Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A mesh delivery system for sacral colpopexy procedures is disclosed. The system uses a mesh stabilizer that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer, anchoring it in position. The mesh stabilizer employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer expands to a functional configuration where it interfaces with the probe head and stabilizes and adjustably feeds the mesh strap(s) for suturing while maintaining stabilization of the mesh on the vaginal apex and while keeping excess mesh from obscuring the surgeons view. After suturing, the stabilizer can be removed back through the surgical port.

Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A mesh delivery system for sacral colpopexy procedures is disclosed. The system uses a mesh stabilizer (30) that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer (30), anchoring it in position. The mesh stabilizer (30) employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer (30) expands to a functional configuration where it interfaces with the probe (10) head and stabilizes and adjustably feeds the mesh strap(s) for suturing while maintaining stabilization of the mesh on the vaginal apex and while keeping excess mesh from obscuring the surgeons view. After suturing, the stabilizer can be removed back through the surgical port.

Abstract: A mesh delivery system for sacral colpopexy and other procedures involving surgical mesh is disclosed. The system uses a mesh stabilizer (30) that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer (30), anchoring it in position. The mesh stabilizer (30) employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer (30) expands to a functional configuration where it interfaces with the probe (10) head and stabilizes and adjustably feeds the mesh strap(s) in preparation for fixation to the vaginal muscularis while maintaining stabilization of the mesh on the vaginal muscularis and while keeping excess mesh from obscuring the surgeons view.

Abstract: A mesh delivery system (2) for sacral colpopexy procedures is disclosed. The system (2) uses a mesh stabilizer (30), an endoscopic introducer (2) that carries the mesh stabilizer (30) into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a head that interfaces with the mesh stabilizer (30) in lock-and-key fashion. The mesh stabilizer (30) delivers mesh straps for sacral colpopexy into the abdomen. After delivery, the stabilizer (30) interfaces with the probe (10) head and locks the mesh stabilizer (30) with mesh straps in place. The endoscopic introducer (20) can then be temporarily detached and removed to facilitate suturing of the mesh to the anterior and posterior vaginal walls. After permanent suturing, the introducer (20) can be reinserted and used to retrieve the mesh stabilizer (30) component.

Abstract: A surgical instrument stabilizer system that includes an articulating boom that is releasably connectable to a surgical table side rail. The articulating boom includes an actuator, a multi-directional flexible arm having a first end region attached to the actuator, and a cable extending through the flexible arm. The cable has one end region connected to the actuator and another end region connected to a preload tensioning mechanism. The actuator is operable to tighten and loosen the cable, and the preload tensioning mechanism maintains an amount of tension in the cable when the actuator loosens the cable. The system further includes a surgical instrument-supporting member that is attached to a second end region of the flexible arm and is configured to releasably retain a surgical instrument.

Abstract: A mesh delivery system for sacral colpopexy procedures is disclosed. The system uses a mesh stabilizer (30) that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer (30), anchoring it in position. The mesh stabilizer (30) employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer (30) expands to a functional configuration where it interfaces with the probe (10) head and stabilizes and adjustably feeds the mesh strap(s) for suturing while maintaining stabilization of the mesh on the vaginal apex and while keeping excess mesh from obscuring the surgeons view. After suturing, the stabilizer can be removed back through the surgical port.

Abstract: A sacral mesh fixation device and method of use for sacral colpopexy. The sacral mesh fixation device comprises multiple hinged sections pivoted together at opposite ends and adapted to clamp one or more strips of sacral mesh there between. A latching mechanism is provided for releasably latching the opposing sections shut, thereby releasably clamping the sacral mesh to allow verification of tension. A sequential latching mechanism is provided to fixedly lock the fixation device to the sacral mesh by latching the remaining section to the prior sections. At least one of the sections may be sutured to tissue and the sacral mesh inserted between the sections and releasably clamped in place, thereby releasably affixing the mesh to the tissue or fixedly locking the mesh to the device thereby permanently locking the mesh to the tissue.

Abstract: A surgical instrument stabilizer system for securely holding virtually any instrument during any procedure, delivering vacuum when applicable, and yet allowing easy single-handed or voice activated repositioning by a user. The system utilizes opposing horizontal side-rails mounted to opposing sides of a surgical table, and opposing arms each slidably mounted on a side rail for global lengthwise positioning along the side rails. The arms carry a transverse beam at the foot of the operating table, and a flexible arm is movably mounted on the beam for global lengthwise positioning along the beam. Alternately, the flexible arm may be affixed directly to one of the existing horizontal side rails. The flexible arm leads to an instrument-supporting hand piece pivotally mounted for angular orientation of an instrument supported thereby. The flexible arm can be freely articulated to any position and locked in place.

Abstract: An instrument for operating on anatomical tissue includes a barrel having at least one shaft. An end is offset from the shaft. In an insertion position, the end effector is confined within the diametrical dimension of the barrel at a distal end thereof. After insertion, the end effector can be manipulated to extend beyond the diametrical dimension of the barrel to provide a large working span in which tissue can be manipulated.

Abstract: An instrument for operating on anatomical tissue includes a barrel having two or more driver therein which can be manipulated from a proximal end of the barrel. End effectors of each driver are offset from a rotatable shaft by a transverse arm. In an insertion position, the end effectors are confined within the diametrical dimension of the barrel at a distal end thereof. After insertion, the end effectors can be manipulated to extend beyond the diametrical dimension of the barrel to provide a large working span for manipulating tissue or performing other procedures on tissue.

Abstract: An expandable multifunctional instrument for creating a space at an obstructed site in anatomical tissue in the body including an elongate member having a distal end for being positioned at the obstructed site, a proximal end for being disposed externally of the body and an expandable member at the distal end of the elongate member. The expandable member includes a balloon movable fluidically from a non-expanded position to an expanded position at the obstructed site. The balloon assumes a preformed, predetermined configuration in the expanded position at the obstructed site to separate the anatomical tissue to create a space at the obstructed site.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a barrel having at least one needle holding apparatus therein which can be manipulated from a proximal end of the barrel. Jaws of the needle holding apparatus are offset from a rotatable shaft by a connecting member. In an insertion position, the needle jaws are confined within the diametrical dimension of the barrel at a distal end thereof. After insertion, the jaws can be manipulated to extend beyond the diametrical dimension of the barrel to provide a large working span in which tissue can be sutured.

Abstract: An expandable multifunctional instrument for creating a space at an obstructed site in the body includes an elongate member having a distal end for being introduced in the body, a proximal end for being disposed externally of the body and an expandable member for being positioned at the obstructed site. The expandable member is movable at the obstructed site from a non-expanded position to an expanded position to displace anatomical tissue to create a space at the obstructed site for performing various operative procedures. A method of creating a space at an obstructed site includes expanding an expandable member at the obstructed site and/or introducing fluid under pressure at the obstructed site to create a space where normally no space exists.

Abstract: An instrument for operating on anatomical tissue includes a barrel having at least one shaft. An end is offset from the shaft. In an insertion position, the end effector is confined within the diametrical dimension of the barrel at a distal end thereof. After insertion, the end effector can be manipulated to extend beyond the diametrical dimension of the barrel to provide a large working span in which tissue can be manipulated.

Abstract: An instrument for operating on anatomical tissue includes a barrel having two or more drivers therein which can be manipulated from a proximal end of the barrel. End effectors of each driver are offset from a rotatable shaft by a transverse arm. In an insertion position, the end effectors are confined within the diametrical dimension of the barrel at a distal end thereof. After insertion, the end effectors can be manipulated to extend beyond the diametrical dimension of the barrel to provide a large working span for manipulating tissue or performing other procedures on tissue.

Abstract: An instrument for suturing anatomical tissue with a suture needle includes a barrel having two needle holding apparatus therein which can be manipulated from a proximal end of the barrel. Jaws of each needle holding apparatus are offset from a rotatable shaft by a transverse arm. In an insertion position, the jaws are confined within the diametrical dimension of the barrel at a distal end thereof. After insertion, the jaws can be manipulated to extend beyond the diametrical dimension of the barrel to provide a large working span in which tissue can be sutured.

Abstract: An instrument assembly for performing anatomical tissue ligation includes a passage defining member having a distal end for being disposed at an internal operative site, a proximal end for being disposed externally of the internal operative site and a passage between the distal and proximal ends. A grasping member is disposed at the distal end of the passage defining member for grasping anatomical tissue at the internal operative site. A contractible ligature loop of filamentous ligature material is carried by the passage defining member and is disposed externally of the distal end thereof for positioning around the anatomical tissue grasped by the grasping member. The ligature loop is contractible, from externally of the internal operative site, around the anatomical tissue to form a ligature allowing a complete anatomical tissue ligation to be performed with a single instrument assembly.