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: A trocar system includes a cannula having a cannula housing and a cannula sleeve extending from the cannula housing, and an obturator at least partially positionable within the cannula. The obturator includes an obturator housing adapted for mating with the cannula housing, an obturator shaft connected to the obturator housing and receivable within the cannula sleeve, an obturator blade connected to the obturator shaft, a protective member including a protective guard coaxially mounted about the obturator blade and a latch member associated with the obturator housing and operatively connected to the protective guard. The obturator shaft and the obturator blade are adapted for relative rotational movement. The protective guard is adapted for longitudinal movement between a first position substantially enclosing the obturator blade and a second position to at least partially expose the obturator blade.

Abstract: Systems, kits, and methods for establishing percutaneous access are described. A system typically includes a deformable variable diameter cannula sleeve (DVDCS) and a guidewire. The DVDCS will generally have two states, an initial, un-activated condition and a second, activated condition, brought about and controlled under the discretion of the operator. The methods comprise creating an initial access point and tissue tract with a needle, positioning a guidewire through the initial tissue tract, passing the deformable variable diameter cannula sleeve over the guidewire through the tissue tract to a target blood vessel or cavity, and activating the DVDCS to effect radial deformation of the surrounding tissue. Use of the DVDCS reduces the risk of injuring tissue surrounding the tissue tract by lessening the axial forces imparted to the tissue. Kits comprise at least one deformable variable diameter cannula sleeve together with instructions for use.

Abstract: An apparatus for the reception of an instrument inserted through a surgical portal apparatus includes a valve mount, a major opening through the valve mount, a primary valve for selectively sealing the major opening, a minor opening through the primary valve, and a secondary valve for selectively sealing the minor opening. Components of both the major valve and the minor valve may be displaced to permit passage of a broad instrument, while components of only the secondary valve may be displaced to permit passage of a narrow instrument.

Abstract: A surgical access assembly including a housing, an elongate access member extending from the housing, an instrument seal disposed within the housing and a zero closure valve mounted relative to the housing. The closure valve includes a valve periphery and first and second lips depending from the valve periphery. Each lip includes a lip edge surface in juxtaposed relation to define a slit when the valve is in a closed position thereof. Each lip has a general arcuate internal lip surface leading to the lip edge surface to define a sloping configuration dimensioned to facilitate passage of a surgical instrument through the valve. Each of the lips includes a support rib depending from the internal lip surface, the support ribs defining a gap therebetween to be in spaced relation when the valve is in the closed position and being positioned to contact the surgical instrument during insertion through the lips.

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: A surgical seal assembly for use with a surgical access device includes a seal housing defining a central longitudinal axis and having a longitudinal passage dimensioned to permit passage of a surgical instrument through the seal housing, a gimbal mount disposed within the seal housing and having a gimbal seal member defining an aperture for substantial sealed reception of the surgical instrument, and an interface seal disposed within the seal housing. The gimbal mount is adapted for angular movement relative to the central longitudinal axis upon angulation of the surgical instrument whereby the gimbal seal member substantially maintains the sealed reception of the surgical instrument. The interface seal includes an interface seal member extending at least along the longitudinal axis and being in substantial contacting sealing relation with the gimbal mount. The interface seal member is adapted to maintain the sealing relation with the gimbal mount upon angular movement thereof.

Abstract: A seal assembly for use with an access device includes a seal housing defining a central longitudinal axis, an inner wall and an outer wall. The inner wall defines a longitudinal opening to permit passage of instrumentation through the seal housing. A gimbal mount is at least partially accommodated within a space defined between the inner wall and the outer wall of the seal housing. The gimbal mount includes a seal member defining an aperture for substantial sealed reception of a surgical instrument. The gimbal mount is adapted for angular movement relative to the central longitudinal axis upon angulation of the surgical instrument while substantially maintaining the sealed reception of the surgical instrument.

Abstract: Described herein are apparatus for performing lithotripsy. The apparatus comprise a CT scanner and a shock wave tube for generating shock wave pulses for fragmenting kidney stones. The CT scanner includes a guidance system which is utilized to guide and control the position of the shock wave tube relative to a patient. The shock tube moves along an track which may be coupled to the CT scanner or which may be movable relative to the scanner. The track may be circular or semi-circular. The shock tube is movable about three orthogonal axes, which movement is controlled by the guidance system. A method for performing the lithotripsy using the apparatus is also described herein.

Abstract: A trocar system includes a cannula having a cannula housing and a cannula sleeve extending from the cannula housing, and an obturator at least partially positionable within the cannula. The obturator includes an obturator housing adapted for mating with the cannula housing, an obturator shaft connected to the obturator housing and receivable within the cannula sleeve, an obturator blade connected to the obturator shaft, a protective member including a protective guard coaxially mounted about the obturator blade and a latch member associated with the obturator housing and operatively connected to the protective guard. The obturator shaft and the obturator blade are adapted for relative rotational movement. The protective guard is adapted for longitudinal movement between a first position substantially enclosing the obturator blade and a second position to at least partially expose the obturator blade.

Abstract: The present disclosure relates to an optical obturator that facilitates the visualization of tissue therethrough during use. The optical obturator disclosed herein includes a housing that is disposed at a proximal end thereof, an elongate member that extends distally from the housing, a distal end formed of a substantially opaque material with one or more openings formed therein, and a shield member.

Abstract: A surgical portal apparatus includes a portal housing, a portal sleeve, and a seal. The portal housing defines a central housing axis and a central housing channel. The portal sleeve extends from the portal housing and is dimensioned to pass through tissue to provide access to underlying tissue via a longitudinal opening. The central housing channel of the portal housing and the longitudinal opening of the portal sleeve define a passageway for reception and passage of a surgical object. The seal has inner surfaces defining a seal passage for establishing a general sealed relation about the surgical object. The seal passage is radially offset with respect to the central housing axis. The seal is adapted to rotate about the central housing axis to vary positioning of the seal passage to substantially maintain the substantial sealed relation upon manipulation of the surgical object within the portal housing.

Abstract: A surgical instrument for use with a surgical portal apparatus includes an elongate shaft having proximal and distal ends and defining a longitudinal axis and a dilating member disposed at the distal end of the elongate shaft. The dilating member has a first longitudinal arc segment and a second longitudinal arc segment in diametrical opposed relation to the first longitudinal arc segment. The first and second longitudinal arc segments define respective first and second radii of curvature transverse to the longitudinal axis. The first and second radii of curvature decrease from proximal to distal to define a generally tapered configuration of the dilating member. The first radius of curvature is greater than the second radius of curvature at predefined longitudinal positions of the dilating member such that the first longitudinal arc segment extends distally beyond the second longitudinal segment to define a penetrating tip.

Abstract: Seal assemblies are provided, comprising a seal holder including a cylindrical wall portion that defines a central passage. The seal assembly comprises a seal supported in the central passage of the seal holder. The seal has a substantially spherical configuration and 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 seal is adapted for angular movement relative to a central longitudinal axis of the seal holder upon angulation of the surgical instrument, whereby the seal substantially maintains a sealed relationship 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 seal within the central passage of the seal holder.

Abstract: This disclosure relates to a control system for driving a motor. The motor may include a cut-out circuit. The control system may include a buck-boost circuit to limit the rate of change of an output voltage before the output voltage is applied to operate the motor.

Abstract: A seal assembly for use with an access device includes a seal housing defining a central longitudinal axis, an inner wall and an outer wall. The inner wall defines a longitudinal opening to permit passage of instrumentation through the seal housing. A gimbal mount is at least partially accommodated within a space defined between the inner wall and the outer wall of the seal housing. The gimbal mount includes a seal member defining an aperture for substantial sealed reception of a surgical instrument. The gimbal mount is adapted for angular movement relative to the central longitudinal axis upon angulation of the surgical instrument while substantially maintaining the sealed reception of the surgical instrument.

Abstract: Pneumoperitoneum needles for providing and/or insufflating a corporal and/or abdominal cavity are provided. The pneumoperitoneum needle can include a housing, an elongate tubular body extending from a distal surface of the housing, and an elongate hollow tubular rod slidably received within the tubular body. The tubular body preferably includes a passage formed therethrough for connection to a gas administration system. The tubular rod preferably includes a blunt distal end defining an opening, and a proximal end portion defining an opening formed therethrough.

Abstract: A suturing device includes a housing having an elongated tubular member extending from a distal end thereof. A head assembly is disposed at a distal end of the elongated tubular member and is configured to retain a portion of a suture therein. At least one arm member is positioned about the elongated tubular member. Each arm members includes a ferrule assembly disposed at a distal end thereof. Each ferrule assembly is positioned within a recess defined within the elongated tubular member and is configured to releasably retain a ferrule therein. Each ferrule is configured to retain a portion of the suture therein. Each arm member is rotatable to thereby rotate the ferrule assembly disposed thereon between a first position and a second position. The ferrule assembly extends at least partially radially outwardly from the recess in one of the first and second positions.

Abstract: A surgical seal assembly for use with a surgical access device includes a seal housing defining a central longitudinal axis and having a longitudinal passage dimensioned to permit passage of a surgical instrument through the seal housing, a gimbal mount disposed within the seal housing and having a gimbal seal member defining an aperture for substantial sealed reception of the surgical instrument, and an interface seal disposed within the seal housing. The gimbal mount is adapted for angular movement relative to the central longitudinal axis upon angulation of the surgical instrument whereby the gimbal seal member substantially maintains the sealed reception of the surgical instrument. The interface seal includes an interface seal member extending at least along the longitudinal axis and being in substantial contacting sealing relation with the gimbal mount. The interface seal member is adapted to maintain the sealing relation with the gimbal mount upon angular movement thereof.

Abstract: A suturing device includes an elongated tubular member defining a longitudinal axis. The elongated tubular member has a proximal portion and a distal portion. A head assembly extends from the distal portion of the elongated tubular member and is disposed about the longitudinal axis. The head assembly includes one or more rotatable barb holders coupled thereto. The rotatable barb holders are configured to releasably retain a barb thereon. The rotatable barb holders are rotatable between a first position, wherein the barb is positioned adjacent the elongated tubular member, and a second position, wherein the barb is radially spaced from the elongated tubular member.