Abstract: Embodiments of a retractable syringe assembly are provided that include a dual syringe barrel configuration. One or more embodiments include reuse prevention features and features that prevent premature activation of the retraction mechanism. Methods for aspirating and expelling liquid from medical devices are also provided.

Abstract: Provided is an endoscopic suturing system for joining internal body tissues in a variety of procedures. The system comprises a suturing capsule releasably mountable to the distal end of an endoscope and capable of forming multiple stitches in tissue at a plurality of locations without requiring withdrawal of the capsule from the patient between stitches. Also enclosed is a suture lock to secure the placed stitch that is delivered by a device introduced through the working channel of the indwelling endoscope. Suitable control handles for the suturing capsule and for the suture lock delivery device positioned at the proximal end of the endoscope are provided to facilitate operation by the user.

Abstract: An endoscopic vacuum controller may include a housing having a vacuum inlet, a vacuum outlet configured to be coupled to a vacuum source, and a vacuum passage fluidly coupling the vacuum inlet to the vacuum outlet. The vacuum controller may also include an actuator supported by the housing and configured to control the flow of fluid through the vacuum passage. An indicator may be supported by the housing to provide an indication that a predetermined vacuum level is being drawn at the vacuum inlet. The vacuum controller may include a connector to detachably couple the housing to an endoscope shaft. The connector may be configured to slidably couple the housing to the endoscope shaft to allow adjustment of the controller along the length of the shaft while the housing remains coupled to the shaft.

Abstract: A surgical portal assembly includes a portal member defining a longitudinal axis and having a longitudinal passageway for passage of a surgical object, and being dimensioned to pass through tissue to provide access via the longitudinal passageway to an underlying operative site and a plurality of object seals in mechanical cooperation with the portal member and positioned to intersect the longitudinal passageway. Each object seal has inner surfaces defining a seal passage to permit passage of the surgical object. The inner seal surfaces of each object seal include a primary finger segment and secondary finger segments on opposed sides of, and in spaced relation to, the primary finger segments.

Abstract: The medical puncturing device (10) includes a housing (12) having a proximal end (18) and a distal end (16) and a skin puncturing assembly (14) within the housing. The skin puncturing assembly includes a movable carrier (50) and a skin puncturing element (52). The skin puncturing element is adapted to puncture the skin of a patient. The carrier is movable from a retracted position wherein a distal tip of the skin puncturing element is disposed within the housing, to a puncturing position wherein the distal tip is exposed to puncture the skin of the patient. The carrier is moved from the retracted position to the puncturing position upon radial deformation of the housing. An internal guide (42) may be provided within the housing for guiding the movement of the carrier from the retracted position to the puncturing position.

Abstract: A collection device and a method for collecting a biological sample, particularly whole blood, includes a separating member to separate the whole blood into its components, and at least reagent positioned to selectively interact with a component of the separated sample. The reagent is able to selectively interact with the plasma/serum, and is prevented from contacting or interacting with the whole blood.

Abstract: An endoscope tool coupling that facilitates the placement and positioning of a surgical tool within an endoscope. The tool coupling may be configured to accommodate differences in lengths between the surgical tool and the endoscope, which may allow a user to precisely position and maintain the distal end of a surgical tool in a desired location relative to the distal end of the endoscope despite differences and variations in lengths. The tool coupling may have an adjustable configuration to accommodate variations in tool and/or endoscope lengths. The tool coupling employ an arrangement that allows a user to easily increase or decrease the length of the coupling, such as by using a telescoping arrangement. A locking arrangement or mechanism may be provided to secure the coupling in a selected configuration for maintaining the surgical tool in a desired location relative to the endoscope.

Abstract: A surgical portal apparatus includes a portal, a seal, a plurality of restricting members, and a lockout assembly. The portal defines a longitudinal axis and has a longitudinal opening. The seal is disposed in mechanical cooperation with the portal and defines a passage for reception of a surgical object. The plurality of restricting members are arranged about the longitudinal axis to define a passage therethrough and positioned to contact the surgical object. The restricting members have contacting segments adapted for radial movement relative to the longitudinal axis from a rest position to a displaced position. The lockout assembly includes a locking member disposed distal of the restricting members. The locking member is positioned to intersect the longitudinal opening and engage the surgical object. The locking member is operatively coupled with the restricting members to minimize offset manipulation of the surgical object.

Abstract: A mechanical separator for separating a fluid sample into first and second phases within a collection container is disclosed. The mechanical separator may have a separator body having a through-hole defined therein, with the through-hole adapted for allowing fluid to pass therethrough. The separator body includes a float, having a first density, and a ballast, having a second density greater than the first density. A portion of the float is connected to a portion of the ballast. Optionally, the float may include a first extended tab adjacent a first opening of the through-hole and a second extended tab adjacent the second opening of the through-hole. In certain configurations, the separator body also includes an extended tab band disposed about an outer surface of the float. The separator body may also include an engagement band circumferentially disposed about at least a portion of the separator body.

Abstract: A seal device comprising: a seal housing defining a central axis, the seal housing having an inner wall and an outer wall, the inner wall defining an opening along the central axis; a rotatable head mounted to the seal housing; at least one finger pivotally mounted to the rotatable head, the fingers defining an aperture for reception of a surgical instrument; and a cam mounted to the rotatable head for pivoting the fingers upon rotation of the rotatable head, the at least one finger configured to reduce the amount by which the surgical instrument may be moved off-axis relative to the central axis.

Abstract: A seal device to create an airtight seal around a variety of laparoscopic instruments passed through laparoscopic ports. The seal device comprises a plurality of overlapping elastic disks with each disk defining an aperture and configured to accommodate an instrument. The elasticity of each disk maintains a seal around the instrument as the instrument is manipulated.

Abstract: A seal assembly which includes a housing defining a longitudinal axis, a proximal portion and a distal portion and including a bellows disposed along a length thereof. A first sealing membrane and a second sealing membrane associated with the proximal portion of the housing, each sealing membrane configured to create a substantially fluid-tight seal around a surgical instrument inserted therethrough. The bellows configured to allow at least a portion of the housing to move radially with respect to the longitudinal axis.

Abstract: A mechanical separator for separating a fluid sample into first and second phases is disclosed. The mechanical separator includes a float having a first portion and a second portion, a ballast circumferentially disposed about a section of the float, and a deformable bellows defining an open passageway extending between a first end and a second end. The ballast is longitudinally moveable with respect to the float and engaged with the deformable bellows between the first end and the second end. At least a portion of the float is transitionable from a restraint position to a sealed position through the first end of the bellows. The first portion of the float can be positioned within the interior of the deformable bellows in the restraint position, and the first portion of the float can be positioned at an exterior location longitudinally displaced from the deformable bellows in the sealed position.

Abstract: A mechanical separator for separating a fluid sample into first and second phases is disclosed. The mechanical separator includes a float having a passageway extending between first and second ends thereof with a pierceable head enclosing the first end of the float, a ballast longitudinally moveable with respect to the float, and a bellows extending between a portion of the float and a portion of the ballast. The bellows is adapted for deformation upon longitudinal movement of the float and the ballast, with the bellows isolated from the pierceable head. The float has a first density and the ballast has a second density greater than the first density. The bellows is structured for sealing engagement with a cylindrical wall of a tube, and the pierceable head is structured for application of a puncture tip therethrough. The separation device is suitable for use with a standard medical collection tube.

Abstract: A mechanical separator for separating a fluid sample into first and second phases is disclosed. The mechanical separator includes a float, a ballast assembly longitudinally moveable with respect to the float, and a bellows structure. The bellows structure includes a first end, a second end, and a deformable bellows therebetween. The float is attached to a portion of the first end of the bellows structure, and the ballast is attached to a portion of the second end of the bellows structure. The attached float and bellows structure includes a releaseable interference engagement therebetween. The float has a first density, and the ballast has a second density that is greater than the first density of the float.

Abstract: A collection device and a method for collecting a biological sample, particularly whole blood, includes a separating member to separate the whole blood into its components, and at least reagent positioned to selectively interact with a component of the separated sample. The reagent is able to selectively interact with the plasma/serum, and is prevented from contacting or interacting with the whole blood.

Abstract: A surgical port comprising a body and first and second cannula extending from the body and movable with respect to the body via an instrument inserted through the respective cannula. The cannulas can extend distally from the body and can include one or more seals. A port assembly and first and second instruments manipulatable in a crossed configuration are also disclosed.

Abstract: Apparatus and methods enable insertion and tensioned deployment of a secondary material prosthetic device into a body cavity or other tissue of a patient, such as for example hernia repair mesh into the abdominopelvic cavity of a patient through the hernia site. The present invention establishes fixation sites for the prosthetic device and tensions it against the body tissue. It may also be used implant fixation devices within the body tissue so that the prosthetic device is tensioned into firm abutting contact with the body tissue. Instrument deployment and fixation struts may be advanced in retrograde fashion in order to reduce needed deployment volume within the patient's body cavity. The prosthetic device advantageously may be flexibly coupled to the instrument via fixation devices such as sutures, so as to increase orientation flexibility.

Abstract: A medical instrument insertable through a cannula, the instrument comprising an elongate shaft; and an operative tip having a first jaw and a second jaw movable with respect to the first jaw. The operative tip disposed at a distal end of said elongate shaft and being disposed on said shaft for rotation relative to at least a distal end portion of said shaft about a longitudinal axis of said distal end portion.

Abstract: The medical puncturing device includes an actuator, a shield, and a skin puncturing assembly. The actuator and shield are movable relative to one another. The skin puncturing assembly includes a carrier and a skin puncturing element. A distal end of the skin puncturing element is adapted for puncturing the skin of a patient. The carrier is movable from a retracted position wherein the distal end of the skin puncturing element is disposed within the shield to a puncturing position wherein the distal end of the skin puncturing element is exposed to puncture the skin of a patient. The carrier is maintained in the retracted position by interference engagement between the carrier and shield. A drive spring is provided to move the carrier from the retracted to puncturing positions. A retraction spring is provided to return the carrier to a position wherein the shield encompasses the skin puncturing element.