Abstract: A smoke evacuator for use with a surgical access device includes an evacuation ring having an inner peripheral surface defining one or more channels therein disposed in fluid communication with an operating cavity. A connection port is disposed thereon in fluid communication with the channel(s) and adapted to connect to a smoke evacuation system. The evacuation ring includes a profile having an inner flange that forms part of the inner peripheral surface of the evacuation ring and one or more lower flanges, the inner flange is configured to mechanically engage a rim of an access device and the lower flange(s) is adapted to mechanically engage a wound guard, wherein engagement of the inner flange of the evacuation ring atop the access device and engagement of the lower flange(s) with the wound guard secures the access device, the wound guard and the smoke evacuation ring within the operating cavity.

Abstract: A tool assembly for use with an electrosurgical device for cutting tissue includes a base portion, a return lead, an electrical insulator, a center pin, and an active lead. The center pin extends from the base portion and through a lumen of the electrical insulator. The active lead is securely fixed to the base portion and extends between the base portion and a distal portion of the center pin such that a portion of the active lead extends around the distal portion of the center pin and first and second segments of the active lead are spaced apart from the return lead. Upon activation, electrosurgical energy is transmitted from the active lead through tissue to the return lead to cut tissue in contact with the active lead.

Abstract: An ultrasound device includes an ultrasound body having a shaft and an ultrasound sensor assembly disposed at a distal end portion of the shaft. The ultrasound sensor assembly is configured to enable ultrasound imaging. A clip is configured for positioning about a portion of a surgical tool. The clip is configured to releasably engage the ultrasound body to thereby releasably couple the surgical tool with the ultrasound body. A surgical system includes the ultrasound device and the surgical tool.

Abstract: An auxiliary return system for use with a bipolar electrosurgical device includes a tissue guard defining an open proximal end, an open distal end, and a lumen extending therethrough between the open proximal end and the open distal end. A ground plate is disposed along an inner peripheral surface of the lumen and is operably coupled to a first end of a ground wire extending from the tissue guard. A coupling is included having a bore defined therein for receiving a cable from an electrosurgical device therethrough, the cable including active and ground leads. The coupling has a flange extending therefrom defining a receptacle therein configured to operably receive a plug connected to a second end of the ground wire. The receptacle is configured to provide electrical continuity between the ground lead disposed within the cable and the plug coupled to the ground wire which, in turn, provides electrical continuity to the ground plate.

Abstract: A surgical system includes an active terminal, a return terminal, an active electrode, a return electrode, an active plug configured to connect to the active terminal, and a return plug configured to connect to the return terminal. The return plug is coupled to the return electrode and coupled between the active plug and the active electrode. The return plug is configured to break an electrical connection between the active plug and the active electrode when the return plug is not connected to the return terminal and to establish an electrical connection between the active plug and the active electrode when the return plug is connected to the return terminal.

Abstract: An electrosurgical system includes an electrosurgical generator having active and return terminals, an electrosurgical instrument including an active electrode, a return instrument including a return electrode, an active plug configured to connect to the active terminal of the generator, a return plug configured to connect to the return terminal of the generator, an active cable extending from the return plug to the electro surgical instrument, a return cable extending from the return plug to the return instrument, a connector cable extending from the active plug to the return plug, and a mechanical switch mechanism disposed within the return plug. The mechanical switch mechanism has a disengaged position in which the active plug is electrically disconnected from the active cable and an engaged position in which the active plug is in electrical communication with the active cable.

Abstract: A surgical device for closing a vaginal cuff includes a handle having an elongated shaft and a plurality of needles disposed therein. Each needle includes a suture anchor at a distal end thereof having a suture engaged therewith. An anvil is disposed at a distal end of the elongated shaft. A cutting mechanism is operably associated with the handle and is configured to cut tissue upon actuation thereof. A firing mechanism is operably associated with the handle and is movable between an unactuated position wherein the plurality of needles and suture anchors remain retained within the elongated shaft, an actuated position wherein the plurality of needles and suture anchors deploy from the elongated shaft through the cervical tissue, and a reverted position wherein the plurality of needles retract leaving the plurality of suture anchors and sutures engaged with the cervical tissue for tying off the vaginal cuff.

Abstract: A tissue guard includes a body defining an open proximal end, an open distal end, and a lumen extending through the body between the open proximal end and the open distal end. The tissue guard further includes a lip extending radially outwardly from the open proximal end of the body. The lip includes a plurality of spaced-apart cut-outs defined about the outer circumference of the lip to define a plurality of tabs of the lip. Each tab includes an outer edge segment. The body and the lip are monolithically formed as a single piece of material.

Abstract: A surgical device for closing a vaginal cuff includes a handle having an elongated shaft and a plurality of needles disposed therein. Each needle includes a suture anchor at a distal end thereof having a suture engaged therewith. An anvil is disposed at a distal end of the elongated shaft. A cutting mechanism is operably associated with the handle and is configured to cut tissue upon actuation thereof. A firing mechanism is operably associated with the handle and is movable between an unactuated position wherein the plurality of needles and suture anchors remain retained within the elongated shaft, an actuated position wherein the plurality of needles and suture anchors deploy from the elongated shaft through the cervical tissue, and a reverted position wherein the plurality of needles retract leaving the plurality of suture anchors and sutures engaged with the cervical tissue for tying off the vaginal cuff.

Abstract: A stapling apparatus includes a body portion, a staple cartridge disposed within the body portion, and a buttress removably attached to the staple cartridge. The staple cartridge includes a plurality of staple receiving slots defined in a tissue contacting surface of the staple cartridge, with each staple receiving slot of the plurality of staple receiving slots including a staple disposed therein. The buttress includes a plurality of tabs at an outer edge of the buttress. The buttress is releasably retained on the staple cartridge by at least one tab of the plurality of tabs extending into a staple receiving slot of the plurality of staple receiving slots defined in the staple cartridge.

Abstract: A uterine manipulator includes a handle and a central shaft that extends distally from the handle. The central shaft includes a distal end portion supporting a balloon. The central shaft also supports a cervical cup. An occluder shaft is slidably supported on the central shaft. A non-inflatable plug is secured to the occluder shaft and configured to move with the occluder shaft as the occluder shaft slides along the central shaft.

Abstract: A suture grasper for retrieving a suture from an internal surgical site includes an inner shaft defining a tissue-penetrating tip, an intermediate shaft disposed about the inner shaft, and an outer shaft disposed about the intermediate shaft. The intermediate shaft defines a plurality of spring fingers movable between a spread position, wherein the spring fingers extend radially outwardly from the inner shaft, and a compressed position, wherein the spring fingers are approximated about the inner shaft. The outer shaft is selectively translatable relative to the inner shaft and the intermediate shaft for moving the spring fingers between the spread position and the compressed position.

Abstract: A colpotomy system includes an energy source and a uterine manipulator that is electrically coupled to the energy source. The uterine manipulator supports a colpotomy cup and extends to a conductive distal tip portion. The colpotomy cup includes a conductive surface. One or both of the conductive distal tip portion and the conductive surface of the colpotomy cup are configured to return monopolar energy to the energy source.

Abstract: A system and method for capturing in-vivo images of an endoluminal network and generating a pathway for directing an endoluminal robot to drive a catheter to a desired location.

Abstract: An endoluminal robotic system includes at least one robotic arm that operates tools to perform suturing procedures. The tools may include at least one of a suture needle driver tool, an endoscope, and a grasping tool. Methods performed by the endoluminal robotic system include driving a suture needle through anterior and posterior sides of a defect using the suture needle driving tool, the end portion of which is rotated after passing through tissue, to form a desired suture pattern. Then, the two ends of the suture thread are pulled and tied together to form a knot. Methods performed by the endoluminal robotic system also include overlaying a suture needle path on an image captured by the endoscope and controlling the at least one robotic arm to operate the driving tool and the suture needle driver tool based on the overlaid suture needle path.

Abstract: The present disclosure describes a rolling sleeve having a malleable body. The rolling sleeve is configured to protect an endoluminal shaft from surrounding tissue during insertion, navigation, and/or treatment within a body lumen.

Abstract: Endoluminal robotic systems and corresponding methods include subsystems for visualization, navigation, pressure sensing, platform compatibility, and user interfaces. The user interfaces may be implemented by one or more of a console, haptics, image fusion, voice controls, remote support, and multi-system controls.

Abstract: A tissue specimen retrieval device includes a housing, an outer shaft extending distally from the housing, an end effector assembly extending distally from the outer shaft in a deployed position, a tissue specimen bag supported on the end effector assembly and including an open end extending between proximal and distal end portions of the end effector assembly, a cinch loop disposed about the open end of the tissue specimen bag, and a distal cinch tab. The distal cinch tab is disposed at the distal end portion of the end effector assembly and extends from the open end of the tissue specimen bag. The distal cinch tab is operably coupled to the cinch loop such that pulling the distal cinch tab distally relative to the cinch loop constricts the cinch loop about the open end of the tissue specimen bag to cinch the open end of the tissue specimen bag closed.

Abstract: A tissue guard includes a body defining an open proximal end, an open distal end, and a lumen extending through the body between the open proximal end and the open distal end. A lip extends radially outwardly from the open proximal end of the body, the lip including a finger extending from an exterior peripheral surface thereof. The finger includes a flange at a distal end thereof adapted to operably engage an underside of a proximal ring of an access device to secure the tissue guard therein.

Abstract: A uterine manipulator includes a handle and a central shaft that extends distally from the handle. The central shaft includes a distal end portion supporting a balloon. The central shaft also supports a cervical cup. An occluder shaft is slidably supported on the central shaft. A non-inflatable plug is secured to the occluder shaft and configured to move with the occluder shaft as the occluder shaft slides along the central shaft.