Abstract: An exemplary surgical device includes a handle including a bore, and a trigger configured to advance or retract a needle through the bore of the handle. The trigger is configured to rotate about a pivot axis and is further configured to slide in distal and proximal directions. The device may be operated using one hand, and permits a user, such as a surgeon, to advance a needle through the device using intuitive, relatively easy thumb movements. While the device may be used in other techniques, it is particularly useful in meniscal repairs, including inside-out meniscal repairs.

Abstract: A thrombectomy system may include an elongate shaft that defines a high pressure lumen and a low pressure lumen. The high pressure lumen may terminate near an end of the low pressure lumen. An expandable capture basket may be disposed near the end of the low pressure lumen. A thrombectomy apparatus may include an elongate shaft, an evacuation lumen extending within the elongate shaft and a high pressure lumen extending within the elongate shaft. A capture apparatus may be disposed within a wire lumen that extends within the elongate shaft such that the capture apparatus extends distally from the wire lumen.

Abstract: A tissue guard includes a body defining an open proximal end, an open distal end, and a lumen extending through the body between the open proximal end and the open distal end. A lip extends radially outwardly from the open proximal end of the body, the lip including a finger extending from an exterior peripheral surface thereof. The finger includes a flange at a distal end thereof adapted to operably engage an underside of a proximal ring of an access device to secure the tissue guard therein.

Abstract: A tissue guard for use with a surgical access device includes a body having a proximal end, a distal end and lumen defined therebetween. A proximal lip extends radially from the proximal end and is configured to mount atop a rim of an access device. The proximal lip includes an annular channel defined therein disposed in fluid communication with the lumen, the annular channel configured to direct surgical gases from the lumen to a smoke evacuation system. The annular channel includes a neck defined therein disposed between the lumen and the annular channel, the neck having geometry configured to induce the evacuation of surgical gases or smoke therethrough. One or more fingers extend from the proximal lip and are configured to engage an access device to secure the tissue guard thereon.

Abstract: An end effector for use and connection to a robot arm of a robotic surgical system, wherein the end effector is controlled and/or articulated by at least one cable extending from a respective motor of a control device of the robot surgical system, is provided. The end effector includes a wrist assembly, and a jaw assembly. The jaw assembly includes a cam pulley rotatably supported on at least one support plate of the jaw assembly, wherein the cam pulley is operatively connected to a proximal end of each of the jaws of the jaw assembly such that rotation of the cam pulley results in one of an opening and closing of the jaw assembly.

Abstract: A surgical instrument includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm movably coupled with the shaft assembly. The shaft assembly extends between the body and the end effector and includes an acoustic waveguide, a rotational driver, and a driver wrench. The rotational driver is configured to be received within the rotational drive channel and rotate the shaft assembly relative to the body. The acoustic waveguide includes a notch and the driver wrench includes a key, wherein the first notch of the acoustic waveguide is configured to receive the key.

Abstract: Systems and methods for minimally invasive computer-assisted telesurgery are described. For example, this disclosure provides surgical instruments and instrument drive systems for computer-assisted tele-operated surgery that are structured and operated to negate the effects of cable stretch within the surgical instruments.

Abstract: A medical bandaging and tourniquet system for use in dressing puncture wounds is provided. The medical bandaging and tourniquet system includes a primary dressing, a secondary dressing, a band, a tightening buckle, a retaining clip, and a tightening rod. The primary dressing serves as a main wrapping bandage that mounts the secondary dressing and tourniquet components together. The secondary dressing removably attaches to the primary dressing and serves as a bandage that can be installed onto minor wounds. The band connects to the primary dressing, serving as an elastic tourniquet band. The tightening buckle and the retaining clip are connected to the primary dressing. The tightening rod is positioned between the tightening buckle and the retaining clip. The primary dressing straps tightly along a wound though the tightening buckle. The strap is further compressed by turning the tightening rod. The tightening rod can then be secured to the retaining clip.

Abstract: An introducer may include a layered tubular member having an inner liner including at least one folded portion extending along a distal region of the inner liner in a delivery configuration; a reinforcing member disposed over at least a portion of the inner liner, the reinforcing member including a plurality of longitudinal spines defining a plurality of openings disposed between adjacent longitudinal spines, wherein each folded portion is circumferentially overlapped by one of the plurality of openings; and an outer sheath disposed over the reinforcing member, wherein the outer sheath includes at least one perforation circumferentially overlapping each folded portion; and a tip member fixedly attached to a tapered distal region of the layered tubular member. The inner liner may extend to a distal end of the layered tubular member. At least a portion of each folded portion may terminate proximal of the distal end of the layered tubular member.

Abstract: A retractor apparatus for a surgical robotic system includes a frame defining a central open region, a connecting member that connects the frame to a robotic arm, a plurality of coupling mechanisms for attaching a set of retractor blades within the central open region of the frame such that blades define a working channel interior of the blades, and a plurality of actuators extending between the frame and each of the coupling mechanisms and configured to move the blades with respect to the frame to vary a dimension of the working channel. Further embodiments include a surgical robotic system that includes a robotic arm and a retractor apparatus attached to the robotic arm, and methods for performing a robot-assisted surgical procedure using a retractor apparatus attached to a robotic arm.

Abstract: A rotary surgical tool is provided and has an effector or cutter that is usable to remove or otherwise modify tissue such as bone. The tool includes a motor coupled to the effector with a single piece shaft that is integral with the effector and also serves as the motor output shaft.

Abstract: An indwelling device 1 is provided with: a sheath 20 that is capable of housing a stent graft 10; and a long shaft 30 that is configured to be capable of advancing or retreating inside the sheath along the axial direction. The shaft has a fixing tool 34 and a hollow tube 35 that are respectively engaged with a connection part 14 and a blood vessel wall fixing part 15 of the stent graft to restrict movement of an opening end 11a of the stent graft in the radial direction. The indwelling device is configured to be capable of releasing engagement between the connection part and the fixing tool and engagement between the blood vessel wall fixing part and the hollow tube independently of each other by displacing the shaft with respect to the stent graft in the axial direction.

Abstract: An aortic graft occluder for intraoperative leak testing of a tubular aortic graft attached to an aortic root. The aortic graft occluder includes a plug adapted for sealingly closing an opening of the aortic graft. The plug includes a first pathway adapted for connecting a lumen of the aortic graft with a feed line.

Abstract: A medical device includes a first link, a second link, and a band. A proximal end portion of the first link is coupled to a shaft. A proximal end portion of the second link is rotatably coupled to a distal end portion of first link about a first axis. The distal end portion of the second link includes a connector coupled to a tool member that is rotatable relative to the second link about a second axis that is non-parallel to the first axis. The first link defines a first guide channel and the second link defines a second guide channel. A distal end of the band is disposed within the first guide channel and the second guide channel, and is coupled to the tool member. The second link is rotatable relative to the first link about the first axis when the distal end of the band is moved.

Abstract: A surgical clip for simultaneously cutting a blood vessel and controlling bleeding, includes two legs, each including a flat surface and a cutting surface, and a curved section configured to join the two legs. An applicator for installing a surgical clip that simultaneously divides a blood vessel and controls bleeding, includes two jaws that simultaneously hold two surgical clips, and two handles that cause the two jaws to exert a deforming force on the two surgical clips.

Abstract: A mount assembly for use with a robotic system is provided and includes a housing for coupling to a robot arm; a coupling assembly supported by the housing and including first and second arms, the coupling assembly transitionable between open and closed configurations, wherein in the closed configuration the first and second arms are configured to secure a surgical accessory; a release assembly supported by the housing and engagable with the coupling assembly, the release assembly transitionable between a locked configuration and an unlocked configuration; and a communication assembly supported by the housing and configured for communication with the robotic system with respect to a status of the coupling assembly corresponding to the open and closed configuration thereof; and a status of the release assembly corresponding to the locked and unlocked configuration thereof.

Abstract: A cartridge for ligating clips includes compartments formed of partitions lying in spaced parallel planes and a stringer spanning between the partitions. The legs of a clip are joined at a hinge which is seated over the stringer. The stringer comprises a substantially cylindrical body and a depending narrow support flange. Opposed faces of adjacent partitions include areas of reduced thickness spaced apart a distance sufficient to permit limited pivotal movement of the clip about the stringer. An abutment edge of the partition face provides a stop which is engaged by bosses at the ends of the clip legs to limit pivotal movement of the clip legs and prevent ribs of the clip from engaging the stringer.

Abstract: The present invention relates to a method of preparing a suture anchor using a suture and a prepared suture anchor. A knitting member (100) cut at a predetermined width and length while having a plurality of knots (10a) is inserted into a hole 1a of a bone 1 using an anchor inserting device 200, and a second suture 20 provided between one knot 10a of the plurality of knots and another knot 10a thereof is pulled rearwards, and thus the knitting member (100) is deformed from a long rod shape to a lump shape the bone 1. Accordingly, the knitting member (100) has a volume larger than a diameter of the hole 1a, and the knitting member (100) deformed into the lump shape is configured not to be removed from the hole 1a of the bone 1 even when the second suture 20 is further pulled in a rear direction.

Abstract: A tissue guard includes a body defining an open proximal end, an open distal end, and a lumen extending through the body between the open proximal end and the open distal end. The tissue guard further includes a lip extending radially outwardly from the open proximal end of the body. The lip includes a plurality of spaced-apart cut-outs defined about the outer circumference of the lip to define a plurality of tabs of the lip. Each tab includes an outer edge segment. The body and the lip are monolithically formed as a single piece of material.

Abstract: A method and apparatus are disclosed for an optimized transseptal procedure for providing left heart access, that reduces the number of devices that are used in order to minimize procedural time, complexity and cost. The apparatus comprises a hybrid dilator that comprises the combined functionality of a transseptal sheath and dilator assembly. The hybrid dilator comprises: a dilator shaft defining a lumen for receiving a crossing device therethrough, the dilator shaft being structured to provide support for the crossing device when the crossing device is used to create a puncture in a tissue; and a distal tip having an outer diameter which tapers down to an outer diameter of the crossing device for providing a smooth transition between the crossing device and the distal tip when the crossing device is inserted through the lumen and protrudes beyond the distal tip.