Abstract: A surgical access device includes a cannula having a variable length. The cannula may include a shaft assembly including an outer shaft, an intermediate shaft disposed within and longitudinal slidable relative to the outer shaft, and an inner shaft disposed within and longitudinal slidable relative to the intermediate shaft. The shaft assembly is movable between an unextended position, a fully extended position, and a semi-extended position between the unextended and fully extended positions. The cannula may include a shaft having annular folds formed therein. The annular folds are axially movable relative to each other such that the shaft is longitudinally movable between an unextended position and a plurality of extended positions.

Abstract: Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. In embodiments, the seal assembly includes a plurality of seal sections that are movable from an unfolded configuration to folded configuration in which the seal assembly forms a hexagonal member defining an opening to facilitate sealed passage of a surgical instrument. The seal sections may include a tapered inner edge for engaging a surgical instrument inserted through the instrument valve housing.

Abstract: A surgical access device including a cannula body, a fixation mechanism, and an illumination mechanism is disclosed. The fixation mechanism includes a collar, a sleeve, an expandable member, and a distal ring. The illumination mechanism includes at least one light disposed on the expandable member, and a switch. Distal translation of the collar relative to an elongated portion of the cannula body causes the expandable member to move from a first position defining a first gap between a mid-portion of the expandable member and the elongated portion of the cannula body, to a second position defining a second gap between the mid-portion of the expandable member and the elongated portion of the cannula body, the second gap being greater than the first gap.

Abstract: A surgical kit includes a stapling device and a securing ring. The stapling device includes a reload including a trocar member and an anvil assembly including an anvil and an anvil shaft detachably couplable to the trocar member of the reload for unitary movement. The securing ring is selectively securable about the anvil shaft. The securing ring has an annular profile defining an aperture. The securing ring includes first and second portions and an intermediate portion. The first and second portions adjustably overlap each other. The first portion includes a first tab. The second portion includes a hook. The intermediate portion includes a second tab and defines slots to receive the hook of the second portion. When the first and second tabs are displaced relative to each other, the aperture is transitionable from a first state having a first diameter to a second state having a second diameter.

Abstract: An electrosurgical instrument has a hollow shaft portion defining a plurality of fluid ports configured for suction and/or irrigation. The electrosurgical instrument also includes a plurality of different electrode tips configured to detachably couple to the shaft portion. Each of the electrode tips have an active electrode and a return electrode to provide bipolar electrosurgical energy therebetween.

Abstract: A surgical stapling device includes a replaceable staple cartridge that includes a knife sharpener for sharpening a cutting blade of the stapling device prior to each firing of the stapling device. In aspects of the disclosure, the staple cartridge includes wipers positioned distally of the knife sharpener to remove particulate material from the cutting blade before the cutting blade engages tissue.

Abstract: A surgical access device includes a cannula body, a fixation mechanism, and an illumination mechanism. The fixation mechanism includes a collar, a sleeve, an expandable member, and a distal ring. The illumination mechanism includes at least one light disposed on the expandable member, and a switch. Distal translation of the collar relative to an elongated portion of the cannula body causes the expandable member to move from a first position defining a first gap between a mid-portion of the expandable member and the elongated portion of the cannula body, to a second position defining a second gap between the mid-portion of the expandable member and the elongated portion of the cannula body, the second gap being greater than the first gap.

Abstract: Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. In embodiments, the seal assembly includes a plurality of seal sections that are movable from an unfolded configuration to folded configuration in which the seal assembly forms a hexagonal member defining an opening to facilitate sealed passage of a surgical instrument. The seal sections may include a tapered inner edge for engaging a surgical instrument inserted through the instrument valve housing.

Abstract: A surgical kit includes a handle assembly, an adapter assembly, and at least one end effector. The adapter assembly allows for use of a handle assembly that is configured to affect a function of a relatively long end effector to also be used with a relatively short end effector.

Abstract: A surgical instrument, such as an endoscopic surgical clip applier, has a simplified handle assembly and a simplified drive assembly. The handle assembly and the drive assembly are configured to advance and form a surgical clip, for instance.

Abstract: An end effector for a surgical device includes first and second jaws disposed adjacent one another. An actuator clevis is configured to couple to proximal ends of the first and second jaws in a distal portion of the actuator clevis. A jaw clevis defines a lumen and is configured to receive the first and second jaws and the actuator clevis in the lumen. The first and second jaws and the actuator clevis are configured to be transitionable along a longitudinal axis of the lumen. The first and second jaws are pivotably coupled to each other at proximal ends thereof and slidably coupled to the jaw clevis at a location distal of the proximal ends.

Abstract: A tissue cutting device has a blade that pivots to pierce through tissue and translates to cut tissue, thereby providing a clean and smooth cut through tissue. The blade is coupled to an axial rod. Axial displacement of the axial rod pivots the blade and imparts axial displacement to the blade.

Abstract: A purse string suture passing device includes a clamp member and a suture passer housing assembly. The clamp member is dimensioned to be received within a guide channel of the suture passer housing assembly and includes two jaws that each define a longitudinal passage. The suture passer housing assembly includes two needles that are supported within the guide channel and are received within the longitudinal passages of the clamp member as the clamp member is inserted through the guide channel. Each of the needles receives a suture passer that includes a distal portion that is configured to engage a suture after the clamp member is received within the guide channel. When the suture is attached to the suture passers, the clamp member can be removed from the guide channel to apply a purse string suture to the tissue.

Abstract: A surgical access device includes a cannula and a seal housing. The cannula has a cannula housing and a tubular member that extends from the cannula housing. The seal housing is coupled to the cannula housing. The seal housing has a base and a cover with an instrument seal located between the base and the cover. The cover has an upper cover portion and a lower cover portion with a port extending from the upper cover portion. The port is connectable to a source of vacuum. A chamber with projections and windows is defined in the upper cover portion and is configured to direct fluid towards the port.

Abstract: A surgical access device sterilizes tissue at a surgical site and/or the air at the surgical site. The surgical access device may include a cannula including an elongated shaft having a fluid delivery channel defined therein, a fluid delivery port coupled to the cannula and in fluid communication with the fluid delivery channel, and a porous sleeve disposed around the elongated shaft and in fluid communication with the fluid delivery channel. The fluid delivery channel provides a pathway for fluid flow (e.g., an anti-infective agent) from the fluid delivery port into the porous sleeve. The surgical access device may include a cannula including an elongated shaft having an anti-infective agent disposed therein. The surgical access device may include an instrument housing secured to a cannula, and a light source (e.g., an air sanitizing light source) disposed within a cavity of the instrument housing.

Abstract: In some examples, a tool for, e.g., creating a sub-sternal tunnel in a patient or other use, is described. The tool may include a handle and a tunneling shaft coupled to the handle. The tunneling shaft extends from a proximal end to a distal end, and at least a portion of the tunneling shaft extends in a curved orientation between the first end to the distal end. The distal end of the tunneling shaft includes a cutting tool having a sharp edge. The cutting tool is moveable from a recessed position in which the sharp edge of the cutting tool is recessed into the distal end of the tunneling shaft to a deployed position in which the sharp edge of the cutting tool extends beyond the distal end of the tunneling shaft in the deployed position, e.g., to cut pericardium, scar tissue, and/or connective tissue with the sharp edge.

Abstract: A surgical clip pack includes a frame configured to engage a portion of a surgical access device. The frame includes a storage compartment and an annulus defining a lumen that has a diameter at least as large as a diameter of an opening of the surgical access device. A receptacle is disposed within the storage compartment and is configured to house a surgical fastener.

Abstract: A surgical access device includes a cannula having a variable length. The cannula may include a shaft assembly including an outer shaft, an intermediate shaft disposed within and longitudinal slidable relative to the outer shaft, and an inner shaft disposed within and longitudinal slidable relative to the intermediate shaft. The shaft assembly is movable between an unextended position, a fully extended position, and a semi-extended position between the unextended and fully extended positions. The cannula may include a shaft having annular folds formed therein. The annular folds are axially movable relative to each other such that the shaft is longitudinally movable between an unextended position and a plurality of extended positions.

Abstract: An endoscopic surgical instrument includes an elongated shaft and a pair of elongated arms extending through the shaft. The arms have a distal end portion configured to grasp tissue therebetween. The distal end portion of at least one of the arms is equipped with a sensor for sensing a property of the tissue.

Abstract: A surgical access device includes a seal assembly, an upper housing portion, a lower housing portion, and a tubular member. The seal assembly has an instrument seal and is coupled to the upper housing portion. A first valve is partially disposed in an upper chamber of the upper housing portion and a second valve is partially disposed in a lower chamber of the lower housing portion. A valve assembly extends from the upper housing portion and is in fluid communication with the upper chamber. A source of insufflation fluid is attachable to the valve assembly.