Abstract: A surgical gas delivery device includes a filter cartridge interface and a computer controlled control unit configured to control the circulation of surgical gas during endoscopic surgery. The control unit can operate in a plurality of different modes of operation. A tube set for connecting the surgical gas delivery device to one or more end effectors includes a filter cartridge in fluid communication with the tube set. The filter cartridge is seated in the filter cartridge interface of the surgical gas delivery device to communicate surgical gas between the surgical gas delivery device and the one or more end effectors. The surgical gas delivery device includes a reader operatively connected to receive input from a data carrying element of the tube set. The data carrying element, reader, and control unit can launch a specific one of the modes of operation when the filter cartridge is inserted.

Abstract: A system and method for securing a target body to a bone mass with a loop-in-loop suture anchor. The system generally includes suture material passing through a substrate (e.g., suture anchor). The suture material includes a splice that allows the suture material to be passed through the splice and around a target body, ultimately creating three loops in the suture material. By tensioning the loops and/or ends of the suture material, the loops bring the target body into a desired position relative to the bone mass and secure it in that position.

Abstract: Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue anchoring device 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 inside surfaces of a bone tunnel to secure the tissue within the tunnel. Methods are described that enable use of the bone anchoring device to secure a tissue graft into the tibial and femoral bones during anterior cruciate ligament (“ACL”) reconstruction.

Abstract: A bone anchor configured for use in anchoring an implanting portion to an anchor point. A bone anchor can be of particular use in anchoring soft tissue to a bone. A bone anchor can have a wire loop and a suture. The wire loop of the bone anchor can be configured to capture a suture and to pull a portion of the suture through a hole in the anchor body aiding in anchoring an item, such as tissue to a bone.

Abstract: A system and method for cutting soft tissue with a retractable surgical cutting device (10). The device (10) includes a handle (12) having a first channel (24) extending therethrough and a switch (18) located thereon. The switch (18) is movable between a retracted position and an extended position. An actuator (26) with a blade (16) extends through the first channel (24) and connects to the switch (18) within the handle (12). An outer sheath (14) is connected to the handle (12) and surrounds the actuator (26) and at least a portion of the blade (16). A drive mechanism (28) is connected to the switch (18) within the handle (12) such that when the switch (18) moves from the retracted position to the extended position, the actuator (26) moves from a retracted position to an extended position. In the retracted position, the blade (16) can be entirely within the outer sheath (14) and in the extended position, at least a portion of the blade (16) is positioned outside of the outer sheath (14).

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 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 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 device and system for inserting and impacting bone dowel allografts or bone chips into a bone tunnel. The surgical impacting system includes a surgical tamp having a proximal end and a distal end with an elongated shaft extending therebetween. The surgical tamp has an inner channel extending therethrough from the proximal end to the distal end. The distal end of the surgical tamp can have a distal tip. The surgical tamp may have a handle at the proximal end or a proximal tip at the proximal end. The surgical tamp may also have one or more slots extending through the exterior surface of the elongated shaft and into the inner channel. The surgical tamp can be configured for insertion into a delivery tube. The delivery tube serves the purpose of containing a bone dowel or bone chips therein for smooth insertion into the joint.

Abstract: A system is disclosed for performing an endoscopic surgical procedure in a surgical cavity, which includes a multi-modal gas delivery device including a primary gas circulation pump, a secondary gas circulation pump and an insufflation subunit, and an interface plate adapted and configured to engage with the multi-modal gas delivery device and including a connector and a filter seat corresponding to five different lumens, each of which provides a different functionality.

Abstract: A pressure relief device for controlling the outflow of fluid from a surgical site. The pressure relief device includes a cannula body having a proximal end and a distal end with a thread extending along the entire cannula body from the distal end. The device also has a proximal end cap connected to the proximal end of the cannula body, a spacer connected between the cannula body and the proximal end cap, and a proximal seal enclosed between the proximal end cap and the spacer. One or more distal seals can be enclosed between the spacer and the proximal end of the cannula body. The device additionally includes a channel between the spacer and an inner wall of the proximal end cap. Fluid flows out of the device through the channel.

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 drill guide to facilitate drilling a hole into a bone and inserting an anchor. The drill guide includes a handle extending to a proximal end and a guide shaft extending from the handle to a distal end. A recess extends into the handle at the proximal end. The drill guide also includes a channel extending through the recess and into the guide shaft and a contact surface extending from the recess. The contact surface may be a proximal surface on a ring extending circumferentially within the recess. The contact surface may alternatively be a proximal surface on a protrusion extending from and within the recess. For example, the protrusion is a triangular protrusion extending along the recess toward the channel. The contact surface allows for the use of inserters of varying sizes within the channel of the drill guide.

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.

Abstract: A system and method of repairing an ACL using a fixation device and a pre-sutured tendon. The fixation device includes a button having first and second inner apertures extending therethrough and a length of suture having a first limb connected to a second limb. The first and second limbs both extend through the first inner aperture, forming an adjustable loop in the length of suture extending from the button. A mass of suture material or a protuberance is formed in a first terminal end of the first limb extending proximally from the button. The mass of suture material and the protuberance have a diameter that is larger than a diameter of the first inner aperture. Pulling the second limb proximally from the button decreases the size of the adjustable loop.

Abstract: A method for controlling gas composition in a surgical cavity during an endoscopic surgical procedure includes monitoring for a plurality of gas species in a gas flow from a surgical cavity of a patient. The method includes measuring the plurality of gas species in the gas flow from the surgical cavity and determining if the gas species measured in the gas flow from the surgical cavity are each present and/or within a respective desired range. The method includes adding gas into the surgical cavity if one or more gas species in the plurality of gas species is outside of the respective desired range so as to bring a composition of gas species in the surgical cavity within the respective desired range.

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 flexible electronic light guide for an endoscope that acts as a heat sink for the light emitting diode (LED). A flexible tube within the light guide extends from the LED to shunt heat away from the LED. The flexible tube may be a solid metal tube that is perforated to be flexible. The flexible tube may also be a braided wire jacket and may enclose a series of metal balls that are in contact with each other. The flexible tube may also be made of a plurality of different metals. The flexible tube may also be a hollow tube and support an air or liquid cooling system or be packed with metal balls that can be as small as grains of sand. The flexible tube may also be a linkage formed from a series of metal components held in tight contact by a spring.

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 length adjustable cannula includes: a pipe-like main body having a through hole formed therein and an outer circumferential surface on which a screw thread is formed; a base grip provided at an end of the main body; an inner support plate provided at another end of the main body; and an outer support plate thread-coupled with the outer circumferential surface of the main body, the outer support plate being movable along the screw thread in a lengthwise direction of the main body. A position of the outer support plate is adjusted based on a distance from an outside skin to a medical treatment region of a human body, such that the outer support plate is brought into contact with the outside skin and the inner support plate is brought into contact with and supported by an inside skin of the human body.