first position in which the surgical seal can be inserted into and removed from the receptacle, and a second position in which the surgical seal is engaged by the lid member and retained in the receptacle by the lid member. The cannula top further comprises a connecting member which connects the lid member to the base member in both the first position and the second position. | 12-04-2014 |
20140371537 | SURGICAL ACCESS ASSEMBLY INCLUDING ADHESIVE MEMBERS FOR SECURE ATTACHMENT TO SKIN SURFACES - A surgical access assembly is presented including an expandable sleeve having a proximal end and a distal end, the proximal end including a first pair of wings and a second pair of wings outwardly extending away from the sleeve, the second pair of wings detachably connected to a distal end of the first pair of wings. The surgical access assembly also includes a cannula assembly having a cannula housing and a tubular member configured to be inserted through the expandable sleeve. The surgical access assembly further includes an adhesive member attached to an end point of each of the pair of second wings, the adhesive member of each of the pair of second wings facilitating attachment of the surgical access assembly to a skin surface. | 12-18-2014 |
20140371538 | CONFIGURED AND SIZED CANNULA - A dilator retractor and the dilators that are used for minimally invasive spinal surgery or other surgery are configured to accommodate the anatomical structure of the patient as by configuring the cross sectional area in an elliptical shape, or by forming a funnel configuration with the wider end at the proximate end. In some embodiments the distal end is contoured to also accommodate the anatomical structure of the patient so that a cylindrically shaped, funnel shaped, ovoid shaped dilator retractor can be sloped or tunneled to accommodate the bone structure of the patient or provide access for implants. The dilator retractor is made with different lengths to accommodate the depth of the cavity formed by the dilators. | 12-18-2014 |
20140378772 | IMPLANTING ORGAN PORTS - This document relates to medical devices (e.g., organ ports such as transapical heart ports) and methods and materials for implanting and using such medical devices. For example, organ ports and entry devices that can be used to implant an organ port are provided. | 12-25-2014 |
20150011833 | ORIFICE INTRODUCER DEVICE - An orifice introducer device for introducing, e.g., a surgical device, into, e.g., an orifice of a body, includes a tubular member having a distal end and a proximal end. The distal end is adjustable between a first position for insertion into an orifice and a second position once inserted into the orifice. Alternatively, the orifice introducer device includes a distal portion having a proximal end configured to be detachably secured to the distal end of the tubular member. The distal portion is selectively detachable when the orifice introducer device is positioned in the orifice. | 01-08-2015 |
20150025321 | SURGICAL ACCESS APPARATUS AND METHOD - A device includes an access port adapted to permit access of a surgical instrument into a patient. The access port includes a proximal portion, a distal portion, and an intermediate portion monolithically formed. The proximal portion includes a proximal flange. The distal portion includes a distal flange. The intermediate portion includes an outer surface and an inner surface. The access port is adapted to be positioned in the patient such that the proximal flange is disposed exteriorly and the distal flange is disposed interiorly in an operative position. The access port is adapted to form a seal with the surgical instrument positioned through the access port in an operative position. | 01-22-2015 |
20150025322 | Tissue Retractor Assembly - An intracorporeal surgical tissue retractor is provided having an anchor selectively deployable in a first tissue not to be retracted and a grasper selectively deployable on a second tissue to be retracted. A longitudinally selectively movable support is threadable through the anchor and attached at a substantially distal end of the movable support to the grasper. A deployment user interface is couplable to the movable support and has a proximal end manipulable by a user extracorporeally and a distal end releasably attachable to both the anchor and the grasper, adapted to intracorporeally deploy the anchor into the first tissue and the grasper onto the second tissue. The user interface includes a first actuator having an anchor positioning tool enabling selective deployment of the anchor in the first tissue, and a second actuator enabling selective opening and closing of the jaws of the grasper. | 01-22-2015 |
20150031958 | SURGICAL SEAL ASSEMBLY WITH UPPER LIP SEAL - A surgical access device is presented including a seal assembly having an upper housing member and a lower housing member configured to form a housing, the housing defining a central longitudinal axis and having a longitudinal passage for receiving at least one surgical object therethrough. The surgical access device further includes a seal disposed within the seal assembly, the seal movably arranged within the housing. The seal may include an elastomeric seal member having an opening for receiving and sealing with an instrument inserted therethrough, the elastomeric seal member arranged between an upper seal holder and a lower seal holder. The upper seal holder may be a cup-shaped seal having an upper lip that engages at least a portion of the upper housing member to secure the seal within the seal assembly. | 01-29-2015 |
20150038792 | Instrument System For Minimally Invasive Surgery In Single Port Technology - An instrument system for minimally invasive surgery in single port technology, having a trocar and at least one instrument channel which runs at the trocar from proximal to distal and a proximal end remaining extra-corporally when the trocar is inserted into the body of a patient, and a distal end located intra-corporally, wherein a semi-flexible instrument can be inserted through the instrument channel in such a manner that the operating handle thereof remains extra-corporal and the distal working element thereof emerges distally from the instrument channel. The instrument channel is flexibly pliant, stable in the longitudinal direction thereof and arranged outside on the trocar. The distal end of the instrument channel is fixed to the trocar. | 02-05-2015 |
20150038793 | 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. | 02-05-2015 |
20150038794 | Transabdominal Gastric Surgery System and Method - The present disclosure generally relates to a system and method for providing transabdominal gastric surgical access system for medical, endoscopic, and surgical instruments through a percutaneous surgically constructed opening. More particularly, it concerns a delivery system and a surgery system having structures that includes a cannula working channel, an internal and external anchor system, a cap and insertion tool for creating an opening, to provide gastric access through at least one port for the insertion of instruments for medical/surgical procedures. | 02-05-2015 |
20150038795 | SINGLE PORT DEVICE WITH MULTI-LUMEN CAP - A surgical access apparatus includes an access member defining a longitudinal axis and having a longitudinal passageway for reception and passage of a surgical object and an access housing mountable to the access member. The access housing includes a diaphragm mounted thereto. The diaphragm is adapted for rotational movement about the longitudinal axis relative to the access housing. The diaphragm defines at least one internal pocket and has a seal assembly disposed within the internal pocket. The seal assembly has an interface seal member adapted for establishing a fluid tight seal about the surgical object. The seal assembly is adapted for selective movement within the pocket about multiple axes in response to manipulation of the surgical object. | 02-05-2015 |
20150038796 | EXPANDING SURGICAL ACCESS PORT - A surgical access port that includes a cylindrical member having a proximal end and a distal end and defining a longitudinal axis; at least two lumen extending through the cylindrical member along the longitudinal axis; at least one cavity defined in the cylindrical member and positioned radially within the at least two lumen; and a source of inflation fluid coupled to the at least one cavity, the source of inflation configured to permit selectable inflation of the at least one cavity, whereby inflation of the at least one cavity increases the radial distance between the at least two lumen. | 02-05-2015 |
20150057501 | TISSUE RETRACTOR - A tissue retractor device is provided. The tissue retractor device includes a handle attached to an inflatable rake-shaped tissue retractor head. | 02-26-2015 |
20150065804 | CANNULA - OBTURATOR STRUCTURE - A cannula includes a body portion having circumferential openings at the distal end thereof and a removable tip incorporated at the distal end of the body portion, the removable tip having circumferential tabs for releasably interlocking with the circumferential openings of the cannula. The removable tip serves as an obturator, and it is positioned within the distal end of the cannula, such that the cannula and obturator are combined into a single unitary cannula assembly. | 03-05-2015 |
20150065805 | SURGICAL RETRACTOR - A surgical retractor device for retaining and/or moving internal organs during minimally invasive or laparoscopic surgery is provided. The surgical retractor can be a single continuous structure that includes a shaft. The shaft can branch into a first elongate finger with a first distal end opposite the shaft and a second elongate finger with a second distal end opposite the shaft. The retractor can further include a resilient lattice structure disposed between the first elongate finger and the second elongate finger. The retractor can have an expanded configuration and a collapsed configuration based on relative distance between the first distal end and the second distal end. When the retractor is in the collapsed configuration, spring force energy can be stored in the resilient lattice structure. | 03-05-2015 |
20150065806 | DOUBLE LUMEN ARTHROSCOPY PORT - A device is provided to serve as a port for arthroscopic procedures. The device may include a cannula defining a lumen, with a partition extending the length of the cannula and dividing the lumen into two compartments. The surgeon may use one compartment for instrumentation such as an arthroscope or other surgical instruments, and the second compartment for suture and related suture instruments. This may enable the surgeon to keep untied sutures and the like separate from other surgical instruments and prevent tangling, etc. | 03-05-2015 |
20150073221 | DUAL CHANNEL SURGICAL DEVICE FOR ABDOMEN ACCESS - A trocar for performing laproscopic surgery is disclosed. The trocar is equipped with a double channel allowing the simultaneous introduction of an optical instrument and a grasping or cutting instrument. Furthermore, the introduction of a movable two-way valve allows the rapid emptying of the abdomen or the removal of important anatomical pieces, if necessary. | 03-12-2015 |
20150073222 | TROCAR - A trocar includes a plate member having a first surgical instrument port formed therein, a movable port that is provided separately from the plate member, and a cylinder part that is provided at the plate member and attached to an incised wound. | 03-12-2015 |
20150080663 | Device For Creating An Intercostal Transcutaneous Access To An, In Particular Endoscopic, Operating Field - A device for creating an intercostal transcutaneous access to an, in particular endoscopic, operating field including a base body, which closely surrounds an incision all-side frame-shaped and with at least two websmounted on the base body, which can be introduced into an intercostal space, by which two ribs arranged next to each other can be moved apart. To create a device for creating an intercostal transcutaneous access to an, in particular endoscopic, operating field which allows individual pressing apart of the ribs, it is proposed according to the invention that the at least two webs are mounted adjustable relative to each other on the base body. | 03-19-2015 |
20150080664 | ACCESS PORT - An access port is fixed to a biological membrane, such as the pericardium, in a state in which it penetrates the biological membrane. Provided is an access port including an inner tube and an outer tube fitted together so as to be movable relative to each other in an axial direction, wherein at least one of the inner tube and the outer tube has holding surfaces having substantially complementary shapes that are brought close to or away from each other by relative movement of the inner tube and the outer tube. | 03-19-2015 |
20150087913 | NATURAL ORIFICE ACCESS DEVICE - Embodiments of a natural orifice access device that is adapted for being coupled to a cap and that may be adjusted in length to accommodate variations in patient body types and variations in the location of surgical sites within the natural orifices of patients are described. | 03-26-2015 |
20150087914 | SURGICAL IMPLEMENT GUIDE ASSEMBLY AND METHODS - Features of guides and surgical implements, which may be utilized together in various assemblies, are disclosed. Surgical implements or other devices within the scope of this disclosure may include a circumferentially grooved knob. The knob may be configured to receive a portion of a guide. Further, a clip may be configured to releasably secure the guide to the surgical implement. The clip may be coupled to the knob, for example, by a strap rotatably coupled to the knob. The knob may also define a stop-ledge configured as an abutment for the guide. The knob may also define a central passageway, which may also be surrounded by a hollow hub, for receiving an additional surgical implement or device. | 03-26-2015 |
20150087915 | ACCESS ASSEMBLY WITH DUAL ANCHOR AND SEAL CAPABILITIES - A cannula assembly includes a cannula adapted for insertion within tissue and having a longitudinal passage extending along a longitudinal axis of the cannula for passage of a surgical instrument. An expandable member is mounted to the cannula and longitudinally spaced from a distal end of the cannula. The expandable member is adapted to expand, upon introduction of fluids therein, in a radially outward direction relative to the longitudinal axis whereby the expandable member engages the tissue to facilitate anchoring of the cannula relative to the tissue, and also to expand in a radially inward direction relative to the longitudinal axis and within the longitudinal passage to engage the surgical instrument positioned within the longitudinal passage to facilitate formation of a seal about the surgical instrument. | 03-26-2015 |
20150094540 | Surgical dilator, retractor and mounting pad - A retractor having an elongate body that provides access to a surgical location within a patient. The elongate body includes a plurality of segments that are connected to one another through a plurality of ratcheting mechanisms. The ratcheting mechanisms permit relative movement of the segments with respect to one another when expander dilators are inserted within the retractor. The segments are surrounded and retained by a resilient elastomeric sleeve or bands. The distal end surfaces of the segments include thin edges that are configured to mobilize, dissect, split and retract the terminal tissues in the surgical area. The retractor is used in conjunction with a resilient elastomeric pad that is affixed to the patient and firmly engages the outer surface of the elongate body to thereby anchor the retractor to the patient. A separate anchoring device can be used to connect the retractor to the pad. | 04-02-2015 |
20150094541 | Expandable Surgical Access Port - A surgical access assembly for positioning within an opening in tissue including an outer frame positionable outside a patient and defining an opening therein dimensioned to receive a surgical instrument therethrough. The outer frame includes a first portion, a second portion and a locking portion. An inner member is positionable within a patient and a flexible member extends between the inner member and outer frame and is spreadable by actuation of the outer frame. | 04-02-2015 |
20150094542 | PORT DEVICE INCLUDING RETRACTABLE ENDOSCOPE CLEANER - A surgical apparatus includes a housing member having leading and trailing ends that define a longitudinal axis. One or more ports longitudinally extend between the leading and trailing ends, and are configured and adapted to receive a surgical instrument therein in a substantially sealed relation. At least one cleaning port longitudinally extends between the leading and trailing ends, and is configured and adapted to receive a cleaning device therein. The cleaning device is configured and adapted to clean surgical instruments positioned within the one or more ports without necessitating removal of the surgical instruments from the one or more ports. | 04-02-2015 |
20150099936 | SHEATH SUPPORT DEVICES, SYSTEMS AND METHODS - Devices, systems and methods are provided for accessing a target location in the body of a patient, particularly within the epidural space. A system includes a sheath and a sheath support supporting the sheath to reduce or avoid kinking. The sheath support closely fits within the sheath while maintaining free sliding therein. The sheath support has a non-compliant outer diameter maintaining the inner diameter of the sheath and preventing the sheath walls from collapsing into a kink, particularly during low radius bends that may occur during delivery. The sheath support may include a distal tip configured to resist retraction into the sheath until a threshold force is reached which causes the distal tip to at least partially retract into the lumen of the sheath. Likewise, the distal tip may be fully retractable through the sheath so that the sheath support is removable from the proximal end of the sheath. | 04-09-2015 |
20150099937 | ACCESS ASSEMBLY - An access assembly includes a body portion defining a longitudinal axis and having at least one lumen defined therethrough. The at least one lumen is configured for passage of a surgical instrument therethrough. An outer sleeve is disposed about the body portion to define a chamber therebetween. The chamber is selectively inflatable from a deflated condition, for positioning the access assembly within an opening in tissue, and an inflated condition, for retaining the access assembly within the opening in tissue in sealing relation therewith. | 04-09-2015 |
20150099938 | Methods and Devices for Providing Access Into a Body Cavity - Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path. | 04-09-2015 |
20150105624 | Surgical access system and related methods - A surgical access system and related methods which involve the ability to minimally invasively provide an operative corridor to a disk space while simultaneously providing the ability to distract the disk space. The access system comprises a tissue distraction assembly and a tissue retraction assembly. The tissue distraction assembly (in conjunction with one or more elements of the tissue retraction assembly) is capable of, as an initial step, distracting a region of tissue between the skin of the patient and the surgical target site. The tissue retraction assembly is capable of, as a secondary step, being introduced into this distracted region to thereby define and establish the operative corridor. Once established, any of a variety of surgical instruments, devices, or implants may be passed through and/or manipulated within the operative corridor depending upon the given surgical procedure. | 04-16-2015 |
20150105625 | SURGICAL INSTRUMENT GUIDE DEVICE - An instrument guide device comprises an elongated guide shaft having proximal and distal ends and including an instrument lumen for receiving therethrough a manually operated instrument having an instrument shaft. A distal bendable member is disposed at the distal end of the guide shaft and a proximal bendable member is disposed at the proximal end of the guide shaft. Actuation means extends between the distal and proximal bendable members and provides a bending of the distal bendable member controlled from the proximal bendable member. The proximal bendable member is controlled from the manually operated instrument to cause a corresponding bending of said distal bendable member. | 04-16-2015 |
20150105626 | PORT DEVICE INCLUDING RETRACTABLE ENDOSCOPE CLEANER - A surgical apparatus includes a housing member having leading and trailing ends that define a longitudinal axis. One or more ports longitudinally extend between the leading and trailing ends, and are configured and adapted to receive a surgical instrument therein in a substantially sealed relation. At least one cleaning port longitudinally extends between the leading and trailing ends, and is configured and adapted to receive a cleaning device therein. The cleaning device is configured and adapted to clean surgical instruments positioned within the one or more ports without necessitating removal of the surgical instruments from the one or more ports. | 04-16-2015 |
20150105627 | ACCESS PORT - An access port is fixed to a biological membrane, such as a pericardium, in a state in which it penetrates the biological membrane. Provided is an access port including a tubular member having a through-hole passing therethrough in an axial direction, a needle-like member having a tip pointing toward a rear end of the tubular member and mounted to an outer surface of the tubular member, and a manipulating means for switching between a state in which the tip is projected and a state in which it is not projected. | 04-16-2015 |
20150126814 | METHODS AND APPARATUS FOR TRANSESOPHAGEAL MICROACCESS SURGERY - The current invention describes methods of transesophageal access to the neck and thorax to perform surgical interventions on structures outside the esophagus in both the cervical and the thoracic cavity. It describes a liner device made of a complete or partial tubular structure, or a flat plate, the liner having means to facilitate creation of a side opening, which may include a valve. The liner with its side opening form a port structure inside the esophageal lumen. The port structure allows elongated surgical devices to pass through a perforation across the full thickness of the esophageal wall to outside location, in a controlled way. The elongated surgical devices can be diagnostic scopes, therapeutic scopes, manual elongated surgical devices, robotic arms or the like. After being deployed outside the esophagus, the surgical devices can access structures outside the esophagus, in the neck and thorax in 360 degrees of freedom around the esophageal circumference. These structures can be bony, cartilaginous, spinal, vascular, soft tissue, deep tissues, lymph nodal, cardiac, pulmonary, tracheal, nervous, muscular or diaphragmatic, skin and subcutaneous tissues of the neck, skin and subcutaneous tissues of the anterior chest wall, skin and subcutaneous tissues of the skin of the back, and skin and layers of the breast. | 05-07-2015 |
20150126815 | SUTURING DEVICES AND METHODS FOR SUTURING AN ANATOMIC STRUCTURE - Suturing devices and systems used to close openings into a biological structure. The suturing device can comprise an elongate member having a proximal end, a distal end, one or more arms, and one or more needles. One or more sheaths may be used with the device to maintain or substantially maintain haemostasis while the device is used and while a procedure is performed in the biological structure. | 05-07-2015 |
20150126816 | THORACIC ACCESS ASSEMBLY - A surgical access assembly for accessing a cavity of a patient includes a proximal frame member, a distal frame member, and a membrane between the proximal and distal frame members. The proximal frame member is positionable adjacent an external surface of tissue and has first and second frame portions movable between a contracted condition and an expanded condition to expand an opening defined therethrough. The membrane defines a loop disposed about at least a portion of the proximal frame member at a proximal end thereof and is engaged to the distal frame member at a distal end thereof. The membrane is transitionable between a crumpled condition and an extended condition upon transitioning of the proximal frame member between the contracted condition and the expanded condition. | 05-07-2015 |
20150133736 | Endoscopic Surgical Instruments and Related Methods - A minimally invasive surgical system includes a surgical instrument having an elongate body portion and an oversleeve, through which the elongate body portion of the surgical instrument is extendable. A valve assembly is associated with one of the oversleeve or the surgical instrument. Mating structure is associated with two or more of the oversleeve, the surgical instrument and the valve assembly, the mating structure is operable to limit or prevent relative movement between the oversleeve and the surgical instrument. | 05-14-2015 |
20150133737 | APPARATUS AND METHODS FOR ACCESSING AND SEALING BODILY VESSELS AND CAVITIES - Everting balloon systems and methods for using the same are disclosed herein. The systems can be configured to access and dilate body lumen and cavities. For example, the systems can be used to dilate the cervix and access the uterine cavity. The systems can also be used to occlude the cervix. The systems can also be used to occlude the urethra. | 05-14-2015 |
20150133738 | DEVICE AND METHOD FOR LIFTING ABDOMINAL WALL DURING MEDICAL PROCEDURE | 05-14-2015 |
20150133739 | Laparoscopic Instrument and Cannula Assembly and Related Surgical Method - A laparoscopic port assembly includes a cannula unit including three cannulas each extending at an acute angle relative to a base. The cannulas are flexible for receiving respective angulated laparoscopic instruments. The cannula unit is rotatingly received in a port holder for rotation about a longitudinal axis of the holder, the holder being disposable in an opening in a patient's skin. | 05-14-2015 |
20150141760 | SYSTEMS AND METHODS FOR TREATING A CAROTID ARTERY - Systems and methods are adapted for treating the carotid artery. The systems include interventional catheters and blood vessel access devices that are adapted for transcervical insertion into the carotid artery. Embodiments of the systems and methods can be used in combination with embolic protection systems including blood flow reversal mechanisms, arterial filters, and arterial occlusion devices. | 05-21-2015 |
20150148611 | INSTRUMENT ACCESS DEVICE - An instrument access device ( | 05-28-2015 |
20150148612 | Delivery System for Implanting Nasal Ventilation Tube - Delivery systems and methods of creating an accessory maxillary ostium and implanting a ventilation tube for purposes of ventilation, irrigation, infusion or procedural work are described. The delivery systems include an introducer and an associated ventilation tube. An irrigation and/or infusion catheter may be advanced through the ventilation tube in order to irrigate or express the contents of the sinus cavities. A secondary irrigation and/or infusion catheter or a balloon catheter may be advanced through an outer irrigation and/or infusion catheter, deeply into the sinus cavity, in order to irrigate or express the contents of the sinus cavities. Moreover, the balloon catheter may alternatively or additionally be employed to for dilation of the natural ostium. Still further, a device for delivering drugs, fluids or the like, may be coupled to the ventilation tube for delivery of same. | 05-28-2015 |
20150148613 | SURGICAL PORT ASSEMBLY - A surgical port comprising a body and first and second cannula extending from the body and movable with respect to the body via an instrument inserted through the respective cannula. The cannulas can extend distally from the body and can include one or more seals. A port assembly and first and second instruments manipulatable in a crossed configuration are also disclosed. | 05-28-2015 |
20150297209 | FLOATING, MULTI-LUMEN-CATHETER RETRACTOR SYSTEM FOR A MINIMALLY INVASIVE, OPERATIVE GASTROINTESTINAL TREATMENT - Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner. | 10-22-2015 |
20150313635 | DOUBLE PORT ARTHROSCOPIC CANNULA - A single shaft double port cannula having a shaft with discrete and separated channels to provide a method and apparatus that allows entry and passage of any two elongate surgical instruments through a single cannula. | 11-05-2015 |
20150335352 | HYBRID CANNULA AND METHODS FOR MANUFACTURING THE SAME - A hybrid cannula may comprise a rigid portion overmolded with a flexible portion. The rigid portion at its proximal end may comprise a rigid flange for preventing the proximal end of the hybrid cannula from being pushed through the portal. The flexible portion may comprise a dam within the passage of the hybrid cannula, the dam defining interior spaces thereof between the proximal and distal ends of the hybrid cannula. The flexible portion's distal end may comprise a variety of features extending therefrom, including a flange and/or a cannulated tip. The flexible portion's proximal end may further comprise a membrane to prevent liquid from projecting during insertion of a tool into the dam and/or removal of the tool from the dam. The hybrid cannula can be useful in minimally invasive surgical procedures, including arthroscopic and endoscopic surgeries. | 11-26-2015 |
20150335353 | Surgical Access Device - Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices. | 11-26-2015 |
20150342587 | Capsule Retractor - An articular capsule retractor including a flexible construct, a dermal abutting member, and an anchor. The flexible construct includes a strand extending between a first end and a second end. The dermal abutting member is coupled to the flexible construct and is configured to abut a dermal layer. The anchor is coupled to the flexible construct such that the strand extends through a passageway defined by the anchor. Pulling the first end and the second end draws the dermal abutting member and the anchor together. | 12-03-2015 |
20150342590 | INFLATABLE LAPAROSCOPIC RETRACTOR FOR ATRAUMATIC RETRACTION IN ABDOMINAL SURGERY - A laparoscopic retractor ( | 12-03-2015 |
20150342591 | MULTIPLE PATHWAYS FOR SPINAL NERVE ROOT DECOMPRESSION FROM A SINGLE ACCESS POINT - A method of accessing target tissue adjacent to a spinal nerve of a patient includes the steps of accessing a spine location of the patient by entering the patient through the skin at an access location, inserting a flexible tissue modification device through the access location to the spine location, advancing a distal portion of the first flexible tissue modification device from the spine location to a first exit location , passing through the first exit location and out of the patient, advancing the first or a second flexible tissue modification device through the same access location to the spine location and to a second exit location, and passing through the second exit location and out of the patient. | 12-03-2015 |
20150342638 | TISSUE SECURING AND SEALING APPARATUS AND RELATED METHODS OF USE - Embodiments of the invention may be directed to apparatuses for securing and sealing tissue and related methods of use. | 12-03-2015 |
20150342670 | INTRAOSSEOUS NERVE TREATMENT - Methods and systems for modulating intraosseous nerves (e.g., nerves within bone) are provided. For example, the methods and systems described herein may be used to modulate (e.g., denervate, ablate) basivertebral nerves within vertebrae. The modulation of the basivertebral nerves may facilitate treatment of chronic back pain. The modulation may be performed by a neuromodulation device (e.g., an energy delivery device). | 12-03-2015 |
20150351794 | TROCARS AND OBTURATORS - A trocar assembly includes a trocar including an elongated tubular member extending between a distal end configured to be inserted into a surgical site and a proximal end including a housing configured for introduction of surgical instruments into the tubular member. The housing includes a pair of opposed latch receptacles. An obturator is assembled into the tubular member of the trocar. The obturator includes an elongated obturator body extending from a trocar cover to an opposed obturator tip. The trocar cover includes a rim for engaging the housing of the trocar. The trocar cover includes a pair of opposed latches extending radially inward from the rim, wherein the latches are releasably latched to the latch receptacles of the trocar. The trocar cover includes a compliant mechanism operatively connected to release the latches from the latch receptacles. | 12-10-2015 |
20150351795 | SURGICAL ACCESS ASSEMBLY AND METHOD OF USE THEREFOR - A surgical access assembly includes an access port and a seal anchor. The access port includes a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough. In particular, the proximal, intermediate and distal rings are concentrically arranged with the passage of the sleeve, and the sleeve extends between the proximal and distal rings. The seal anchor is adapted to be at least partially disposed in the access port, and defines a lumen therethrough. At least one of the proximal, intermediate, and distal rings is configured and dimensioned to engage the seal anchor in a sealing relation therewith. | 12-10-2015 |
20150351796 | SEAL ANCHOR FOR USE IN SURGICAL PROCEDURES - A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member comprising a compressible material and being adapted to transition between a first expanded condition to facilitate securing of the seal anchor member within the tissue tract and in substantial sealed relation with tissue surfaces defining the tissue tract and a second compressed condition to facilitate at least partial insertion of the seal anchor member within the tissue tract. The seal anchor member defines a longitudinal axis, and has leading and trailing ends with at least one longitudinal port extending therebetween adapted for reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. The seal anchor member may comprise a memory foam material and may include a plurality of longitudinal ports. | 12-10-2015 |
20150351855 | SURGICAL RETRACTOR - The present invention relates to a surgical retractor comprising: a movable body part which is inserted into a body; a hook part which is connected with the movable body part inside the body and pulls out an object that is inside of the body; and an operating part for operating, from the outside of the body, the movement of the movable body part inside the body. | 12-10-2015 |
20150359562 | ARTHROSCOPIC JOINT SURGERY DEVICE AND METHOD OF USE - An arthroscopic joint surgery device and method of use. The device has a tube and a knob with a hole that has an inner diameter matching the inner diameter of the tube and mates with the inner diameter of the tube. The tube and knob can be permanently attached or the knob can be configured to enable the knob to be unattached from the tube. The utilization of the device in this method enables surgeons to safely and efficiently locate the joint portals for the placement of the arthroscope and for a separate inflow portal. The arthroscope is in the proper position to visualize the whole joint. Damage to the joint surface cartilage is minimized. After needle localization of the joint under fluoroscopic guidance, the method uses the device to dilate a joint portal opening, such as an anteromedial ankle portal in preparation for the placement of the arthroscope or the posterolateral portal for the introduction of the inflow cannula. The method is performed under fluoroscopic guidance. | 12-17-2015 |
20150359563 | METHOD AND APPARATUS FOR ACCESSING THE LEFT ATRIAL APPENDAGE - Disclosed is an apparatus for facilitating access to the left atrium, and specifically the left atrial appendage. The apparatus may comprise a sheath with first and second curved sections that facilitate location of the fossa ovalis and left atrial appendage. The apparatus may further comprise tissue piercing and dilating structures. Methods are also disclosed. | 12-17-2015 |
20150359564 | ACCESS PORT WITH INTEGRATED FLEXIBLE SLEEVE - A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity is adapted to tissues having different thicknesses. The surgical apparatus includes an anchor member and a flexible sleeve integrated with the anchor member. The anchor member defines at least one longitudinal port for reception of a surgical instrument. The surgical apparatus defines an adjustable length to accommodate tissues with different thicknesses. | 12-17-2015 |
20150366549 | EXPOSURE APPARATUS FOR POSTERIOR SPINAL MINIMALLY INVASIVE SCREW PLACEMENT SURGERY - An exposure apparatus for posterior spinal minimally invasive screw placement surgery includes a transverse process refractor and a facet joint retractor, is provided. The apparatus separates a gap between a multifidus muscle and a longissimus muscle, easily and atraumatically reach a screw placement position on a pedicle, accurately place the retractors, and thereafter locally form a screw placement tunnel space that externally extends 10 to 15 degrees. During a screw placement operation, the distal end of the transverse process refractor can straddle above the transverse process and is antagonistically tractive with the facet joint retractor so as to leave a sufficient space for the screw placement operation and to prompt a needle inlet point and direction for placing a pedicle screw. The distal end of the refractor employs a design of a recessed crescent type, protects local soft tissues during traction, and prevents the tissues from damage. | 12-24-2015 |
20150366582 | CANNULA AND METHODS OF USE - A surgical instrument includes a cannula and a member coupled to the cannula. The member includes a first locking element. The surgical instrument further includes a patient attachable ring having a second locking element configured to engage the first locking element to fix the cannula relative to the patient attachable ring. Systems and methods are disclosed. | 12-24-2015 |
20150366583 | CANNULA AND METHODS OF USE - A surgical instrument comprises a handling portion with a control junction and a plurality of vertical members operatively disposed within the control junction. The handling portion includes a top nut. Manipulation of the handling portion allows the vertical members to toggle between a narrowed configuration and an expanded configuration. Systems and methods are disclosed. | 12-24-2015 |
20150374222 | SURGICAL ACCESS ASSEMBLY AND METHOD OF USING SAME - An illuminating ring assembly is disclosed. The illuminating ring configured to be used with a surgical access element. The illuminating ring assembly comprises a housing defined by a cover and a wall member extending from the cover, wherein the cover and wall member cooperate to define a cavity therein, a light element configured to be disposed with the cavity, and an attachment mechanism configured to selectively attach the housing to a surgical access element. Wherein the cover and the light element both include an opening therethrough. | 12-31-2015 |
20150374354 | MINIMALLY INVASIVE POSTEROLATERAL FUSION - A percutaneous system in which tubular retractors are utilized as a means of access, visualization, and a controlled orientation for preparation of posterior spinal elements and delivery of graft material for posterior spinal fusion. The tubular retractors are affixed to screw extensions to rotate and articulate relative to multi-axial screws percutaneously inserted into respective pedicles of vertebral bodies. The procedure is done bilaterally, although it could be performed unilaterally in cases where the anatomy or surgeon preference dictates. A number of different deployable graft concepts are disclosed, the primary features being to allow for creation of a graft space volume and a means for delivery of the graft material preferred by the surgeon. | 12-31-2015 |
20150374407 | COMPRESSION EXPANDED CANNULA - Various methods and devices are provided for accessing an interior surgical site using an access portal which can be inserted and removed with minimal tissue damage and which can form a seal with tissue while inserted. Generally, a device is provided having a rigid elongate surgical access member with a lumen extending therethrough that is configured to receive a surgical tool. The device can also include a flexible sleeve having a lumen extending therethrough that is configured to receive the elongate surgical access member. A substantially rigid collar is provided disposed adjacent to a proximal end of the flexible sleeve and having a lumen extending therethrough that is configured to receive the elongate surgical access member. In an exemplary embodiment, the collar is movable relative to the elongate surgical access member to selectively configure the flexible sleeve in a relaxed condition in which the flexible sleeve has a relatively smooth outer tissue-contacting surface and a compressed condition in which the flexible sleeve has a plurality of protrusions formed on the outer tissue-contacting surface that are configured to create a seal between the outer tissue-contacting surface and tissue. | 12-31-2015 |
20160000460 | TROCAR AND WOUND CLOSURE DEVICE - A trocar adapted for insertion through a fascia layer of an abdominal wall, comprising a proximal end configured for handling by a user; a distal end configured for insertion into tissue; and a shaft extending in between the proximal end and distal end, wherein the shaft comprises a narrow portion proximal to the distal end, the narrow portion defining at least one recess shaped and sized to receive fascia tissue, the recess ending, at a distal end, with a generally proximally facing surface of the shaft configured directly below the narrow portion, the proximally facing surface and the narrow portion shaped and sized to stabilize the trocar in the abdominal wall by the fascia. In some embodiments, a trocar and external cannula assembly are provided. In some embodiments, the trocar and/or trocar and external cannula assembly are configured for deployment of one or more anchors and/or sutures in the tissue. | 01-07-2016 |
20160000461 | SYSTEM AND METHOD FOR TRANSAPICAL ACCESS AND CLOSURE - Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed. | 01-07-2016 |
20160000463 | Instrument Port For Minimally Invasive Cardiac Surgery - An instrument port for introducing instruments into a surgical site, including a port body having a channel running therethrough from a proximal end to a distal end, an instrument sleeve in slidable contact with the channel, creating a gap therebetween, and fluid flow for removing emboli efficiently from the instrument port, wherein the fluid flow includes the gap is provided. A fluid flow system for use in an instrument port is provided. A method of removably securing an instrument sleeve to a port body by anchoring the instrument port to heart tissue, making at least one flood line in a channel, flushing out emboli, and performing surgery with the instrument port. | 01-07-2016 |
20160007985 | INFLATABLE INSTRUMENT FOR TRANSANAL MINIMAL INVASIVE SURGERY | 01-14-2016 |
20160008027 | Expandable Cannula with Distal Locking Mechanism | 01-14-2016 |
20160008081 | SURGICAL ASSISTING DEVICE | 01-14-2016 |
20160015425 | GELS HAVING PERMANENT TACK FREE COATINGS AND METHOD OF MANUFACTURE - The present invention is directed to tack-free gels and to methods for manufacturing a tack-free gel pad, in which a discontinuous layer of fluorinated ultrahigh molecular weight polyethylene is permanently bonded to the gel pad to provide a tack-free coating. The gel pad may be incorporated into a gel cap to provide a surgical access device having a tack-free surface. | 01-21-2016 |
20160022255 | 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. | 01-28-2016 |
20160022256 | REINFORCING SLIDER FOR SURGICAL HAND TOOL - A surgical hand tool includes a handle that has an inner cavity. The handle has a proximal end and a distal end. The surgical hand tool also includes a primary tube extending outwardly from the cavity at the distal end, a reinforcing slider slidably disposed over the primary tube, and a biasing member coupled to the handle that biases the reinforcing slider away from the handle. The surgical hand tool also includes a retention mechanism coupled to the handle, the retention mechanism configured to engage and disengage with the reinforcing slider to control relative movement between the reinforcement slider and the handle. | 01-28-2016 |
20160030080 | Medical Devices Having a Releasable Tubular Member and Methods of Using the Same - Medical devices that have a releasable intermediate member and tubular member are described. Methods of using medical devices that have a releasable intermediate member and tubular member are also described. An example medical device comprises an elongate member, an intermediate member, and a tubular member. Each of the intermediate member and tubular member is releasably disposed on the elongate member. | 02-04-2016 |
20160030081 | METHOD FOR ANCHORING AND SEALING A CANNULA ASSEMBLY TO THE BODY OF A PATIENT - A cannula assembly for use in laproscopic surgery includes a cannula having a proximal end for use in orientating the assembly into an abdominal cavity, a distal end for insertion into a patient, and a passage through which surgical instruments can be inserted. An expandable feature in the form of an anchor is located toward the distal end of the cannula and is selectively expandable and collapsible. The feature in its expanded state prevents withdrawal of the cannula. A collar is pushed distally until it releasably cinches to the outside of the abdominal cavity thereby creating an airtight seal and stabilizing the assembly. The collar has a friction fit with the cannula designed to prevent excessive force against the cavity walls. | 02-04-2016 |
20160030106 | SURGICAL TOOLS FOR SPINAL FACET THERAPY TO ALLEVIATE PAIN AND RELATED METHODS - Methods and surgical tools for treating back pain use a spinal facet debridement tool with cautery and denuding action and minimally invasive protocol that can denude and cauterize soft tissue associated with a synovial capsule of the spinal facet joint. | 02-04-2016 |
20160038132 | System and Method for Percutaneous Spine Fusion - The present disclosure provides a retractor including an enclosure extending from a first open end to a second open end to form a lumen extending along an axis therebetween and that is accessible from the first open end and the second open end. The retractor further includes a first aperture formed at first angular position in the enclosure, and a second aperture formed at second angular position in the enclosure and opposing the first aperture to form a passage extending transverse to the axis from the first aperture, through the lumen, and to the second aperture. The first aperture and the second aperture are located proximate to the first open end and sized to arrange the passage along a spine of a patient to receive a trocar for delivering a graft material to the spine. | 02-11-2016 |
20160038133 | MEDICAL DEVICES AND RELATED METHODS OF USE - A tissue retractor for attachment to an elongate member of a medical device. The tissue retractor includes a cap having a central longitudinal axis. The cap includes an attachment section adapted to attach to a distal end of the elongate member. The cap further includes a moveable component pivotally attached to the attachment section at one or more pivot points, and an actuator connected to the moveable component to transition the moveable component across the central longitudinal axis from an insertion state to an actuated state. | 02-11-2016 |
20160038178 | Flexible Access Assembly - A cannula assembly includes a cannula and an obturator. The cannula includes an elongated shaft dimensioned to access tissue. The elongated shaft has a lumen extending therethrough. The elongated shaft includes a first shaft segment having a first pre-determined configuration and a second shaft segment having a second pre-determined configuration different from the first pre-determined configuration. The obturator includes an elongated body adapted for insertion through the lumen of the elongated shaft. The elongated body includes a first body segment having a configuration in general accordance with the first pre-determined configuration of the first shaft segment and a second body segment selectively adaptable to conform to the second pre-determined configuration of the second shaft segment upon insertion through the lumen of the elongated shaft. | 02-11-2016 |
20160045220 | NATURAL ORIFICE SURGERY SYSTEM - Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; and various stabilizing mechanisms surrounding the tubular body, sized and configured to stabilize and retain the retractor within the orifice. The stabilizing embodiments described herein are useful in all natural orifices and are of particular use in the vaginal surgery. | 02-18-2016 |
20160045221 | Articulation Control Mechanisms - A surgical access port and method for achieving articulation is disclosed, the surgical access port including a housing, at least one lumen extending through the housing, and an articulation structure. The housing comprises an access member having a proximal end and a distal end, and defines a longitudinal axis. The lumen in the housing extends from the proximal to the distal end of the access member along the longitudinal axis. The articulation structure comprises a first tubular member and a second tubular member, the second tubular member hingably attached to the first tubular member, and an articulation element slidably attached to the first tubular member. | 02-18-2016 |
20160051243 | Surgical dilator, retractor and mounting pad - A retractor having an elongate body that provides access to a surgical location within a patient. The elongate body includes a plurality of segments that are connected to one another through a plurality of ratcheting mechanisms. The ratcheting mechanisms permit relative movement of the segments with respect to one another when expander dilators are inserted within the retractor. The segments are surrounded and retained by a resilient elastomeric sleeve or bands. The distal end surfaces of the segments include thin edges that are configured to mobilize, dissect, split and retract the terminal tissues in the surgical area. The retractor is used in conjunction with a resilient elastomeric pad that is affixed to the patient and firmly engages the outer surface of the elongate body to thereby anchor the retractor to the patient. A separate anchoring device can be used to connect the retractor to the pad. | 02-25-2016 |
20160051281 | HIGHLY RESPONSIVE INSTRUMENT SEAL - A surgical access port for passage through body tissue to provide access to an underlying tissue site is provided. The access port has a working channel dimensioned for receiving a surgical instrument and a seal assembly for providing a substantial seal before, during and after insertion of a surgical instrument. The seal assembly includes an instrument seal and a zero seal. The instrument seal includes a proximal base that is interconnected to a distal instrument engaging portion by an elongate supporting portion. The engaging portion has a lateral dimension larger than the lateral dimension of the supporting portion forming a bulbous, mushroom-like head. The lateral dimension of the engaging portion decreases toward a distal opening of the instrument seal such that the distal end of the engaging portion is substantially perpendicular to the seal axis. The supporting portion closely conforms to an inserted instrument and serves to align the distal end of the seal. | 02-25-2016 |
20160066949 | Anti-Extravasation Sheath - An anti-extravasation sheath includes a tube sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube. A plurality of tracts extending inwardly from the inner surface of the tube and running longitudinally along the tube form a seal between the outer surface of the arthroscopic instrument, thus defining outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the tube. At least one drainage lumen extending longitudinally along the tube and disposed within the tracts is in fluid communication with at least one drainage aperture disposed on the central portion of the tube. The sheath further includes at least one inflow outflow hole disposed on the distal portion of the tube in fluid communication with at least one outer lumen defined between the outer surface of the arthroscopic instrument and the inner surface of the tube when the arthroscopic instrument is disposed within the tube. | 03-10-2016 |
20160066950 | Atraumatic Arthroscopic Instrument Sheath - An arthroscopic inflow and outflow sheath providing an improved inflow and outflow system reducing the diameter of a continuous flow system while providing fluid management during arthroscopy. The improved arthroscopic inflow and outflow sheath comprises an elongated atraumatic sheath having an inner surface, outer surface, proximal end, and distal end. The atraumatic sheath further comprises plurality of pleated ribs, tubes, or v-shaped ribs extending from the inner surface of the sheath and designed to contact an outer surface of the arthroscope thereby creating outer lumens facilitating the inflow and outflow of fluid to a surgical site. | 03-10-2016 |
20160067003 | Proximal-End Securement of a Minimally Invasive Working Channel - The present invention is directed at minimally invasive systems in which the proximal end portion of the working channel has either zero or a limited range of movement in the lateral direction. A first embodiment has a slidable collar attached to a pair of flanges, wherein movement of the collar is bounded by an annular frame. A second embodiment has a substantially spherical element attached to the tube. A third embodiment has a plurality of caps. A fourth embodiment is adapted for a larger working channel. | 03-10-2016 |
20160074064 | SURGICAL ACCESS PORT EXPANDABLE ADAPTER COLLAR ASSEMBLY - An expandable adapter collar assembly is provided for use with a surgical access port having an outer diameter in order to increase the apparent outer diameter of the combination of the surgical access port and expandable collar in order to conform to the size of a surgical incision. The expandable adapter collar is an inflatable collar which is selectively detachably positionable so as to surround the surgical access port and expandable from a deflated or contracted smaller diameter to an inflated or expanded larger diameter to fill the surgical incision. The expandable adapter collar may be provided as part of an expandable collar assembly including a source of inflation fluids. There is also provided a method of adapting a surgical access port for use in a surgical incision having a size larger than the original design parameters for the surgical access port. | 03-17-2016 |
20160074065 | 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. | 03-17-2016 |
20160074066 | TROCAR FOR THORACOSCOPIC SURGERY, AND PORT FORMATION KIT FOR THORACOSCOPIC SURGICAL INSTRUMENTS - A trocar for thoracoscopic surgery includes a cylindrical portion with an elliptical cross section, and an outer flange and an inner flange provided on respective ones of both ends of the cylindrical portion. The cylindrical portion has two planar side wall portions, two arcuate portions connecting the side wall portions at both ends thereof, and a partitioning wall portion partitioning the interior of the cylindrical portion between both side wall portions. Both side wall portions per se and both arcuate portions per se are formed in curved fashion in such a manner that outer surfaces thereof take on a concave shape. | 03-17-2016 |
20160081715 | SURGICAL ACCESS DEVICE INCLUDING LATERAL MOVING SEAL COOPERATING WITH BELLOWS ATTACHED TO PROXIMAL WALL OF CANNULA HOUSING - A surgical access device includes a seal assembly having an outer seal housing, an inner seal housing, and a seal cooperating with the inner seal housing, the outer seal housing defining a central longitudinal axis and having a longitudinal passage for receiving at least one surgical object therethrough. The surgical access device also includes a bellows configured to engage at least a portion of the inner seal housing cooperating with the seal, the bellows dimensioned and adapted to establish a biasing relationship with the seal. The seal is adapted for lateral movement relative to the central longitudinal axis of the outer seal housing and the bellows is configured to be attached to a proximal wall of the outer seal housing. | 03-24-2016 |
20160095622 | EXPANDABLE ACCESS SHEALTH - Expandable access sheaths and methods for use thereof are disclosed. The access sheath may have an expandable element and flexible membrane. The access sheath may be configured to move between a non-expanded configuration and an expanded configuration. The access sheath may be biased towards the non-expanded configuration. | 04-07-2016 |
20160100857 | SYSTEM AND METHODS FOR TISSUE REMOVAL - Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently. | 04-14-2016 |
20160100858 | METHOD AND APPARATUS FOR ACCESSING THE INTERIOR OF A HIP JOINT, INCLUDING THE PROVISION AND USE OF A NOVEL TELESCOPING ACCESS CANNULA AND A NOVEL TELESCOPING OBTURATOR - A telescoping access cannula comprising:
| 04-14-2016 |
20160106460 | LAPAROSCOPIC PORT - A laparoscopic port is disclosed which includes a tubular member comprising a proximal end and a distal end and a lumen extending there between. At least one seal member provided in the lumen adapted to prevent pressurized gas flow from the distal end to the proximal end of the tubular member. The laparoscopic port further includes a shielding trigger positioned distal to the seal member in the lumen, the shielding trigger is shaped so as at least a proximal portion of the shielding trigger has a narrowing cross-section that extends towards the seal member, the proximal portion is adapted to actuate a reversibly opening and protection of the seal member upon a proximally projected pressure from a distal end of an artifact. | 04-21-2016 |
20160106461 | SAFETY CANNULA - A cannula with a top section and tubular cylinder or sleeve designed to resist outward slippage during surgical manipulations, including but not limited to surgical manipulations of the eye. Means attached to the top section or the tubular cylinder or sleeve securely holds or fastens the cannula in place. Secure attaching is provided by threads, bladders, or expansile elements on the tubular cylinder or sleeve, or pincers extending from the top section, or combinations thereof. | 04-21-2016 |
20160128721 | SURGICAL INSTRUMENT - A surgical instrument is disclosed having a proximal end and a distal end. The surgical instrument includes a hook portion arranged at said distal end for retracting tissue and/or organs during surgery. The surgical instrument further includes an elongate tube adapted for suction and/or irrigation, said tube extending essentially along a length of said surgical instrument. | 05-12-2016 |
20160135837 | METHOD FOR PLACING A CANNULA IN A BLADDER - A cannula is placed in an enlarged opening through a bladder wall and an abdominal wall by applying pulling tension to a placement guide extending through a small pathway to hold an inflated placement balloon in sealing contact with the bladder wall. The seal confines distension fluid in the bladder to establish sufficient reactive resistance to enlarge the opening through the bladder wall with blunt force dilation from an obturator. | 05-19-2016 |
20160135838 | METHOD AND STRUCTURE FOR SELECTIVELY LOCKING PORTIONS OF A SEAL ASSEMBLY - A surgical access device that includes a seal assembly. The seal assembly includes an upper housing portion having a first seal and a lower housing portion including a second seal. The upper housing portion is rotatably connectable to the lower housing portion. The surgical access device also includes a rotation prevention mechanism configured to prevent inadvertent relative rotation of, and disconnection of, the upper housing portion and the lower housing portion. The rotation prevention mechanism is further configured to be selectively actuated by a user, such that, when actuated, the upper housing portion is selectively rotatable relative to, and disconnectable from, the lower housing portion. | 05-19-2016 |
20160135839 | SURGICAL INTRODUCER AND ACCESS PORT ASSEMBLY - A surgical apparatus for permitting access to tissue includes an elongated introducer and a surgical port. The introducer includes an outer wall segment defining a longitudinal axis, a longitudinal port passage extending therethrough and a longitudinal slot in communication with the port passage. The introducer is dimensioned for at least partial introduction within an opening in tissue. The surgical port includes a port body mounted to the introducer with one of its leading and trailing ends disposed within the port passage and with the intermediate segment extending through the longitudinal slot and the other of the leading and trailing end external of the elongated introducer. The port body is dimensioned to be advanced within the port passage for deployment through the opening in the tissue and is adapted to transition from a compressed state to a released state. | 05-19-2016 |
20160135840 | Expandable Percutaneous Sheath - Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a tubular restraint. In one application, the sheath is utilized to provide access for a diagnostic or therapeutic procedure such as percutaneous nephrostomy or urinary bladder access. | 05-19-2016 |
20160135912 | Articulating Surgical Access System For Laparoscopic Surgery - A surgical system includes one or more arms defining a passageway therethrough. The arm includes a proximal portion configured for positioning externally of a patient's body and a distal portion configured for positioning within an internal body cavity. The distal portion includes first and second articulatable segments spaced apart from one another and capable of independent articulation between a substantially straight configuration and an articulated configuration. A first articulation assembly is coupled to the proximal portion of the one arm and is transitionable between a first state and a second state for articulating the first articulatable segment between the substantially straight configuration and the articulated configuration. A second articulation assembly is coupled to the proximal portion of the arm and is configured to move between a plurality of positions for articulating the second articulatable segment between the substantially straight configuration and the articulated configuration. | 05-19-2016 |
20160151059 | SYSTEM AND METHOD FOR IMAGE-GUIDED ARTHROSCOPY | 06-02-2016 |
20160151087 | NATURAL ORIFICE SURGERY SYSTEM | 06-02-2016 |
20160157709 | Medical Inflation, Attachment & Delivery Devices and Related Methods - The various embodiments disclosed herein relate to procedural space maintenance devices, medical device positioning devices, and devices that provide both procedural space maintenance and device positioning. Further embodiments relate to medical device insertion and/or retraction devices. | 06-09-2016 |
20160157889 | ACCESS DEVICE INCLUDING SHAPE MEMORY DEPLOYMENT MECHANISM - A surgical access device is disclosed which includes a housing, a collar, and a plurality of deformable members. The housing defines a proximal d and a distal end and has a plurality of lumens extending therethrough. The collar is repositionable between a first position and a second position with the second position being closer to the proximal end of the housing than the first position. Each of the plurality of deformable members defines a distal portion, is coupled to the collar and is transitionable through one of the plurality of lumens. The plurality of defomiable members is in a retracted state When the collar is in the first position and a deployed state When the collar is in the second position. One or more of the plurality of deformable members may also include a barb attached to the distal portion. | 06-09-2016 |
20160183970 | HYBRID CANNULA AND METHODS FOR MANUFACTURING THE SAME - A new process of manufacturing a hybrid cannula may include creating a first part with at least two components, overmolding at least two components of a second part to a channel in each component of the first part, and fixing the components of the first part together. The second part may include various types of features such as thick/thin dams, squirt membranes, and/or duck bill dams inside the hybrid cannula. Each dam may have any number, shape, orientation, and length of slits/openings. The slits/openings may allow passage of an instrument while the dam(s) may prevent fluid from passing through the hybrid cannula. A third part may optionally be overmolded to at least a portion of the first part, at least a portion of the second part, or both. The third part may provide an extension, a flange, or a combination thereof at a distal end of the hybrid cannula. | 06-30-2016 |
20160183971 | EXPANDING SURGICAL ACCESS PORT - A surgical access port that includes a cylindrical member having a proximal end and a distal end and defining a longitudinal axis; at least two lumen extending through the cylindrical member along the longitudinal axis; at least one cavity defined in the cylindrical member and positioned radially within the at least two lumen; and a source of inflation fluid coupled to the at least one cavity, the source of inflation configured to permit selectable inflation of the at least one cavity, whereby inflation of the at least one cavity increases the radial distance between the at least two lumen. | 06-30-2016 |
20160183972 | ACCESS ASSEMBLY HAVING UNDERCUT STRUCTURE - An assembly for accessing a body cavity is provided. The access assembly includes a flexible outer sleeve configured to be received through an opening in tissue. The outer sleeve defines a passageway therethrough and a notch formed about an inner surface thereof. The access assembly further includes a support plate configured for selective reception through the passageway of the outer sleeve and within the notch formed in the inner surface. The support plate defines at least a first opening configured to receive a surgical instrument therethrough. | 06-30-2016 |
20160199094 | Full-vagina sleeve cylindrical expansion and pneumoperitoneum integrated device | 07-14-2016 |
20160199095 | DEVICE | 07-14-2016 |
20160249902 | SYSTEM AND METHOD FOR DELIVERING EXPANDING TROCAR THROUGH A SHEATH | 09-01-2016 |
20160374539 | Atraumatic Arthroscopic Instrument Sheath - A removable, resilient atraumatic sheath for arthroscopic instruments. The sheath covers sharp edges on the arthroscopic instrument, particularly the distal tip of the rigid cannula, and thereby protects tissue and objects near a surgical site from accidental trauma. The sheath may be provided in the form of an inflow/outflow sheath that allows a surgeon to irrigate and drain a surgical field without the use of a separate irrigation instrument. The distal tip of the sheath may comprise a dissimilar material of a higher modulus of elasticity than the material comprising the remainder of the tube. The sheath is provided with a cylindrical grip on the proximal end to resiliently squeeze the proximal end of the arthroscopic instrument. A level is provided to move the grip radially outwardly to release the grip from the arthroscopic instrument. | 12-29-2016 |
20160374658 | SYSTEM FOR A MINIMALLY-INVASIVE, OPERATIVE GASTROINTESTINAL TREATMENT - A system for performing minimally invasive procedures in a working space within a body lumen of a patient including a flexible catheter configured to receive a working instrument therethrough. The flexible catheter has a working space expanding system positioned at the distal portion, the working space expanding system including first and second flexible elements movable from a non-expanded insertion position to an expanded position forming an expanded region to expand the working space within the body. The first and second flexible elements are connected at a distal region by a coupling structure. A stabilizing member stabilizes the distal portion of the flexible catheter. | 12-29-2016 |
20180021059 | ACCESS SHEATH, ACCESS SYSTEM, AND RELATED METHODS | 01-25-2018 |
20180021060 | SURGICAL TOOL POSITIONING SYSTEM | 01-25-2018 |
20190142455 | CANNULA FOR A SURGICAL INSTRUMENT | 05-16-2019 |
20190142456 | SYSTEM AND METHODS FOR TISSUE REMOVAL | 05-16-2019 |