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 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 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 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: 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 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: 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.

Abstract: A system for performing an endoscopic surgical procedure in a surgical cavity is disclosed which includes a primary gas circulation device housing a central processor and a primary pump, the primary pump controlled by the central processor and configured to deliver a flow of pressurized gas to a primary gas delivery lumen and to receive gas from a primary gas return lumen, and a plurality of subordinate gas circulation devices each housing a respective subordinate pump configured to deliver a flow of pressurized gas to a respective subordinate gas delivery lumen and to receive gas from a respective subordinate gas return lumen, wherein the subordinate pump in each subordinate gas circulation device is in networked communication with and controlled by the central processor of the primary gas circulation device.

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: An electrode pad with a defibrillation circuit and a separate ECG tracing circuit. The electrode pad includes a foam base layer, first and second conductive layers, and a hydrogel layer. The foam base layer has a first side and the first conductive layer is centrally located on the base layer. The first conductive layer has a first circuit configured to provide a defibrillation current. The second conductive layer extends at least partially around the first conductive layer on the first side of the base layer. The second conductive layer has a separate second circuit configured to receive an electrical signal. The hydrogel layer covers the first and second conductive layers on the first side of the base layer. The electrode pad additionally includes an electrical connector attached to the first and second conductive layers. The electrical connector is configured for providing a voltage to the first and second conductive layers.

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: An apparatus for indicating the position and length of a bone tunnel, including a first member configured to couple with a drill guide; and a second member in spaced relation to the first member, the second member comprising an indicator configured to provide an indication of thickness of a boney member with the first member disposed on a first side of the boney member and the second member disposed on a second side of the boney member.

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: Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue capture anchor is described that includes 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 includes 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 the use of bone anchors to secure tissue to bone.

Abstract: A seal shield system protects and preserves seal functionality within a cannula during usage while maintaining existing fluid management and reduced drag. The seal shield system includes an end cap with an aperture extending therethrough, a cannula body extending distally from the end cap, a seal shield connected to the end cap, the seal shield having a first thickness, and one or more seals connected to the seal shield such that the seal shield is connected between the end cap and the one or more seals, one of the one or more seals having a second thickness. The first thickness is smaller than the second thickness.

Abstract: A system is disclosed for delivering insufflation gas to a body cavity of a patient during an endoscopic surgical procedure, which includes an insufflation conduit for delivering a continuous flow of insufflation gas to the body cavity at a flow rate through a flow path that communicates with a pneumatically sealed trocar which prevents over-pressurization of the body cavity, and an insufflator for driving gas flow through the insufflation conduit at a driving pressure, wherein the system can be configured so that either the gas flow rate through the insufflation conduit or the driving pressure required to maintain the specified flow rate can vary depending upon body cavity pressure.