Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to a tissue traction device for endoscopic procedures such as tissue dissection. For example, a tissue traction device may include first and second attachment members pivotably attached by first and second swivels to opposite ends of a stretchable traction band comprising a compliant or semi-compliant material.

Abstract: An apparatus includes a body with a first body portion, a second body portion opposed from the first body portion, and a connecting portion that couples a proximal end of the first body portion with a proximal end of the second body portion. The connecting portion is configured to permit the first and second body portions to move toward and away from one another between a plurality of angular orientations. The first and second body portions define a distally opening angle. A first adjunct element and a second adjunct element are disposed on outwardly facing surfaces of the first and second body portions. The first and second body portions may be fixed in each of the angular orientations and may simultaneously apply the first and second adjunct elements to first and second jaws, respectively, of a surgical stapler end effector.

Abstract: A method is provided for applying an adjunct element to a surgical stapler end effector having first and second stapling surfaces using an applicator. The method includes providing the end effector in an open state in which the first and second stapling surfaces are spaced apart. With the end effector in the open state, at least a portion of the applicator is positioned between the first and second stapling surfaces. Without engaging a closure system input feature of the surgical stapler, a portion of the end effector is compressively engaged by the applicator to thereby secure the adjunct element to one of the first or second stapling surfaces. The applicator and the end effector are withdrawn relatively away from one another so that the adjunct element remains attached to the one of the first or second stapling surfaces of the end effector.

Abstract: An expander for mounting a resilient outer tubular article over an elongate article including a chassis element having associated therewith at least one outwardly movable element which is selectably engageable with at least a portion of the resilient outer tubular article, a driver which is movable with respect to the chassis element and is operative to selectably engage the at least one outwardly movable element, when the outwardly movable element is in engagement with the at least a portion of the resilient outer tubular article, for producing corresponding outward motion and outward expansion thereof and an engagement element, associated with the driver, for insertion into the at least a portion of the resilient outer tubular article upon expansion thereof by operation of the driver, the engagement element being configured to accommodate at least a portion of the elongate article.

Abstract: An eyelid plaque and a method of using the plaque to treat eye cancers. The eyelid plaque is placed on the eyelid such that it defines an enclosure within which the radiation source resides. The enclosure defines a radiation shield that reduces radiation entering other organs and structures proximate the cancer being treated.

Abstract: A clamp is provided for attachment to the left atrial appendage (LAA). The clamp can be locked in a closed position so as to remain in place on the LAA. After being attached to the LAA, the clamp can be moved to a desired position such that the LAA can be retracted to a desired extent. The clamp can be held in any desired position, preferably by being connected to a thoracic retractor that is being used to retract the patient's sternum or ribs. A movable member is connected between the clamp and a stationary portion of the retractor. By locking the movable member in a fixed position relative to the stationary portion, the clamp can be maintained in a desired position and the LAA can be retracted as desired.

Abstract: An eyelid plaque and a method of using the plaque to treat eye cancers. The eyelid plaque is placed on the eyelid such that it defines an enclosure within which the radiation source resides. The enclosure defines a radiation shield that reduces radiation entering other organs and structures proximate the cancer being treated.

Abstract: A ergonomic surgical instrument is provided having a first and second trigger. The instrument comprises a shroud and at least one toggle switch located on the shroud's lateral surface for selectively engaging the first or second trigger to actuate an end-effector. The toggle fixes the position of one trigger with respect to the shroud while permitting the other trigger to actuate the end-effector.

Abstract: A speculum having first and second arms beginning at a proximal point and ending at a distal end and having a cup positioned at the distal end, an attachment portion positioned on the first arm and proximal to the cup, and a user manipulation element positioned within the attachment portion. In another embodiment the speculum has a generally U-shaped frame having a proximal point and pair of distal ends, a pair of cups attached to the distal ends, a pair of user manipulation elements attached to the frame and positioned between the cups and the proximal point so that the user manipulation elements can rotate relative to the frame.

Abstract: An assembly for retracting soft tissue in a surgical incision, the assembly comprising; a supporting member having first and second ends; a refractor blade having a first distal end and a second proximal end retained at the first end of the support member; a retaining arm which co operates with the support member and receives and supports a clamping assembly; an adjusting assembly which engages the support member and allows the clamping assembly to advance and retract relative to the retractor blade.

Abstract: A deployable jaws retraction device is provided for retracting a body organ away from an operative site without occupying an incision or surgical access port during the surgical procedure. The deployable jaws retraction device includes a jaw assembly having two or more jaws joined at one end and a retention device to maintain the jaws of the closed condition about a target body organ. The deployable jaws retraction device additionally includes an anchoring assembly for securing the jaw assembly and body organ away from the operative site during the surgical procedure. The anchoring assembly includes a needle having a tissue penetrating tip and a length of suture material connecting the needle to the jaw assembly. There is also provided an applicator instrument for applying the deployable jaws retraction device onto a target body organ.

Abstract: An eyelid plaque and a method of using the plaque to treat eye cancers. The eyelid plaque is placed on the eyelid such that it defines an enclosure within which the radiation source resides. The enclosure defines a radiation shield that reduces radiation entering other organs and structures proximate the cancer being treated.

Abstract: A deployable jaws retraction device is provided for retracting a body organ away from an operative site without occupying an incision or surgical access port during the surgical procedure. The deployable jaws retraction device includes a jaw assembly having two or more jaws joined at one end and a retention device to maintain the jaws of the closed condition about a target body organ. The deployable jaws retraction device additionally includes an anchoring assembly for securing the jaw assembly and body organ away from the operative site during the surgical procedure. The anchoring assembly includes a needle having a tissue penetrating tip and a length of suture material connecting the needle to the jaw assembly. There is also provided an applicator instrument for applying the deployable jaws retraction device onto a target body organ.

Abstract: A surgical thoracic retractor has retraction members that grip the anterior and posterior surfaces of the ribs between vice-like jaws to prevent a crushing or other force being applied to the intercostal nerves, thus minimizing the patient's post-operative pain.

Abstract: The invention relates to a tool for parietally anchoring a living being's organ (70) comprising means (12, 16, 24) for anchoring said organ, means (36) for fastening at least one pulling element (37) to said anchoring means, wherein said pulling element is fixable to the abdominal wall of said living being in such a way that it makes it possible to lift and keep in suspended position the organ anchored by anchoring means (12, 16, 24) in order to display an anatomical structure during a surgical intervention, in particular in laparoscopy or coeloscopy. The inventive tool also comprises means (14, 22, 28, 38) for grasping and manipulating said anchoring means by a surgical clip. The size of the tool is selected in such a way that it is enabled to pass through a laparoscopic or coelioscopic trocar. A parietally anchoring device is also disclosed.

Abstract: A retractor for use in surgical operations comprises a pair of blade assemblies which are adapted to open about a set of axes that are not parallel to a third spatial axis. The retractor further comprises a pair of arms, which are adapted to move the pair of blade assemblies apart from one another in the third spatial axis. In operation, the blade assemblies are closed to assume a low profile, inserted into a relatively small incision, and stretched apart from each other, thereby stretching the skin about the incision to form an aperture longer than the incision. The blade assemblies are then opened by rotating the blades about the set of axes, thereby stretching the skin around the incision in a second direction that is substantially perpendicular to the first direction (i.e. the direction of the incision.) The retractor thus forms an aperture for passage of surgical instruments and viewing of the surgical field by surgical personnel.

Abstract: Described herein is one or more implementations for a percutaneous spinal registration-and-access tool for minimally invasive spinal surgery involving lumbar pedicle screw fixation and registration (which is the set-up process for spinal computer navigation). This spinal registration-and-access tool aids registration by allowing more precise targeting of the spinous process (of the vertebrae) and safe working channel for percutaneous placement of a sharp tool (e.g., a bone pin) through the protected subcutaneous tissue.

Abstract: An internal retraction system for use in minimally-invasive surgical procedures includes, among other features, an elongated applicator that has proximal and distal ends. The distal end of the applicator includes a grasper and the proximal end includes a mechanism or actuator for moving the grasper from an open position to a closed position. A plurality of anchor clips are slidably mounted on the elongated applicator and are initially in a stored position. Each clip includes spring biased upper and lower jaws for grasping tissue. The internal retraction system also includes a structure associated with the applicator for deploying the anchor clips from the stored position to a deployed position at a desired location. Moreover, the internal retraction system includes a mechanism associated with the applicator for removing the anchor clips from the deployed position and returning the clips to the stored position.

Abstract: A surgical retractor system having a frame and a plurality of arms connected thereto is disclosed. At least one arm is moveable relative to the frame and the relative movement is constrained to a direction along the longitudinal axis of the arm. At least one retractor blade is removably connected to each of the plurality of arms. The blade is fixably rotatable about an axis normal to the longitudinal axis of the arm to which it is connected.

Abstract: A deployable jaws retraction device is provided for retracting a body organ away from an operative site without occupying an incision or surgical access port during the surgical procedure. The deployable jaws retraction device includes a jaw assembly having two or more jaws joined at one end and a retention device to maintain the jaws of the closed condition about a target body organ. The deployable jaws retraction device additionally includes an anchoring assembly for securing the jaw assembly and body organ away from the operative site during the surgical procedure. The anchoring assembly includes a needle having a tissue penetrating tip and a length of suture material connecting the needle to the jaw assembly. There is also provided an applicator instrument for applying the deployable jaws retraction device onto a target body organ.

Abstract: A dual use compression clip and surgical port device where the device serves as a surgical compression clip and surgical port in surgical procedures. The device comprises two compression elements each constructed having a bounding surface which when taken together form the boundary of a surgical port and one or more hinge elements in mechanical communication with the compression elements allowing the compression elements and the device to move from an open arrangement to a closed arrangement. The device also includes one or more apertures on each of the compression elements sized and configured to receive the insertion elements of an applicator instrument so that a force applied by the applicator instrument brings the device and compression elements from their open arrangement to their closed arrangement. A system and method for use of the device is also discussed.

Abstract: A minimal incision maximal access system allows for maximum desirable work space exposure within the incision along with maximum access to the operative field utilizing a minimum incision as small as the width of the working tube. Instead of multiple insertions of dilating tubes the design is a streamlined single entry device to avoid repetitive skin surface entry. The system offers the capability to expand to optimum exposure size for the surgery utilizing retractors depending from a bi-hinged frame having internal or external controls to control the angle and separation of the retractors. Interchangeable retractor blades can be attached to the frame. At least one retractor blade is independently controlled.

Abstract: The invention is a sternal retractor comprising a pair of arms each of which includes a downward extending blade, and one of which includes a proximal portion and a distal portion pivotally mounted on the proximal portion, a curved cross bar on which said arms are disposed so that in use the retractor can open the bottom of the sternum wider than the top of the sternum to minimize damage to the upper ribs and numbness, which sometimes occurs in the hands of open chest surgery patients. The retractor also has applications within other surgical procedures, as well, for the same general purpose of providing an opening of varying size along the length of an incision.

Abstract: A sternal closure clamp device for securing and retaining longitudinally divided halves of a sternum, the device having four laterally extending engagement members that are positioned in inter-rib spaces on both sides of the sternum. The engagement members are connected to a centralized main body in a manner that allows the engagement members to be shortened or contracted such that the sternal halves may be pressed together and held in abutting relation. Each of the engagement members contracts in a direction non-perpendicular to the sternal incision, and the engagement members on a given side are non-parallel to each other such that device has a generally X-shaped configuration.

Abstract: An internal retraction system for use in minimally-invasive surgical procedures includes, among other features, an elongated applicator that has proximal and distal ends. The distal end of the applicator includes a grasper and the proximal end includes a mechanism or actuator for moving the grasper from an open position to a closed position. A plurality of anchor clips are slidably mounted on the elongated applicator and are initially in a stored position. Each clip includes spring biased upper and lower jaws for grasping tissue. The internal retraction system also includes a structure associated with the applicator for deploying the anchor clips from the stored position to a deployed position at a desired location. Moreover, the internal retraction system includes a mechanism associated with the applicator for removing the anchor clips from the deployed position and returning the clips to the stored position.

Abstract: Sinusitis, mucocysts, tumors, infections, hearing disorders, choanal atresia, fractures and other disorders of the paranasal sinuses, Eustachian tubes, Lachrymal ducts and other ear, nose, throat and mouth structures are diagnosed and/or treated using minimally invasive approaches and, in many cases, flexible catheters as opposed to instruments having rigid shafts. Various diagnostic procedures and devices are used to perform imaging studies, mucus flow studies, air/gas flow studies, anatomic dimension studies and endoscopic studies.

Abstract: Spinal surgery is carried out under direct visualization through a relatively small opening formed in a patient's skin. Intervening tissue between the opening and the surgical site is displaced so as to form a keyhole channel therethrough. The channel is characterized in that it increases in width as it progresses from the opening to the surgical field. The use of the keyhole channel maximizes the surgeon's access to the surgical field while minimizing tissue trauma. Also disclosed are surgical retractors used to provide the channel.

Abstract: A lighting accessory stem using fiberoptic illumination is provided. In certain embodiments, the lighting accessory system is combinable with a hand tool, for example a forceps, to illuminate the grasping tips of the tool. The lighting accessory system provides an illuminable tool whereby an object may be illuminated and grasped while being illuminated without obstruction by the illumination means. In certain embodiments, the lighting accessory system may be used for medical or surgical tools.

Abstract: An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, so increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

Abstract: A clip which can be temporarily clamped to a cut edge of a pericardium during heart surgery. Two or more of the clips, which may be each connected to a respective flexible member, are clipped to the pericardium and tension is applied to the connectors to suspend the clips and the pericardium, as well as the heart, form a support, while enabling the heart to continue to beat normally.

Abstract: The grasping retractor has an arm member and a blade member with a jaw portion at one end and a recurved handle portion at the other end. A clamping bracket is pivotally attached to the blade member, and has a jaw portion located to move into engagement with the jaw portion of the blade member when the clamping bracket is pivoted. A locking mechanism holds the clamping bracket secure, allowing the blade member to function as a retractor without slipping.

Abstract: A surgical retracting device includes a body, at least one pivotable finger, and an actuating assembly that moves the finger between open and closed positions. The body defines a passageway and openings that allow suctioning and irrigating through the device. In addition, the device includes a cauterizing assembly for cauterizing tissue of a patient.

Abstract: A surgical retractor includes an elongated elastic member having first and second end portions. A retractor hook portion is connected to the first end portion of the elastic member. The second end of the elastic member has a receptacle for connecting a pair of jaws thereto. A pair of jaws is provided, each being mounted to the elastic member at the receptacle. A jaw closing member is provided for urging the jaws to clamp together in a "closed" position. Two sockets are provided in the receptacle, each of the sockets accepting one of the jaws. A portion of the elastic member is positioned in between the two jaws to provide elasticity that urges the jaws to clamp the jaw together.

Abstract: A vascular occluder clip including a resiliently-biased pair of clamping elements extending transversely to longitudinally-extending members. Gripping loops or pads are provided for grasping by the user and compression of the members against the biasing force to separate the clamping elements. The gripping loops or pads extend from the longitudinal members on the opposite side thereof from the clamping elements.

Abstract: A minimally invasive retractor and dissector for internal surgical use on a patent's body has a tubular support for passing into the patient's body. A proximal end on the tubular support located outside the patient's body is in position to provide assess for the surgeon. A distal end on the tubular support located inside the patient's body to provide access within the patient for surgery. A control is located at the proximal end of the tubular support. One or more articulated members are movably positioned relative to the distal end of the tubular support so each of the articulated members allows movement relative to the distal end. A rotator connects to the proximal end of the tubular support for movement relative to the control. An instrument moves independently of the tubular support when the articulated members and the distal tips cooperatively function on the tissue.

Abstract: The surgical instrument of the invention consists of a pair of arms hinged together at an intermediate point for relative pivoting movement. The arms are provided with obliquely oriented handles at one end thereof. The opposite ends of the arms support removable posts having means for removably securing a plurality of different retractor or compressor heads thereto. The posts are pivotably connected to the arms to allow the posts to achieve a variety of orientations relative to the arms. A variety of retractor and compressor heads and different shaped posts are provided to allow the instrument to be used in a wide variety of surgical procedures. Separate serrated locking mechanisms are provided to lock the arms in either a retraction or compression position. In one embodiment the posts are secured to one another such that they undergo parallel retraction/compression.

Abstract: A minimally invasive retractor and dissector for internal surgical use on a patient's body has a tubular support for passing into the patient's body. A proximal end on the tubular support located outside the patient's body is in position to provide access for the surgeon. A distal end on the tubular support located inside the patient's body to provide access within the patient for surgery. A control is located at the proximal end of the tabular support. One or more articulated members are movably positioned relative to the distal end of the tubular support so each of the articulated members allows swinging relative to the distal end. A rotator connects to the proximal end of the tubular support for movement relative to the control. An instrument moves independently of the tubular support when the articulated members and the distal tips cooperatively function on the tissue.