Abstract: A drill guide arm for providing guidance for placement of a bone tunnel, while protecting against trauma. The guide arm includes a first arm at a proximal end connected at an angle to a second arm, the second arm extending to a distal end. The angle can be within the range of 80°-110°. The second arm extends along a first axis. The guide arm also includes a distal tip extending at a second angle from the second arm at the distal end, and an indicator feature extending from the distal tip toward the first arm. The indicator feature extends along a second axis, the second axis being substantially parallel to the first axis. The guide arm can also include a shield feature of the distal tip. The shield feature has a width wider than the remainder of the distal tip.

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: A multi-barrel drill guide with an elongated body extending along a longitudinal axis having a proximal end and a distal end, an elongated distal guide tube attached to and extending from the distal end of the elongated body, and a handle extending from the elongated body between the proximal end and the distal end. The elongated body has a first channel extending from the proximal end to the distal end and a second channel extending from the proximal end to the distal end at an angle relative to the first channel. The first channel and the second channel intersect at a convergence area at the distal end. A drill bit is movable in a slidable manner within the second channel, and a driver loaded with a suture anchor is movable in a slidable manner within the first channel.

Abstract: A method of securing a bone graft to an anterior surface of a patient's glenoid bone, including drilling first and second bores through a posterior surface to an anterior surface of the glenoid bone; measuring a medial distance of the first bore; transferring the medial distance to a bone block; drilling a third bore based on the medial distance through the bone block to match the first bore; positioning the bone block in contacting relation with the anterior surface of the glenoid bone, and coaxially lining up the third bore with the first bore; positioning a first fastener through the third bore and the first bore; drilling a fourth bore in the bone block by positioning a drill bit through the second bore from the posterior side of the glenoid bone, and extending the drill bit from the first surface of the bone block to the second surface of the bone block; and positioning a second fastener through the fourth bore and the second bore.

Abstract: A force limiting apparatus for a surgical instrument to prevent too much force being applied to the jaws of the instrument. The instrument has a body with a drive shaft coupled to a pair of jaws, a bearing tube secured to the drive shaft, and a pair of tracks carrying a pivot pin that is biased into one end of the track. A lever is coupled to the pivot pin and abuts the bearing tube to move the bearing tube and close the jaws when squeezed by a user. If the lever is over actuated, the pivot pin will slide along the track against the bias of the spring assembly with the lever pivoting about the bearing tube rather than the pivot pin. As a result, the additional movement of lever does not result in any addition force being transmitted to the drive shaft via the bearing tube.

Abstract: A surgical light source system for cooling high-powered arthroscopic light emitters. The surgical light source system includes a housing having a proximal end and a distal end with a tube connected to the proximal end. The system also includes a light source at the distal end of the housing which is connected to a remote power source. The system has a plurality of fins extending around the light source within the housing and a remote fan connected to the tube. The remote fan is adapted to draw air across the fins, forming a heatsink within the housing.

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 trocar assembly includes a trocar including an elongated tubular member extending between a distal end configured to be inserted into a surgical site and a proximal portion including a trocar housing configured for introduction of surgical instruments into the tubular member, wherein the trocar housing includes at least one latch receptacle. The assembly includes a cap, wherein the housing of the cap is attached to the proximal portion of a trocar. The cap includes a housing configured to be removably attached to a proximal portion of a trocar. The housing includes a flow passage therethrough from a distal end of the housing to a proximal opening of the housing. A filter medium is included within the housing spanning the flow passage for filtration of flow through the flow passage.

Abstract: An automated anchor inserter system for drilling a pilot hole and inserting an anchor. The system includes a body having a first end and a second end. An input shaft extends from the first end of the body and a guide tube extends from the second end of the body. The system also includes a first drive shaft recess and a second drive shaft recess within the body. A drill drive shaft is moveable within the input shaft and an inserter drive shaft is moveable within the second drive shaft recess. In a first configuration, the input shaft and the drill drive shaft move distally together through the first drive shaft recess and in a second configuration, the drill drive shaft moves proximally relative to the input shaft. In a third configuration, movement of the drill drive shaft moves the inserter drive shaft.

Abstract: A coating for the electrode of an electrosurgical instrument that increases the capacitance of the electrode. The coating comprises a high permittivity material such as barium titanate, lead zirconate titanate, calcium copper titanate, or a conjugated polymer. The coating may have a thickness of 0.0016 inches and can be included with one of more insulative layers.

Abstract: A system and method is disclosed for controlling the performance of a pneumatically sealed trocar, wherein the system includes a controller for delivering variable DC voltage to a DC motor, a DC motor operatively connected to the controller for driving a pump operatively connected to a pneumatically sealed trocar, a pump driven by the DC motor for circulating pressurized gas through the pneumatically sealed trocar, and a sensor for sensing pressure and flow parameters between the pump and the pneumatically sealed trocar to provide a feedback control signal to the controller so that the controller can vary the voltage delivered to the DC motor to affect the output pressure and flow of the pump during a laparoscopic surgical procedure.

Abstract: A gas circulation system is disclosed for performing robotically assisted surgical procedures in a surgical cavity of a patient, which includes a multi-lumen tube set including a dual lumen portion having a pressurized gas line and a return gas line, and a single lumen portion having a gas supply and sensing line, a valve sealed access cap for cooperative reception with a first robotic cannula and having an inlet path for communicating with the gas supply and sensing line of the tube set, and a gas sealed access cap for cooperative reception with a second robotic cannula and having an inlet path for communicating with the pressurized gas line of the tube set and an outlet path for communicating with the return gas line of the tube set.

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 insufflation gas to a first access port and a second outlet port for delivering 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 the flow of 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 the flow of insufflation gas to the second access port.

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 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 surgical gas delivery system is disclosed for gas sealed insufflation and recirculation during an endoscopic or laparoscopic surgical procedure, which includes a gaseous sealing manifold for communicating with a gas sealed access port, a compressor for recirculating gas through the gaseous sealing manifold, and a source of UVC irradiation for sterilizing at least the gas recirculating through the gaseous sealing manifold.

Abstract: A vane compressor for a surgical gas delivery system is disclosed, which includes a compressor head having an outlet port for delivering pressurized gas to a gaseous sealing manifold communicating with a gas sealed trocar and an inlet port for receiving spent gas from the gaseous sealing manifold by way of the gas sealed trocar, wherein the compressor head is coupled to and driven by a motor.

Abstract: A manifold assembly for a surgical gas delivery system is disclosed, which includes a manifold body including an inlet port for receiving gas from an outlet side of a compressor and an outlet port for recirculating gas to an inlet side of the compressor, a bypass valve communicating with the inlet port and the outlet port of the manifold body, an air ventilation valve for dynamically controlling the ingress of air from atmosphere, a smoke evacuation valve for dynamically controlling the egress of gas from the manifold assembly when the gas delivery system is operating in a smoke evacuation mode, and a gas fill for dynamically controlling the receipt of gas from a source of surgical gas.

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 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.