Abstract: A surgical portal apparatus for permitting introduction of a surgical object within tissue includes a portal member defining a longitudinal axis and having leading and trailing ends. The portal member includes an outer wall defining a longitudinal opening dimensioned for reception of a surgical object. At least one projection is disposed on the outer wall of the portal member and extends in at least a radial direction relative to the longitudinal axis. The at least one projection is dimensioned and configured for engaging tissue to resist movement of the portal member within tissue. The at least one projection defines a recess dimensioned for receiving tissue portions adjacent thereto. Preferably, a plurality of projections is spaced about the outer wall of the portal member. At least two of the projections are circumferentially spaced relative to the longitudinal axis and/or at least two of the projections are longitudinally spaced relative to the longitudinal axis.

Abstract: A seal assembly for use with an access apparatus during a surgical procedure includes a housing defining a longitudinal axis and having a passageway dimensioned to permit passage of an object. The housing is adapted for mounting to a surgical access apparatus and has internal wall portions defining an internal chamber. A seal is mounted within the internal chamber of the housing and is adapted to form a substantial sealing relation with the object. The seal is mounted for reciprocal movement within the internal chamber in a general transverse direction to the longitudinal axis. A viscous fluid is disposed within the internal chamber surrounding the seal and is adapted to form a substantial seal between the seal and the internal wall portions of the housing. The fluid may have lubricious characteristic to facilitate sliding movement of the seal relative to the internal wall portions of the housing.

Abstract: A surgical apparatus is provided including a disposable loading unit selectively operatively engagable within a distal end of a first half-section; and a wound treatment material applicator assembly for delivering wound treatment material to the target surgical site. The disposable loading unit includes a cartridge; a plurality of deployable needles supported within the cartridge, wherein each needle includes a lumen extending therethrough and at least one hole formed in an outer periphery thereof; and an actuation member translatably disposed within the cartridge for delivering a driving force to each needle to deploy the needles from the cartridge. The applicator assembly includes a first and second reservoir supported on the distal end of a respective first and second half-section; and a source of wound treatment material in fluid communication with each reservoir.

Abstract: A surgical access apparatus includes a liner base and an access housing for positioning outside the body. The liner base includes an inner member adapted for insertion through an opening within body tissue for positioning within the body; a sleeve member connected to the inner member and dimensioned to extend from the inner member through the opening within the body tissue, and a plurality of tensioning elements connected to the inner member and associated with the sleeve member to impart a tensioning effect on the sleeve member. The access housing includes a first element and a second element. The second element is operatively connected to the tensioning elements and adapted for rotational movement relative to the first member to cause the tensioning elements to displace the inner member toward the access housing and to cause the sleeve member to engage and retract tissue defining the opening within the body.

Abstract: A surgical access system includes a tubular member defining a longitudinal axis and having an axial lumen. The tubular member includes a braided material adapted to expand from a first initial condition having a first cross-sectional dimension to a second expanded condition having a second-cross sectional dimension greater than the first cross-sectional dimension. The tubular member defines an oblique end surface. An access housing is mounted to the tubular member. The access housing is dimensioned for engagement by the user. A process for manufacturing a surgical access device is also disclosed.

Abstract: A dispenser retains a plurality of elongated items such as tie wraps while permitting convenient, quick and easy access. The dispenser includes a housing that defines a chute. A strap attaches to the housing to enclose the chute and, in turn, retain the items. During removal of items, a holding tension is maintained on the remaining items. After emptying, the dispenser can be refilled and used repeatedly. A ball joint couples a mounting feature to the housing so that the dispenser can be mounted at a desirable location and adjusted to a desirable dispensing position.

Abstract: An access apparatus for use during a surgical procedure to provide access to the interior of the body includes an access member defining a longitudinal axis and having a proximal end for being disposed at an exterior side of the body and a distal end for extending into the interior of the body. The access member has a bore therethrough dimensioned to permit passage of an object. A seal is disposed within the bore of the access member. The seal includes a fabric material and an elastomeric material, and defines an internal passageway dimensioned to form a substantial sealing relation with an object inserted therethrough.

Abstract: A hand access device includes a housing defining a longitudinal axis and having a passageway therethrough dimensioned to permit passage of a surgeon's arm and a fabric seal mounted within the opening and being dimensioned to form a substantial sealing relation with the surgeon's arm. The fabric seal is elongated extending along the longitudinal axis and may define a general hour glass configuration. A pair of flexible bands may be mounted about the fabric seal. The flexible bands are adapted to engage an outer surface of the seal to bias the fabric seal to a closed position thereof.

Abstract: A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly.

Abstract: Access system for forming and enlarging a percutaneous penetration are disclosed. The apparatus includes a radially expandable dilation assembly having a radially expandable sleeve body and a handle portion operatively coupled to the proximal end of the radially expandable sleeve body. The access system further includes an expansion assembly having an expansion member configured and adapted to radially expand the sleeve body upon insertion therein of the expandable member. The handle portion including a seal disposed across an aperture formed therein for creating a fluid-tight seal around a proximal end of the expansion member. The handle portion including a valve stem operatively and fluidly coupled thereto for delivering a fluid into the aperture of the handle portion. The expansion member including means for reducing the force required to slidably insert the expansion member into the sleeve body of the dilation assembly.

Abstract: The present disclosure relates to a sheath system for enabling access through an opening in the body of a patient is provided. The sheath system includes a dilation assembly having a radially expandable tubular sheath defining a lumen having a first cross-sectional area when in a non-expanded condition, and a handle assembly operatively coupled to a proximal end of tubular sheath, the handle assembly defining an aperture formed therein, and a first thread defined on the handle in the aperture thereof. The sheath system further includes an expansion assembly including a tubular member defining a lumen having a second cross-sectional area which is larger than the first cross-sectional area of the tubular sheath of the dilation assembly and having an outer surface defining a second thread, the second thread being arranged for engaging the first thread.

Abstract: A cannula assembly for performing a surgical includes a cannula defining a longitudinal axis and having a longitudinal passageway extending therethrough, a seal for substantially sealing the longitudinal passageway within the cannula in the absence of an object being received through the passageway and an elongated membrane disposed within the longitudinal passageway of the cannula. The elongated membrane is secured to the cannula at respective ends of the elongated membrane to define an annular space between the elongated membrane and the cannula. The cannula has a throughhole in communication with the annular space whereby, when the cannula is positioned within an insufflated body cavity, insufflation gases pass through the throughhole to expand the annular space to thereby cause the elongated membrane to form a seal about an object inserted therethrough.

Abstract: Surgical stapler including a longitudinal body having a handle portion and a trigger portion pivotally mounted to the handle portion. The surgical stapler including a cartridge assembly having a plurality of formable staples therein. The staples being formable through actuation of the trigger portion of the longitudinal body. The cartridge assembly includes an upper chassis assembly having a centrally disposed channel. The channel accommodating a reciprocating pusher follower and a reciprocating pusher plate. The pusher plate being coupled to the pusher follower and reciprocally advancable against an anvil plate. The pusher plate forming at least one of a plurality of staples around an anvil tip of the anvil plate. The cartridge assembly also including a lower track portion coupled to the upper chassis assembly.