Abstract: An insertion device for use during surgical procedure to enlarge an opening in a patient's tissue to facilitate access to an internal treatment site with a surgical instrument. The insertion device includes an anoscope including a flange, and an elongate body having proximal and distal ends extending distally from the flange along a longitudinal axis. The anoscope may include a configuration that is asymmetrical about a plane extending along the longitudinal axis that bisects the flange.

Abstract: An anoscope kit includes an anoscope having a plurality of spaced apart fingers having free ends and a dilator removably positionable within the anoscope to aid insertion of the anoscope. The dilator has a proximal region, an intermediate region and a distal region. The distal region includes an enlarged distal head. A ramped surface extends from the enlarged distal head toward the intermediate region. The intermediate region has an outer surface to contact the fingers of the dilator.

Abstract: A surgical device may include a wound retractor. The wound retractor may include a distal member, a proximal member, and a wound retracting sleeve extending between the distal member and the proximal member. The surgical device may also include a sealing assembly coupled to the wound retractor.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. A cannula insertion system includes an instrument and a cannula. The instrument may include a dilator. The cannula insertion system may have a locked setting in which the dilator is fixed relative to the cannula, and an unlocked setting in which the dilator is slidable relative to the cannula. A surgical method uses the cannula insertion system to implant the screw system.

Abstract: In an endoscopic device insertable into a body cavity attachable elements are moved over one another to move forwardly of each other and to leave each other behind, and to move along different paths so as not to be attached to the same areas of a wall of the body cavity.

Abstract: A single body port or body flange access device having an oval shape and associated stabilizer anchor for performing laparoscopic surgery is disclosed. The device is slipped into the body anchor stabilizer first so that the anchor stabilizer lifts up fat and peritoneum inside the body thereby keeping the operating area clear and acting to hold the body flange in place. The device further has a plurality of crisscrossing conduits assuming the shape of a cone through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient. Due the oval shape of the device, the device minimally rotates while instruments are manipulated.

Abstract: An access assembly is provided including a tubular member having a proximal end and a distal end, the proximal end in mechanical cooperation with a foldable cap member having a first set of lumens extending the length of the tubular member. The access assembly also includes a first ring secured at the proximal end of the tubular member and a second ring secured at the distal end of the tubular member. The foldable cap member is configured to fold in at least one direction to expose a second set of lumens extending the length of the tubular member.

Abstract: In one embodiment the apparatus includes a first retractor, a second retractor, and a shaft. The shaft defines a central channel extending from a first end portion of the shaft to a second end portion of the shaft. The first retractor and the second retractor are configured to collectively form a lumen. The shaft is configured to be disposed within the lumen. In one embodiment method of disposing a graft within a body of a patient, includes making an incision in the body of the patient, inserting a medical device into the body of the patient through the incision, removing the shaft of the medical device from the body of the patient, and moving the first refractor within the body of the patient away from the second retractor.

Abstract: Embodiments of the present invention include an insertion aid device with a handle, a tongue depressor, a tracheal suction catheter guide, and a guide with a recess formed by a pair of prongs. The guide may be configured to accommodate the cross-sectional shape of a tracheal suction catheter, a nasogastric tube, or an orogastric tube. The tracheal suction catheter guide may include a connection port configured to couple to an in-line suction catheter. A light source may be included with the insertion aid device.

Abstract: A tunneling system includes an elongate tunneling member defining a longitudinal axis along at least a portion of a longitudinal length thereof. The elongate tunneling member has a first end and a second end. The second end of the elongate tunneling member includes a coupling segment adapted for securely engaging a catheter.

Abstract: Medical systems, devices and methods are provided for accessing a bodily opening that, among other things, are safe and reliable, and facilitate manipulation of a medical instrument. The medical access device generally includes an elongated flexible sheath and a port connected to the distal end of the flexible sheath. The sheath defines a sheath lumen and a longitudinal axis. The port has an interior surface defining a passageway and an exterior surface that is tapered in a distal direction. The passageway is in communication with the sheath lumen. The exterior surface of the port defines a radially opening channel sized to receive at least a portion of the tissue therein.

Abstract: A composite anoscope for ano-rectal diagnostic and surgery, wherein the anoscope (2) also comprises an internal component (1), to be inserted therein, and a suitably shorter external component (3), ending with a conic frustum mantle (18), wherein the anoscope (2) is to be inserted. The three components (1, 2, 3) are all conic frustum shaped hollow bodies having circular cross-section. The internal component (1), when inserted in the anoscope (2), forms therewith a single body having a compact and smooth external surface and an ogival tip. The external component (3) is provided close to its mouth with slotted wings (19, 20), to be fixed to the perianal skin for securing the whole composite anoscope during the diagnostic and surgical operations.

Abstract: Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.

Abstract: An access assembly includes a body portion defining a longitudinal axis and having at least one lumen defined therethrough. The at least one lumen is configured for passage of a surgical instrument therethrough. An outer sleeve is disposed about the body portion to define a chamber therebetween. The chamber is selectively inflatable from a deflated condition, for positioning the access assembly within an opening in tissue, and an inflated condition, for retaining the access assembly within the opening in tissue in sealing relation therewith.

Abstract: A surgical apparatus and method for triangulation is disclosed which includes a housing, a rod extending through the housing and a plate attached to a distal end of the rod. The housing is adapted for sealed insertion into an incision in tissue and defines a longitudinal axis. The plate is rotatable about the longitudinal axis upon rotation of the rod and includes a plurality of slots dimensioned for the reception of surgical objects therethrough. Each of the slots is adapted to transition a surgical object between a first position and a second position upon rotation of the plate. The plate is movable relative to the housing along the longitudinal axis upon actuation of the rod in an axial direction and the plate may also be removably attachable to a distal end of the housing.

Abstract: The cross section of a curved portion of a curved cannula is oval shaped. The oval is oriented such that a major axis of the oval is generally aligned with the curved portion's bend radius. In one aspect, the cannula tube is ovalized so that the radius of curvature of an interior wall approaches the outer radius of an instrument component that contacts the curved portion during instrument insertion. In this first aspect, a wider contact patch area between the instrument component and the cannula results, which reduces friction and stick-slip during insertion. In another aspect, the cannula tube is ovalized so that the radius of curvature of an interior wall is less than the outer radius of an instrument component that contacts the curved portion during instrument insertion. In this second aspect, two contact patches are established between the instrument component and cannula, which also reduces friction and stick-slip during instrument insertion.

Abstract: A protective cover for an insertion probe of a medical instrument. The cover contains a flexible tubular body that compliments the probe geometry and a radially disposed flange that surrounds the proximal end of the body. A series of snap-on fasteners removably connect the cover to the instrument. A camming surface is located on the outer face of the flange which coacts with a cam follower that is movably mounted upon the instrument to flex the cover sufficiently to open the fastener and release the cover from the instrument and move the cover axially toward the distal end of the tip.

Abstract: An orifice introducer device for introducing, e.g., a surgical device, into, e.g., an orifice of a body, includes a tubular member having a distal end and a proximal end. The distal end is adjustable between a first position for insertion into an orifice and a second position once inserted into the orifice. Alternatively, the orifice introducer device includes a distal portion having a proximal end configured to be detachably secured to the distal end of the tubular member. The distal portion is selectively detachable when the orifice introducer device is positioned in the orifice.

Abstract: In one aspect of the present disclosure, a surgical access apparatus is disclosed for positioning within an incision in tissue that includes an elongated seal member configured to removably receive at least one surgical object, and a deployment member. In another aspect of the present disclosure, a surgical access apparatus is disclosed for positioning within an incision in tissue that includes a housing configured to removably receive at least one surgical object, an elongated member, and at least one filament. A method of percutaneously accessing an underlying surgical work site using a surgical apparatus is also disclosed.

Abstract: A dilator (100) for expanding a vessel incision to assist insertion of a catheter thereinto and having a distal end (104) and a proximal end (106). The dilator has two portions (110,210) that are assembled together at a hinge (112,212) permitting angled-apart proximal ends (122,222) of the two portions at the proximal end (106) to be squeezed together about the hinge which slightly spreads apart the respective distal ends (114,214) of the two portions to enlarge the incision into the vessel. A spring (150) biases apart the proximal ends of the two portions to maintain the two distal ends (114,214) together until pried apart as desired to dilate the vessel incision.

Abstract: An illuminated suction apparatus including a hand-held surgical device combining a high-performance non-fiber optic optical waveguide with suction. This device is useful in a wide array of surgical procedures including open and minimally invasive orthopedics.

Abstract: A composite anoscope for ano-rectal diagnostic and surgery, wherein the anoscope (2) also comprises an internal component (1), to be inserted therein, and a suitably shorter external component (3), ending with a conic frustum mantle (18), wherein the anoscope (2) is to be inserted. The three components (1, 2, 3) are all conic frustum shaped hollow bodies having circular cross-section. The internal component (1), when inserted in the anoscope (2), forms therewith a single body having a compact and smooth external surface and an ogival tip. The external component (3) is provided close to its mouth with slotted wings (19, 20), to be fixed to the perianal skin for securing the whole composite anoscope during the diagnostic and surgical operations.

Abstract: A speculum assembly includes a tubular shaped housing having a first open end, a second end open and a peripheral wall extending between the first and second ends. A tubular shaped bladder has an open forward end, an open rear end and a perimeter wall extending between the forward and rear ends. The rear end is attached to and is coextensive with the second end so that the bladder extends forward of the second end of the housing. The bladder is inflatable and flares outwardly from the rear end to the forward end when the bladder is inflate. A pump apparatus is fluidly coupled to the bladder. The pump apparatus is adapted for inflating the bladder so that the bladder extends outwardly away from the housing. A sleeve is mounted to the housing and covers the bladder when the bladder is deflated.

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 tunneling system for use with a catheter includes an elongate tunneling member defining a longitudinal axis along at least a portion of a longitudinal length thereof. The elongate member has a first end and a second end. The tunneling system further includes a connector configured for releasably engaging the second end of the elongate tunneling member to the catheter.

Abstract: This present invention discloses a detachable probe cover for an ear thermometer and a manufacturing method thereof. The detachable probe cover for the ear thermometer is for being mounted onto a measuring probe of the ear thermometer, wherein a combining mechanism is provided at a bottom of the measuring probe and the detachable probe cover comprises a main body of a hollow structure and a base, in which the main body has an open end and a closed end opposite to the open end, and the hollow structure has a diameter gradually reducing from the open end toward the closed end.

Abstract: A device for anchoring a trocar is disclosed. The device may include a spacer and a device having a main body and a device sleeve. A device tip may be hingedly connected to a distal end of the device sleeve. The spacer and the device may be configured to be assembled together with a trocar and an obturator. The spacer may provide distance between the device tip and an open distal end of the trocar sleeve when the obturator, trocar, spacer, and device are assembled together. Once the assembled parts are inserted into a body cavity the obturator, trocar, and spacer may be removed. Inside the body cavity, the device sleeve may receive the trocar sleeve. As the trocar sleeve progresses through the device sleeve, the open distal end of the trocar sleeve may push the device tip from a first position to a second position, anchoring the device.

Abstract: Surgical instruments providing access to delicate tissue, such as brain tissue or breast tissue, through a transcutaneous incision. A surgical apparatus may have a hollow sleeve retractor extending along a longitudinal axis from a proximal retractor end to a distal retractor end and an introducer having a proximal introducer end and a distal introducer end. The proximal introducer end is configured to install within the hollow sleeve with its distal end extending beyond the distal retractor end. The distal introducer end is tapered and may have a rounded profile in a plane parallel to the longitudinal axis to displace delicate brain tissue transversely to the longitudinal axis without damage to the tissue. The distal retractor end may be blunt and adapted to support adjacent brain tissue while minimizing disruption to the tissue after the retractor is positioned at a surgery site and the introducer is removed from the retractor.

Abstract: The present invention provides an instrument for anorectal surgery, comprising a hollow main body, a suture junction disposed at a rear end of the main body and an inserting guider disposed at a front end of the main body. At an operating position, all or part of mucosa and tissues can get through the main body. At least one opening is made in the wall of the main body, and all or part of the mucosa and tissues can get into a hollow interior of the main body through the opening. Because of the openings on the wall of the main body, the present invention can be operated to perform the anorectal surgery of local and non-annular cutting, which facilitates a quick surgical operation, further allays the pain of the patients, and a better operation effect is obtained.

Abstract: The present invention is directed to a dilator having a stiffened shaft for use as part of an introducer sheath assembly. The dilator includes a stiffener tube and a tip of the dilator which extends distally to the dilator stiffener tube. The transition between the stiffener tube and the tip of the dilator is positioned such that when the dilator is positioned within the catheter sheath, the transition is also positioned within the catheter sheath. By positioning the transition between the stiffener tube of the dilator and the tip of the dilator inside the catheter sheath, the catheter sheath can provide strain relief subsequent to lateral movement of the tip of the dilator in a manner that can prevent kinking of the dilator tip at the transition between the stiffener tip and the tip of the dilator.

Abstract: An adjustable sheath assembly sized to accept a medical instrument and adapted for insertion into a body of a patient for maintaining a passageway therein. The device includes a first hollow member having a first length, and a second hollow member having a second length, the first and second members being coaxially joined together through a length adjustment element. At least one of the first and second hollow members is sized to accept a medical instrument. The length adjustment element allows for the length of the sheath assembly to be fitted to bodies of various sizes by adjusting the length prior to insertion into the patients body. A properly adjusted length ensures that at least a portion of the sheath assembly remains outside of the patient's body.

Abstract: An illuminated suction apparatus including a hand-held surgical device combining a high-performance non-fiber optic optical waveguide with suction. This device is useful in a wide array of surgical procedures including open and minimally invasive orthopedics.

Abstract: A torque-transmitting, variably-flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A torque braid transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing the insertion device includes transmitting torque along the hollow body with the torque braid, applying suction to create a vacuum in the hollow body for placing the hollow body in the relatively stiff condition, and relieving the vacuum for placing the hollow body in the relatively flexible condition.

Abstract: A robotic surgical system is configured with rigid, curved cannulas that extend through the same opening into a patient's body. Surgical instruments with passively flexible shafts extend through the curved cannulas. The cannulas are oriented to direct the instruments towards a surgical site. Various port features that support the curved cannulas within the single opening are disclosed. Cannula support fixtures that support the cannulas during insertion into the single opening and mounting to robotic manipulators are disclosed. A teleoperation control system that moves the curved cannulas and their associated instruments in a manner that allows a surgeon to experience intuitive control is disclosed.

Abstract: The invention relates to a valve device for medical instruments, in particular trocars, having a valve body configured as a flap for opening and closing an instrument and/or flow channel, which is positioned rotatably on a rotation axle positioned in a housing. To create a valve device, which combines simple and cost-effective structure with good cleaning properties, it is proposed with the invention that the rotation axle is configured in several components, such that the individual components of the rotation axle can be connected to one another by helical-shaped guide tracks.

Abstract: Improved medical filaments for use with dilators to be inserted into a patient, for example into the vascular lumen, are provided, as well as combinations of filaments and dilators. Methods for use of such filaments and filament-dilator combinations are also described. The filament includes a proximal segment and a distal segment. The diameter of the distal segment is greater than the diameter of the proximal segment. The change in diameter is abrupt, providing a discrete step transition at a point along the filament which presents a proximally-facing surface on the distal segment. When the proximal segment of the filament is fully inserted into a dilator having a distal tip adapted for insertion into a patient, the dilator distal tip firmly abuts the proximally-facing end surface of the distal segment.

Abstract: A system and method for endotracheal intubation of airways are disclosed. A malleable stylet having a distal end and a proximal end, a charged coupled device (CCD) at the distal end and a transmitter, at or near the proximal end or connected to the proximal end of the stylet with connectors, transmits video to a visualization device comprising a receiver means, a display means, and a display support adapted to be worn on an operator in a position so that the operator can view the display with one eye while simultaneously viewing the airway directly. The display support is typically worn on the head of a physician. A second display can be worn by a student or observer. In some instances, the transmitter means and receiver means are wireless.

Abstract: A trocar assembly including a trocar and a trocar sheath and methods for accessing an intracorporeal site, e.g. biopsy or trocar site, using the trocar assembly. The trocar has a tissue penetrating distal tip, an elongated shaft and a proximal handle portion. The distal portion of the trocar sheath forms a releasable connection, such as a friction fit, with the shaft of the trocar and a slit that extends from the distal portion to the proximal end of the trocar sheath. The trocar assembly is advanced through the patient's tissue until the distal end of the trocar sheath is located at the desired site and then the trocar is removed. A treatment device such as a radiation balloon catheter is advanced through the interior of the sheath until the treatment component thereof is at the desired site.

Abstract: A trocar assembly including a trocar and a trocar sheath and methods for accessing an intracorporeal site, e.g. biopsy or trocar site, using the trocar assembly. The trocar has a tissue penetrating distal tip, an elongated shaft and a proximal handle portion. The distal portion of the trocar sheath forms a releasable connection, such as a friction fit, with the shaft of the trocar and a slit that extends from the distal portion to the proximal end of the trocar sheath. The trocar assembly is advanced through the patient's tissue until the distal end of the trocar sheath is located at the desired site and then the trocar is removed. A treatment device such as a radiation balloon catheter is advanced through the interior of the sheath until the treatment component thereof is at the desired site.

Abstract: Surgical methods providing access to delicate tissue, such as brain tissue or breast tissue, through a transcutaneous incision. A method may include making an incision adjacent a region containing delicate tissue, and providing a surgical assembly having: a retractor having a hollow sleeve extending from a proximal end to a distal end, and an introducer having a proximal end installed within the hollow sleeve and a distal end extending beyond the distal retractor end. The surgical assembly is advanced into the region containing delicate tissue, and the distal introducer end gently displaces the delicate tissue as the surgical assembly is advanced to thereby avoid damage to the delicate tissue. The introducer is removed from the retractor to leave the distal retractor end at a surgical site located in the physical region containing delicate tissue. One or more surgical instruments are then used through the hollow sleeve.

Abstract: A transvaginal ultrasound probe speculum is designed for use with a generally cylindrical elongated ultrasound probe. The speculum has an elongated blade having a proximal end and a distal end, and a connector, such as a collar. The speculum has a lever that cooperates with the collar and the elongated blade for pivoting the blade relative to the ultrasound probe so that the blade and the ultrasound probe serve as the blades of the speculum.

Abstract: A surgical instrument equipment appropriate for mini-invasive surgery, inserted through natural orifices or incisions, made up by a device to have access to the patient's body, that is comprised by a rigid ring from which at least two extensions stem out in distal direction, which extensions act as separators and a multivalve flexible head which, when in use, is provided enveloping the external side of said rigid ring, and that comprises: at least one operative conducting duct for the access of at least one working instrument; a connector to insufflate and irrigate fluids; and a funnel to retain fluids that holds said multivalve flexible head that envelops the rigid ring, defining when assembled, a passage for said working instrument that is provided within at least a conducting duct and, in turn, is comprised by a clamp handle, a movement transmission element made by an external tubular sheath, a driving chuck and a clamp head is including an intrahead device.

Abstract: An instrument port for introducing instruments into a surgical site, including a port body having a channel running therethrough from a proximal end to a distal end, an instrument sleeve in slidable contact with the channel, creating a gap therebetween, and fluid flow for removing emboli efficiently from the instrument port, wherein the fluid flow includes the gap is provided. A fluid flow system for use in an instrument port is provided. A method of removably securing an instrument sleeve to a port body by anchoring the instrument port to heart tissue, making at least one flood line in a channel, flushing out emboli, and performing surgery with the instrument port.

Abstract: A device for use for the treatment of a hemorrhoid prolapse, particularly by HAL surgery, attaching a tightening suture, or a rubber band ligation, using a tube having a tube shell wall and a closing device having a closure shell wall enclosing a hollow space. The tube shell wall is supported displaceably and/or rotatably in the hollow space of the closure shell wall, and the tube shell wall and the closure shell wall can be inserted into a rectum of a patient. The tube shell wall has at least one tube wall opening, and the closure shell wall has at least one closure shell opening which can be at least partially aligned with one another in an open position with a web arranged thereof protruding at least partially into the tube shell opening and/or into the closure shell opening.

Abstract: Gel materials, and surgical devices containing gel materials, having reduced tackiness while retaining low durometer, high tear strength, high elongation, high compliance, and resistance to compression are described.

Abstract: A molded and undivided medical penetrating device comprises a first portion and a second substantially tubular portion having an outer surface, a proximal end and a distal end. The proximal end of the second substantially tubular portion of the device is joined to and is integral with the first portion of the device and is adapted to be maintained essentially outside a body while the first portion of the device is adapted to be retained within the interior of the body. The device includes an opening that extends through the first and second portions of the device and provides access to the interior of the body from outside the body. The opening and the outer surface of the substantially tubular second portion of the device define a wall that is thinner at the proximal end of the second portion than towards the distal end of the second portion.

Abstract: A medical assembly includes a cannula and a scaling cap releasably coupled to the cannula. The cap includes a body and a sealing member integrally molded with the body to form a fluid-tight seal between the cap and cannula. The cap includes a member defining an opening for passage of a medical instrument therethrough in a fluid-tight manner. The member includes a first portion surrounding the opening and being thickened to limit tearing of the first portion, and a second portion surrounding the first portion being tapered down in thickness toward the first portion to increase flexibility of the member. The assembly includes a shaft receivable in a lumen defined by an inner surface of the cannula. The shaft includes a protrusion and the inner surface further defines a protrusion receiving formation.

Abstract: A medical instrument including a probe adapted to be inserted into an orifice of an animal's body. The instrument includes an emitter of electromagnetic radiation that is sensed by a sensor mounted on the probe. The sensor can then determine, by variations in the amount of radiation received from the emitter, whether a probe cover is mounted over the probe. A sensor can also be used to determine whether the walls of the body orifice block the radiation received from the emitter, thereby indicating position of the sensor, and thus, the probe within the orifice. A special probe cover is disclosed, and methods of using the medical instrument are also disclosed.

Abstract: A medical device suitable for introducing a medical instrument into a patient includes an outer cannula and at least one arm connected to the cannula toward a proximal portion of the at least one arm. The at least one arm is deployable between a closed position and an open position. An inner member is telescopically received in the outer cannula to hold each arm in the closed position. The inner member is deployable to disengage from the arm after the device is inserted into a patient, thereby freeing the arm to be deployed to the open position where it helps hold the outer cannula in the patient. The inner member includes an inner cannula and/or a trocar.

Abstract: An insert structure is proposed for insertion into an orifice, a canal, a tube and the like of a human or animal creature such as an ear canal, an intestinal tract, a gullet, etc. The insert structure comprises at least one longitudinally extending insert member (3) and a plurality of at least nearly perpendicularly extending further members (5, 7, 9), placed longitudinally at a distance to each other along the insert member, the further members (5, 7, 9) being at least of a flexible and/or soft material.