Abstract: Described here are devices, systems, and methods for moving and/or supporting an internal organ or other tissue, such as during minimally-invasive surgery. Generally, a system for moving and/or supporting tissue may comprise a magnetic control component and a retractor having at least one magnetic portion. The retractor may have a first low-profile configuration for passing through an incision into a surgical site within a patient and a second expansive configuration for engaging tissue. The magnetic control component may be placed over the surgical site external to the patient and generate a magnetic field to manipulate the retractor and engaged tissue.

Abstract: Devices, systems, and methods for minimization of backlash in a syringe pump are described herein. Syringe pumps may comprise a syringe including a cylindrical body and a plunger, and a controller. The plunger may comprise a linear gear that may operably couple with a circular gear in the controller. The controller may be configured to bias the circular gear in a biasing rotational direction, thereby positioning the plunger to move towards a biasing translational direction. The methods may comprise determining a backlash compensation amount, determining a fluid transfer movement amount, moving at least one component of the syringe pump the backlash compensation amount and the fluid transfer movement amount in a first direction, and moving the at least one component of the syringe pump a biasing movement amount in a second direction opposite the first direction to re-engage the first gear and the second gear to minimize backlash.

Abstract: Described here are devices, systems, and methods for moving and/or supporting an internal organ or other tissue, such as during minimally-invasive surgery. Generally, a system for moving and/or supporting tissue may comprise a magnetic control component and a retractor having at least one magnetic portion. The retractor may have a first low-profile configuration for passing through an incision into a surgical site within a patient and a second expansive configuration for engaging tissue. The magnetic control component may be placed over the surgical site external to the patient and generate a magnetic field to manipulate the retractor and engaged tissue.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.

Abstract: Methods for performing endovascular procedures are described herein. The methods may comprise advancing an expandable member of a blood flow control device to a target location in a blood vessel of a patient, and rotating a circular gear positioned at least partially within a housing of a controller via the controller communicably coupled to the blood flow control device. Rotating the circular gear may translate a linear gear of a syringe pump fluidly coupled to the expandable member thereby adjusting a volume of the expandable member. Various blood flow control devices, control systems, and fluid delivery systems are also described herein. The fluid delivery systems may include a pump configured for manual or automated delivery of fluids, or configured to switch between automated and manual modes of delivery. The pump may be a syringe pump that utilizes a rack and pinion system, a motor, and a sensor to track the position and/or movement of a component of the syringe pump during fluid transfer.

Abstract: A pump cartridge comprises a retention structure to retain a piston for shipping and storage, in which the piston can be decoupled from the retention structure to pump fluid. In the shipping and storage configuration, the piston can be positioned with the retention structure to allow sterilization gas to travel within a housing and into a cylinder distal to the piston. When placed in the console for use in a pumping configuration, the piston can be decoupled from the retention structure to form a seal within the housing. When the procedure has been completed, the pump cartridge can be decoupled from the console in a manner that disables the cartridge for subsequent use to prevent a non-sterile cartridge from being reused.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.

Abstract: A clamping mechanism for a surgical instrument and related methods are disclosed. Upper and lower elongated members are configured to engage each other at a first interlock and a second interlock, the first interlock distal of the second interlock. The clamping mechanism is movable between a first configuration, a second configuration, and a third configuration. In the first configuration, the elongated members are approximated towards each other and the first and second interlocks are not engaged. In the second configuration, the distal portion of the elongated members are moved away from each other, the first interlock is engaged, and the second interlock is not engaged. In the third configuration, the distal portions of the elongated members are moved away from each other relatively, the proximal portions of the elongated members are moved away from each other relatively, the first interlock is engaged, and the second interlock is engaged.

Abstract: An end effector for use and connection to a robot arm of a robotic surgical system, wherein the end effector is controlled and/or articulated by at least one cable extending from a respective motor of a control device of the robot surgical system, is provided. The end effector includes a jaw assembly defining a longitudinal axis and including a pair of jaws. Each jaw includes a proximal portion pivotally connected to the distal hub assembly; and a distal portion extending distally of the proximal portion thereof. The end effector additionally includes an actuation cable having a distal end operatively connected to the pair of jaws and a proximal end operatively connected to the at least one motor. In use, axial translation of the actuation cable results in one of an opening and a closing of the jaw assembly.

Abstract: A connection tool for a tongue manipulation device system includes a connector for coupling to a tongue advancer tether, a tension meter coupled to the connector, and a tensioner for applying a tension or pulling force to the connector via the tension meter. The tension meter is further configured to indicate when a determined tension or pulling force is applied to the connector such that the tongue advancer tether is kept taut.

Abstract: A connection tool for a tongue manipulation system includes a connector configured to be coupled to a tongue advancer tether, a connection tool body, and a separable removal cannula part. The separable removal cannula part is configured to follow a tongue advancer tether line in order to enable a removal sleeve located at least partially within the separable removal cannula part to contact the tongue advancer. The separable removal cannula part is configured to be separated from the connection tool body following the removal sleeve contacting the tongue advancer and to expose a proximal end of the removal sleeve.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.

Abstract: A clamping mechanism for a surgical instrument and related methods are disclosed. Upper and lower elongated members are configured to engage each other at a first interlock and a second interlock, the first interlock distal of the second interlock. The clamping mechanism is movable between a first configuration, a second configuration, and a third configuration. In the first configuration, the elongated members are approximated towards each other and the first and second interlocks are not engaged. In the second configuration, the distal portion of the elongated members are moved away from each other, the first interlock is engaged, and the second interlock is not engaged. In the third configuration, the distal portions of the elongated members are moved away from each other relatively, the proximal portions of the elongated members are moved away from each other relatively, the first interlock is engaged, and the second interlock is engaged.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.

Abstract: Described here are devices, systems, and methods for moving and/or supporting an internal organ or other tissue, such as during minimally-invasive surgery. Generally, a system for moving and/or supporting tissue may comprise a magnetic control component and a retractor having at least one magnetic portion. The retractor may have a first low-profile configuration for passing through an incision into a surgical site within a patient and a second expansive configuration for engaging tissue. The magnetic control component may be placed over the surgical site external to the patient and generate a magnetic field to manipulate the retractor and engaged tissue.

Abstract: A connection tool for a tongue manipulation system comprising: a connector configured to be coupled to a tongue advancer tether (801); a connection tool body (1313) and separable removal cannula part (1315) configured to follow a tongue advancer tether line (801) in order to enable a removal sleeve (1335) located at least partially within the separable removal cannula part (1315) to contact the tongue advancer (305), the separable removal cannula part (1315) being configured to be separated from the connection tool body (1313) following the removal sleeve (1335) contacting the tongue advancer (305) and to expose a proximal end of the removal sleeve (1335).

Abstract: A connection tool (1301) for a tongue manipulation device system, the tool (1301) comprising: a connector configured to be coupled to a tongue advancer tether (801); a tension meter (1323) configured to be coupled to the connector; a tensioner (1321) configured to apply a tension or pulling force to the connector via the tension meter (1323), wherein the tension meter (1323) is further configured to indicate when a determined tension or pulling force is applied to the connector such that the tongue advancer tether (801) is kept taut.

Abstract: An end effector for use and connection to a robot arm of a robotic surgical system, wherein the end effector is controlled and/or articulated by at least one cable extending from a respective motor of a control device of the robot surgical system, is provided. The end effector includes a jaw assembly defining a longitudinal axis and including a pair of jaws. Each jaw includes a proximal portion pivotally connected to the distal hub assembly; and a distal portion extending distally of the proximal portion thereof. The end effector additionally includes an actuation cable having a distal end operatively connected to the pair of jaws and a proximal end operatively connected to the at least one motor. In use, axial translation of the actuation cable results in one of an opening and a closing of the jaw assembly.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may comprise a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further comprise a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.