Abstract: 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.

Abstract: A soft suture anchor construct is provided for placement in or against tissue or bone. The anchor includes an all-suture anchor having two ends positioned in a first direction in a pre-deployment configuration. In a deployed configuration, the two ends are positioned in a second direction different from the first direction. The suture anchor construct also includes a filament passing through the anchor at a plurality of passing locations, where the filament changes direction at least once along the direction of the longitudinal axis of the anchor and forms at least one slack line. In the pre-deployment configuration, the filament extends a first length between adjacent passing locations, and in the deployed configuration, the filament extends a second length between adjacent passing locations. The second length is shorter than the first length. The suture anchor construct may be deployed in a bone hole with an inserter, anchor driver, or other deployment device.

Abstract: A multi-barrel drill guide and anchor deployment assembly configured to simultaneously accommodate both a drill bit and a driver with a suture anchor. Such a structural configuration allows for the suture anchor to be in position with the anchor driver in a separate but converging pathway/channel in the drill guide and ready for insertion into a pilot hole immediately after the pilot hole is formed by the drill bit.

Abstract: A suture passing drill for passing suture through bone. The suture passing drill includes a proximal end and a distal end with an elongated shaft extending therebetween. The elongated shaft has first portion with a first diameter. The drill also includes a wire loop extending from the proximal end of the elongated shaft and a drill tip at the distal end of the elongated shaft. The elongated shaft has a narrow portion with a second diameter, which is smaller than the first diameter. The narrow portion is positioned proximally adjacent relative to the drill tip. The narrow portion is preferably created through coining. Coining prevents the need for machining the outer diameter (or surface) of the elongated shaft proximal to the drill tip in order to create a larger drill tip. The larger drill tip of the suture passing drill allows for passage of the entire drill through the bone hole.

Abstract: A suture construct for securing tissue to bone at the location of the bone anchor without the using a knot stack. The suture construct has a fixation limb including a body with a first end and a second end. A loop is formed at the first end of the body and interconnected to a tail extending out of the other end of the body. A suture shuttle having a shuttle loop and a shuttle tail extends through the body of fixation limb so that the shuttle loop is positioned proximately to the loop and the shuttle tail exists the body from a splice formed in an intermediate position of the body. The suture construct may be coupled to a hard body anchor or an all suture anchor. The suture shuttle is used to capture the fixation limb and pull it over the tissue to be secured and back through the body of the construct to form a one-way tightening loop.

Abstract: Briefly, in accordance with one embodiment, a multi-lumen shaft may be used to with an endoscopic instrument.

Abstract: A portal saver device for installing a flexible cannulated tube at a surgical site. A portal saver device includes an obturator. The obturator has an obturator body having a cannulated outer obturator tube extending therethrough. The outer obturator tube has a distal tip with a dilating assembly movable between a collapsed, first configuration and an expanded, second configuration. A shaft expander has a cannulated inner obturator tube, which is movable between a first position and a second position within the outer obturator tube. In the first position, the inner obturator tube is retracted from the distal tip of the outer obturator tube and the dilating assembly is in the first configuration. In the second position, the inner obturator tube is advanced within the distal tip of the outer obturator tube and the dilating assembly is in the second configuration.

Abstract: A system for performing an endoscopic surgical procedure in a surgical cavity of a patient that includes a multi-lumen tube set including a dual lumen portion having a pressurized gas line and a return gas line for facilitating gas recirculation relative to the surgical cavity of the patient, and a single lumen portion having a gas supply and sensing line for delivering insufflation gas to the surgical cavity of the patient and for periodically sensing pressure within the surgical cavity of the patient, a first gas sealed single lumen access port communicating with the dual lumen portion of the tube set and a second valve sealed single lumen access port communicating with the single lumen portion of the tube set.

Abstract: A suture anchor driver with a tensioning mechanism. The suture anchor driver has a handle with a proximal end and a distal end. The handle has a recess with a shaft extending centrally therefrom. The suture anchor driver has a detent ring and a spool. The detent ring has a central aperture and one or more projections. The spool has a central aperture and is rotatable between first and second configurations. The spool has a plurality of protrusions extending from its side. The shaft extends through the central apertures in the detent ring and spool such that the projections of the detent ring are adjacent the protrusions extending from the spool. In the first configuration, one of the projections extends between two of the protrusions. In the second configuration, one of the projections is aligned with one of the protrusions.

Abstract: A system and method for completing one or more stitches without withdrawal and reloading of an inserter. A suture passer includes a distal end having a body with a gripping portion and a suture holding portion. The gripping portion and the suture holding portion are spaced, defining a recess in the body there between. A tube of the gripping portion extends toward the suture holding portion and maintains a needle therein. The needle is slidable within the tube between a retracted position and an extended position. The needle has a notch at its distal end for catching and securing a limb of suture. In the retracted position, the distal end of the needle is within the tube of the gripping portion and in the extended position, the distal end of the needle extends into the suture holding portion.

Abstract: A slip knot suture construct system and method for securing multiple limbs of suture. The system includes a suture construct having a length of suture including a standing limb with a standing terminal end and a closing limb with a closing terminal end. The suture construct has three loops: a primary loop formed in the closing limb, the primary loop and closing limb extending to the standing limb, a secondary loop formed in the standing limb, and a locking loop formed in the length of suture between the primary loop and the secondary loop. A limb of suture extends through the primary loop. The limb of suture is secured in the suture construct by pulling the closing terminal end proximally, which pulls the primary loop holding the limb of suture through the locking loop and at least partially into the secondary loop.

Abstract: A bone anchor, including: a bone engaging member including: a first proximal bone engaging portion and a second distal bone engaging portion; and an expansion feature configured to allow radial expansion of the first bone engaging portion and the second bone engaging portion; an expander having a first proximal expansion portion and a second distal expansion portion and displaceable between a first position relative to the bone engaging member and a second position relative to the bone engaging member; a tissue capture feature; and wherein the first expansion portion of the expander is configured to expand the first bone engaging portion of the bone engaging member and the second expansion portion of the expander is configured to expand the second bone engaging portion of the bone engaging member when the expander is in the second position.

Abstract: An electrosurgical device having a pair of jaws, at least one electrode supported by one of the pair of jaws, and a polymer mat positioned in covering relation a portion of the at least one electrode. The polymer mat comprises a plurality of polymer fibers having an average width of between 1 and 100 micrometers. The polymer mat has a porosity of between 6E-10m2 and 2.5E-7m2. Between 10 and 90 percent of the electrode may be exposed.

Abstract: Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. Also disclosed is a bone anchor that comprises a base and a top such that suture material may be attached to apertures in the anchor top or else compressed between surfaces on the base and top to secure the suture to the anchor. Also described is an inserter that can be used to insert the bone anchor into bone and move the spreader relative to the anchor body attach suture material. Also described is an inserter that can be used to insert the bone anchor into bone and move the anchor top relative to the anchor body or anchor base to attach to or clamp suture material there between.

Abstract: A locking suture construct having suture material with a first end and a second end, each attached to a first body in a slidable manner, a constricting member formed in the second end of the suture material, and a bight in the suture material between the first end and the second end. The bight can be pulled through the constricting member around a second body to create a locking loop. The first end and the second end are passed through the locking loop. Pulling the first end increases a perimeter of the locking loop and moves the constricting member toward the second body. When the constricting member reaches the second body, pulling the first end reduces the perimeter of the locking loop and moves/rotates the constricting member around the second body toward the first body to hold the first body in relative position to the second body.

Abstract: A uterine manipulator device includes: an elongated cannulated tube comprising a proximal end and a distal end; a cervical cup having a top proximal portion of a first diameter and a base distal portion of a second smaller diameter, wherein: the base distal portion includes a hole formed therein having a perimeter including a distal end and a proximal end, and including a longitudinal axis positioned therethrough; one of the proximal end of the perimeter and the distal end of the perimeter is angled away from the longitudinal axis and the other of the proximal end of the perimeter and the distal end of the perimeter is in line with the longitudinal axis; and the elongated cannulated tube is positioned through the hole in the cervical cup.

Abstract: Provided is a tissue retrieval bag. The bag is defined by a region of the bag defining an opening; an exterior surface of the bag depending from the opening; and a channel formed into the exterior surface of the bag, wherein the channel provides access to the interior of the bag through the exterior surface. Also provided is a tissue retrieval defined by a region of the bag defining an opening; an exterior surface of the bag depending from the opening; and at least one porthole on the exterior of the bag, wherein at least one tube extends from the at least one porthole.

Abstract: Methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and spreader and inside surfaces of a bone hole to secure the tissue within the hole. A bone anchor is described that comprises an anchor body with expandable tines and a spreader that expands the tines into bone. The spreader captures tissue via a suture loop at the distal end of the bone anchor. Also described is an inserter that can be used to insert the anchor into bone and move the spreader within the anchor to expand the anchor and capture the tissue between the anchor and the bone. Methods are described that allow use of single bone anchor to secure tissue to bone or also to use more than one bone anchor to provide multiple lengths of suture material to compress a large area of soft tissue against bone.

Abstract: A surgical screw for fixation into bone or soft tissue. The surgical screw includes a cannulated body having a proximal end and a distal end. The distal end of the cannulated body has a tapered tip and a plurality of threads extend around the exterior of the cannulated body. An introducer extends distally from the tapered tip and has a diameter (which can be variable or constant) which is less than a diameter of the tapered tip. The surgical screw is cannulated such that a channel extends through the body from the proximal end to (and sometimes through) the distal end.

Abstract: A suction device is shown and described. The suction device includes a body, an input port configured to receive a flow of matter, a suction port, and a suction lumen that couples the suction port to the input port. In some embodiments the suction device is configured to couple with a surgical instrument for use in a surgical procedure.