Abstract: A trocar assembly including a sleeve assembly having a cannula connected to a housing and an obturator assembly including a handle connected to an obturator, wherein the obturator assembly is receivable in the sleeve assembly to define a gripping portion that includes the housing and the handle, the gripping portion having an axial length and a maximum width, and wherein a ratio of the axial length to the maximum width ranges from about 2.5 to about 3.5.

Abstract: A suture anchor loader comprises a housing with a port. A channel extends into the housing from the port, the channel being dimensioned to receive a surgical needle. A suture anchor is preloaded in the channel with a length of suture connected to the suture anchor and stored in the housing. A push rod is slideably positioned in the channel such that the suture anchor is intermediate the push rod and the port. An actuator is operatively connected to push rod to selectively deploy the anchor into the needle.

Abstract: Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location.

Abstract: Various methods and devices are provided for providing surgical access to a body cavity using a surgical access device that can include an elongate flexible member having proximal and distal ends and a sidewall extending therebetween. The elongate flexible member can be movable between a first position in which the elongate flexible member has at least one longitudinal fold formed in the sidewall such that a width of a longitudinal opening extending through the elongate flexible member is reduced, and a second position in which the fold in the sidewall is unfolded such that a width of the longitudinal opening is increased. In some embodiments, an obturator having expansion members can be used to unfold the elongate flexible member.

Abstract: Various methods and devices are provided for accessing a body cavity. In one embodiment, a surgical access device is provided and includes an elongate member having a proximal support member configured to rest against an external tissue surface, a flexible elongate central portion extending distally from the proximal support member and configured to extend through tissue, and an inflatable distal portion coupled to a distal end of the central portion. The distal portion is movable between an initial configuration, in which the distal portion is configured to be passed through an incision in tissue, and an inflated configuration in which the distal portion is expanded such that the central portion forms a working channel through the tissue for access to a body cavity. The distal portion can include an opening such that gas delivered to the distal portion can flow through the opening to insufflate a body cavity.

Abstract: A seal assembly for use in conjunction with a trocar assembly includes a seal body adapted for sealing about an instrument inserted through the trocar assembly. The seal assembly also includes a protector adjacent the seal body for protecting the seal body from instruments passing through the seal body. The protector comprises a plurality of protector segments woven together in a non-planar arrangement.

Abstract: Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors, each having a suture attached thereto, into tissue, preferably without the need to remove the shaft from the body. The shaft can be configured to penetrate tissue and to deploy one or more of the suture anchors through the tissue such that the sutures extending from the deployed suture anchors extend through the tissue to allow the anchors to engage the tissue. The surgical device can also include a knotting mechanism configured to secure the sutures attached to the deployed anchors, thereby securing the anchors to the tissue.

Abstract: A surgical instrument for applying a fastener to tissue. The fastener includes a male component including a base having a hole, a needle receivable in the hole, and a female component including a base and a recess for receiving the needle. The instrument includes a shaft, a first jaw pivotally mounted on the shaft including a receiver for holding the base one component, and a second jaw statically mounted on the shaft including a receiver for releasably holding the base the other component. The first jaw is moveable between an open position and a closed position. The first and/or second jaw includes a channel for slideably receiving a needle. The instrument includes a mechanism for moving the first jaw between the open and closed positions and an ejector for driving the needle through the hole in the male component, through tissue and into the recess of the female component.

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 suture anchor comprises an elongate body having a first end, a second end, and a longitudinal axis extending between the first and second ends. The first end may have a flared geometry. A lateral suture relief is in the elongate body extending from the first end to an longitudinal position intermediate the first and second ends. A hollow tubular portion in the elongate body is longitudinally spaced from the lateral suture relief. A suture is positioned in the hollow tubular portion. The suture has a delivery position parallel the longitudinal axis and a deployed position transverse to the longitudinal axis.

Abstract: Various exemplary methods and devices are provided for tensioning sutures. The methods and devices are particularly useful in surgical suturing applications in which it is desirable to maintain tension on a suture being delivered. In various embodiments, the device is incorporated into the handle of a suture device configured to deliver a suture to a surgical site. Other embodiments comprise a device that is separate from, but may be used in connection with, a suture device configured to deliver a suture to a surgical site. A suture locking device is also provided which enables the surgeon to ascertain when a desired amount of tension has been applied to a suture prior to affixing knotting tying elements thereto.

Abstract: A module for attachment to a medical instrument to scan the anatomy with a beam of radiation. The module comprising a housing suitable for insertion in the anatomy that includes a window and a fastener to attach the housing to a medical instrument, an oscillating reflector within the housing that directs a beam of radiation onto the anatomy, and a collector to receive radiation returned from the anatomy.

Abstract: A medical instrument includes a flexible sheath and an end effector. The sheath has a distal end. The end effector is attached to the sheath proximate the distal end and is insertable into a patient. The end effector includes opposing and retroflexed first and second jaws and includes at least one medical-treatment electrode supported by the second jaw. At least one of the first and second jaws is rotatable. In one implementation, the at-least-one medical-treatment electrode is operatively connectable to a medical radio-frequency (RF) generator. In one application, the end effector is insertable into the esophagus of a patient. In one employment, the first and second jaws are adapted to grasp a working end of a flexible tube of an endoscope.

Abstract: A seal assembly adapted for use in conjunction with a trocar assembly includes a plurality of seal segments. Each seal segment includes a peripheral edge and a seam edge. At least a first seal segment and a second seal segment are connected along their respective peripheral edges to form a first seal layer having a seam defined by the seam edge of the first seal segment and the seam edge of the second seal segment. At least a third seal segment and a fourth seal segment are connected along their respective peripheral edges to form a second seal layer having a seam defined by the seam edge of the third seal segment and the seam edge of the fourth seal segment. The seam of the first seal layer has a first longitudinal axis and the seam of the second seal layer has a second longitudinal axis, and the first seal layer is oriented relative to the second seal layer such that the first longitudinal axis is angularly oriented relative to the second longitudinal axis.

Abstract: A scanned beam imaging system including a housing suitable for insertion into a body and a radiation source configured to direct a beam of radiation into or through the housing and onto an area within the body. The scanned beam imaging system further includes an adjustable element inside the housing and positioned to reflect the beam of radiation or to receive the beam of radiation therethrough, wherein the adjustable element is physically adjustable to vary a property of the beam of radiation that is reflected thereby or received therethrough. The scanned beam imaging system further includes a collector configured to receive radiation returned from the area within the body.

Abstract: A method for repairing or modifying an area of a patient's anatomy that comprises directing at least a portion of a scanning beam assembly to an area of a patient's anatomy, applying a radiation-responsive agent to portion of the anatomy, and exposing the radiation-responsive agent to radiation directed onto the agent by the reflector to cause the agent to therapeutically interact with the site. The scanning beam assembly including a radiation source capable of emitting radiation, a reflector that receives the radiation from the radiation source to direct the radiation onto the anatomy, wherein the reflector oscillates in at least two directions to create a scan of the anatomy, a detector to detect radiation returned from the anatomy, and a controller to convert the detected radiation into a displayable anatomy image.

Abstract: A surgical instrument for applying a fastener to tissue. The fastener includes a male component including a base having a hole, a needle receivable in the hole, and a female component including a base and a recess for receiving the needle. The instrument includes a shaft, a first jaw pivotally mounted on the shaft including a receiver for holding the base one component, and a second jaw statically mounted on the shaft including a receiver for releasably holding the base the other component. The first jaw is moveable between an open position and a closed position. The first and/or second jaw includes a channel for slideably receiving a needle. The instrument includes a mechanism for moving the first jaw between the open and closed positions and an ejector for driving the needle through the hole in the male component, through tissue and into the recess of the female component.

Abstract: A surgical instrument for applying a fastener to tissue of a patient. The instrument includes an elongate shaft having a working end and a grip end opposite the working end. The instrument includes opposing stationary jaws mounted on the working end of the elongate shaft defining a gap between the jaws. The gap is sized and shaped for receiving tissue. At least one of the jaws includes a fastener ejector directed toward the gap for introducing a fastener into tissue received in the gap to selectively fasten the tissue with the fastener. The instrument includes a mechanism operatively connected to the fastener ejector for introducing the fastener into the tissue thereby applying the fastener to the tissue of the patient.

Abstract: A surgical instrument for fastening tissue with a staple. The instrument includes a cartridge adapted for containing the staple. The cartridge includes a mechanism adapted to selectively advance the staple toward a forward end of the cartridge so the ends of the staple protrude from the cartridge and to selectively close the staple. The cartridge includes a mount connected to the cartridge and adapted for mounting the cartridge to an end of an endoscope. The cartridge includes a linkage connected to the cartridge for actuating the mechanism to advance and close the staple and a remote actuator connected to the linkage a predetermined distance from the cartridge for actuating the mechanism from a position remote from the cartridge.