Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: A system for dispensing an adhesive comprises a first dispenser, a second dispenser, and a conduit. The first dispenser contains an adhesive. The second dispenser comprises a fluid. The first dispenser and second dispenser are each in fluid communication with the conduit. The conduit has an opening. One or both of the first dispenser or the second dispenser is operable to dispense adhesive or fluid through the opening of the conduit. The system may be used to apply adhesive to the tissue of a patient in a precise and controlled manner.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: Methods and devices are provided for performing gastrectomies and gastroplasties. In one embodiment, a method includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall and an opening formed in the patient's vaginal wall. Tissue attached to the stomach can be tensioned using a surgical instrument inserted through one of the abdominal and vaginal openings and can be separated from the stomach to free the stomach fundus using a dissecting surgical instrument inserted through another opening, e.g., through one of the abdominal and vaginal openings. The fundus can be at least partially transected using a surgical stapler inserted through one of the abdominal and vaginal openings, thereby forming a stomach “sleeve.” In another embodiment, the method is modified to form another opening in the patient's abdominal wall instead of forming an opening in the vaginal wall.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: Methods and devices are provided for performing gastroplasties. In one embodiment, a method of performing a gastroplasty includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall. A multiple port access device having two or more sealing ports through which surgical instruments can be inserted can be positioned in the abdominal opening. Various instruments can be inserted through the various sealing ports to perform certain steps, such as tensioning and cutting tissue, sizing and transecting the stomach, viewing the surgical site, etc. The methods and devices can be used to perform a Magenstrasse and Mill procedure in which only a portion of the stomach is transected.

Abstract: Methods and devices are provided for performing gastrectomies and gastroplasties. In one embodiment, a method includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall and an opening formed in the patient's vaginal wall. Tissue attached to the stomach can be tensioned using a surgical instrument inserted through one of the abdominal and vaginal openings and can be separated from the stomach to free the stomach fundus using a dissecting surgical instrument inserted through another opening, e.g., through one of the abdominal and vaginal openings. The fundus can be at least partially transected using a surgical stapler inserted through one of the abdominal and vaginal openings, thereby forming a stomach “sleeve.” In another embodiment, the method is modified to form another opening in the patient's abdominal wall instead of forming an opening in the vaginal wall.

Abstract: An exemplary adhesive applier comprises a handle portion, a shaft portion, and a tip portion. The handle portion is configured to be gripped by a user. The shaft portion is in communication with the handle portion. The tip portion is in communication with the shaft portion. The tip portion is operable to articulate relative to the shaft portion in response to user input, and is operable to dispense a liquid substance at a plurality of articulated positions. In some embodiments, the handle portion is configured to pivot relative to the shaft portion, and the tip portion is operable to pivot relative to the shaft portion in response to pivoting of the handle portion relative to the shaft portion.

Abstract: An apparatus for applying a liquid substance comprises a bulb portion, a cannulated shaft in fluid communication with the bulb portion, and a swab portion in fluid communication with the cannulated shaft. The bulb portion comprises a capsule. The capsule comprises a liquid substance. The bulb portion further comprises a valve operable to control the flow of a medium through the bulb portion. The bulb portion is operable to rupture the capsule to release the liquid substance. The cannulated shaft is dimensioned to extend percutaneously into a patient. The swab portion is operable to apply the liquid substance. The apparatus may be used to percutaneously apply adhesives to tissue, such as through a trocar or other cannulated member.

Abstract: A system for dispensing an adhesive comprises a first dispenser, a second dispenser, and a conduit. The first dispenser contains an adhesive. The second dispenser comprises a fluid. The first dispenser and second dispenser are each in fluid communication with the conduit. The conduit has an opening. One or both of the first dispenser or the second dispenser is operable to dispense adhesive or fluid through the opening of the conduit. The system may be used to apply adhesive to the tissue of a patient in a precise and controlled manner.

Abstract: An exemplary adhesive applier comprises a handle portion, a shaft portion, and a tip portion. The handle portion is configured to be gripped by a user. The shaft portion is in communication with the handle portion. The tip portion is in communication with the shaft portion. The tip portion is operable to articulate relative to the shaft portion in response to user input, and is operable to dispense a liquid substance at a plurality of articulated positions. In some embodiments, the handle portion is configured to pivot relative to the shaft portion, and the tip portion is operable to pivot relative to the shaft portion in response to pivoting of the handle portion relative to the shaft portion.

Abstract: An apparatus for applying a liquid substance comprises a bulb portion, a cannulated shaft in fluid communication with the bulb portion, and a swab portion in fluid communication with the cannulated shaft. The bulb portion comprises a capsule. The capsule comprises a liquid substance. The bulb portion further comprises a valve operable to control the flow of a medium through the bulb portion. The bulb portion is operable to rupture the capsule to release the liquid substance. The cannulated shaft is dimensioned to extend percutaneously into a patient. The swab portion is operable to apply the liquid substance. The apparatus may be used to percutaneously apply adhesives to tissue, such as through a trocar or other cannulated member.

Abstract: A surgical biopsy instrument for the extraction of at least one tissue sample from a body is disclosed having a piercing needle for penetrating the body. The piercing needle has a piercing tip and a tissue receiving port. A cutting member having a distal sampling segment is used with the piercing needle. The sampling segment has a cutting edge and a bore therein. The sampling segment is breakable from the cutting member. A tissue sample is acquired within the sampling segment of the cutting member after the tissue sample is taken at the tissue receiving port of the piercing needle. The sampling segment is removed from the piercing needle and the sampling segment containing the tissue sample is removed from the cutting member.

Abstract: A surgical biopsy instrument for the extraction of at least one tissue sample from a body is disclosed having a piercing needle for penetrating the body. The piercing needle has a distal piercing tip and an open proximal end and a passageway extending therebetween. The piercing needle has at least one tissue receiving port adjacent to the piercing tip, and the tissue receiving port communicates with the passageway for the reception of a tissue sample therein. A cutting member is removably disposed within the passageway of the piercing needle and the cutting member has a proximal end and a distal sampling segment. The distal sampling segment has a distal cutting edge and a bore extending therein. The distal sampling segment is moveable across the tissue receiving port of the piercing needle for the cutting of a tissue sample and the tissue sample is received within the bore of the distal sampling segment. The distal sampling segment is breakable from the elongated cutting member.