Abstract: Embodiments of the present disclosure provide a device for extracting and/or morcellating tissue or other unwanted material from within a patient's body. In one embodiment, a medical device may include an elongate member including a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include an expandable member disposed at the distal end, wherein an interior of the expandable member is in fluid communication with the lumen in the elongate member, wherein the expandable member includes a plurality of conducting elements extending from and disposed circumferentially about the elongate member, wherein at least two of the plurality of conducting elements are joined together by a material extending therebetween.

Abstract: There is disclosed a medical instrument for removing tissue from a body comprising a body, and a shaft coupled to the body, wherein the shaft is substantially cylindrical. This shaft has an inner surface and an outer surface and a sharpened end. This shaft has a radius, a diameter and a longitudinal axis. The inner surface of the shaft has a thread extending along a substantial portion of the shaft and a hollow inner region on the shaft. There is also a process for removing tissue which can include using this morcellator with the thread on the inside of the shaft. There can also be a morcellator sharpener which includes a conical body formed as a substantially hollow cone having both an inner grinding surface and an outer grinding surface wherein the sharpener is rotatably mounted to the stand.

Abstract: A tissue resection hood and related method of use for resecting the tissue are described. The tissue resection hood may include a distal end portion having an opening, a proximal end portion, and a cavity defined between the proximal and distal end portions, wherein the proximal end portion defines an opening configured to couple to an end of a sheath. The tissue resection hood may further include a cutting member configured to traverse the opening in the distal end portion and a mechanism configured to control a dimension of the cavity.

Abstract: Baskets with multiple portions and multiple deployed configurations allow the capture and release of material within the body.

Abstract: The tissue retrieval system deploys a tissue bag at the surgical site. The bag is supported by the system as tissue is placed within the bag and is closed to isolate the collected tissue and allow the bag and collected tissue to be removed from the body. The bag can be reopened and re-closed as desired through use of a guide bead and cord. The bead also facilitates removal of the collected tissue.

Abstract: The present invention relates to a method of laparoscopic surgery, and a kit which could be used in laparoscopic and robotic surgery.

Abstract: A method for performing a laparoscopic procedure may include inserting a bag through an opening. The method may also include delivering tissue into the bag, sealing the bag, and inflating the bag to create an artificial pneumoperitoneum that extends the abdomen and provides additional working and viewing space. Further, the method may include carrying out a procedure on the tissue located in the inflated bag.

Abstract: A method for performing a laparoscopic procedure may include inserting a bag through an opening. The method may also include delivering tissue into the bag, sealing the bag, and inflating the bag to create an artificial pneumoperitoneum that extends the abdomen and provides additional working and viewing space. Further, the method may include carrying out a procedure on the tissue located in the inflated bag.

Abstract: A surgical retrieval apparatus includes a housing defining a longitudinal axis and including an elongated sleeve extending distally therefrom. The housing and the elongated sleeve cooperate to define a lumen extending longitudinally therethrough. A shaft having an end effector disposed at a distal end thereof is selectively translatable between a first position, wherein the end effector is disposed within the elongated sleeve, and a second position, wherein the shaft is translated through the lumen such that the end effector extends distally from the elongated sleeve. An articulation mechanism operably coupled to the end effector is configured for articulating the end effector relative to the longitudinal axis. A specimen retrieval bag is coupled to the end effector and is deployed therefrom upon movement of the end effector from the first position to the second position.

Abstract: A specimen retrieval pouch (pouch) is provided. The pouch including a closed bottom portion, an open upper portion and an elongated tube operably coupled to an interior wall of the pouch. The elongated tube has a plurality of openings positioned along a length thereof. A suture accessible at a proximal end of the pouch is positioned within the elongated tube and extends past a distal end thereof. The suture is movable within the elongated tube and relative to the pouch. The suture has either a needle or a loop at a distal end thereof for attaching to tissue and subsequently drawing the tissue into the pouch when the suture is pulled. One or more reinforced tabs are operably disposed on the pouch. The reinforced tab(s) is/are configured to be grasped by a user to provide a counter pull force as the suture is being pulled through the elongated tube.

Abstract: A surgical retrieval apparatus includes a housing having an elongated sleeve extending therefrom that, together, cooperate to define a lumen extending therethrough. A shaft having an end effector assembly disposed at a distal end thereof is selectively translatable between a first position, wherein the end effector assembly is disposed within the sleeve, and a second position, wherein the end effector assembly extends distally from the sleeve. A specimen retrieval bag is releasably coupled to the end effector assembly and is deployable to an extended position upon movement of the end effector assembly from the first to the second position.

Abstract: Devices, systems, and methods for valve removal. In an embodiment of an umbrella device for removing a valve of the present disclosure, the umbrella device comprises an elongated shaft having a distal end, a first umbrella comprising a first mesh, the first umbrella coupled to the shaft at or near the distal end of the shaft, a second umbrella comprising a second mesh, the second umbrella coupled to the shaft proximal to the first umbrella, and a mechanical drill rotatably coupled to the shaft and positioned between the first umbrella and the second umbrella.

Abstract: A surgical bag device is provided. The device includes a surgical bag with a pocket at the open top and elongate biasing member disposed in conjunction with the pocket and translatable between a first open position where the biasing member extends through a substantial portion of a circumference of the pocket, to a second closed position. An elongate push rod with a distal end portion is fixed to the biasing member and an opposite proximal end portion operatively engaged with a movable plunger within a housing. The push rod is translatable as urged by the plunger between a distal position extending the biasing member into the pocket and a proximal position withdrawing the biasing member from the pocket. The push rod comprises a plurality of longitudinally spaced teeth disposed thereon, which are meshingly engagable with a plurality of teeth from a corresponding first set of teeth of a pinion gear.

Abstract: A surgical retrieval apparatus includes a housing defining a longitudinal axis and including an elongated sleeve extending distally therefrom. The housing and the elongated sleeve cooperate to define a lumen extending longitudinally therethrough. A shaft having an end effector disposed at a distal end thereof is selectively translatable between a first position, wherein the end effector is disposed within the elongated sleeve, and a second position, wherein the shaft is translated through the lumen such that the end effector extends distally from the elongated sleeve. An articulation mechanism operably coupled to the end effector is configured for articulating the end effector relative to the longitudinal axis. A specimen retrieval bag is coupled to the end effector and is deployed therefrom upon movement of the end effector from the first position to the second position.

Abstract: A laparoscopic bag, wherein the laparoscopic bag comprises one opening which is in a top portion, and a body portion, wherein the laparoscopic bag comprises an inner layer which is waterproof, a middle layer which is resistant to morcellation, and an outer layer which is waterproof.

Abstract: A lens support system for use during extracapsular cataract surgery. The lens support system may be used to support a lens or lens fragment in the event of a posterior capsule tear or zonular dialysis. The lens support system comprises a cannula in which a piston attached to a lens support is slidably disposed. By means of the piston, the lens support is movable between collapsed and expanded configurations.

Abstract: The tissue retrieval system deploys a tissue bag at the surgical site. The bag is supported by the system as tissue is placed within the bag and is closed to isolate the collected tissue and allow the bag and collected tissue to be removed from the body. The bag can be reopened and re-closed as desired through use of a guide bead and cord. The bead also facilitates removal of the collected tissue.

Abstract: Tissue is resected and extracted from an interior location in a patient's body using a probe or tool which both effects resection and causes vaporization of a liquid or other fluid to propel the resected tissue through an extraction lumen of the resecting device. Resection is achieved using an electrosurgical electrode assembly including a first electrode on a resecting member and a second electrode within a resection probe or tool. Over a first resecting portion, radio frequency current helps resect the tissue and over a second or over transition region, the RF current initiates vaporization of the fluid or other liquid to propel the tissue from the resection device. In one embodiment, an extending element extends from a housing and into a channel in a resecting member as the resecting member moves toward a distal position.

Abstract: The disclosure provides a tissue removal device including customizable tips. The tissue removal device may include an outer shaft and a threaded shaft. One aspect of disclosure may include a shaft cutting tool that emerges from the end of the outer shaft. Another aspect of the disclosure may include a flexible cutting blade extending from the threaded shaft. Threaded shaft may be driven by a driving mechanism in order to provide an auger-like suction mechanism to facilitate the transfer of removed tissue to a collection chamber that is coupled to the outer shaft and the threaded shaft.

Abstract: A specimen retrieval device is provided. The specimen retrieval device includes an applicator. A specimen retrieval pouch operably is disposed within the applicator and deployable therefrom. The specimen retrieval pouch defines a longitudinal axis therethrough and includes a closed bottom portion and an open upper portion. The closed bottom portion includes a plurality of spikes configured to grasp a specimen positioned within the confines closed bottom portion. The upper closed portion includes one or more axial folds that are movable from a folded configuration to an unfolded configuration when a predetermined force is applied to a portion of the specimen retrieval pouch.

Abstract: A specimen retrieval system for use with minimally invasive surgical procedures is disclosed. The system permits excised tissue having a dimension, a size, a shape, or a volume larger than a natural orifice or a surgical incision used in a minimally invasive procedure to access the surgical site, to be removed from the body through the natural orifice or surgical incision. The system comprises a specimen retrieval container and a compression structure. The compression structure is configured to apply a compressive force to the container to reduce or alter at least one of a dimension, a size, a shape, and a volume of the container and the tissue contained therein, such that the tissue can be removed through the natural orifice or surgical incision without need to surgically alter or enlarge the orifice or original incision.

Abstract: A tissue isolation and removal device has a containment pouch that is opened and supported by the device. The pouch has two open/close portions both able to be closed and reopened. One portion positioned away from tissue being inserted in the pouch and covering the other portion to enclose or isolate any tissue captured in the other portion.

Abstract: A method of transluminal surgery is provided, which utilizes an endoscopic surgery apparatus having pivotable arms attached by hinges on its distal end. The arms are interchangeable with arms of various configurations. The method includes the steps of inserting an endoscopic surgery apparatus into a body cavity of a patient, making an incision in the body cavity wall to allow access to the patient's abdominal cavity, and further inserting the apparatus through the incision. Surgery is performed at the desired surgical site and the apparatus is withdrawn into the body cavity where the incision is closed. Finally, the apparatus is withdrawn from the patient's body.

Abstract: A multi-functional medical device including a sheath having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end. The medical device further includes an end-effector slidably disposed within the lumen. A portion of the end-effector may be configured to transition between a collapsed state while in the lumen and an expanded state while out of the lumen. Further, the end-effector may include a tool configured to dissect tissue, and a retracting member having a plurality of legs disposed about the tool.

Abstract: A method of retrieving a tissue specimen comprising inserting a surgical retrieval apparatus through an opening in a patient's skin, the surgical retrieval apparatus including a support member and a retrieval bag extending from the support member and having an opening to receive the tissue specimen. A net is introduced into the retrieval bag and placed over the tissue specimen. The net and retrieval bag are removed from the patient's body to remove the tissue specimen.

Abstract: A medical device for removing an object from a body includes a retrieval basket having a distal section and a proximal section, at least two strands extending through the proximal section of the retrieval basket, and at least three prestressed filaments extending from a distal end of each of the at least two strands through the distal section of the retrieval basket. The filaments are spaced from each other through the entire distal section of the retrieval basket between a proximal end of the filaments and a distal end of the filaments. The filaments also converge at a distal end of the distal section of the retrieval basket, and the filaments are entwined to form each of the at least two strands.

Abstract: A clot and foreign body removal device is described which comprises a catheter with at least one lumen. Located within the catheter is a clot capture coil that is connected to an insertion mandrel. In one embodiment, the clot capture coil is made out of a solid elastic or superelastic material which has shape memory, preferably nitinol. The elasticity or superelasticity of the coil allows it to be deformed within the catheter and to then reform its original coil configuration when the coil is moved outside of the catheter lumen. In another embodiment the coil is a biphasic coil which changes shape upon heating or passing an electric current. Once the coil configuration has been established, the coil can be used to ensnare and corkscrew a clot in a vessel. A clot is extracted from the vessel by moving the clot capture coil and catheter proximally until the clot can be removed or released into a different vessel that does not perfuse a critical organ.

Abstract: Embodiments of the present disclosure include a medical device including, among other things, an elongated member having a proximal end, a distal end, and at least one channel. A distal portion of the at least one channel may be displaced relative to a longitudinal axis of the elongated.

Abstract: A specimen retrieval device includes a handle, a shaft connected to said handle, and a bag deployment device connected to a distal end of the shaft. A specimen retrieval bag is connected to the bag deployment device and includes at least one material having a mesh disposed therein. At least one strand of the mesh is disposed at an angle relative to the bag deployment device and the flexibility of the bag is a function of the angle.

Abstract: A method of retrieving a tissue specimen comprising inserting a surgical retrieval apparatus through an opening in a patient's skin, the surgical retrieval apparatus including a support member and a retrieval bag extending from the support member and having an opening to receive the tissue specimen. A net is introduced into the retrieval bag and placed over the tissue specimen. The net and retrieval bag are removed from the patient's body to remove the tissue specimen.

Abstract: A specimen retrieval device is provided. The specimen retrieval device includes an applicator. A specimen retrieval pouch operably is disposed within the applicator and deployable therefrom. The specimen retrieval pouch defines a longitudinal axis therethrough and includes a closed bottom portion and an open upper portion. The closed bottom portion includes a plurality of spikes configured to grasp a specimen positioned within the confines closed bottom portion. The upper closed portion includes one or more axial folds that are movable from a folded configuration to an unfolded configuration when a predetermined force is applied to a portion of the specimen retrieval pouch.

Abstract: A suturing assembly includes a handle and a head located distal to the handle. The handle includes an actuator coupled to a distal half of the handle. The head defines a head perimeter and includes a needle port and a capsule cavity located within the head perimeter. The needle port stores a needle that is connected with the actuator by a rod and the capsule cavity is sized to retain a suture capsule attached to a length of suture. A release mechanism is attached to the rod and located on the distal half of the handle. The needle is movable within the head perimeter to engage with the suture capsule and place the suture capsule into the needle port, and the release mechanism is operable to move the rod a distance in a proximal direction to separate the suture capsule from the needle.

Abstract: An improved surgical dilator extractor is introduced into the abdominal cavity through a trocar cannula and expanded, forming a tissue receiving space, at the distal end. The tissue receiving space is enlarged by passing a grasper through a lumen of the dilator extractor to interact with a guide surface on the interior of dilator extractor to expand a dilator portion having a single leaf beyond the natural resiliency of the leaf. The tissue being extracted is then manipulated into the space with the grasper. The tissue is then removed from the cavity by the surgeon applying a force onto the dilator extractor that insures the elongation of the tissue and temporarily dilates the entry wound to the extent necessary for the tissue to be removed. Alternative embodiments of the surgical dilator extractor and related instrument tool sets and methods for the use thereof also are disclosed.

Abstract: Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool. Thus, over a first cutting portion, radio frequency current may help cut the tissue and over a second or over transition region, the RF current may initiate vaporization of the fluid or other liquid to propel the tissue from the cutting device.

Abstract: The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen.

Abstract: The present invention relates to a method of laparoscopic surgery, and a kit which could be used in laparoscopic and robotic surgery.

Abstract: Embodiments of the invention include a medical device with one or more of a variety of features. More particularly, embodiments of the invention relate to endoscopic devices that include one or more features that improve the use of the device. Examples of such features include chamfered edges and corners on, for example, the end effectors, a surface with a controlled finish also on, for example, the end effectors, a jaw with teeth and/or a tang having various configurations, a handle having soft-grip features, and/or an elongate member with varied rigidity. Other examples of such features include a folded portion on, for example, the end effectors and/or a snap-fit clevis assembly.

Abstract: A device for removing tissue by means of laparoscopy or thoracoscopy with an operating part and an optionally partially open hollow tube with a guide for operating a removing part. The removing part has the form of a zeppelin with one or more ribs. The removing part is provided on the upper side with longitudinal connecting elements. Further described is an application of such a device in a surgical treatment wherein, by use of the operating part, the removing part with the form of a zeppelin is opened out, the removed tissue is collected in the expanded bag of the removing part, and the removing part with tissue is pulled optionally at least partially into the open part of the hollow tube. The connecting elements of the removing part can then be brought together and snapped or zipped closed.

Abstract: A tissue-separating catheter assembly comprises a rotatable shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A pivot joint may be used to pivotally connect the distal separator end to the distal shaft portion. The distal shaft portion may comprise a distally-facing transition surface at a proximal end of the distal shaft portion. First and second energizable tissue separator elements may be used at the transition surface and the tip of the device, respectively.

Abstract: A medical retrieval device and method used in endoscopic procedures to retrieve stones has a shaft comprising a sheath with a lumen and a drive wire slidably disposed within the lumen for operating a stone entrapping mechanism on the distal end of the retrieval device. The shaft has an average outside diameter of less than 1.9 Fr. The shaft, sheath and drive wire each have proximal, intermediate and distal portions, and each of the corresponding portions are in generally similar locations along the longitudinal length of the device. The proximal portions of the shaft and the drive wire are preferably stiffer than the corresponding intermediate portions of the shaft and drive wire. The proximal and intermediate portions of the sheath have generally similar stiffnesses. The shaft reduces flow resistance within the working channel of an endoscope, increasing the flow of irrigation fluid in order to improve procedural visibility.

Abstract: A medical retrieval device of an embodiment of the present disclosure includes a proximal handle, a sheath, and a retrieval assembly. The sheath extends from the handle and includes a lumen and a distal end opposite the handle. The retrieval assembly is moveable relative to the sheath to achieve a collapsed position of the retrieval assembly within the lumen and an expanded position of the retrieval assembly when extended outside the lumen. The retrieval assembly includes a plurality of legs. At least one of the legs includes a wire having an inner core at least partially surrounded by an outer layer.

Abstract: A medical device and related methods of use are disclosed. The medical device includes a tubular member having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end. The medical device further includes an elongate member having a proximal end and a distal end, such that at least a portion of the elongate member is movably disposed within the lumen of the tubular member. The distal end of the elongate member includes an end-effector, wherein a portion of the elongate member between the proximal end and the distal end transitions automatically from a first state to a second state when the portion is advanced out of the lumen of the tubular member, and wherein the portion is proximal of the end-effector.

Abstract: A surgical retrieval apparatus includes a tube assembly, a cartridge assembly, and a plunger assembly. The cartridge assembly is releasably engagable with the tube assembly and includes an end effector assembly disposed therein. The end effector assembly includes a specimen retrieval bag releasably coupled thereto at a distal end thereof and a first engagement member disposed at a proximal end thereof. The plunger assembly is configured for insertion through the tube assembly and into the cartridge assembly. The plunger assembly includes a second engagement member configured for releasably engaging the first engagement member. When the first and second engagement members are engaged with one another, the plunger assembly is movable between a more proximal position, wherein the end effector assembly and specimen retrieval bag are retracted within the cartridge assembly, and a more distal position, wherein the end effector assembly and specimen retrieval bag are deployed from the cartridge assembly.

Abstract: A method and system for removing tissue from a body cavity is provided. The system includes a retrieval bag that is insertable through a first incision in tissue and includes open and closed ends. A surgical instrument is insertable into the body cavity and configured to grasp and excise a sample/specimen from within the body cavity and selectively substantially seal the retrieval bag. A fluid circulator in fluid communication with the surgical instrument and the open end of the retrieval bag is configured to evacuate gaseous matter from within the body cavity and into the open end of the retrieval bag such that the retrieval bag substantially encircles the excised tissue specimen.

Abstract: A medical retrieval device has a multi-prong retrieval assembly. The multi-prong retrieval assembly has a first position, in which the retrieval assembly extends from the distal end of the sheath to form an open ended grasping device, and a second position, in which the retrieval assembly extends from the distal end of the sheath to form a substantially close ended basket-type retrieval device. When the retrieval assembly is used as a basket-type retrieval device, the distal ends of the prongs of the retrieval assembly that form the basket are not connected to each other. Thus, captured objects may be released by the operator, or by applying sufficient force to separate one or more of the prongs.

Abstract: A series of medical instruments can be made with the use of shape memory tube with a transformation temperature that is above or below ambient temperature. In the first case, the material behaves with the shape memory effect and in the second case the behavior is superelastic. The wall of the tube has been provided with a plurality of slots in specific places, often near or at the distal end of the instrument, and in specific arrangements which allow local variations in diameter, shape, and/or length. These variations can either be caused by the memory effect during temperature change or by superelastic behavior during change of the mechanical influences on the memory metal by the surrounding material.

Abstract: An apparatus for transporting body tissue during a pelvic or peritoneal surgery through transvaginal-transdouglas route comprises a bag portion to be placed inside the body of the patient and adapted to receive body tissue to be removed during the surgery, the bag portion has an opening for tissue removal.

Abstract: A surgical retrieval apparatus for receipt of multiple tissue specimens includes a collection bag, a support ring, and a flip ring. The collection bag includes first and second packets each having an outer portion and an inner portion. The first and second packets define first and second adjacent chambers, respectively, that are each configured for receipt of a tissue specimen therein. The first and second packets are coupled to both the support ring and the flip ring. The flip ring is pivotably coupled to the support ring and is rotatable relative to the support ring between a first position, wherein the first chamber is accessible for depositing a tissue specimen therein and a second position, wherein the second chamber is accessible for depositing a tissue specimen therein.

Abstract: A morcellator is described which may be operated with one hand, thus providing semi-automatic functionality, for the reduction of solid tissue into smaller pieces, which may then transported and emptied into a specimen bag. The morcellator eliminates the need for stand-alone grasping forceps that are currently used to grasp and pull the tissue against a sharp rotating tubular conduit. The grasping, cutting and transporting of the tissue may be accomplished via the handheld morcellator which provides triggers and control buttons, thus eliminating conventional handheld graspers and foot switches. The surgeon can now hold the scope and visualize the morcellation arena, thus eliminating the need for a second surgeon presently used for this purpose. Moreover, the ability to perform morcellation single handedly, while holding the scope, improves control and avoids wasted time compared to the procedure when it is done by two surgeons.

Abstract: An endoscopic electrosurgical instrument is presented for encapsulating and resecting biologic tissue, such as a polyp, from an anatomical structure, such as a lumen. The instrument includes an encapsulation assembly which includes a snare coupled to an electrically non-conductive, shrinkable pouch in a drawstring-like configuration. The encapsulation assembly may be folded within the elongated cylindrical housing of the endoscopic instrument, positioned within the patient at the surgical site, and deployed for use. Once positioned over the polyp, the snare is tightened around the peduncle thereof, and the pouch is activated, thereby shrinking and encapsulating the polyp. The polyp may then be resected using conventional or electrosurgical techniques. The disclosed instrument may include surgical tools and/or electrosurgical electrodes for performing surgical procedures. The disclosed system may reduce the occurrence of undesirable arcing and may aid retrieval of resected tissue.