Abstract: Installments and methods are described for performing endoscopically guided operative procedures. According to some embodiments, a re-usable portion of the instrument includes a handle, electronics and an integrated display screen while a fluid hub and a cannula which includes a CMOS imaging module and LED lighting, form a single use portion of the instrument. The cannula includes a working channel configured to accept an operative device for performing the operative procedures.

Abstract: A suture passer includes an elongate tube defining a central lumen and having a beveled distal end region and a grasping member comprising a first elongate member and a first jaw extending distally from the first elongate member. The grasping member is sized to be disposed within the elongate tube and is capable of being extended from the elongate tube in a manner such that the first elongate member and the first jaw are disposed at least partially distal to the beveled distal end region of the elongate tube. The grasping member is further capable of being retracted within the elongate tube in a manner such that the first elongate member is located substantially within the central lumen of the elongate tube and the first jaw substantially covers an opening of the beveled distal end region of the elongate tube.

Abstract: A suture passer guide that includes an elongate member having a longitudinal axis and defining a first proximal opening and a first distal opening. The first proximal and distal openings are substantially aligned with one another such that a suture passer can be extended through the first proximal and distal openings at an acute angle relative to the longitudinal axis of the elongate member. The suture passer guide can be configured to be passed through a central lumen of an endoscopic port.

Abstract: This disclosure relates to suture passer guides and related kits and methods. In certain aspects, a suture passer guide includes an elongate member and a suture positioning member that can be radially extended from a distal end region of the elongate member and rotated relative to the elongate member such that the suture positioning member can reposition a suture from a first side area of the elongate member to a second side area of the elongate member.

Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A colpotomizer cup includes a cup body and a sleeve. The cup body is configured to receive a cervix. The sleeve is connected to the cup body and includes a locking member for locking the colpotomizer cup in a predetermined position along a length of the uterine manipulator handle.

Abstract: This disclosure relates to cervical sizing devices and related kits and methods. In some aspects, a cervical sizing device includes an elongate arm and a member positioned at a distal end region of the elongate arm. The cervical sizing device can be used to determine an approximate size of a cervix when the member is brought into contact with an outer surface of the cervix.

Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A uterine manipulator includes an elongate shaft and a tip hub. The elongate shaft has a proximal end and a distal end. The distal end is configured to be inserted into a vagina. The tip hub is disposed at the distal end and is configured to releasably receive and support a tip mount for engaging a uterus. The elongate shaft includes one or more channels extending between the distal and proximal ends. The channels are configured to releasably receive catheter tubing.

Abstract: This disclosure relates to suture passer guides and related kits and methods. In certain aspects, a suture passer guide includes an elongate member and a suture positioning member that can be radially extended from a distal end region of the elongate member and rotated relative to the elongate member such that the suture positioning member can reposition a suture from a first side area of the elongate member to a second side area of the elongate member.

Abstract: A uterine manipulator includes an elongate shaft and a tip hub. The elongate shaft has a proximal end and a distal end. The distal end is configured to be inserted into a vagina. The tip hub is disposed at the distal end and is configured to releasably receive and support a tip mount for engaging a uterus. The elongate shaft includes one or more channels extending between the distal and proximal ends. The channels are configured to releasably receive catheter tubing.

Abstract: This disclosure relates to cervical sizing devices and related kits and methods. In some aspects, a cervical sizing device includes an elongate arm and a member positioned at a distal end region of the elongate arm. The cervical sizing device can be used to determine an approximate size of a cervix when the member is brought into contact with an outer surface of the cervix.

Abstract: A suture passer includes an elongate tube defining a central lumen and having a beveled distal end region and a grasping member comprising a first elongate member and a first jaw extending distally from the first elongate member. The grasping member is sized to be disposed within the elongate tube and is capable of being extended from the elongate tube in a manner such that the first elongate member and the first jaw are disposed at least partially distal to the beveled distal end region of the elongate tube. The grasping member is further capable of being retracted within the elongate tube in a manner such that the first elongate member is located substantially within the central lumen of the elongate tube and the first jaw substantially covers an opening of the beveled distal end region of the elongate tube.

Abstract: A suture passer guide that includes an elongate member having a longitudinal axis and defining a first proximal opening and a first distal opening. The first proximal and distal openings are substantially aligned with one another such that a suture passer can be extended through the first proximal and distal openings at an acute angle relative to the longitudinal axis of the elongate member. The suture passer guide can be configured to be passed through a central lumen of an endoscopic port.

Abstract: This disclosure relates to cervical sizing devices and related kits and methods. In some aspects, a cervical sizing device includes an elongate arm and a member positioned at a distal end region of the elongate arm. The cervical sizing device can be used to determine an approximate size of a cervix when the member is brought into contact with an outer surface of the cervix.

Abstract: An endoscopic port that includes an elongate cannula defining a central lumen that extends substantially parallel to a longitudinal axis of the cannula and is sized to receive at least one endoscopic instrument therein. The cannula further defines a first opening that extends through a sidewall of the cannula at an acute angle relative to the longitudinal axis of the cannula. The first opening is sized to receive a suture passer.

Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A sheath for use with a cryoprobe in a cryosurgical procedure can have an opening at its proximal end configured to be inserted over a tip portion of a cryoprobe. The sheath can be connected to the cryoprobe with an end connector. Sheath can have a tip located at its distal that can have a trocar configuration for tissue penetration. A cylindrical section located inwardly from the tip can have a spiral groove defined on an exterior surface. At least one wire can be disposed within the groove so as to fit within the outer perimeter of the sheath. Wires disposed in grooves can include heating elements and temperature sensing elements. Sheath can further include a graduated catheter located inwardly from the cylindrical section and a handle located inwardly from the graduated catheter.

Abstract: The present disclosure is directed to a cryoprobe capable of improving the cooling power of a cryosurgical system. A representative cryoprobe can comprise an inner cooling chamber and a radial chamber, positioned between the inner cooling chamber and an exterior wall of the cryoprobe. Preferably, the radial chamber is formed to have a low thermal conductivity so as to significantly reduce the transfer of heat between the body and the refrigerant in the inner chamber during a cryosurgical procedure. The radial chamber can be fabricated such that a vacuum can be applied to the radial chamber to further reduce heat transfer between the body and the inner cooling chamber. The radial chamber extends partially along the length of the cryoprobe such that inner cooling chamber is in direct thermal contact with the exterior wall at a cryoprobe tip.

Abstract: A uterine manipulator tip includes a finger and an expandable member. The finger is configured to be confined within a cervix. The expandable member is carried by the finger and is configured to engage a cervical canal between an internal cervical os and an external cervical os of the cervix.