Abstract: An obturator assembly for penetrating tissue and being at least partially positionable within a cannula assembly includes an obturator housing, an obturator shaft connected to the obturator housing and defining a longitudinal axis, a bladeless penetrating member adjacent the distal end of the obturator shaft and an obturator shield mounted about the obturator shaft and having a distal shield nose. The obturator shield is adapted for longitudinal movement between an extended position where the bladeless penetration member is substantially enclosed within the shield nose and a retracted position where the bladeless penetrating member is at least partially exposed from the shield nose.

Abstract: An obturator assembly includes a housing configured for operable engagement by a user, a sleeve mounted to the housing and extending therefrom and having a longitudinal lumen, an image passing member positioned adjacent the distal end of the sleeve and adapted to permit an optical image to pass through the image passing member and into the longitudinal lumen of the sleeve, a penetrating member adapted for longitudinal movement relative to the image passing member through a longitudinal stroke of movement to at least partially extend the penetrating member beyond the image passing member and an adjustment member operatively connected to the penetrating member. The adjustment member is movable to selectively vary a longitudinal length of the stroke of movement of the penetrating member, to thereby selectively control extension of the penetrating member relative to the image passing member.

Abstract: Seal assemblies are provided, comprising a seal holder including a cylindrical wall portion having a tapered distal portion, wherein the cylindrical wall portion defines a central passage. The seal assembly comprises a ball seal supported in the central passage of the seal holder. The ball seal includes a distal aperture and a proximal aperture, wherein the distal and/or proximal aperture is dimensioned for substantial sealed reception with a surgical instrument. The ball seal is adapted for angular movement relative to a central longitudinal axis of the seal holder upon angulation of the surgical instrument, whereby the ball seal substantially maintains the seal with the surgical instrument. The seal assembly comprises a seal cover defining an aperture formed in a transverse wall thereof. The seal cover is configured for connection with the seal holder for maintaining the ball seal within the central passage of the seal holder.

Abstract: An optical obturator apparatus includes an obturator sleeve defining a longitudinal axis and having a longitudinal bore for receiving surgical instrumentation and a transparent window mounted to the obturator sleeve and being dimensioned and configured to pass through tissue. The transparent window is mounted for movement between a first position in general alignment with the longitudinal axis of the obturator sleeve and a second position radially displaced from the longitudinal axis to thereby expose the longitudinal bore of the obturator sleeve to permit passage of the surgical instrumentation.

Abstract: A removable electrode assembly for use in combination with a forceps having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing which is removably engageable with the forceps and a pair of electrodes which are attachable to a distal end of the housing. The electrodes are removably engageable with the end effectors of the forceps such that the electrodes reside in opposing relation relative to one another. The electrode assembly also includes a cover plate which is removably attachable to the housing and at least one stop member for controlling the distance between the opposing electrodes. The stop member is selectively engageable with the electrodes.

Abstract: A one trip top to bottom expansion to form a lower end recess on a tubular is described using two swages of different dimensions. The smaller swage is run down hole with the larger swage behind it in a locked collapsed position. When the proper depth is reached the leading swage hits a no go. A pickup force with dogs engaged in a groove releases the lock on the larger swage at which point applied pressure sets an anchor, extends the larger swage to take over the expansion for the recess at the lower end of the tubular. An emergency release is provided to pull out of the hole if the swage cannot complete the task.

Abstract: A surgical seal assembly, includes a seal housing defining a longitudinal housing axis and having a longitudinal opening therethrough, a seal having an inner seal portion defining a passage and being adapted to form a substantial seal about a surgical instrument disposed within the passage and a guide mounted to the seal housing. The guide has an inner guide portion proximal of the inner seal portion of the seal and spaced therefrom. The inner guide portion defines a channel adapted to generally direct the surgical instrument toward the inner seal portion of the seal upon entry of the surgical instrument within the longitudinal opening of the seal housing. The inner guide portion is relatively compliant to accommodate initial offset or angled entry of the surgical instrument.

Abstract: An optical obturator apparatus includes an obturator sleeve defining a longitudinal axis and having a longitudinal bore for receiving surgical instrumentation and a transparent window mounted to the obturator sleeve and being dimensioned and configured to pass through tissue. The transparent window is mounted for movement between a first position in general alignment with the longitudinal axis of the obturator sleeve and a second position radially displaced from the longitudinal axis to thereby expose the longitudinal bore of the obturator sleeve to permit passage of the surgical instrumentation. The transparent window may include a cutting blade, or alternatively two cutting blades, adapted to penetrate tissue.

Abstract: A surgical seal assembly includes a sleeve housing adapted to be operatively connected to a surgical sleeve, a seal housing adapted for releasable mounting to the sleeve housing and having a seal member with inner portions adapted to permit passage of a surgical object in substantial sealed relation therewith, and a manual lock member associated with the sleeve housing. The manual lock member is adapted for movement relative to the seal housing between a first position corresponding to a release position of the seal housing to permit removal of the seal housing from mounting to the sleeve housing and a second position corresponding to a lock position of the seal housing to secure the seal housing to the sleeve housing. The manual lock member is preferably adapted for rotational movement relative to a longitudinal axis of the seal housing to move between the first and second positions thereof.

Abstract: A surgical access assembly for use with a surgical access device includes a housing defining a central longitudinal axis, an elongate access member extending from the housing whereby the housing and the access member having a longitudinal passage dimensioned to permit passage of a surgical instrument, an instrument seal disposed within the housing and being adapted to establish a substantial fluid tight seal about the instrument and a zero closure valve mounted relative to the housing and being adapted to assume an open condition upon passage of the surgical instrument and a substantially closed position in the absence of the instrument. The zero closure valve includes a valve periphery and first and second lips depending from the valve periphery. The first and second lips have lip edge surfaces in juxtaposed relation to define a slit when the valve is in the closed position thereof.

Abstract: The present disclosure is directed towards a surgical dilating instrument for use in conjunction with a surgical portal device. The surgical dilating instrument disclosed herein includes an inventive dilating tip with a substantially polygonal cross-section that incorporates one or more raised atraumatic edge members.

Abstract: A surgical penetrating system includes a cannula and an obturator. The cannula has an outer wall arranged about a longitudinal axis and a longitudinal opening. At least one substantially linear penetrating member is mounted with respect to the outer wall of the cannula and extends in a general longitudinal direction with respect to the longitudinal axis. The penetrating member is adapted to facilitate passage of the cannula through tissue. Another embodiment of the surgical penetrating system includes a cannula having a longitudinal bore and a penetrating member at least partially and slidably mounted within the longitudinal bore of the cannula. The penetrating member has at least one leg and is axially movable between non-deployed and deployed positions. Moreover, the penetrating member can be mounted for movement relative to the leading end of the cannula and within the longitudinal bore of the cannula between a non-deployed position and a deployed position.

Abstract: A surgical portal apparatus includes a portal member defining a longitudinal axis and having a longitudinal opening therethrough for receiving a surgical object, an adjustable seal disposed within the longitudinal opening and having inner seal portions adapted to permit passage of the surgical object in substantial sealed relation therewith and an adjustment member mounted within the portal member and operatively connected to the adjustable seal. The adjustment member is positioned to intersect the longitudinal passageway to engage the surgical object and move relative to the portal member to thereby cause corresponding relative displacement of the inner seal portions of the adjustable seal and facilitate passage of the surgical object through the adjustable seal. The inner seal portions of the adjustable seal are adapted for relative movement between a first generally approximated position and a second generally displaced position upon movement of the adjustment member.

Abstract: A cannula assembly includes a housing and a cannula member connected to the housing. The cannula member has leading and trailing ends and defines a longitudinal axis. The cannula member further includes a main body, a seal adjacent the leading end and a flexible portion disposed between the main body and the seal. The seal is capable of receiving an instrument therethrough while maintaining a substantial sealed relation with the instrument. The flexible portion is configured to permit movement of the seal relative to the longitudinal axis during manipulation of the endoscopic instrument. The flexible portion of the cannula member may include one or more bellows. The one or more bellows may form a goose neck configuration. Alternatively, the one or more bellows define a series of ridges and grooves.

Abstract: Access system for forming and enlarging a percutaneous penetration are disclosed. The apparatus includes a radically expandable dilation assembly having a radically expandable sleeve body and a handle portion operatively coupled to the proximal end of the radically expandable sleeve body. The access system further includes an expansion assembly having an expansion member configured and adapted to radically expand the sleeve body upon insertion therein of the expandable member. The handle portion including a seal disposed across an aperture formed therein for creating a fluid-tight seal around a proximal end of the expansion member. The handle portion including a valve stem operatively and fluidly coupled thereto for delivering a fluid into the aperture of the handle portion. The expansion member including a coating for reducing the force required to slidably insert the expansion member into the sleeve body of the dilation assembly.

Abstract: A diameter reduction mechanism for a fixed seal trocar employing a movable reduction member pivotally connected with a housing. The housing is adapted to be mounted on a proximal end of a valve assembly of the trocar. The reduction member defines a hole aligned with a passageway defmed by the trocar. The hole defines an operable area less than an operable area defined by the passageway. The diameter reduction mechanism is configured for the ease of selectively employing the reduction member between a first position reducing the operable area of the passageway and a second position wherein the reduction member is clear of the passageway. The first position is configured to limit excessive off-axis and angular movements of small diameter surgical instruments and the second position is configured to accommodate an unrestricted use of large diameter surgical instruments in the passageway.

Abstract: A method and system for storing health information, automatically matching health information to interpreters based on parameters provided by the interpreters and the health information providers, and transmitting interpretations of the health information provided by the interpreters. Interpreters may be rated according to their analysis quality and dependability on providing interpretations.

Abstract: Expandable casing has an expandable slip used for completion of a mono-diameter wellbore. The expandable casing is run through the upper casing and has an upper end that overlaps a lower end of the upper casing to form a fluid flow path between the expandable casing and the upper casing. The operator expands the overlapping portion of the expandable casing to an intermediate position, causing the expandable slip to anchor the expandable casing to the upper causing without blocking the flow path. Cement is then pumped up around the outside of the expandable casing and wellbore fluid displaced by the cement and excess cement are permitted to flow through the fluid flow path and up the upper casing. After sufficient cement is in place, the expandable casing is further expanded, compressing the expandable slip into to the inner wall of the upper casing and sealing off the fluid flow path.

Abstract: Expandable casing has an expandable slip used for completion of a mono-diameter wellbore. The expandable casing is run through the upper casing and has an upper end that overlaps a lower end of the upper casing to form a fluid flow path between the expandable casing and the upper casing. The operator expands the overlapping portion of the expandable casing to an intermediate position, causing the expandable slip to anchor the expandable casing to the upper causing without blocking the flow path. Cement is then pumped up around the outside of the expandable casing and wellbore fluid displaced by the cement and excess cement are permitted to flow through the fluid flow path and up the upper casing. After sufficient cement is in place, the expandable casing is further expanded, compressing the expandable slip into to the inner wall of the upper casing and sealing off the fluid flow path.

Abstract: A method and apparatus for simultaneously producing fluid from one or more zones of an oil or gas well, while injecting fluid into one or more other zones of the well, and for converting a depleted production zone into an injection zone, by remotely shifting sleeves in the apparatus to selectively align inlet and outlet ports with production and injection flow paths, respectively. A production string is provided within a completion string; the completion string has inlet and outlet ports to the well bore. One or more production sleeves have production conduits which can be selectively aligned with inlet ports by shifting the production sleeves. One or more injection sleeves have injection conduits which can be selectively aligned with outlet ports by shifting the injection sleeves.