Abstract: Polymeric ligation clips and a clip applier for applying a polymeric ligation clip to tissue are disclosed herein. More particularly, the polymeric ligation clips include separate first and second beams that can be coupled to each other and are movable from a reduced diameter open position in which minimal strain is placed on the ligation clip to a clamped position and to a clip applier for delivering such a ligation clip to a surgical site.

Abstract: A surgical access assembly includes a housing, a tubular member, and a valve assembly. The tubular member extends from the housing. The valve assembly is positioned in the housing and includes a centering mechanism, a guard assembly disposed on a first side of the centering mechanism, and an instrument seal disposed on a second side of the centering mechanism. The instrument seal including petals that are arrange in an overlapping arrangement.

Abstract: An auxiliary return system for use with a bipolar electrosurgical device includes a tissue guard defining an open proximal end, an open distal end, and a lumen extending therethrough between the open proximal end and the open distal end. A ground plate is disposed along an inner peripheral surface of the lumen and is operably coupled to a first end of a ground wire extending from the tissue guard. A coupling is included having a bore defined therein for receiving a cable from an electrosurgical device therethrough, the cable including active and ground leads. The coupling has a flange extending therefrom defining a receptacle therein configured to operably receive a plug connected to a second end of the ground wire. The receptacle is configured to provide electrical continuity between the ground lead disposed within the cable and the plug coupled to the ground wire which, in turn, provides electrical continuity to the ground plate.

Abstract: An endoscope cleaning device includes a base, a battery pack, and a pull tab. The base includes a cylindrical body defining a canal. The battery pack includes a battery and a heating mechanism thermally coupled to the cylindrical body. The pull tab includes a body and an annular seal detachably coupled to the body. The annular seal is in registration with the canal of the cylindrical body. The pull tab is partially received within the battery pack to inhibit electrical communication between the battery and the heating mechanism. The body of the pull tab is removably supported with respect to the base and the battery pack such that when the pull tab is pulled by a user, the annular seal detaches from the body of the pull tab and remains with respect to the cylindrical body to form a fluid-tight seal against the endoscope.

Abstract: A surgical stapling device includes a tool assembly and a drive assembly for actuating the tool assembly. The tool assembly includes a cartridge assembly having a staple cartridge and an anvil assembly that supports a lockout mechanism. The staple cartridge includes a cartridge body and an actuation sled and knife assembly that includes an actuation sled and a knife. The actuation sled and knife assembly is movable in relation to the cartridge body to eject staples from the cartridge body and to cut tissue. The anvil assembly supports a lockout mechanism that includes a lockout member that is movable between a locked position and an unlocked position. The drive assembly is movable from a retracted position to an advanced position to move the actuation sled and knife assembly from its retracted position to its advanced position. In the locked position, the lockout member obstructs movement of the drive assembly from its retracted position towards its advanced position.

Abstract: An electrosurgical pencil includes a body. The body includes a track extending along a distal end of the body. A treatment blade extends from the distal end of the body and is electrically connected to a first potential of a source of electrosurgical energy. The treatment blade is configured to treat tissue upon activation thereof. A protective guard is configured to slide along a track between a first position concealing a distal end of the treatment blade and a second position exposing the distal end of the treatment blade. A return electrode is disposed on an exposed surface of the protective guard. The return electrode is electrically connected to a second potential of the source of electrosurgical energy. A biasing member includes a first end operably connected to the distal end of the body and a second end operably connected to the protective guard.

Abstract: A surgical stapling apparatus includes a loading unit, a surgical buttress, and a buttress retention band. The loading unit includes an anvil assembly and a staple cartridge assembly. The staple cartridge assembly includes a staple cartridge having a tissue facing surface including staple pockets and a central longitudinal slot defined therethrough, and a protrusion extending outwardly therefrom. The surgical buttress includes a proximal end portion and a distal end portion. The proximal end portion is positioned over the protrusion of the staple cartridge. The buttress retention band is disposed around the proximal end portion of the surgical buttress and the protrusion of the staple cartridge to releasably secure the proximal end portion of the surgical buttress to the staple cartridge assembly.

Abstract: A surgical access assembly includes a housing, a tubular member, and a valve assembly. The tubular member extends from the housing. The valve assembly is positioned in the housing and includes a centering mechanism, a guard assembly disposed on a first side of the centering mechanism, and an instrument seal disposed on a second side of the centering mechanism. The instrument seal including petals that are arrange in an overlapping arrangement.

Abstract: An intraoperative clip loading device includes an elongate body that can be positioned at a surgical site through a cannula during an endoscopic surgical procedure to provide a supply of ligation clips to the clip applier. The elongate body includes structure for supporting and advancing the ligation clips within the elongate body.

Abstract: A tissue guard for use with a surgical access device includes a proximal ring having proximal and distal ends, the distal end configured to operably couple to a ground ring that ultimately electrically connects to an electrical ground. One or more mechanical interfaces extend about the proximal ring and are configured to mechanically engage a rim of an access device to secure the tissue guard thereon. A retention body is configured to operably couple to a distal end of the ground ring, the retention body including a distal end configured to operably engage the access device to secure the tissue guard therein.

Abstract: A surgical stapling apparatus includes a loading unit and a surgical buttress assembly. The loading unit includes an anvil assembly and a staple cartridge assembly. The staple cartridge assembly includes a staple cartridge having a tissue facing surface including staple pockets and a central longitudinal slot defined therethrough and a hook assembly extending outwardly from the tissue facing surface. The surgical buttress assembly includes an anvil buttress and a cartridge buttress. Each of the anvil and cartridge buttresses includes a body, a proximal tab, and a distal tab. The anvil and cartridge buttresses are interconnected at a junction of the proximal tabs and the surgical buttress assembly is folded at the junction such that the proximal tabs substantially overlie one another. The proximal tabs are engaged with the hook assembly to releasably secure the proximal tabs of the anvil and cartridge buttresses to the staple cartridge assembly.

Abstract: Surgical buttress attachment assemblies for surgical stapling apparatus include a staple cartridge and a surgical buttress releasably secured to the staple cartridge. The staple cartridge includes buttress attachment features, such as posts, covers, and/or slots, and the surgical buttress are configured to engage the buttress attachment features of the staple cartridge.

Abstract: A surgical stapling device includes an elongate body, a tool assembly pivotably coupled to the elongate body for articulation, and a drive assembly. The drive assembly is movable in relation to the tool assembly to eject staples from the tool assembly and cut tissue clamped between jaws of the tool assembly. The drive assembly includes a working end that is coupled to a flexible drive beam. The flexible drive beam includes a metallic core member and outer laminates secured to opposite sides of the core member. The outer laminates are formed of a material having a lower coefficient of friction than the core member to minimize firing forces of the surgical stapling device.

Abstract: A fixation device for folding a seal member includes a frame having a horizontal portion and an upright portion, a press assembly secured to the upright portion of the frame, and a nest assembly secured to the horizontal portion of the frame. The press assembly includes a handle assembly and an anvil assembly operably connected to the handle assembly. The nest assembly includes a clamping assembly, a folding assembly supported on the clamping assembly, a support assembly supported on the folding assembly, and a nest member. The support assembly includes a support plate and a seal clamp for securing a seal member.

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 tube and a housing coupled to the tube. The housing is configured for passage of a surgical instrument therethrough. The housing includes first and second chambers where the second chamber surrounds the first chamber. A seal is disposed in the first chamber. A port extends from the housing and is in fluid communication with the second chamber. A nozzle is defined between a distal portion of an outer wall of the first chamber and a wall of the housing. The nozzle is configured to direct fluid towards the second chamber.

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 instrument includes a decoupling mechanism and a loading unit. The decoupling mechanism includes a driver coupling, an overstroke sled, a proximal driver, and a distal driver. The overstroke sled includes bosses configured to slidably engage slots of the driver coupling. The distal driver is coupled to a housing of the driver coupling for concomitant rotation therewith. A drive assembly of the loading unit is coupled to the distal driver such that rotation of the distal driver causes axial displacement of the drive assembly. The decoupling mechanism is transitionable between a first state, in which, rotation of the proximal driver of the decoupling mechanism rotates the driver coupling and the distal driver, thereby advancing the drive assembly, and a second state, in which, rotation of the proximal driver disengages the overstroke sled from the driver coupling to enable rotation of the overstroke sled relative to the driver coupling.

Abstract: A surgical access assembly includes a cannula and a retention anchor including an annular body and a washer secured to the annular body. The annular body includes an inner side surface defining an opening therethrough, and the washer includes an inner terminal edge defining an opening therethrough that is aligned with the opening of the annular body. The elongated shaft of the cannula extends through the openings. The washer is transitionable between a first configuration in which the inner terminal edge of the washer is coincident with or disposed radially outwardly of the inner side surface of the annular body so that the retention anchor is slidable along the elongated shaft, and a second configuration in which the inner terminal edge of the washer extends radially inwardly of the inner side surface of the annular body and engages the elongated shaft to fix the retention anchor to the elongated shaft.

Abstract: A surgical access device includes a cannula body and a fixation mechanism. The fixation mechanism includes a collar, a driver, a distal ring, a proximal ring, and a plurality of petals. The driver extends distally from the collar, and the distal ring is operatively engaged with a distal portion of the driver. The proximal ring at least partially surrounds an elongated portion of the cannula body and is disposed proximally of the distal ring. The plurality of petals extends proximally from the distal ring and is longitudinally translatable relative to the proximal ring. Longitudinal translation of the collar causes the plurality of petals to move between a first position defining a first gap between a proximal end of the plurality of petals and the elongated portion, and a second position defining a second, greater gap between the proximal end of the plurality of petals and the elongated portion.