Abstract: A surgical clip applier and an elongated assembly thereof. The elongated assembly includes an outer shaft, an end effector assembly extending distally from the outer shaft and including first and second spaced-apart arms having first and second jaws disposed at respective free ends thereof, and an inner drive sleeve including a bearing assembly slidably disposed about the end effector assembly. The bearing assembly includes first and second bearing rollers positioned adjacent the first and second spaced-apart arms. Sliding of the bearing assembly from a proximal position to a distal position rolls the bearing rollers along the spaced-apart arms to urge the first and second spaced-apart arms towards one another, thereby moving the first and second jaws from a spaced-apart position to an approximated position to apply a surgical clip about tissue disposed between the first and second jaws.

Abstract: A cleaning device enables cleaning of a lens of an endoscope during a surgical procedure to maintain a clear image without having to remove the endoscope from the patient's body. The cleaning device is disposed on an elongate shaft of a surgical instrument such that a lens of an endoscope may be wiped against the cleaning device to remove debris from the lens.

Abstract: A bipolar tunneling tool is configured to separate tissue adhesions and tunnel. The bipolar tunneling tool includes a handle, a tunneling shaft, a return electrode, an optical window, an active electrode, and an insulative housing. The tunneling shaft extends from the handle. The return electrode is disposed proximate a distal end of the tunneling shaft. The optical window is disposed proximate the distal end of the tunneling shaft, the optical window defining a channel. The active electrode is at least partially disposed within the channel. The active electrode is configured to dissect a tissue and cauterize the tissue. The insulative housing is configured to electrically insulate the active electrode from the return electrode.

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 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 purse string suture instrument includes an end effector with first and second jaws disposed at a distal portion of an elongate tubular shaft. The first and second jaws are pivotably coupled to each other and to the elongate tubular shaft. The first and second jaws are spaced apart and define a gap therebetween. First and second pluralities of teeth extend perpendicularly from the first and second jaws respectively, and the first plurality of teeth is longitudinally offset from the second plurality of teeth. The first and second jaws are transitionable between open and approximated configurations. The approximated configuration is adapted to clamp tissue in the gap between the first and second jaws, thereby displacing sections of tissue outwardly between the first and second pluralities of teeth.

Abstract: A handle assembly of a surgical instrument includes a housing, a trigger pivotably coupled to the housing, a drive bar disposed within the housing and operably coupled to the trigger such that pivoting of the trigger translates the drive bar, and a bilateral spring disposed within the housing and operably coupled to at least one of the trigger or the drive bar. The trigger is movable relative to the housing between first, second, and third positions wherein the first position is disposed between the second and third positions. The bilateral spring includes a compression spring configured to compress upon movement of the trigger in a first direction from the first position towards the second position to establish a first bias, and to compress upon movement of the trigger in a second, opposite direction from the first position towards the third position to establish a second bias.

Abstract: A surgical clip applier includes a handle assembly, an elongated shaft, a drive shaft, a cam pin, and an end effector. The cam pin is disposed in mechanical cooperation with the drive shaft. The end effector is disposed adjacent a distal end of the elongated shaft and includes a first jaw member and a second jaw member. The end effector is disposed in operative engagement with the drive shaft such that longitudinal translation of the drive shaft relative to the housing of the handle assembly causes the first jaw member to move toward the second jaw member. The first jaw member includes a first cam slot configured to slidingly receive the cam pin. The first cam slot defines a first portion having a first slope and a second portion having second slope.

Abstract: An obturator includes an elongate shaft with proximal and distal portions. A button is located in the proximal portion of the elongate shaft. A cable has first and second wires and extends from the proximal portion of the elongate shaft and is attachable to a source of electrical energy. A plate is positioned in the distal portion of the elongate shaft and is coupled to the first wire. An electrode is located in the distal portion of the elongate shaft and is coupled to the second wire. An insulator is disposed in the distal portion of the elongate shaft and electrically isolates the plate from the electrode. The obturator is capable of tunneling through body tissue.

Abstract: An electrode assembly for an electrosurgical instrument includes a housing having an active electrical connector and a return electrical connector configured to operably engage a distal end of an electrosurgical instrument shaft, the housing encapsulating an elongated return electrode and a pair of insulative tubes configured to house a wire-like active electrode. The elongated return electrode includes a clevis at a distal end thereof and operably engages to the return electrical connector at a proximal end thereof. The wire-like active electrode operably engages at one end to the active electrical connector. A donut-like insulator is operably engaged to the clevis of the elongated return electrode and is configured to support the wire-like active electrode therearound. A tensioning mechanism is configured to operably engage an opposite end of the wire-like electrode and tension the wire-like active electrode about the donut-like insulator during assembly.

Abstract: An auxiliary return system for use with a bipolar electrosurgical device includes a tissue guard defining open proximal and distal ends and a body extending therebetween. The body includes outer and inner peripheral surfaces, the inner peripheral surface defining a lumen extending between the open proximal and distal ends, the outer peripheral surface including an elongated channel defined therein configured to receive a ground wire, a distal end of the elongated channel includes a pocket defined between the inner and outer peripheral surfaces of the body. An electrically conductive rivet includes a proximal end configured to engage the inner peripheral surface of the body and a distal end configured to engage the outer peripheral surface of the body to secure the rivet within the pocket. The distal end including a connector configured to engage the ground wire to provide electrical continuity between the ground wire and the rivet.

Abstract: A ligation clip includes first and second beams that are movable in relation to each other from an open position to a clamped position to define an opening that is dimensioned to be received about end portions of vessel portions to be joined together during an anastomosis procedure to secure the end portions to an anvil shaft and/or an anvil retainer of a circular stapling device. The use of ligation clips to perform this function obviates the need to form a purse suture in the end portions of the vessel portions during the anastomosis procedure and reduces the amount of time required to perform an anastomosis procedure.

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: 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: A three-prong grasper for laparoscopic procedures includes an elongate body having a sleeve with a distal portion, and an end effector supported on the distal portion. The end effector includes a first prong assembly with a first base member and a first prong member pivotally secured to the first base member, a second prong assembly with a second base member and a second prong member pivotally secured to the second base member, and a third prong assembly with a third base member and a third prong member pivotally secured to the third base member. The first, second, and third prong members move between an open configuration and a closed configuration. A method of grasping tissue also includes pivoting first, second, and/or third prong members relative to respective first, second, and third base members to cause the grasping of tissue.

Abstract: A tissue specimen retrieval device includes a first shaft having a pair of slots defined in a distal end thereof and a pair of windows defined proximally of the pair of respective slots. A second shaft is included having a bag brim attached thereto, the second shaft telescopically movable within the first shaft between a retracted position, wherein the bag brim is disposed within the first shaft and a partially deployed position wherein the bag brim partially deploys from the first shaft forming an enclosure for supporting the tissue bag thereon. A pair of hook members is included each having an arm, a first end engaged to the bag brim and a free end including a hook at a distal end thereof. Upon deployment, the hook of each hook member engages a respective window allowing each respective arm to pivot outwardly within respective slots to fully deploy the bag brim.

Abstract: An electrosurgical pencil includes a housing having proximal and distal ends, the proximal end adapted to connect to an energy source and the distal end adapted to receive an end effector assembly therein, the end effector assembly defining a surface area along a length thereof. An activation switch is operably associated with the housing and is configured to deliver electrosurgical energy to the end effector assembly upon actuation thereof. An air control valve is operatively coupled to the activation switch and is configured to simultaneously deliver a gas from a gas source to the surface area around the end effector upon actuation of the activation switch. One or more vents are defined in the distal end of the housing and are configured to direct the gas towards the surface area of the end effector.

Abstract: A tissue specimen retrieval device includes a first shaft and a second shaft telescopically movable relative to the first shaft. The second shaft supports an end effector assembly at a distal end thereof. The end effector assembly includes a tissue specimen bag supported by a first bag arm and a second bag arm. The first and second bag arms open the tissue specimen bag when the second shaft is in the deployed position. An insertion cap extends outwardly from the tissue specimen bag. The insertion cap retains the first and second bag arms at distal ends thereof. The insertion cap includes a release mechanism. The release mechanism releases the first and second bag arms from the insertion cap upon retraction of the second shaft from the deployed position.

Abstract: A specimen retrieval device includes an elongated shaft assembly having a proximal end portion and a distal end portion. An end effector is supported on the distal end portion of the elongated shaft assembly and includes a first arm and a second arm. The first arm includes a first distal finger and the second arm includes a second distal finger. The first and second fingers are configured to selectively engage one another to support a collection bag on the first and second arms.

Abstract: A surgical access assembly includes a surgical access device and a cleaning cap. The surgical access device includes an elongated shaft defining an access lumen therethrough and having a distal portion terminating at a distal tip. The cleaning cap is disposed over the distal portion of the elongated shaft. The cleaning cap includes an instrument channel aligned with the access lumen and wipers disposed within the instrument channel.