Abstract: A device includes an access cannula, a puncturing element, a handle. The access cannula includes a lumen extending therethrough. The access cannula is sized and shaped to extend through an endoscopic shaft to a target tissue within a living body. The puncturing element is sized and shaped to extend through the lumen of the access cannula and distally out a distal end of the access cannula. The handle includes a handle body and a mechanism for advancing the access cannula from a proximal position relative to the puncturing element, where a puncturing tip of the puncturing element is exposed distal to a distal end of the access cannula, to a distal position relative to the puncturing element, where the distal end of the access cannula covers the puncturing tip of the puncturing element.

Abstract: Systems and methods for delivering and retrieving a leadless pacemaker are described. A leadless pacemaker retrieval system includes a catheter system having a snare assembly to capture the leadless pacemaker. The catheter system includes sheaths extending distally from a shaft, and the snare assembly includes several snare legs, such as segments of snare loops, that extend from one sheath to connect to another sheath. The snare loops can have bights that connect to opposing sheaths to form a docking space between the legs of the snare loops and radially between the sheaths. The snare assembly is movable between an engaged position and a disengaged position by translating the snare legs within lumens of the corresponding sheaths. In the engaged position, the snare assembly tightens around the leadless pacemaker to allow the leadless pacemaker to be retrieved. Other embodiments are also described and claimed.

Abstract: A catheter system for retrieving a leadless cardiac pacemaker from a patient is provided. The cardiac pacemaker can include a docking or retrieval feature configured to be grasped by the catheter system. In some embodiments, the retrieval catheter can include a snare configured to engage the retrieval feature of the pacemaker. The retrieval catheter can include a torque shaft selectively connectable to a docking cap and be configured to apply rotational torque to a pacemaker to be retrieved. Methods of delivering the leadless cardiac pacemaker with the delivery system are also provided.

Abstract: A catheter system for retrieving a leadless cardiac pacemaker from a patient is provided. The cardiac pacemaker can include a docking or retrieval feature configured to be grasped by the catheter system. In some embodiments, the retrieval catheter can include a snare configured to engage the retrieval feature of the pacemaker. The retrieval catheter can include a torque shaft selectively connectable to a docking cap and be configured to apply rotational torque to a pacemaker to be retrieved. Methods of delivering the leadless cardiac pacemaker with the delivery system are also provided.

Abstract: A catheter system for retrieving a leadless cardiac pacemaker from a patient is provided. The cardiac pacemaker can include a docking or retrieval feature configured to be grasped by the catheter system. In some embodiments, the retrieval catheter can include a snare configured to engage the retrieval feature of the pacemaker. The retrieval catheter can include a torque shaft selectively connectable to a docking cap and be configured to apply rotational torque to a pacemaker to be retrieved. Methods of delivering the leadless cardiac pacemaker with the delivery system are also provided.

Abstract: Manually driven intraosseous devices and associated methods are disclosed. The intraosseous device includes a housing and a transmission at least partially disposed within the housing. The transmission includes a first portion and a second portion. The second portion including a manual actuator that is at least partially disposed outside of the housing. The intraosseous device also includes a penetrator assembly releasably connected to the first portion of the transmission. The transmission is configured to transmit a force, which is applied manually to the manual actuator, to the penetrator assembly to rotate the penetrator assembly relative to the housing and to drive the penetrator assembly through a bone into an intraosseous space. The manual actuator is a pull chord and the force is configured to be applied by an operator to a first end of the pull chord to unwind the pull chord and transmit the force to the penetrator assembly.

Abstract: A fornix manipulator includes a collar and stabilizer. The collar has a first end and a second end, the second end having an opening and diameter greater than the first end and the first end having an opening to receive a cervix into the collar. The stabilizer has a base portion defining a guide hole and a plurality of prongs extending from the base portion to contact the first end of the collar.

Abstract: A uterine manipulator includes a housing configured to be coupled to an instrument drive unit of a robotic system, a shaft extending distally from the housing, a tip hub pivotably coupled to a distal end portion of the shaft, an articulation disposed within the housing, and a handle operably coupled to either the housing or the shaft. The articulation assembly is configured to pivot the tip hub relative to the shaft and includes a drive cable operably coupled to the tip hub. The articulation assembly is actuatable manually by a user and robotically by the robotic system to pivot the tip hub relative to the shaft.

Abstract: A semen storage container which can store semen in a favorable state, into which semen is easily put and out of which semen is easily taken, is provided. A semen storage container includes an outer case having an open upper end, an inner case, the inner case having an opening portion at an upper end and being provided on an inner side of the outer case to close an opening of the outer case, and a removable lid laid over an upper end portion of the outer case to close the opening portion. The inner case includes a semen guide which communicates with the opening portion at the upper end and has an inner circumferential surface provided as an inclined surface which spreads upward and a cylindrical semen pool which communicates with an opening portion at a lower end of the semen guide and includes a tapered bottom portion.

Abstract: A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes a first portion including an exterior surface tapering from the head toward a second portion. An exterior threading extends along an exterior surface of both the first portion and the second portion of the body. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage a portion of a locking screw therein.

Abstract: A spinal fusion instrument adapter includes: an engaging portion protruding downward to engage with an engaged portion of a bone engagement member; and a restricting portion extending upward from the engaging portion and configured to, in a state where the engaging portion engages with the engaged portion of the bone engagement member in an accommodating portion of a head portion, directly or indirectly contacts an inner wall of the head portion to restrict three dimensional swinging motion of the bone engagement member, which is integrated with the spinal fusion instrument adapter.

Abstract: A hone screw assembly includes an anchor portion and a head portion, such as a rod-receiving portion, movably mounted to the anchor portion to allow for controlled angulation between the anchor portion and the head portion. The anchor portion is pivotable in one or more selected directions about an axis relative to the head portion. A restriction member, which may be a rod seat, prevents the anchor portion from pivoting in one or more different directions about another axis relative tr the head portion and/or a spinal fixation element received in the head portion. The restriction member may be inserted in the head portion to control direction that the anchor portion pivots relative, to the head portion. The restriction member may also serve as a compression member and/or rod seat for seating a spinal rod coupled to the bone screw assembly.

Abstract: A coupling device for use with a bone anchoring element includes a receiving part having first and second ends, a longitudinal axis, and a coaxial passage, and a pressure member having a first portion and an expandable portion connected axially to the first portion forming a seat for the head. The pressure member is movable to a position where the receiving part acts on the expandable portion to clamp the head in the seat. The seat can be asymmetric relative to the longitudinal axis while a central axis of the first portion is coaxial with the longitudinal axis, such that the seat facilitates pivoting of the bone anchoring element in a first direction to a first maximum angle and in an opposite direction to a second maximum angle smaller than the first maximum angle.

Abstract: This disclosure describes example embodiments of rod reduction instrumentation and other rod and vertebrae manipulation instruments. The rod reducers can be used during the installation of a rod based surgical fixation system to help urge the rod into the fixation anchors. The reducers described provide various configurations delivering large reduction distance capabilities, strong controlled reduction coupled with an ability to quickly advance the reducer if desired, and reduction of bulk through the surgical corridor.

Abstract: A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes an exterior threading along an exterior surface of a threaded portion of the body separated from the head via an unthreaded portion. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage an end of a locking screw received therein.

Abstract: A bone screw for intramedullary fixation of hand or foot bones comprises three sections of a threaded distal portion, a threaded center portion and a threaded proximal portion. The threaded distal portion comprises a first full thread with a first constant diameter and a first constant pitch throughout the threaded distal portion, wherein an open end of the threaded distal portion forms a leading end of the bone screw. The threaded center portion comprises a second full thread with a second constant diameter and a second constant pitch throughout the threaded center portion, wherein the second constant diameter is the same as the first constant diameter, and the second constant pitch is smaller than the first constant pitch. The threaded proximal portion comprises a third full thread with a third constant diameter and a third constant pitch throughout the threaded proximal portion.

Abstract: Internal beam plates and associated instrumentation may be utilized for performing arthrodesis procedures, bone fracture procedures, osteotomy procedures, etc. Exemplary surgical methods that may be performed using the internal beam plates and associated instrumentation include, but are not limited to, lapidus bunionectomy procedures, metatarsophalangeal (MTP) procedures, chevron procedures, fracture repair procedures, etc. The exemplary internal beam plates incorporate an integral beam that is configured to increase strength and stiffness across a fusion site. The exemplary cutting/prep guides are configured to allow surgeons to reduce, prepare, and cut bones for receiving the beam of the internal beam plate using one or more guides.

Abstract: A bone plate includes a bone-contacting surface, an upper surface opposite the bone-contacting surface, and a hole having a circumference and extending from the upper surface to the bone-contacting surface. The hole includes a first portion having a plurality of substantially parallel lips, each lip extends around the circumference of the hole and defines a diameter of the hole. The diameters of the hole, as defined by the lips, decrease in a direction from the upper surface to a center of the hole and increase in a direction from the center of the hole toward the bone-contacting surface.

Abstract: A surgical injection device includes at least one tubular element defining a passageway. The passageway is configured for disposal of a selected volume of an agent and an evacuator disposed within the passageway. An actuator is engageable with the evacuator to entirely expel the selected volume of the agent from the passageway to a selected site. Spinal constructs, implants, systems and methods are disclosed.

Abstract: An expandable implant for bone restoration. The implant includes a first end element and a second end element. A plate is expandable in a first direction, and a blade expandable in a second direction. A first interconnecting element extends between the plate and at least one of the first and second end elements. A second interconnecting element extends between the blade and at least one of the first and second end elements. When the implant is in a collapsed position, a length of the blade is substantially parallel to the longitudinal axis, and when the blade is in an expanded position, the length of the blade is non-parallel to the longitudinal axis. The blade may include a length extending from a base to a tip, and the tip of the blade is further from the longitudinal axis than the plate when the implant is in the expanded position.

Abstract: A tool for manipulating flexible and non-flexible fastening devices. The tool assembly has a flexible rod for insertion into the distal end of the fastening device. A handle assembly interacts with proximal end of the flexible rod and the proximal end of the fastening device to control of the fastening device by initiating rotation at the distal end of the fastening device.

Abstract: A fracture treatment system can include a pair of implants cross-pinned into the medullary canal of a bone, guided by at least one guide wire with at least two diameters. The system allows for more accurate sizing of the length of implants needed to achieve bicortical purchase for enhanced stability, as well as anti-rotation of the fracture site. The more accurate sizing and placement of the cross-pinned implants additionally allow both ends of the implants to recess beneath or be flush with the outer surface of the bone, which can reduce the risk of infection. The guide wire can allow the implants to be inserted using a cannulated technique for easier surgical procedure and better outcome, with the implants having sufficient wall thickness for the desired length to achieve bicortical purchase while keeping the shaft outer diameter of the implant to be similar to a diameter of the guide wire.

Abstract: Compositions and formulations for use with devices and systems that enable tissue cooling, such as cryotherapy applications, for alteration and reduction of adipose tissue are described. Aspects of the technology are further directed to methods, compositions and devices that provide protection of non-targeted cells (e.g., non-lipid-rich cells) from freeze damage during dermatological and related aesthetic procedures that require sustained exposure to cold temperatures. Further aspects of the technology include systems for enhancing sustained and/or replenishing release of cryoprotectant to a treatment site prior to and during cooling applications.

Abstract: Provided is a refrigeration equipment comprising a storage tank (1), a delivery pipeline (2), a recovery pipeline (3), a cold energy generator (4), a first cold energy exchanger (5) and a second cold energy exchanger (6). The refrigeration equipment can improve the utilization efficiency of cold energy, and can also advantageously control the rewarming process in an accurate way.

Abstract: Disclosed is a method for treating actinic keratosis of tissue of a patient, the method including contacting non-thermal, atmospheric pressure plasma over areas of the tissue having actinic keratosis for a time and at treatment conditions effective to give rise to an at least partial amelioration of the keratosis.

Abstract: The proposed invention relates to an electromedical device that produces a cold plasma at atmospheric pressure for use in blood clotting and the treatment of ulcers and other skin injuries in human and animal patients. The main claims relate to the use of gas pre-treated by means of a cooling and dehumidification, together with a system of plasma expansion chambers in the outlet channel of same. As a result of these innovations, the plasma produced using the invention has a lower temperature than those in the prior art, preserving greater effectiveness both in blood clotting and in the disinfection and treatment of skin injuries, without causing any damage to the patient's healthy tissue. The device can be used in the treatment of human and animal patients to considerably accelerate blood clotting without damage to healthy tissue, during clinical and surgical treatments. I can also be used to treat ulcers and other skin injuries, owing to its disinfection properties, without damaging healthy tissue.

Abstract: A DC-to-DC voltage regulator circuit comprising: an output node; a pull-up switch and a pull-down switch with an output node coupled between them; a reactive circuit element coupled to the output node; a pull-up setting voltage circuit coupled to provide a pull-up setting voltage that is a function of a voltage at the output node; a pull-down setting voltage circuit coupled to provide a pull-down setting voltage that is a function of the voltage at the output node; a first comparator coupled to cause the pull-up switch to transition between open switch state and its closed switch state based upon a comparison of the pull-up setting voltage and a control voltage; and a second comparator coupled to cause the pull-down switch to transition between its open switch state and its closed switch state.

Abstract: Various aspects of the present invention are directed to apparatuses, systems, and methods that may include a tissue ablation system. The tissue ablation system may include an ablation device; an ablation generator; and a controller configured to cause the ablation generator to apply a first power level to the ablation device and cause the ablation generator to apply a second power level to the ablation device, the second power level being higher than the first power level; the power provided by the ablation generator to the ablation device is adjusted from the first power level to the second power level, adjusting the power from the first power level to the second power level includes causing the ablation generator to provide a plurality of distinct intermediate power levels corresponding to delivering a plurality of intermediate energy levels from the ablation device, and each of the intermediate power levels is between the first power level and the second power level.

Abstract: Various aspects of the present invention are directed towards apparatuses, systems, and method that may include a tissue ablation system. The tissue ablation system may include an ablation device, an ablation generator, and a controller configured to initiate a pre-ablation procedure in a medium, and during the pre-ablation procedure monitor temperature data and/or power data.

Abstract: A robotic colpotomy system includes a robotic arm, an instrument drive unit supported on the robotic arm, and a uterine manipulator supported on the robotic arm. The uterine manipulator is coupled to the instrument drive unit and has an elongated shaft assembly that supports a colpotomy assembly on a distal end portion thereof. The colpotomy assembly includes a colpotomy cup and extends distally to a distal tip. The various components of the robotic colpotomy system are positioned or movably positioned to help effectuate a colpotomy procedure.

Abstract: A tissue resection device includes a handpiece and an end effector assembly extending distally from the handpiece. The end effector assembly includes an outer shaft defining a longitudinal axis and including a window defined therethrough towards a distal end thereof. The end effector assembly further includes an inner member rotationally disposed within the outer shaft. The inner member includes a proximal body portion and a distal cutting portion. The proximal body portion is coaxially disposed on the longitudinal axis and rotatable thereabout. The distal cutting portion includes an offset portion that is radially offset from the longitudinal axis and is configured to orbit about the longitudinal axis. At least a portion of the distal cutting portion is a thermal cutting element configured to heat in response to application of electrical energy thereto.

Abstract: A forceps includes first and second shafts each having a jaw disposed at a distal end thereof configured to rotate about a pivot to move the jaws between open and closed positions, the shafts defining a longitudinal axis therebetween. A knife deployment mechanism including a rack and pinion mechanism or a series of links is disposed within the first shaft and includes a trigger moveable along the longitudinal axis to deploy a knife between the jaws. A knife lockout is configured to move upon approximation of the first and second shafts between an engaged position preventing deployment of the knife and a disengaged position allowing deployment of the knife. A knife kickout mechanism is disposed within the first shaft in opposition to the second shaft and is configured to force the knife forward upon movement of the first and second shafts from an approximated position to a more open position.

Abstract: A forceps includes first and second shafts each having a jaw disposed at a distal end thereof configured to rotate about a pivot to move the jaws between open and closed positions, the shafts defining a longitudinal axis therebetween. A knife deployment mechanism including a rack and pinion mechanism or a series of links is disposed within the first shaft and includes a trigger moveable along the longitudinal axis to deploy a knife between the jaws. A knife lockout is configured to move upon approximation of the first and second shafts between an engaged position preventing deployment of the knife and a disengaged position allowing deployment of the knife. A knife kickout mechanism is disposed within the first shaft in opposition to the second shaft and is configured to force the knife forward upon movement of the first and second shafts from an approximated position to a more open position.

Abstract: A forceps includes shaft members each having a jaw member disposed at a distal end thereof and configured move the jaw members between open and closed position. A knife deployment mechanism includes a trigger moveable along a longitudinal axis to deploy a knife between retracted and extended positions between the jaw members, the knife deployment mechanism including links that cooperate to actuate the knife. A knife kickout mechanism is pivotably coupled to one link and is configured to engage a ramp disposed in a shaft member upon approximation of the shaft members, the knife kickout is configured to cooperate with the links to urge the knife back to an at rest position upon the opening of the shaft members.

Abstract: A forceps includes first and second shafts each having a jaw disposed at a distal end thereof configured to rotate about a pivot to move the jaws between open and closed positions, the shafts defining a longitudinal axis therebetween. A knife deployment mechanism including a rack and pinion mechanism or a series of links is disposed within the first shaft and includes a trigger moveable along the longitudinal axis to deploy a knife between the jaws. A knife lockout is configured to move upon approximation of the first and second shafts between an engaged position preventing deployment of the knife and a disengaged position allowing deployment of the knife. A knife kickout mechanism is disposed within the first shaft in opposition to the second shaft and is configured to force the knife forward upon movement of the first and second shafts from an approximated position to a more open position.

Abstract: An electrosurgical instrument includes a housing, a movable handle movable relative to the housing along an actuation path from an initial position to a grasping position to an activated position, an in-line activation switch disposed on the housing along the actuation path of the movable handle such that movement of the movable handle from the grasping position to the activated position activates the in-line activation switch, a trigger coupled the knife and movable relative to the housing from an un-actuated position to an actuated position, and a knife lockout operably associated with the movable handle and the trigger. The knife lockout is configured to inhibit actuation of the trigger from the un-actuated position to the actuated position until the movable handle reaches the activated position.

Abstract: A multipurpose electrosurgical device is configurable in a bipolar mode and a monopolar mode using a three-conductor electrical input. The device includes a switching mechanism that provides signals corresponding with a first function and a second function in a monopolar mode. The switching mechanism also provides a signal corresponding with a third function in a bipolar mode.

Abstract: An electrosurgical wand is provided and includes a handle and an elongate shaft coupled to the handle and extending distally from the handle along an axis. An active electrode is disposed at a distal end of the electrosurgical wand. A return electrode abuts the elongate shaft and extends along and annularly about the axis. The return electrode has a top side adjacent the active electrode and an opposite bottom side and defines a notch. A support member is disposed in the notch between the electrodes and transitions curvilinearly from the notch to define a front surface extending laterally across and axially from the return electrode. The front surface tapers downwardly from the active electrode to define a first portion defining a first convex outer surface and also extends toward the bottom side of the return electrode to define a second portion defining a second convex outer surface.

Abstract: An electrosurgical medical device may include a conductive tubular element disposed about an outer surface of an elongate tubular member at a distal portion of the tubular member. The conductive tubular member may be delivered to a treatment site of a gastrointestinal (GI) tract of a patient and electrically activated. While electrically activated, the conductive tubular element may create an opening in a wall of the GI tract and a pseudocyst. After the incision is made, the conductive tubular element may be withdrawn from the treatment site and a drainage device may be positioned in the incision for drainage of the pseudocyst.

Abstract: An irrigated ablation electrode assembly comprises a distal member, a first manifold, and a second manifold. The distal member includes an outer surface; an inner surface; and at least one radially extending passageway that extends from the inner surface of the distal member to the outer surface of the distal member. The first manifold includes an outer surface, an inner cavity, and at least one radially extending passageway that extends from the inner cavity to the outer surface of the first manifold. The second manifold includes an outer surface, an inner surface, and at least one radially extending passageway that extends from the inner surface of the second manifold to the outer surface of the second manifold. Other irrigated ablation electrode assemblies are also presented.

Abstract: Systems, devices, and methods for electroporation ablation therapy are disclosed, with the device including a set of splines coupled to a catheter for medical ablation therapy. Each spline of the set of splines may include a set of electrodes formed on that spline. The set of splines may be configured for translation to transition between a first configuration and a second configuration. The devices described herein may be used to form a lesion via focal ablation.

Abstract: A medical probe for insertion has at least one distal electrode coupled to an energy source to apply energy to tissue inside the body. A plurality of apertures are formed in the electrode. A fluid-directing assembly is disposed in the distal section of the probe having an axial channel that is in fluid communication with at least one trans-axial channel disposed at right angles to the axial channel and leading to an exterior of the assembly. A blocking terminus is disposed forward of the at least one trans-axial channel that prevents irrigation fluid from flowing axially in a forward direction so that the fluid flows outwardly into the lumen of the electrode in at least one trans-axial direction.

Abstract: A flexible suction coagulator is adapted for use with an endoscope. The flexible suction coagulator includes an elongated tubular body, a coagulator adjacent a distal end of that tubular body, at least one suction port and a connection terminal at a proximal end of the tubular body.

Abstract: Various aspects of the present invention are directed towards apparatuses, systems, and methods that may include a tissue ablation system. The tissue ablation system may include a plurality of ablation devices, each ablation device being configured to provide ablation energy, at least one ablation generator configured to provide ablation power to at least one of the plurality of ablation devices, and a controller configured to cause each of the plurality of ablation devices to selectively receive ablation power and configured to cycle through activation of a plurality of ablation states.

Abstract: The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Abstract: There is provided a hair cutting device for cutting hair on a body of a subject, the hair cutting device comprising a light source for generating light at one or more specific wavelengths corresponding to wavelengths absorbed by one or more chromophores in or on hair; a cutting element that comprises an optical waveguide that is coupled at a first end to the light source to receive light, wherein a portion of a sidewall of the optical waveguide forms a cutting face for contacting hair; a light sensor that is coupled to the optical waveguide away from the first end, wherein the light sensor is for measuring the light level in the optical waveguide and for providing an output signal representing the measured light level; and a control unit that is coupled to the light source, and coupled to the light sensor to receive the output signal, wherein the control unit is configured to determine a measure of the amount of input light transmitted across the optical waveguide from the measured light level and an input li

Abstract: There is provided a cutting element for use in a hair cutting device. The cutting element comprises an optical waveguide having a sidewall, wherein a portion of the sidewall forms a cutting face for contacting hair. The optical waveguide includes a plurality of optical structures spaced along its length, the optical structures being configured to reflect light at one or more wavelengths. When broadband light is directed along the optical waveguide the optical waveguide is such that: if the cutting face of the optical waveguide in is not in contact with a target object, then each of the plurality of optical structures reflects light having a first wavelength; and if the cutting face of the optical waveguide is in contact with a target object, then at least one of the optical structures reflects light having a second wavelength different to the first wavelength. A hair cutting device comprising the cutting element and a method of operating the hair cutting device are also provided.

Abstract: There is provided a hair cutting device for cutting hair on a body of a subject. The hair cutting device comprises at least one light source for generating laser light at two or more specific wavelengths corresponding to wavelengths absorbed by one or more chromophores in hair; and a cutting element comprising an optical waveguide for receiving light from the at least one light source. The optical waveguide comprises a cutting face, the cutting face being arranged to contact hair as the hair cutting device is moved across the skin of the body of a subject. The cutting face is arranged essentially parallel to the long axis of the optical waveguide. The optical waveguide is arranged to allow the light generated by the at least one light source to couple into hair when hair is close to or in contact with the optical waveguide. The at least one light source is configured to generate laser light having a first wavelength and a series of pulses of laser light having a second wavelength.

Abstract: In one aspect, a method of tightening skin and/or reducing scar tissue is described herein. The method comprises performing a fractional laser ablation in a treatment area of the skin, thereby removing a column of the skin and forming a columnar vacancy in the skin, the columnar vacancy having a perimeter defined by a first side and a second side opposite the first side, the first side and the second side each comprising an epidermal layer, a dermal layer, and a subcutaneous layer of skin. The first side of the columnar vacancy is contacted to the second side of the columnar vacancy, thereby dosing the columnar vacancy.

Abstract: Embodiments of an apparatus and method for sealing and cutting of tissue during surgeries, especially in general, endoscopic, laparoscopic and robotic, are described. In one aspect, an apparatus comprises a laser system and a laser beam delivery unit. The laser system comprises a tissue cutting laser configured to emit a first laser beam to cut a tissue. The laser system also comprises a tissue sealing laser configured to emit a second laser beam to seal the tissue. The laser beam delivery unit is detachably coupled to the laser system and is configured to guide and direct the first and second laser beams to cut and seal the tissue.