Abstract: A sheathed blade assembly for minimizing or preventing contact between the moving interior blade and the exterior sheath. The assembly includes an exterior sheath having a first portion and second portion with an inner lumen therebetween, an interior blade movable within the inner lumen of the exterior sheath, a first pocket within a first surface of the interior blade, and a first ball bearing within the first pocket. The first ball bearing creates a clearance amount between the first surface of the interior blade and the first portion of the exterior sheath. The assembly may also include a second pocket within a second surface of the interior blade for a second ball bearing. The second ball bearing creates a clearance amount between the second surface of the interior blade and the second portion of the exterior sheath. The second pocket is in a staggered configuration relative to the first pocket.

Abstract: A uterine manipulator device includes: an elongated cannulated tube having proximal and distal ends, a cervical cup positioned on the elongated cannulated tube with a top distal portion of a first diameter and a base proximal portion of a second smaller diameter, and an occluder assembly comprising an occluder positioned proximally from the cervical cup on the elongated cannulated tube, the occluder having a body with at least one primary rib and at least two secondary ribs, wherein a diameter of at least one secondary rib is smaller than the diameter of the primary rib.

Abstract: A coupling system is disclosed for connecting a tube set to a trocar that includes a multi-lumen trocar having a housing that has a connector extending outwardly from the housing, the connector having a plurality of coaxial flow passages defined therein by a plurality of concentric annular walls, a multi-lumen tube set including a plurality of tubes arranged in a parallel relationship, a coupling including a generally cylindrical body having a first end portion adapted and configured to selectively mate with the coaxial flow passages of the connector of the trocar and a second end portion adapted and configured for attachment to the parallel tubes of the tube set, and a latch assembly operatively associated with the cylindrical body of the coupling for selectively engaging the connector of the trocar housing when the coupling mates with the connector.

Abstract: A surgical boot system and sleeve accessory for hip distraction. The surgical boot system includes an L-shaped rigid shell having a proximal portion and a distal portion. A soft liner is attached to the rigid shell and extends along at least one of the proximal portion and the distal portion. The surgical boot system also includes at least one strap assembly (which can be a plurality of strap assemblies) extending around the rigid shell. A load transmission hoop is connected to and extends around the distal portion of the rigid shell and an attachment point is connected to the load transmission hoop. The rigid shell is pivotable about the attachment point. Specifically, the attachment point is configured to interface with a hip distractor apparatus in a way that allows for multiple degrees of freedom.

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

Abstract: A knife driving assembly that can advance and retract a knife along a knife blade pathway defined by the jaws of the surgical instrument regardless of continuous rotation of the shaft and jaws. The assembly includes a housing having a shaft extending along a longitudinal axis and supporting to a pair of jaws that define a knife pathway and a lever pivotally mounted to housing and extending into the housing. A knife actuator is coupled to the lever at a first end and to a bearing sleeve at a second end. A drive shaft is secured to the bearing sleeve and extends within the shaft to move a knife along the knife pathway in response to movement of the bearing sleeve. As a result, the main shaft, and the drive shaft, may be rotated through 360 degrees with movement of lever capable of moving the knife.

Abstract: A knotless suture anchor construct for securing a tissue in a desired position relative to a bone hole. The construct includes a substrate having a first end and a second end, and a filament woven through a plurality of passing locations along the substrate. The filament forms a first loop extending to a passing limb and reducing limb. There is a passing portion in the reducing limb between two adjacent passing locations of the plurality of passing locations. In a pre-deployment configuration, the first loop of the filament extends from a first end of the substrate and the passing limb and the reducing limb extend from the second end of the substrate. Also, in the pre-deployment configuration, the passing portion extends through the first loop, forming a second loop in the reducing limb.

Abstract: A cannula assembly for use in robotic surgery is disclosed that includes a robotic cannula having a housing with an open end and a tubular portion extending distally from the housing, the tubular portion being dimensioned to accommodate passage of a surgical instrument having a 12 mm diameter, an adapter assembly configured for engagement within the open end of the cannula housing and including a tubular body with a passage supporting a primary seal dimensioned to accommodate passage of a surgical instrument having a 12 mm diameter, and an insert tube dimensioned to extend through the passage of the body portion of the adapter assembly and the tubular portion of the robotic cannula, the insert tube including a head portion with a passage supporting a secondary seal dimensioned to accommodate a surgical instrument having an 8 mm diameter.

Abstract: A system and method for loading a suture construct on a soft tissue graft with a graft assembly. The graft assembly includes a suture construct having a closed end and an open end; a first tail of suture and a second tail of suture positioned adjacent to the open end; a first closed loop positioned at the closed end formed from the first and second tails of suture; a first splice formed by the first tail in the second tail between the closed loop and the open end; a second closed loop formed from the first and second tails of suture between the splice and the open end; and a second splice formed by the first tail in the second tail between the second closed loop and the open end.

Abstract: An anchor construct having an anchor having a length of suture material passing therethrough, the suture material having a loop strand terminating at a first end and a post strand terminating at a second end, a splice loop formed by first end, a sliding construct formed by the first end and the second end, wherein the sliding construct is configured to adjust the relative position of the splice loop and the anchor. The anchor construct can be deployed by passing the first end through a first body and through the splice, creating a locking loop of a first size around the first body, implanting the anchor into a bone hole, pulling the post strand to decrease the perimeter of the positioning loop to a second size smaller than the first size, and pulling the loop strand to decrease the perimeter of the locking loop to a smaller second size.

Abstract: A uterine manipulator device includes: an elongated cannulated tube having proximal and distal ends, a cervical cup positioned on the elongated cannulated tube with a top distal portion of a first diameter and a base proximal portion of a second smaller diameter, and an occluder assembly comprising an occluder positioned proximally from the cervical cup on the elongated cannulated tube, the occluder having a body with at least one primary rib and at least two secondary ribs, wherein a diameter of at least one secondary rib is smaller than the diameter of the primary rib.

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: A self-drilling suture inserter including a shaft extending along a longitudinal axis having a proximal end and a distal end, which is connected to a tubular portion. The inserter also includes an inserter tip, which is attached to and extends distally from the shaft. The inserter tip comprises a suture anchor retention slot extending therethrough. The inserter tip also comprises a distal end with a drilling point. The tubular portion can also include an outer tube having a first inner volume and a suture tube having a second inner volume. The suture tube extends within the first inner volume of the outer tube.

Abstract: An organization device for maintaining a suspensory graft fixation device (i.e., an implant and suture) in a desired position. The device includes a substrate having top and bottom edges with first and second panels extending therebetween. The device also includes a first central longitudinal axis extending in a direction from the top edge to the bottom edge between the first and second panels. The first and second panels are foldable about the axis between open and closed positions. The device also includes an opening extending through the bottom edge and into the first panel, and a plurality of top slits and bottom slits. The plurality of top slits includes at least one top slit which is aligned with the first opening. The device additionally includes a tabs adjacent the opening. The slits and tabs are configured to maintain suture of a suspensory graft fixation device in an organized manner.

Abstract: A filter cartridge assembly is disclosed, which includes a housing having a reservoir for collecting fluids entering the housing through a gas return path, a sensor located within the reservoir for detecting a fluid level therein, and a backer plate positioned within the housing adjacent an inlet port to the reservoir and including fluid management structure to shield the sensor from fluid entering the reservoir from the gas return path through the inlet port and causing a false indication of the fluid level in the reservoir.

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: A uterine manipulator device includes: an elongated cannulated tube having proximal and distal ends, a cervical cup positioned on the elongated cannulated tube with a top distal portion of a first diameter and a base proximal portion of a second smaller diameter, and a balloon occluder assembly. The balloon occluder assembly can be used independently or positioned proximally from the cervical cup on the elongated cannulated tube.

Abstract: A self-punching lateral row driver. The driver includes a handle assembly comprising a strike surface and retention cleat, a suture cleat, and a handle body. The handle body is rotatable relative to the suture cleat. The driver also includes a driver tube assembly extending from the suture cleat and an anchor assembly. The anchor assembly includes a proximal screw and a distal anchor with a self-punching tip. The anchor assembly is connected to the driver tube assembly. In a pre-deployment configuration, the screw and the anchor are spaced along the driver tube assembly and in a post-deployment configuration, the screw abuts or engages the anchor. The rotation of the handle with respect to the suture cleat moves the screw from the pre-deployment configuration to the post-deployment configuration.

Abstract: A vessel sealing device having a pair of electrodes that are maintained in spaced apart configuration when closed by non-uniform coating formed from a non-conductive material that has been applied to roughened electrodes so that the coating allows for the passage of a predetermined amount of radiofrequency (RF) energy between the electrodes. The coating has a predetermined thickness that spaces the electrodes apart while also having the predetermined non-uniformity that allows RF energy to pass between the electrodes when a vessel is trapped therein, thus desiccating the vessel positioned in the jaws. The electrodes may include a series of grooves in a herringbone pattern, with each electrode having the pattern oriented in the same direction or in opposite directions.

Abstract: A suture cutter that can easily load and retain a tensioned or un-tensioned in place for cutting. The cutter has a handle with a an integral lever and a shaft is coupled to and extending from the handle. A tip has a cutting channel with a cradle for entrapping a suture prior to cutting. A piston in the handle drives a blade pusher to cut the suture in response to movement of the lever. A guide assembly in the body is formed from a pair of members folded together via a living hinge to provide a slot for the head of the piston. The pusher is planar and oriented horizontally within the shaft, while the blade is planar and is oriented vertically at right angles to the pusher. The blade has a tab that is captured by a notch in the pusher to interlock the blade and the pusher.