Abstract: An illuminated surgical retractor includes a blade, a handle, a curved section and an illumination assembly. The blade has a top surface and a bottom surface. The handle extends at an angle from a proximal end of the blade. The curved section connects the handle to the blade. The illumination assembly includes at least one light source, at least one battery and an activation device for energizing the light source. The illumination assembly is attachable to the curved section.

Abstract: A surgical access assembly for positioning within an opening in tissue including an outer frame positionable outside a patient and defining an opening therein dimensioned to receive a surgical instrument therethrough. The outer frame includes first and second portions. The first portion is biased into locking engagement with the second portion such that a first engagement structure is in locking engagement with a second engagement structure. An inner member is positionable within a patient and a flexible member extends between the inner member and outer member and is operatively associated with the outer member. The first portion is movable to overcome the bias to move the first and second engagement structures to a disengaged position, wherein in the disengaged position at least one of the first and second portions is movable with respect to the other portion to adjust the tension on the flexible member to retract tissue.

Abstract: A surgical rib retractor has a housing having a first shoulder. The surgical rib retractor also has a body pivotably coupled to the housing and having a second shoulder. The retractor further has a first arm unit pivotably coupled to the first shoulder and configured to receive one rib. The surgical rib retractor also has a second arm unit pivotably coupled to the second shoulder and configured to receive another rib. The surgical rib retractor also has a first arm actuator constrained to be rotatable relative to the first shoulder and coupled to the first arm unit to pivot the first arm unit as the first arm actuator is rotated. The surgical rib retractor further has a second arm actuator constrained to be rotatable relative to the second shoulder and coupled to the second arm unit to pivot the second arm unit as the second arm actuator is rotated.

Abstract: Methods and kits are provided to treat scapho-lunate ligament tears, which involve stabilization of the scaphoid and lunate both dorsally and volarly. The treatments can be performed through open, mini-open or arthroscopic procedures, as an intra-capsular or extra-capsular repair and stabilization procedure. The treatment procedures involve the use of sutures or wires to fix the relative orientations of the scaphoid and lunate, and the optional use of bone anchors or other bone attachment devices to create a capsulodesis between the lunate and scaphoid, or other bones, to lift the scaphoid into the desired position. Localization of the entry point of the sutures or wires into the bones are used to improve positioning of the bone anchors, sutures and wires.

Abstract: Surgical access devices having wound closure features incorporated as part of the device are provided. The devices allow suture to be inserted directly into the device and operated to close an opening through which the device is disposed as or shortly after the device is removed from the surgical site. Further, the wound closure features allow for various orientations of wound closure to be achieved by adjusting an angle at which the suture enters tissue surrounding the opening to be closed. Some of the wound closure features provided for include openings formed in both the housing and cannula of the surgical access device, multiple openings formed in one or both the housing and cannula, locations of the openings being adjustable or otherwise movable, and various flexible seals. Other features, as well as methods of closing an opening through which the surgical access device was disposed, are also provided.

Abstract: Suturing devices and systems used to close openings into a biological structure. The suturing device can comprise an elongate member having a proximal end, a distal end, one or more arms, and one or more needles. One or more sheaths may be used with the device to maintain or substantially maintain haemostasis while the device is used and while a procedure is performed in the biological structure.

Abstract: Self-retaining suture systems including a suture thread bearing a plurality of laser-cut retainers are disclosed. A laser system allows the creation of retainers and self-retaining suture systems in configurations which are difficult and/or impossible to achieve using mechanical cutting technology.

Abstract: The present disclosure provides staples, and corresponding staple guides, for applying a compressive force between biological elements. The staples may include a bridge portion and a pair of tines extending from the bridge portion configured for implantation into biological elements. The tines may be spaced a first distance in a first state of the bridge portion. The bridge portion may be elastically deformable into a second state with the pair of tines spaced a second distance that is greater than the first distance and the tines pre-loaded to apply a compressive force therebetween. The guides may include a staple engagement portion operable to maintain the biased state of the staple, and/or a drill guide portion operable to facilitate the formation of apertures spaced the second distance in the biological elements.

Abstract: A surgical device is provided, the surgical device including a first driver for performing a first movement function; a second driver for performing a second movement function; a first rotatable drive shaft configured, upon actuation, to cause selective engagement of one of the first and second drivers with a second rotatable drive shaft, wherein the second rotatable drive shaft is configured to drive the selectively engaged one of the first and second drivers. Third and fourth drivers may also be included. The drivers may function to rotate a shaft portion of the surgical device relative to, and about the longitudinal axis of, a handle; move a jaw portion relative to the shaft portion; move a first jaw relative to a second jaw; and/or move a surgical member within the second jaw.

Abstract: A surgical cutting and fastening instrument that is motorized. The instrument comprises in one embodiment a charge accumulator device, separate from a battery, that provides additional power to the motor under certain conditions. In addition, the motor may comprise multiple windings.

Abstract: A surgical fastener apparatus having a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector including a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. A cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners, the actuator including a power source and a motor. A switch configured to prevent application of firing motions to the end effector until the switch has been activated.

Abstract: A surgical instrument includes a handle having a handle frame, a microcontroller having at least one program and memory, and a handle interface supported by the handle frame and in electrical communication with the microcontroller. The instrument further includes a loading unit having a body configured for operative coupling to the handle frame of the handle, and an end effector coupled to a distal end of the body and configured to perform a surgical task. A bracket is mounted to the loading unit and includes a microchip having at least one of authentication data and identification data relating to the loading unit.

Abstract: A surgical instrument assembly is disclosed which comprises a shaft, an articulation joint, and an end effector rotatably connected to the shaft about the articulation joint. The end effector comprises a first jaw, a second jaw movable relative to the first jaw, a staple cartridge comprising a plurality of staples removably stored therein, and an anvil configured to deform the staples. The end effector further comprises a drive input, a closure system configured to move the second jaw between an open position and a closed position, a staple firing system configured to eject the staples from the staple cartridge, and a transmission positioned in the end effector, wherein the transmission is configurable in three operating states for operably coupling the closure system and the staple firing system with the drive shaft.

Abstract: A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.

Abstract: A surgical instrument includes a motor configured to actuate end effector; a communication interface configured to couple to a configuration device; and a controller coupled to the motor and the communication interface, the controller includes a memory configured to store an operational parameter for operating the motor, the controller configured to modify the operational parameter based on configuration data received from the configuration device.

Abstract: A surgical instrument comprising a handle, a firing system, a shaft assembly defining a shaft axis, an articulation joint assembly, an end effector, and articulation means is disclosed. The shaft assembly comprises at least one rotary drive shaft assembly. The articulation joint assembly comprises a first joint segment defining a proximal socket, a second joint segment comprising a proximal gimbal movably supported within the proximal socket and defining a distal socket, and a third joint segment comprising a distal gimbal movably supported within the distal socket. The surgical end effector is operably coupled to the third joint segment and comprises a firing member operably interfacing with the at least one rotary drive shaft assembly. The articulation means selectively moves the third joint segment in multiple directions that are transverse to the shaft axis.

Abstract: A surgical stapling apparatus, a surgical stapling loading unit and a staple cartridge assembly are provided including a buttress releasably disposed against a tissue contacting surface of a cartridge assembly and/or an anvil assembly, a continuous length of suture securing a respective surgical buttress against the respective the tissue contacting surface, wherein the suture extends transversely across the respective surgical buttress, and a retaining feature securing each suture to the respective cartridge assembly and anvil assembly. The retaining feature may include an adhesive adhering the suture to a surface of the cartridge assembly and/or anvil assembly. The adhesive may adheres the suture to multiple locations along the surface of the cartridge assembly and/or anvil assembly.

Abstract: A skin frame or other skin straining device strains skin on each side of a wound where a wound has been closed to off load stresses at the wound site. A dressing may be applied to the strained skin. The dressing may be integral with one or more elements of the skin straining device.

Abstract: A surgical instrument is disclosed which comprises a staple firing system and a tissue cutting system. In various instances, the surgical instrument further comprises a lockout configured to prevent the retraction of the staple firing system until the tissue cutting system has been completely actuated. The surgical instrument can also comprise a bypass configured to deactivate the lockout.

Abstract: A surgical stapler includes a body portion and a tool assembly. The body portion includes a large diameter portion and a small diameter portion extending distally from the large diameter portion. The large diameter portion supports larger internal components of the device including a lockout assembly adapted to prevent refiring of the stapler to allow the diameter of the small diameter portion of the device to be minimized to facilitate passage of the small diameter portion of the stapler and the tool assembly through an 8 mm trocar.

Abstract: A surgical instrument for use with a staple cartridge removably storing a plurality of staples is disclosed. The surgical instrument comprises a handle, a firing actuator operably coupled to the handle, a closure drive configured to selectively generate a closing motion and an opening motion, a firing drive configured to selectively generate a rotary firing motion upon actuation of the firing actuator, and an elongate shaft assembly operably coupled to the closure drive and the firing drive to separately transmit the closing motion before the rotary firing motion, and an end effector responsive to the closing motion. The end effector comprises a staple cartridge, an anvil, a cutting member movable relative to the staple cartridge in response to the rotary firing motion from the elongate shaft assembly, and an I-beam configured to control spacing between the anvil and the staple cartridge during deployment of the staples.

Abstract: A surgical instrument is disclosed. The surgical instrument includes an elongate channel configured to support a staple cartridge, an anvil connected to the elongate channel, a movable cam member, an elongate shaft connected to the elongate channel, a housing coupled to the elongate shaft, and a transmission system. The anvil is movable between an unclamped position and a clamped position. The housing comprises a first rotary drive member, a second rotary drive member, a third rotary drive member and a fourth rotary drive member, each configured to be driven by a robotic surgical device. The transmission system is coupled to the first rotary drive member and is configured to drive at least two independent motions of the surgical instrument based on a rotation of the first rotary drive member. The at least two independent motions include a clamping motion and a firing motion.

Abstract: The application provides for an elastic band application ligation device. The following medical device medical device features an embowed inner tube, having a wall and a flat tip, a pusher which is complementarily shaped to said inner tube; and a receiving port, which is configured to removably attach to a device capable of generating suction. Preferably, this device capable of generating suction will be a disposable luer lock syringe.

Abstract: A system for delivering a device into a body lumen of a patient, the system including a device having a marker band and a tube at a proximal portion, and a pusher member having a ribbon and a ball or hook at a distal portion of the delivery member and a compression coil positioned over the ribbon, the ball or hook releasably engageable with the tube.

Abstract: A medical device, system and method for modifying a left atrial appendage (“LAA”). The medical device system includes a tether anchored within the LAA and one or more tissue growth members or occluders configured to be slid over the tether and lodged within the LAA. With this arrangement, a physician may close-off the LAA with a selective number of tissue growth members to meet the varying LAA sizes as determined from imaging information while conducting the procedure.

Abstract: A system for repairing a tricuspid valve in a patient's heart comprising a post having a distal end and a proximal end, a capture element attached to the distal end of the post, the capture element including: a plurality of arms each having a first end and a second end, each arm attached at the first end to the post and extending both radially outwardly from the post and proximally, each arm defining an opening at the second end; a wire passing sequentially through the opening on each arm, whereby tensioning the wire draws the second end of each arm towards the post.

Abstract: An orthopedic impacting tool includes a motor-based drive assembly, an air chamber, a compression piston, an impacting element, an anvil element, and a broach adapter. The anvil element may include first and second faces and may be adapted to accept a portion of the broach adapter such that the broach adapter is proximate to the first face and distal to the second face. In operation, the motor-based drive assembly may cause the compression piston to move and compress air in a first portion of the air chamber or in a second portion of the air chamber. The impacting element may cyclically impact the first face of the anvil element upon application of compressed air from one of the first and second portions, and cyclically impact the second face of the anvil element upon application of compressed air from the other of the first and second portions.

Abstract: A tool and method for locating a proper position for a portal incision for hip arthroplasty, the tool being a tubular body having a first portion defining a first axis, a second portion defining a second axis non-parallel to the first axis, the second portion having a directional tool and a lead coaxially aligned, wherein when the tubular body is placed adjacent to an acetabulum with the directional tool aimed at the acetabulum and perpendicular to a plane of the face of the acetabulum, the lead points to location on the skin that would be the proper location for the portal incision. The lead may have a blunt tip, a cutting instrument, or an opening through which a flexible tool can be inserted to forge a path towards the proper location for the portal incision.

Abstract: A guide wire, for use, for example, in guiding an elongated catheter through an artery or vein of a mammalian body having a stenosis and/or an occlusion therein, includes an elongated conductor having a longitudinal dimension, a proximal end and a distal end. The guide wire further includes an insulator overlying the elongated conductor. The insulator exposes a portion of the longitudinal dimension of the elongated conductor to form an electrode. The elongated conductor is arranged to be connected to a source of high voltage pulses to cause electrical arcs at the electrode that in turn form steam bubbles and shock waves to break the stenosis and/or open the occlusion and permit the guide wire to pass there through. Other embodiments are directed to a system including the guide wire and a method of using the guide wire.

Abstract: A self-expandable mechanical clot retrieval device is designed variously to dislodge, engage and retract blood clot from extremely small and tortuous vasculature. The retrieval device comprises an elongate member and a plurality of ring elements. The ring elements may comprise a plurality of struts and crowns interconnected by a tether formed at a distal end of the elongate member or may be a separate component attached thereto. At least one tether may connect each ring element to the elongate member to restrain the ring element in a collapsed configuration during delivery of the retrieval device through an intravascular microcatheter. The tether connecting the ring element to the elongate member disengages when the retrieval device is positioned at the occluded site and the microcatheter is retracted to allow the self-expandable ring elements to reach an expanded configuration.

Abstract: A specimen retrieval system includes a bag having a flexible basket with an opening configured for receiving a tissue specimen, an elongate tail extending from the flexible basket, a primary loop attached to a proximal end of the tail opposite the flexible basket, and a string encircling the flexible basket and extending therefrom along the tail and terminating exterior of the proximal end of the tail, the string being operable to close the opening of the flexible basket. The system also includes an outer cannula having a distal end and a proximal end with a cannula handle located at the proximal end of the outer cannula, the outer cannula configured to receive the bag therein via the distal end of the outer cannula, with the tail of the bag, the primary loop and a portion of the string extending out of the proximal end of the outer cannula.

Abstract: A platform of devices for removing obstructions and other objects within a blood vessel or other interior lumen of an animal is provided. The system may be deployed in the lumen from a catheter(s) and the system includes a proximal junction, and a distal basket comprised of a plurality of cells. A number of different basket designs are disclosed.

Abstract: The surgical tool (1) is including a main unit (2) including a case (21) and a hollow shaft (22) provided on the case (21), a holder assembly (3) that holds a living tissue (T) in the body cavity, a connector (4) that connects the main unit (2) inserted through the shaft (22) to the holder assembly (3), an operating unit (5) that is provided on the main unit (2) to allow the connector (4) to enter or leave the shaft (22) and a tension adjustor (6) capable of adjusting the tension of the connector (4).

Abstract: Handheld forceps having plural pincers for grasping and holding multiple objects, such as Peanut or Cotton Kittner sponges, at the same time are disclosed. The handheld forceps include opposing arms having proximal and distal ends. A hinge connects the opposing arms together between the proximal and distal ends. The opposing arms articulate relative to each other about the hinge. A handle portion at the proximal ends of the opposing arms has an open and closed position for articulating the distal ends open and closed. Distal ends are configured with plural pincers whereby jaws are formed between the plural pincers for grasping and holding multiple objects at the same time.

Abstract: A treatment tool includes: a support portion which is formed in an axial shape; a treatment portion which is disposed at a distal end portion of the support portion; a treatment assisting portion which is disposed at the distal end portion of the support portion, which has an assisting portion, and in which the assisting portion is capable of being moved between a first position and a second position; a driving portion which moves the assisting portion of the treatment assisting portion; an operation detection portion which determines an amount of movement of the support portion, which is inserted into an introducing tool, with respect to the introducing tool, and an orientation of the support portion; an operating portion which is disposed at a proximal end portion of the support portion; and a control portion which controls the driving portion based on a detection result of the operation detection portion.

Abstract: Surgical tools that can be used in single port laparoscopic procedures can include a low-profile handle assembly to minimize tool interference adjacent the incision site. For example, a handle assembly for a surgical instrument can have a generally in-line configuration extending linearly along a central longitudinal axis of an elongate shaft of the instrument. A linkage mechanism including a trigger, an actuation link, and an actuation shaft can be positioned within the in-line handle. The linkage mechanism can be pivoted between an open position in which end effectors of the instrument are open and a toggle position in which the end effectors are locked closed. A locking mechanism such as a ratchet mechanism can also be used to lock the end effectors. A surgical dissector can include gripping jaws having a curved profile or an angled elongate shaft to minimize tool interference and maximize visibility within a procedure site.

Abstract: A surgical instrument is provided. The surgical instrument includes: a test end effector including a test jaw assembly having a pair of jaws configured to clamp about tissue and at least one sensor configured to measure at least one tissue property; and a handle assembly configured to couple to the treatment end effector. The handle assembly includes: a drive assembly; a motor operatively coupled to the drive assembly; and a controller operatively coupled to the motor, the controller configured to control operation of the motor to actuate the test end effector to measure the at least one tissue property and to determine, based on the at least one tissue property, at least one suitable treatment end effector.

Abstract: A surgical device includes a handle, an elongated tube extending distally from the handle, and a suction tip at a distal end portion of the elongated tube. The suction tip has a cavity formed therein. A cutting blade is positioned at least partially within the cavity and rotatable across the cavity to sever tissue, the cavity dimensioned to receive the severed tissue for removal from a patient's body.

Abstract: An ultrasonic surgical instrument is disclosed including a transducer, an ultrasonic blade operably coupled to the transducer, and a control circuit. The control circuit is configured to provide a drive signal to the transducer to cause the transducer to transmit ultrasonic vibrations to the ultrasonic blade, detect a change in a vibration frequency of the ultrasonic blade based at least in part on a change in a frequency of the drive signal, wherein the change in the vibration frequency of the ultrasonic blade corresponds to a tissue condition of tissue treated with the ultrasonic blade, and modify the drive signal in response to the tissue condition.

Abstract: Disclosed is an ultrasonic medical device that may include a surgical tool having a proximal end, an end effector, and a waveguide between them, a first transducer in mechanical communication with a first face of the surgical tool, and a second transducer in mechanical communication with an opposing face of the surgical tool, opposite the first transducer. The first transducer and the second transducer are configured to operate in a D31 mode with respect to the waveguide of the surgical tool. Another aspect comprises a method of fabricating the ultrasonic medical device, in which the surgical tool is machined from a portion of a flat metal stock so that the surgical tool has a longitudinal axis oriented at an angle with respect to a grain direction of the flat metal stock thereby optimizing an operational characteristic of the surgical tool.

Abstract: A device for detaching parietal thrombi from a blood vessel is disclosed, comprising a catheter including at least one catheter section, wherein an outer diameter of the at least one catheter section is changeable and at least one wall opening extends transversely through a wall of the at least one catheter section. The catheter wall along the at least one catheter section is a resilient and deformable material. The catheter is transformed from a smaller catheter outer diameter to a uniform larger catheter outer diameter by a resilient change in shape. A displacement body can be introduced into the at least one catheter section which is transformed in diameter to deform the catheter from the smaller catheter outer diameter to the larger outer diameter for capturing thrombus material.

Abstract: A puncture apparatus is disclosed, which can include an insertion portion that is insertable into a living body, the insertion portion including an urethral insertion portion and a vaginal insertion portion, the urethral insertion portion and the vaginal insertion portion each having at least two sensors; a puncture needle that punctures living body tissues near the insertion portion in a state in which the insertion portion is inserted into the living body, the puncture needle having at least one sensor on a distal portion of the puncture needle; and a monitor configured to receive information relating to a positional relationship between a distal portion of the puncture needle and the insertion portion.

Abstract: A surgical port assembly for use with surgical instruments includes a body including an exterior surface and an interior space defined by an interior surface of the body. The surgical port assembly includes a control interface including a plurality of drive members coupled to the body and controllable to apply a force to a different portion of a shaft of an surgical instrument, when the shaft is disposed within the interior space, to move a distal portion of the surgical instrument to a desired position within a body cavity.

Abstract: A cannula assembly having a retention member and a method of manufacture of the cannula assembly is provided. The cannula assembly includes a cannula and a sleeve disposed around the cannula from a proximal end to a distal end. The sleeve can include a balloon formed by a stretch blow molding process following local heating once advanced over the cannula. Once formed, the balloon can be conditioned to constrict against the cannula. A conditioning aid can be advanced over the balloon when it is still formable to constrict the balloon against the cannula.

Abstract: A cannula for use in laparoscopic surgery has a central passage which may accept a trocar to create a laparoscopic incision in a body wall to an inner body cavity. A tubular section of the cannula is then pressed into the incision to form a port. The tubular section has passages through its walls for suturing needles and a source for insufflating gas. A tubular sleeve is slidably supported on the exterior surface of the tubular cannula for movement between a raised position clear of the needle passage exit ports and a lowered or rotated position blocking the exit ports to prevent insufflation gases from passing into the body wall.

Abstract: A surgical access apparatus including a cannula defining an internal lumen, the cannula having a connection for receiving insufflation fluid. The apparatus also includes an obturator assembly, the obturator assembly configured to be inserted through a cannula so as to define an interstitial space between the cannula and the obturator assembly. The interstitial space is in fluid communication with the cannula connection so as to convey the insufflation fluid. The obturator assembly includes an obturator shaft having a hollow interior and a tip member at a distal end of the obturator shaft. The tip member is configured to penetrate and/or dissect through tissue. The tip member has an outer surface that defines a channel, the channel being in fluid communication with the interstitial space to as to convey the insufflation fluid from a proximal end of the tip member to a distal end of the tip member.

Abstract: A surgical access attachment for use with a surgical access device is disclosed. The surgical access attachment includes a ring and an access portion assembly. The ring is configured to engage a proximal portion of a surgical access device. The access portion assembly includes at least one flexible tab having an engagement structure. The engagement structure is configured to selectively engage the ring. The access portion assembly is configured to retain a seal. The access portion assembly is configured to disengage from the ring in response to a predetermined amount of force exerted on one flexible tab of the at least one flexible tab.

Abstract: Devices for adjusting or correcting the curvature of a vertebral column are described. One such device comprises a spring and at least three fixation members for attaching the spring to the vertebral column in at least three different locations. Another such device comprises a plurality of springs, each spring for attaching to at least two attachment locations of the vertebral column, and at least three fixation members for attaching the plurality of springs to the attachment locations of the vertebral column such that the plurality of springs are attached longitudinally along a length of the vertebral column. A method of adjusting the curvature of a vertebral column is also described.

Abstract: A connection assembly configured to securely connect a spinal implant to a bone anchor. In particular, a variable angle connection assembly that is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. Furthermore, a connection assembly that will not inadvertently lock the components of the connection assembly preventing the relative movement of the components.

Abstract: A vertebral fixation system comprising two fixation parts which each have a pedicular element that can be engaged in a vertebral pedicle and are connected to each other by a connecting element. The connecting element is a flexible strip, the pedicular elements are screws, and each fixation part comprises a fixation head on a rod secured to means for adjustably locking the flexible strip under tension in relation to the head.