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 manifold assembly for a surgical gas delivery system is disclosed, which includes a manifold body having an inlet port for receiving insufflation gas from a gas source by way of a high pressure regulator, a first outlet port for delivering the insufflation gas to a first access port and a second outlet port for delivering the insufflation gas to a second access port, a first outlet line valve operatively associated with the first outlet port, wherein the first outlet line valve includes a first electro-mechanical valve actuator for dynamically controlling a flow of the insufflation gas to the first access port, and a second outlet line valve operatively associated with the second outlet port, wherein the second outlet line valve includes a second electro-mechanical valve actuator for dynamically controlling a flow of the insufflation gas to the second access port.

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: The device includes a proximal delivery catheter having a proximal handle assembly and an elongated catheter body extending distally from the proximal handle assembly. The elongated catheter body defines a longitudinal axis. The proximal delivery catheter includes a drive wire movably positioned within the elongated catheter body, a spring release coupled to a distal end of the drive wire, and a shaft spring positioned radially outward from the spring release. The shaft spring includes an annular portion. The spring release is configured and adapted to abut the annular portion of the shaft spring upon proximal translation of the spring release. The device includes a distal clip assembly removably connected to the distal end of the elongated catheter body. The proximal delivery catheter is configured and adapted to transmit linear motion along the longitudinal axis and torsion about the longitudinal axis to at least a portion of the distal clip assembly.

Abstract: A gas heater for a surgical gas delivery system is disclosed, which includes an elongated tubular body defining an interior flow passage having an inlet port for receiving insufflation gas from a gas source and an outlet port for delivering heated insufflation gas to an insufflation manifold, a dielectric support positioned within the interior flow passage of the tubular body, and a resistive element operatively associated with the dielectric support for heating insufflation gas flowing through the tubular body from the inlet port to the outlet port.

Abstract: A fixation device for graft placement and ligament suspension. The fixation device includes a strand of suture having a first limb and a second limb with a midpoint therebetween. The suture includes a first splice in the first limb and a second splice in the second limb. A first free end of the first limb extends through the second splice, forming a first loop with a diameter. A second free end of the second limb extends through the first splice, forming a second loop with a diameter. Tensioning the first free end reduces the diameter of the first loop and tensioning the second free end reduces the diameter of the second loop. The fixation device may include a button having the first and second limbs of suture woven therethrough such that the first and second free ends extend proximally from the button and the loops extend distally from the button.

Abstract: A suture suspension system including a flexible backstop extending along a longitudinal axis and having two ends positioned in a first direction in an undeployed configuration. A length of suture can be positioned through the flexible backstop and forms a bridge connecting and creating suspension between a first body to a second body. In a deployed configuration, the two ends of the flexible backstop are positioned in a second direction different from the first direction. The system may also include an anchoring body having the length of suture woven therethrough. A portion of the anchoring body is positioned on a distal surface of a second body and a portion of the flexible backstop is positioned on a proximal surface of the first body.

Abstract: A gas conditioning unit for a surgical gas delivery device is disclosed, which includes a filter housing having an insufflation gas flow path for delivering insufflation gas to a body cavity and for facilitating pressure measurements from the body cavity, a pressurized gas flow path for delivering pressurized gas from a pump in the surgical gas delivery device to an internal nozzle in the filter housing that accelerates the pressurized gas and thereby generates a continuous pressure barrier that inhibits egress of insufflation gas from the body cavity, a vacuum return flow path for returning depressurized gas spent by the internal nozzle back to the pump under vacuum, an air entrainment flow path for drawing air into the body cavity to maintain a given pressure therein, and a smoke evacuation flow path for conveying smoke from the body cavity.

Abstract: A surgical gas delivery system is disclosed for gas sealed insufflation and recirculation, which includes a gaseous sealing manifold for communicating with a gas sealed access port, an insufflation manifold for communicating with the gas sealed access port and with a valve sealed access port, a compressor for recirculating gas through the gas sealed access port by way of the gaseous sealing manifold, a first outlet line valve associated with the insufflation manifold for controlling a flow of insufflation gas to the gas sealed access port, a second outlet line valve associated with the insufflation manifold for controlling a flow of insufflation gas to the valve sealed access port, and a proportional valve associated the insufflation manifold and located upstream from the first and second outlet line valves for dynamically controlling the flow of insufflation gas to the first and second outlet line valves.

Abstract: A suture passer device for passing a length of suture through an object. The suture passer device includes a hollow tube having a proximal end and a curved distal tube portion extending to a distal end. The suture passer device also includes a handle attached to the proximal end of the hollow tube, an actuator on the handle movable between first, second, and third positions, and an internal arm within the curved distal tube portion and connected to the actuator. The internal arm is movable between first, second, and third configurations. When the actuator is in the first position, the internal arm extends out from the distal tube portion at an angle from the distal tube portion in the first configuration. When the actuator is in the second position, the internal arm is retracted within the distal tube portion 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 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: An endoscopic visualization system including an endoscopic subsystem comprising: an endoscope having an optical channel and an illumination channel; an image sensor operatively coupled to receive light from the optical channel; and a solid-state light source operatively coupled to transmit light through the illumination channel; at least one electrical cable extending from the endoscopic subsystem; and a monitor subsystem comprising: a frame defining an inner compartment; a display screen; and at least one port configured to receive the at least one electrical cable connected to the endoscopic subsystem.

Abstract: A wire driver for inserting a wire into bone. The wire driver includes a housing having proximal and distal ends, with a handpiece extending to the proximal end. The handpiece is connected to a gripping portion, which extends to the distal end. A channel extends through the gripping portion and is connected to a gripping mechanism. A drive mechanism within the handpiece is connected to the channel. The drive mechanism is configured to rotate the channel when actuated by a first actuator positioned on the handpiece (which can be on the distal end of the handpiece). A second actuator is connected to the gripping portion and the gripping mechanism. The second actuator is movable between a relaxed position and a compressed position. The user can operate both first and second actuators with the same handpiece grip. The gripping portion and second actuator are rotatable relative to the housing and first actuator.

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: 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 force limiting assembly for a surgical instrument that has a handle and a lever pivotally mounted to the handle at a pivot point for movement of an internal drive shaft. The lever is coupled to the drive shaft by a cantilever spring that is positioned within the lever. The free end of the cantilever is spaced apart from the pivot point of the lever and coupled to the drive shaft via stops positioned on the drive shaft on either side of the free end of the cantilever spring. As the lever is pivoting by a user, the forces move the drive shaft and bias the cantilever spring, thereby reducing and ultimately limiting the amount of force that a user may apply to the drive shaft via operation of the lever.

Abstract: A workstation having a pair of posts on either side of a clamping plate where a donor bone may be placed on sequentially cut in three separate cutting paths. Cutting gates are attached to the posts and used to provide cutting paths that can be precisely oriented with respect to the meniscus of the donor bone part using visual alignment without any manual measurements. The graft is affixed to a machining clamp and shaved to appropriately shape the sides and form a radius on the bottom of the graft. A tibia is then prepared by using a drill guide to form a pilot hole and then to drill out a large hole for the graft. The drilled hole is expanded and shaped using a rod guide and chisel and then a rasp. The shaped graft may then be implanted into the shaped hole and sutured in place.

Abstract: An anchor includes a flat fibrous construct having an open elongated column; and a filament having a first filament end and a second filament end, which passes through and is positioned at least partially in the open elongated column. The flat fibrous construct includes a first state in which the flat fibrous construct is uncompressed and extends along the longitudinal axis of the filament when in an unfolded and pre-deployed condition; and a second state in which the flat fibrous construct is compressed and expanded in a direction perpendicular to longitudinal axis of the filament in a deployed condition.

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.