Abstract: An instrument access device of a teleoperated surgical system includes an envelope, a clamp, and a plurality of ports. The envelope includes a distal opening and a cavity. The clamp is in the distal opening of the envelope. The plurality of ports are coupled to the envelope. The plurality of ports are proximal to the clamp and the distal opening of the envelope. Each of the plurality of ports includes a seal, which is sized and shaped to seal an outer surface of a cannula and to fix a position of the cannula relative to the port and the envelope.

Abstract: A wound retractor clamp includes an annular clamp body including a periphery configured to surround a proximal end of a wound retractor, and one or more resilient members connected to the periphery of the clamp body. The one or more resilient members deflect radially outward upon engagement of the clamp body with the wound retractor. The one or more resilient members snap onto the wound retractor and secure the clamp body to the wound protector subsequent to the engagement of the clamp body with the wound protector.

Abstract: A wound retractor clamp includes an annular clamp body including a periphery configured to surround a proximal end of a wound retractor, and one or more resilient members connected to the periphery of the clamp body. The one or more resilient members deflect radially outward upon engagement of the clamp body with the wound retractor. The one or more resilient members snap onto the wound retractor and secure the clamp body to the wound protector subsequent to the engagement of the clamp body with the wound protector.

Abstract: A wound retractor includes a sleeve with proximal and distal ends, an inner ring inside the sleeve between the proximal and distal ends, and an outer ring outside the sleeve between the proximal and distal ends. The inner ring includes a tapered outer surface that increases in diameter from a proximal end of the inner ring toward a distal end of the inner ring. The outer ring includes a tapered inner surface that increases in diameter from a proximal end of the outer ring toward a distal end of the outer ring. A portion of the sleeve is captured between the tapered outer surface and the tapered inner surface.

Abstract: Disclosed are medical devices for surgical procedures, especially procedures that involve the manipulation of surgical instrument end effectors close to the skin surface at an incision site. In accordance with some embodiments, an instrument access device is configured to couple to a wound retractor at a distal end of the device and to receive a multiple instrument entry guide in a port at the proximal end of the instrument access device, with an envelope between the distal and proximal ends defining a sealed cavity for maintaining insufflation pressure. Various embodiments provide means for rotating an assistant port in the envelope about a port that receives the instrument entry guide without twisting the envelope. Also disclosed are various envelope shapes. Also disclosed is an instrument entry guide that aligns surgical instrument shafts.

Abstract: Disclosed are medical devices for surgical procedures, especially procedures that involve the manipulation of surgical instrument end effectors close to the skin surface at an incision site. In accordance with some embodiments, an instalment access device is configured to couple to a wound retractor at a distal end of the device and to receive a multiple instrument entry guide in a port at the proximal end of the instrument access device, with an envelope (822) between the distal (804) and proximal (812) ends defining a sealed cavity for maintaining insufflation pressure. Various embodiments provide means for rotating an assistant port in the envelope about a port that receives the instrument entry guide without twisting the envelope. Also disclosed are various envelope shapes. Also disclosed is an instrument entry guide that aligns surgical instrument shafts.

Abstract: A needle driver device comprises an arcuate-shaped distal end portion defining an aperture opening at a distal end of the needle driver device and a cutting element disposed an exterior surface portion of the needle driver device. The cutting element is configured to cut suturing material. Devices, systems, and methods relate to cutting suturing material.

Abstract: A medical device includes a device body and an insufflation fitting coupled to and extending from the device body. The insufflation fitting includes an annular high-flow fitting portion and an annular low-flow fitting portion extending away from the device body from the annular high-flow fitting portion. The annular high-flow fitting portion includes a first inner surface and a radially outward sealing surface generally reverse from the first inner surface. The annular low-flow fitting portion includes an inner sealing surface and a first radially outward surface generally reverse from the inner sealing surface. The first inner surface of the annular high-flow fitting portion and the inner sealing surface of the annular low-flow fitting portion define an insufflation gas flow passageway through the insufflation fitting.

Abstract: A medical device includes a device body and an insufflation fitting coupled to and extending from the device body. The insufflation fitting includes an annular low-flow fitting and an annular high-flow fitting. The annular low-flow fitting includes a radially outward surface generally reverse of a first inner sealing surface. The inner sealing surface defines a flow passageway for insufflation gas. The annular high-flow fitting includes a second inner sealing surface extending around and radially offset from the radially outward surface of the low-flow fitting.

Abstract: A cannula includes a tube having a central passage extending between a proximal end and a distal end of the tube along a longitudinal axis of the tube. A first cross section of the passage taken at or adjacent the distal end of the tube and in a plane normal to the longitudinal axis has a first cross-sectional shape, the first cross-sectional shape being non-circular. A second cross section of the passage taken through a portion of the tube proximal to the distal end of the tube and in a plane normal to the longitudinal axis has a second cross-sectional shape. The first cross-sectional shape is different from the second cross-sectional shape. Systems related to cannulas and tools for insertion through cannulas.

Abstract: A medical device includes a tube comprising a proximal end, a distal end, a wall extending from the proximal end to the distal end of the tube and surrounding a hollow interior of the tube, and one or more engagement features on the lateral wall. An inflatable member is located at a distal end portion of the tube. The medical device also includes a repositionable anchor located on the tube proximal to the inflatable anchor and configured to engage the one or more features on the lateral wall. In a first configuration of the medical device, the repositionable anchor is translatable along the tube, and in a second configuration of the medical device the repositionable anchor is fixed in translation relative to the tube.

Abstract: A wound retractor damp includes an annular damp body including a periphery configured to surround a proximal end of a wound retractor, and one or more resilient members connected to the periphery of the clamp body. The one or more resilient members deflect radially outward upon engagement of the clamp body with the wound retractor. The one or more resilient members snap onto the wound retractor and secure the clamp body to the wound protector subsequent to the engagement of the clamp body with the wound protector.

Abstract: A wound retractor includes a sleeve with proximal and distal ends, an inner ring inside the sleeve between the proximal and distal ends, and an outer ring outside the sleeve between the proximal and distal ends. The inner ring includes a tapered outer surface that increases in diameter from a proximal end of the inner ring toward a distal end of the inner ring. The outer ring includes a tapered inner surface that increases in diameter from a proximal end of the outer ring toward a distal end of the outer ring. A portion of the sleeve is captured between the tapered outer surface and the tapered inner surface.

Abstract: An instrument access device of a teleoperated surgical system includes an envelope, a clamp, and a plurality of ports. The envelope includes a distal opening and a cavity. The clamp is in the distal opening of the envelope. The plurality of ports are coupled to the envelope. The plurality of ports are proximal to the clamp and the distal opening of the envelope. Each of the plurality of ports includes a seal, which is sized and shaped to seal an outer surface of a cannula and to fix a position of the cannula relative to the port and the envelope.

Abstract: A kit for implanting a woven retention device into bone includes a woven retention device, a delivery tube, and a push rod. The woven retention device includes a distal end that is tapered to a distal tip, a proximal end for receiving a fastener, and a sleeve body between the distal and proximal ends. The delivery tube includes distal and proximal openings, and a compression portion over at least a distal end of the delivery tube. The push rod can be slideably received within the delivery tube and has a distal end for pushing the woven retention device through the distal opening of the delivery tube.

Abstract: A kit for implanting a woven retention device into bone includes a woven retention device, a delivery tube, and a push rod. The woven retention device includes a distal end that is tapered to a distal tip, a proximal end for receiving a fastener, and a sleeve body between the distal and proximal ends. The delivery tube includes distal and proximal openings, and a compression portion over at least a distal end of the delivery tube. The push rod can be slideably received within the delivery tube and has a distal end for pushing the woven retention device through the distal opening of the delivery tube.

Abstract: A method of inserting a woven retention device into a bone hole includes providing a woven retention device with a tapered distal end and a proximal end to receive a fastener, providing a delivery tube with distal and proximal openings, and providing a push rod to push the woven retention device through the distal opening of the delivery tube. The delivery tube includes a compression portion over at least a distal end of the delivery tube. The method also includes positioning the distal opening of the delivery tube near an opening of the bone hole and advancing the woven retention device through the compression portion of the distal opening of the delivery tube and into the bone hole by pushing on an interior of the tapered distal end of the woven retention device using the distal end of the push rod.

Abstract: A system for preparing and inserting a woven retention device into bone is provided. The system includes a woven retention device having a distal end, a proximal end for receiving a fastener, and a sleeve body between the distal and proximal ends. A longitudinal axis extends between the distal and proximal ends. The system also includes a measuring device surrounding at least a portion of the woven retention device and defining a cutting position at which the woven retention device is to be cut for insertion into a hole in the bone. The measuring device measures a distance from the distal end of the woven retention device to the cutting position. The woven retention device is movable relative to a least a portion of the measuring device that defines the cutting position such that the woven retention device can be cut to a desired size.