Abstract: A cannula for use in an access assembly includes an instrument valve housing including first and second housing sections and defining a cavity and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a seal assembly including an outer flange and a septum seal extending across the outer flange, a guard assembly disposed within the outer flange of the seal assembly, and a centering mechanism. The guard assembly includes a plurality of guard members. Each guard member of the plurality of guard members includes a ring portion and a flap portion. The flap portions of the guard members of the guard assembly are configured to engage and stretch the septum seal during reception of a surgical instrument through the valve assembly.

Abstract: Apparatus for placement in an incision or a natural body opening comprises a retractor having a sleeve (655, 656, 657) and a guard device comprising overlapping petals (662) depending from a mounting ring (661). The guard device is movable by the retractor from an insertion configuration to a deployed configuration as the retractor sleeve is moved to the retracting configuration.

Abstract: An implant delivery system is described. The implant delivery system utilizes an implant, implant wire, delivery sheath, and a torque device. The torque device may include a cutting element to slit the delivery sheath and a clamp device to fix the position of the implant delivery wire.

Abstract: Apparatus and methods, and uses of apparatus, for preventing prolapse of iris tissue, through a surgical opening in the eye during eye surgery. Early in the surgery, one or more surgical openings are made in the eye, and a flexible biocompatible iris shield is inserted, through a such opening, into the anterior chamber and placed in a position whereby the iris shield overlies the iris anteriorly, adjacent each surgical opening and is positioned between the iris and any surgical openings. If/when the pressure inside the anterior chamber increases during surgery, any anterior movement of the iris toward the cornea or sclera in response to such pressure, moves the iris shield in an anterior direction, such that the iris shield remains between the iris and the surgical opening. Thus, the iris shield blocks the surgical opening and prevents movement of eye material, e.g. iris tissue, to and through the surgical opening.

Abstract: A system for interchangeable retractor blades includes a shell, a first retractor blade, and a second retractor blade. The shell includes a rigid proximal end configured to attach to a surgical retractor and an opening, a distal closed end, and a pliable portion including a pocket in communication with the opening and extending along a length of the shell to the distal closed end. The first retractor blade includes a first geometry received through the opening into the pocket and that shapes the pliable portion to configure the shell in a first configuration. The second retractor blade includes a second geometry received through the opening into the pocket and that shapes the pliable portion to configure the shell in a second configuration.

Abstract: 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.

Abstract: A surgical device for retracting tissue of a subject while offering lighting and suction means integrated into the same device. This device is useful in many different surgical procedures, including those requiring precise tissue retraction in small openings of a subject, such as facial orbital fracture repair.

Abstract: A speculum includes an insulating sleeve having a body, the body having a first side edge, a second side edge, a front edge and a back edge, and a metallic sheet having a first end, a second end, a front end and a back end, the back end being tailored to match a back edge of the sleeve, the metallic sheet being covered by the body of the sleeve.

Abstract: The invention relates to systems and methods for intracranial vessel access. In particular, a system including a co-axial combination of a steerable variable thickness microwire operatively supporting a tapered larger bore support and larger bore distal access catheter is described. Methods of advancing the intracranial access system through the vasculature are also described.

Abstract: A cannula comprising a monolithic, flexible body having a central passageway bounded by a first flange and a second flange, the central passageway having an irregular shape and a diaphragm positioned therein, the first diaphragm having the same irregular shape and including at least one first diaphragm slit, and a second diaphragm positioned adjacent to or at one of the first or second flanges and having at least one second diaphragm slit.

Abstract: Provided is a retractor for endoscopic surgery, and more particularly, to a retractor for endoscopic surgery, the retractor being configured to supply and discharge gas to and from a human body, or directly to and from a human body. The retractor includes: a penetrating member penetrating through a human body; an anti-separation member provided at a lower portion of the penetrating member to prevent separation of the retractor from the human body; and a supply and exhaust member for supplying or exhausting gas, wherein the anti-separation member is provided with at least one of a supply hole to supply gas to the human body and an exhaust hole to exhaust gas from the human body by communicating with the supply and exhaust member, whereby gas supply or gas exhaust is preformed through the anti-separation member.

Abstract: Sealing assemblies and methods are disclosed for sealing a surgical instrument having an internal drive shaft subject to lateral displacement. A sealing assembly includes a rigid portion shaped to interface with an instrument shaft of the surgical instrument. A laterally oriented slot is open at a radially perimeter location and configured to receive an o-ring seal via the perimeter location. Apertures are disposed on opposing sides of the slot and open to the slot. The apertures are configured to receive the drive shaft there through and are larger than the drive shaft to accommodate lateral displacement of the drive shaft. The slot includes opposing internal sides spaced to interface with opposed axial surfaces of the o-ring seal. The seal inhibits axial transmission of an insufflated gas and/or bodily fluids while accommodating lateral displacement of the drive shaft.

Abstract: Medical procedure related objects (e.g., instruments, supplies) tagged with transponders (e.g., RFID transponders, dumb transponders) are accounted for in a medical or clinical environment via an accounting system using a number of antennas and interrogators/readers. A first set of antennas and RFID interrogator(s) interrogate portions of the environment for RFID tagged objects, for example proximate a start and an end of a procedure. A cannula of a trocar may include one or more trocar antennas positioned and oriented to integrate tapped objects that pass through a lumen of the cannula. Shielded packaging and/or shielded receptacles shield tagged objects, preventing interrogation except for those objects in unshielded portions of the environment. A data store may maintain information including a current status or count of each instrument or supply, for instance as checked in or checked out.

Abstract: A trocar assembly that includes a trocar and a seal cartridge configured to be releasably coupled to the trocar. The seal cartridge includes a top cap that includes a main body and a latch ring. The latch ring is grounded to the main body at a first angular position and has a latch located at a second angular position angularly offset from the first angular position. Applying a radial load on the latch causes the latch ring to flex in torsion at an intermediate portion that angularly interposes the first and second angular positions.

Abstract: A medical treatment implement which has an excellent degree of freedom of a procedure and into which a trocar can be re-stuck includes a tubular retractor main body configured to be indwelled in an incision wound and a converter (20) configured to close an opening end portion of an upper end of the retractor main body and to be puncturable with a trocar. The converter (20) includes a ring-shaped frame portion (22) detachably mounted on the opening end portion and a sheet portion (21) which is mounted inside the frame portion (22) and airtightly covers the opening end portion. A compression force P is applied to the sheet portion (21) in an inner diameter direction.

Abstract: A surgical access assembly includes a sleeve assembly, a base member, and a sealing assembly. The sleeve assembly includes a proximal ring, a distal ring, and a sleeve defining a passage therethrough. The base member includes an annular body including a coupling member. The annular body defines an opening in communication with the passage of the sleeve, and a circumferential groove configured to support the proximal ring of the sleeve assembly. The sealing assembly includes an annular frame and a seal dimensioned to cover the opening of the base member in a sealing relation. The coupling member of the base member releasably secures the sealing assembly to the base member. The annular frame of the sealing assembly is configured to be in registration with the annular body of the base member such that the proximal ring is interposed between the base member and the sealing assembly.

Abstract: An access port for sealing an opening of a natural orifice and supplying access to a body cavity through the natural orifice including: a sealing unit; an unobstructed single lumen cannula extending to the body cavity; a connector connecting the cannula to the sealing unit; an access opening through the sealing unit to the single lumen; a cap including a plurality of cap openings configured to seal between medical instruments inserted into the openings and the access opening.

Abstract: A transcatheter valve prosthesis is disclosed that has a compressed, delivery configuration and an expanded configuration for deployment within a native heart valve. The valve prosthesis includes a self-expanding frame and a prosthetic valve component. The self-expanding frame includes a valve receiving portion defining an opening therethrough and first and second anchors at opposing ends of the valve receiving portion. The valve receiving portion is substantially planar and the first and second anchors are oriented substantially perpendicular to the valve receiving portion when the valve prosthesis is in the expanded configuration. The prosthetic valve component is disposed within the opening of the valve receiving portion and secured thereto.

Abstract: An expander for widening and holding apart an opening of a tissue. The expander may include a body configured to deform from a compacted state into a pre-determined shape in an expanded state in response to a pre-determined physiological condition the body is exposed to. The body with the pre-determined shape in the expanded state may be configured to hold apart the opening of the tissue.

Abstract: A retractor/protector suitable for use in a surgical incision or a natural orifice comprises a longitudinal axis defining an instrument access channel extending from a proximal end to a distal end; a flexible outer ring; an inner ring; a flexible sheath extending between the outer ring and the inner ring; and at least one rigid segment adapted to attach to the flexible outer ring to thereby increase the rigidity of the outer ring. Embodiments of the retractor/protector are described that have interlocking and non-interlocking rigid segments. Embodiments are also described that have bases that insert into or under the flexible outer ring in addition to or in lieu of rigid segments to increase rigidity and/or provide support for a detachable cap.

Abstract: An incrementally adjustable wound retractor (500), having a first ring (504) with a diameter greater than the desired diameter of the wound incision, a flexible second ring (502), having a lumen and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve (506), disposed in a generally cylindrical form between the first and second rings (502, 504), where the second ring may be rolled over itself to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an access valve that may be retrieved after implantation. The access valve may include a frame having a lumen, a self-expandable member extending through the lumen, and an elastic membrane extending through the lumen and a second end of the frame to releasably seal the lumen. The access valve may releasably attach to a wall of a patient and releasably seal an opening through the wall. The access valve may be attached to the wall by placing the frame adjacent the wall, extending the self-expandable member through the opening in the wall, and expanding the self-expandable member such that the self-expandable member applies a first force against the wall and a second force opposite the first force against the frame to sandwich the wall between the self-expandable member and the frame.

Abstract: An assembling surgical access device includes a flexible tube and a connecting structure. The flexible tube includes a tube body and a positioning portion connected to the tube body. The connecting structure is connected to the flexible tube, and includes a housing and a tube fixing member. The housing includes a side wall, an end wall, a fixing portion and a tube hole. The fixing portion is connected to the positioning portion of the flexible tube, and the tube body is disposed through the tube hole. The tube fixing member is engaged into the side wall so as to position the positioning portion between the end wall and the tube fixing member.

Abstract: A surgical retractor has a shaft with an integral blade. The shaft and the blade are joined at an angle. The blade has an upper surface. A plurality of LED lights are embedded within the blade and are exposed at the upper surface. The blade surrounding the LED lights is opaque. The retractor may further include a camera mounted on the blade. Also disclosed is a surgical retractor kit including a mounting ring, at least one of the aforementioned surgical retractors, and a coupler for releasably mounting the retractor to the ring.

Abstract: A medical port includes: a faceplate having a through-hole; an elastic member formed in a curved shape and configured to clamp and fix a living tissue between the elastic member and the faceplate; and a string-shaped member fixed at a first end to the elastic member and extending from the elastic member through the faceplate. The elastic member is configured such that extension of the string-shaped member through the faceplate in a direction opposite to the elastic member reduces an outer diameter of the curved shape of the elastic member.

Abstract: A depth adjustable surgical pin retains a surgical template at a desired depth, vertical and horizontal position, and pressure against an organic substrate. The surgical pin provides a housing and a retention rod that work in conjunction to achieve this retention function. The housing is defined by a mount end, rod end, inner sidewall having a female thread, and an outer sidewall having ridges for adhering to a drill guide aperture of the surgical template. The housing sets at a predetermined depth in the drill guide aperture. The retention rod comprises a proximal end having a cap, distal end tapering to a sharp point, and a male thread that threadably engages the housing. The retention rod serves as an anchor and provides added strength to the surgical template. The housing becomes an integral part of the surgical guide template to guide the retention rod into a locking position.

Abstract: Provided is a retractor that makes it possible to reduce operation costs, is less likely to cause damage to surgical incision sites, do not reduce workability, and also makes it possible to easily maintain the desired surgical field and to change the surgical field or widen or narrow the area of the surgical field, depending on the surgical situation. The retractor 1 for holding a surgical incision open and maintaining a surgical field during an operation includes a belt-shaped body A made of a wire; and a connecting part B that is provided at one end portion of the belt-shaped body A and capable of being connected to another end portion or an intermediate portion of the belt-shaped body A so that the belt-shaped body A can be formed into a loop of a desired size.

Abstract: A retractor for use in lingual frenotomy has a tapered hollow shield, having a closed distal end and an open proximal rim, a groove opening through the distal end to seat over the lingual frenulum, and a handle extending from the proximal rim in line with the groove.

Abstract: An endoscopy instrument guider port includes a main body member where at least one surgical instrument entrance part is disposed at an upper surface, a protective tube extending downwards from the main body member, a retaining ring body fixed to a lower end portion of the protective tube, the retaining ring body being freely deformed and restored, and a control ring body disposed at a predetermined position along a length direction of the protective tube to be coiled around the protective tube through a folding motion and control a length of the protective tube. According to the present invention, the control ring body disposed at the protective tube facilitates length adjustment and traction generation of the protective tube, appropriate handling of surgical situations is possible because an upper body may be turned and separated, and surgical delays may be prevented while endoscopy operations may be made easier.

Abstract: A surgical apparatus for use in assisting the performance of a procedure on an eye, the eye having a front and rear, a cornea, an iris defining a pupil, and a lens capsule behind the iris. The apparatus has a frame with a front and rear, a first portion and a second portion. The first frame portion has at least one iris engagement portion for being operatively connected to the iris to exert a pressure upon the iris that maintains the pupil in an enlarged state. The second frame portion has a curved edge configured to guide movement of an instrument in a curved path with the first frame portion operatively connected to an iris.

Abstract: Implantation assemblies for an iris-expanding device comprising an iris-expanding device holder and a holder body, as well as iris-expanding device holders are provided. These assemblies and devices are configured for an iris-expanding device that can maintain a pupil in an extended position during an ophthalmic procedure such as phacoemulsification.

Abstract: Methods of implanting an iris-expanding medical device in an eye. The methods can use an inserter which includes an inserter handle and a cannula attached to the inserter handle. Once inserted, the iris-expending medical device can maintain a pupil in an extended position during an ophthalmic procedure such as phacoemulsification.

Abstract: 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.

Abstract: A collapsible scaffolding can collapse for deployment to a laparoscopic surgical site through a trocar or the like, and can expand to provide a surface for organ retraction within a body cavity. In the expanded state, the scaffolding may assist a surgical procedure in a variety of ways, such as by providing a rigid structure upon which to secure retracted organs or surgical tools such as lights, cameras, and so forth.

Abstract: A wound closure device comprises a first frame and a flexible tubular section connected to the first frame, the first frame implantable through a wound in a patient's skin into a lumen of a blood vessel with a portion of the tubular section extending out through the skin. The tubular section has a first portion and a second portion, a wall of the tubular section defining a coaxial inner bore. Twisting the first portion relative to the second portion of the tubular section closes the bore is closed in an area of the tubular section between the first and second portions, thereby closing the wound. Also disclosed is an embodiment for closing an opening in a heart, as well as a delivery device, systems, and methods.

Abstract: 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.

Abstract: 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.

Abstract: In a first aspect of the subject invention, an iris expander is provided which includes a non-metallic, unitary, multi-segmented body which is expandable from a first state to a second state. The second state defines a larger footprint than the first state with the body being defined by a plurality of segments connected by living hinges. In a further aspect, an iris expander is provided which includes a multi-segmented body that is expandable from a first state to a larger-footprint second state. At least one aperture is formed in the body with a channel extending therefrom embedded in the body such that no portion thereof is exposed externally of the body. The channel is formed to accommodate a portion of an instrument for causing adjustment of the body with avoidance of direct contact of the instrument with the tissue of the iris.

Abstract: 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 central longitudinal axis and has leading and trailing ends. At least one longitudinal object port extends between the leading and trailing ends and is adapted for reception of a surgical object whereby compressible material defining the at least one longitudinal object port is adapted to deform to establish a substantial sealed relation with the object.

Abstract: The present disclosure relates to a surgical anchoring apparatus for use during a minimally invasive surgical procedure. The surgical anchoring apparatus includes a body member and a dilator element at least partially positionable therein. The body member includes a grip segment adapted for manual engagement by a user and an expandable section having a plurality of expandable segments and a plurality of cam surfaces. The grip segment resiliently transitions between a first or normal state and a second state in which the grip segment is at least partially inverted. The expandable section's cam surfaces are configured to engage a distal end of the dilator element upon its insertion such that the expandable section may transition from an initial condition to an expanded condition in which the body member is secured or anchored within an incision in tissue.

Abstract: The application relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.

Abstract: A device for accessing a body cavity through an opening in tissue is provided. The access device includes a unitary compressible body configured to be received in an opening in tissue. The compressible body includes a central portion, an upper rim located on a proximal end of the body and a lower rim located on a distal end of the body. The central portion defines a slit configured to permit the passage of a hand therethrough in a sealing manner.

Abstract: A medical treatment tool (10) includes a retractor main body (30) and a converter (20). The retractor main body (30) forms a cylindrical shape and is placed in an incision. The converter (20) is detachably installed on an opening end (32) of the retractor main body (30) and closes the opening end (32). Ports (22a) to (22d) through which treatment tools are respectively inserted into the retractor main body (30) are provided in a plurality of sites of the converter (20). The converter (20) can be installed on the opening end (32) at an installation angle which is selected from a plurality of angles. The positional relationships of the ports (22a) to (22d) with respect to the retractor main body (30) when the converter (20) is installed on the opening end (32) at the respective installation angles become different from each other.

Abstract: Disclosed herein are devices for minimally invasive vertebral augmentation and restoration of spinal lordosis using a steerable cannula assembly. When deployed, the articulating cannula, including an outer cannula and an inner cannula extending into a central lumen of the outer cannula and coupled to each other at their distal ends, can be manipulated to curve/bend the body of the articulating cannula. This manipulation is used to create a void within the interior body and may also be used to control delivery of a treatment element to the interior body.

Abstract: An access assembly for insertion through a single incision is provided. The access assembly includes a foam body having a proximal end and a distal end and a plurality of lumens extending through the foam body. Each of the lumens includes a sleeve extending the length of the body. The foam body has a central portion and a lower rim at a distal end of the central portion. The lower rim defines a circular recess, about the body, along a proximal side of the lower rim.

Abstract: A surgical retractor includes a first component and second component. The first component includes a first top structure and outer wall. The first top structure has a first opening and first peripheral opening disposed about the first opening, wherein the first peripheral opening in communication with the first opening. The outer wall forms a second opening in communication with the first opening. The second component includes a second top structure and inner wall. The second top structure has a third opening. The inner wall forms a fourth opening in communication with the third opening, wherein the inner wall has a second peripheral opening in communication with the fourth opening. The second component is adjustable with respect to the first component such that second and fourth openings define a combined opening in communication with the third opening and the combined opening is in communication with the first and second peripheral openings.

Abstract: A surgical access assembly and method of use is disclosed, including an access member, a tissue engaging member, a sleeve extending from a portion of the membrane, and a fastening member to couple the access member and the sleeve. The access member includes proximal and distal ends, at least one lumen disposed therethrough, and defines a longitudinal axis. The tissue engaging member includes a membrane having proximal and distal ends with opposing openings, and a passage therethrough for receiving the access member. A length of the tissue engaging member may be selectively adjustable by a user so as to provide a retraction force. The sleeve extends proximally from a portion of the membrane. The sleeve has a proximal end and a distal end with opposing openings, the distal end of the sleeve defined by a portion of the membrane. A fastening member couples the access member and the sleeve.

Abstract: A surgical access port for accessing a cavity of a patient having an outer frame including first and second frame portions, wherein at least one of the frame portions is movable with respect to the other frame portion. The outer frame has a first length greater than the first width, wherein movement of at least one of the frame portions away from the other frame portion increases the outer frame to a third length greater than the first length. An inner member has a second length and a second width, the second length being substantially transverse to the first length of the outer frame and the second width being substantially transverse to the first width of the outer frame. A flexible member extends between the outer frame and inner member and is movable by movement of at least one of the frame portions.

Abstract: A retractor having an elongate portion with first and second parts each with adjacent pivotally connected segments pivotable from a first configuration to a second configuration, wherein in the second configurations the adjacent segments abut each other to inhibit further movement, at least one of the parts including a control whereby a force required to move the first part from the first configuration towards the second configuration is less than the force required to move the second part from the first configuration towards the second configuration, and an actuator arranged to urge the first and second parts from the first to the second configurations at the same time.

Abstract: 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.