Abstract: A device is provided to assist in closing an incision through body tissue that comprises a tubular body sized for introduction through the incision and carrying a plurality of stabilizer elements at the distal end thereof. The stabilizer elements are configured to be deployed within the body cavity to engage the lowermost tissue layer. In one method, the device is pulled with the stabilizer elements deployed to retract the body tissue away from adjacent body structure. In another method, a plurality of needle tips carrying sutures are guided through the body tissue to a retention device at the ends of the stabilizer elements. With the needle tips captured in the retention devices, the device is withdrawn from the incision so that the sutures form ligatures that can be tied off to close the incision.

Abstract: A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of 3.0 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extended out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient.

Abstract: A syringe includes a barrel having an internal surface defining an internal bore therein; a plunger having a distal end disposed within the internal bore of the barrel, and a proximal end disposed outside the internal bore of the barrel; and a dose divider configured to bear on the barrel in response to translation of the plunger relative to the barrel along the longitudinal direction. The dose divider includes a base including a flange that extends at least partly in a radial direction; and at least one column extending away from the base along the longitudinal direction. The at least one column includes a proximal end and a distal end opposite the proximal end, the proximal end of the at least one column being coupled to the base. The at least one column includes a sacrificial portion coupled to a frangible link.

Abstract: A dilating cannula includes a radially expandable flange and an expandable shaft. The radially expandable flange is disposed at a proximal end portion of the dilating cannula and includes two or more sectors that are each independently movable. The expandable shaft extends from the proximal end portion to a distal end portion of the dilating cannula and defines an inner passageway of the dilating cannula and includes two or more arms. A first branch of the two or more arms extends from one end of the base section and a second branch of the two or more arms extends from another end of the base section. The first branch is connected to a first sector of the two or more sectors of the radially expandable flange and the second branch is connected to a second, different sector of the two or more sectors of the radially expandable flange.

Abstract: An intravascular device, such as a stylet or catheter, having a flexible, atraumatic tip is disclosed. The intravascular device includes an elongate member having a proximal end, a distal end, and an inner lumen extending between the proximal end and the distal end; a ring electrode disposed at the distal end of the elongate member; an ultrasound sensor disposed at a distal end of the ring electrode; and a first electrical conductor configured to convey an electrocardiogram signal from the ring electrode to a processor. The first electrical conductor may comprise a tapered distal segment or a braided segment.

Abstract: A device for use in performing minimally invasive surgery. A system for performing minimally invasive surgery comprising the device according to the present invention. A method for performing minimally invasive surgery.

Abstract: A moisture removal apparatus for a breathing circuit includes a breathing gas conduit for receiving a flow of breathing gas having a first humidity level. A dry gas conduit is provided adjacent to at least a portion of the breathing gas conduit for receiving a flow of dry gas having a second humidity level lower than the first humidity level. A heating element extends from an upstream end of the breathing gas conduit to a downstream end of the breathing gas conduit. The heating element provides heat to the flow of breathing gas such that the breathing gas at the downstream end is heated to a higher temperature than the breathing gas at the upstream end. A moisture transmission pathway enables transfer of moisture from the breathing gas to the dry gas based on the humidity differential.

Abstract: A surgical clip may include: a first leg member having an inner surface, an outer surface, and first and second side surfaces, the inner surface of the first leg member having a concave curvature; a second leg member having an inner surface, an outer surface, and first and second side surfaces, the inner surface of the second leg member having a convex curvature; at least one first tooth extending from a first lateral side of the inner surface of the second leg member; and a first channel defined between the first side surface and the inner surface of the first leg member. The first and second leg members may be configured to move between an open configuration and a closed configuration, and in the closed configuration, the at least one first tooth is received in the first channel.

Abstract: A near-patient humidification system provides vapor to a respiratory breathing circuit. The system includes an expiratory gas conduit and an inspiratory gas conduit. A patient coupling member is provided for coupling the expiratory and inspiratory gas conduits to a patient interface. A vapor injection unit is located at least partially within the housing of the patient coupling member. The vapor injection unit heats a supply of fluid into vapor and injects the vapor into the inspiratory gas passage of the patient coupling member at a vapor injection location for providing moisture to the inspiratory gas flow. A method of simultaneously and independently controlling the temperature and humidity of inspiratory gas in a respiratory breathing circuit is performed by injecting vapor having a temperature determined as a function of measured temperatures and measured humidities of the breathing gas at different locations along the breathing circuit.

Abstract: A method of securing a surgical clip to a clip applier may include engaging a first applier tip with a first jaw member, and engaging a second applier tip with a second jaw member. The jaw members may be secured within sleeve portions of the applier tips. The surgical clip may then be received between the first and second jaw members and secured with the first and second applier tips. The surgical clip may be secured to the clip applier by receiving a proximal portion of the surgical clip between a first protrusion of the first applier tip and a second protrusion of the second applier tip, receiving a first boss member on a first leg member of the surgical clip in a recess of the first applier tip, and receiving a second boss member on a second leg member of the surgical clip in a recess of the second applier tip.

Abstract: A peelable heat-shrink tubing includes a base polymer comprising fluorinated ethylene propylene (FEP), and at least one fluoropolymer coextruded with the base polymer. The peelable heat-shrink tubing may have a haze between about 40% and 80%, inclusive, and/or a total luminous transmittance between about 70% and 85%, inclusive. In some embodiments, the haze may be between about 50% and 70%, inclusive, and/or the total luminous transmittance may be less than about 80%. The base polymer may comprise FEP NP-130 and constitute between about 87.5% and 92.5% by composition of the peelable heat-shrink tubing, inclusive, and the at least one fluoropolymer may comprise ethylene tetrafluoroethylene (ETFE) and constitute between about 7.5% and 12.5% by composition of the peelable heat-shrink tubing, inclusively. In some embodiments, the at least one fluoropolymer may comprise 7.5% of ETFE and 5% of perfluoroalkoxy alkane (PFA), each by composition of the peelable heat-shrink tubing, inclusive.

Abstract: The present disclosure relates to a device for holding an endotracheal tube. The device includes a rail having opposite ends and a plurality of grooves at least partially along the length of the rail between the opposite ends. The device also includes a tube holder coupled to and slidable relative to the rail between the opposite ends. The tube holder includes at least one lever arm partially received with the grooves of the rail to allow lateral repositioning of the tube holder relative to the rail, a tie having a slit and a plurality of teeth, a base extending away from a patient relative to the at least one lever arm, and a tab extending laterally from the tube holder with the tab configured to be received within the slit of the tie. The base includes a pawl configured to engage at least one of teeth of the tie.

Abstract: A surgical access port assembly including a cannula having a diameter of less than about 3 mm and a tapered hub, capable of attachment to a laparoscopic surgical instrument, connected to the proximal end of the cannula.

Abstract: A method for making an expanded, and optionally multi-component and/or colored PTFE monofilament is disclosed. The method includes forming a first paste by mixing a PTFE powder with a hydrocarbon solvent; forming an extrusion preform by pressing the first paste into a form; curing the extrusion preform by exposing the extrusion preform to a first temperature for a first time duration; forming a green monofilament by extruding the first paste through a die; expanding the green monofilament by exposing the green monofilament to a second temperature for a second time duration, the second time duration occurring after the first time duration; stretching the green monofilament substantially along a longitudinal axis of the green monofilament, the stretching the green monofilament occurring after the expanding the green monofilament; and sintering the green monofilament after the stretching the green monofilament.

Abstract: A seal assembly establishes sealing engagement with a plurality of differently dimensioned instruments passing through a trocar. The seal assembly is a caged seal assembly movably disposed within the trocar and includes at least two seal segments disposable into and out of a sealing orientation relative to the instrument. A cage structure of the seal assembly includes at least two cage segments each connected to a seal segment, a biasing assembly connected to the cage structure and disposed and structured to normally bias the seal segments into sealing orientation.

Abstract: The present application describes a urine sensing probe and a system for detecting urine. The urine sensing probe includes a needle having a tubular portion and one or more optical fibers positioned within the needle. The one or more optical fibers have a distal surface that is oriented towards a beveled distal section of the needle and is oriented to one of its lateral sides. The distal surface of the one or more optical fibers ranges from about 90 to a critical angle with respect to a vertical axis of the needle. The present application also describes a system for sensing urine including a urine sensing probe.

Abstract: A moisture removal apparatus for a breathing circuit may include a breathing gas conduit configured to receive a flow of breathing gas having a first humidity level. The apparatus may include a dry gas conduit adjacent to at least a portion of the breathing gas conduit, the dry gas conduit configured to receive a flow of dry gas having a second humidity level lower than the first humidity level. The apparatus may also include a feeding conduit extending through at least a portion of the dry gas conduit, the feeding conduit configured to introduce the dry gas into the dry gas conduit. The apparatus may further include a moisture transmission pathway configured to enable transfer of moisture from the breathing gas to the dry gas based on the humidity differential.

Abstract: A needlescopic scissors end effector assembly includes a pair of jaws or blades pivotable to perform a cutting or shearing operation. The scissors end effector assembly includes a cannula having a diameter between about 1 mm to 5 mm and a needle tip configured for percutaneous operation. The pair of jaws or blades includes cam profile surfaces to interact with an opening defined with the needle tip to actuate opening and closing of the pair of jaws or blades and to prevent backlash effect during the opening and closing of the pair of jaws or blades.

Abstract: An ultraviolet irradiation system includes a medical device having a central lumen, an optical fiber having a longitudinal length, and an ultraviolet wave generator, wherein ultraviolet waves generated by the wave generator are dispersed along the longitudinal length of the optical fiber to disinfect the central lumen of the medical device.

Abstract: A catheter insertion device that allows for single-handed insertion of the catheter within the vasculature of the patient is disclosed. The catheter insertion device includes a handle, a needle cannula partially within the handle, a guidewire partially within the handle and the needle cannula, and a first actuator connected to the handle and the guidewire. The guidewire is movable relative to the handle in a distal direction away from the handle, and in a proximal direction towards the handle. A catheter assembly is removably coupled to the handle and is configured to slide on the needle cannula. A catheter hub may be connected to a proximal end of the catheter, and a catheter advancer base may be releasably connected to the catheter hub. The catheter insertion device may also include a needle support pivotally connected to the handle for supporting the needle cannula on a cantilever portion thereof.