Abstract: An amnion insertion device has been developed for an emergency cervical cerclarge operation to push back the bulged amnion into the uterus. The present invention is configured with a dilation balloon that forms at the front end portion of the air injection tube for stably supporting a support. Once the dilation balloon is inflated the inflated state will prevent deflation or sliding backwards during the cervical cerclarge operation while the bulged amnion is being pushed back into the uterus to facilitate the operation. Because the external tube and air injection tube have integrally formed a dual-tube configuration, a surgeon on duty can entirely grip the amnion insertion device by one hand, and will have the other hand free to stitch up the cervix.

Abstract: A uterine manipulator includes a sound and a body. The sound has a selectively actuatable anchor disposed proximate a distal end and an operating mechanism spaced from the anchor for controlling actuation of the anchor. The body has a passage therethrough adapted to receive the sound passed proximally through the body to a position in which the operating mechanism is accessible proximally of the body and the anchor extends distally.

Abstract: A system for implanting a catheter in a urethra. The system includes a catheter having a valve disposed at a distal portion of the catheter. The valve may be operable in response to an external magnetic field. The system also includes a tool having a tip member extending into an opening at the distal portion of the catheter to couple the tool to the catheter. the system also includes an element extending from the tool. The catheter has an internal path that provides a conduit for the element to be extended through the valve to engage a proximal portion of the catheter. The tool is adapted use the element to stress the catheter and stiffen the catheter along the length of the catheter. Stiffening the catheter facilitates implantation of the catheter in the urethra by enabling pull forces, push forces, and torque forces to be transmitted from the tool through the catheter to the proximal portion of the catheter without undue stress on the urethra.

Abstract: A medical device includes an elongate member. The elongate member has a first end portion and a second end portion. The second end portion of the elongate member has an upper surface and a lower surface disposed opposite the upper surface. The lower surface has a planar portion. The upper surface has a planar portion and a concave portion.

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: A cutting device, for example for use in a method for laparoscopic hysterectomy wherein final resection of a uterus is executed using a vaginal approach, i.e. cutting from the vaginal side inwards, instead of cutting from the abdominal side outwards of the uterus. A hysterectomy assembly for such a method is also disclosed.

Abstract: A surgical system includes an instrument and a support. The instrument has a tapered handle attached to a head that is sized for insertion into a vagina. The support includes a flexible section connected between a post that is attachable to a surgical table and a cradle configured to removably receive the tapered handle of the instrument. The cradle includes a tapered trough that is sized to receive the tapered handle of the instrument and an engagement feature that secures the tapered handle into the tapered trough.

Abstract: Traditional and existing methods of cervical ripening employ a Foley Bulb designed for and typically used in bladder procedures. Consequently, the application to the cervix is sub-optimal. The described device resolves this and related limitations. The device includes a balloon that has been designed to accommodate the cervix geometry, and which can adapt to normal differences in the individual. Further improvements are attained by the use of a supporting device which couples the cervix ripening device to the individual.

Abstract: The present invention provides various systems, a kit, and a method for accessing, sampling within, and visualization of areas within the mediastinal cavity for assisting a surgeon in performing a mediastinoscopy procedure. The access system includes one or more preferably toroidal balloons that can be expanded to dilate and protect the inner walls of a bodily conduit. Instruments pass through hollow spaces within the expanded toroidal balloons. The proximally positioned balloons are expanded first and the unexpanded balloons to be positioned distally are passed through them and subsequently expanded. The sampling system includes an instrument with a rounded head having two or more jaws and a slit therein at the distal end of an elongated tubular body. The visualization system includes a 360° camera that can be positioned from proximal to distal a target site and can also do a U-turn about its axis of extension.

Abstract: Disclosed are methods and devices for removing tissue from a site in a hollow organ, where the device has a low crossing profile and is capable of removing tissue at a high rate of speed. The device includes an elongate outer tube with a side opening and an inner tube moveably coaxially positioned within the outer tube. Tissue drawn into the side opening can be severed by moving the inner tube across the opening. Tissue may be removed through the device at a rate of at least about 1.4 cc per minute, through a lumen having a cross-sectional area of no greater than about 12.02 mm. Cutting may be accomplished by rotating the inner tube at a speed of at least about 4000 rpm, and axially reciprocating the inner tube at a rate of at least about 1.5 cycles per second. The window may have a rho value of no more than about 1, and the outside diameter of the device may be no more than about 3 mm.

Abstract: A colpotomizer cup includes a cup body and a sleeve. The cup body is configured to receive a cervix. The sleeve is connected to the cup body and includes a locking member for locking the colpotomizer cup in a predetermined position along a length of the uterine manipulator handle.

Abstract: A pair of obstetric forceps is described. The forceps comprise a pair of blades for holding the head of a baby and a handle having at least one part by which a user can apply a pulling force on the head of the baby in use. A mechanically operated force indicator is connected to the at least one part of the handle and is operable to provide a visual indication of the amount of pulling force being applied to the head of the baby when a user applies a pulling force on the head of the baby in use. A mechanically operated disabling device is operable to at least partially disable the obstetric forceps when a maximum pulling force has been exceeded. The blades can each have a superior rim and inferior rim wherein the greatest separation between the superior rims is greater than the greatest separation between the inferior rims when the obstetric forceps are in a closed configuration so that the blades adopt the form of an at least partially bowl shape.

Abstract: Compressive plates of the placental insertion site for use in cases of placenta previa includes: an axle plate including a primary plate which is fixed, a threaded bar that has machined two plates and a diameter reduction section, a secondary plate having a hole with a diameter and a shape that allows the introduction of the bar, a punch with conical tip, a nut and a locknut, and a protective cover. The punch pierces the front and back walls of the uterus corresponding to the placental insertion site. Then, the secondary plate is introduced that approaches to the primary plate until obtaining enough pressure to stop the bleeding, the nut and locknut are placed, and, finally, the protective cover is screwed.

Abstract: A medical instrument configured to be inserted into a body cavity comprises a body comprises a first probe at a first end, the first probe comprising a first cylindrical portion with a first outer circumferential surface of a first diameter; a first circumferential edge at a distal end of the first probe; a first distal lip projecting outwardly from the first outer circumferential surface beyond the first circumferential edge and extending for at least a part of a circumference of the first circumferential edge; and a first marker lip projecting outwardly from the first outer circumferential surface and extending for at least a part of a circumference of the first outer circumferential surface; wherein the first distal lip is positioned distal to the first marker lip; and wherein the body comprises a hollow cavity to enable a second medical instrument to pass therethrough.

Abstract: A system for treating uterine tissue having a seal assembly configured for positioning in a patient's cervical canal and uterine cavity; an expandable distal balloon portion; an expandable elongate medial balloon portion configured for movement between a first transversely expanded shape for engaging a cervical canal and a second transversely non-expanded shape for trans-cervical insertion; and a fluid source in communication with distal balloon portion and medial balloon portion for expansion of said balloon portions.

Abstract: A uterine manipulator operable to detach the uterus and cervix from the vagina. The uterine manipulator includes an umbrella-like tip that creates a secure connection between the uterine manipulator and the uterus and cervix. The uterine manipulator also includes a pneumooccluder that enables rotation of the manipulator shaft while maintaining pneumoperitoneum. The uterine manipulator further includes a cutter that travels in a circle at the junction of the cervix and the vagina, permitting detachment of the uterus and cervix from the top of the vagina.

Abstract: The present invention provides for an apparatus and system for knotless abdominal sacral colpopexy. The apparatus and system includes a vaginal manipulator comprising: a central body connected to a tapered handle with a central bore hole configured throughout at least the central body and/or the tapered handle suitable to receive a uterine stabilizer. The apparatus and system further includes a screw lock in the central body, a uterine stabilizer configured to fit within the central bore hole and a vaginal cuff adapter.

Abstract: A uterine manipulator operable to detach the uterus and cervix from the vagina. The uterine manipulator includes a shaft with a first end and a second end, a handle coupled to the first end, and a tip assembly coupled to the second end and adapted for insertion into the uterus. The uterine manipulator also includes a cutting assembly coupled around the shaft and adapted to receive the cervix when the tip assembly is inserted into the uterus. The cutting assembly includes a cup portion and a cutter wire. The cup portion is configured to be positioned at a juncture between the cervix and the vagina and includes with two grooves around its circumference. The cutter wire is configured to be positioned between the two grooves when in a stored position, and then pulled from between the two grooves through tissue at the juncture to cut the tissue.

Abstract: A contact sensing assembly including a catheter including an electrode having a base portion mounted adjacent a head portion of the catheter body. A sensor is disposed adjacent the base portion for measuring compression or tensile forces applied to an electrode tip portion, and includes a predetermined sensitivity. The base and head portions include predetermined rigidity so that forces applied to the electrode tip portion are determinable as a function of the sensitivity and a sensor output. A contact sensing assembly also includes an electrode pipe operatively connected to the catheter body for movement and bending with the catheter body, and an electrode wire disposed in the electrode pipe and including insulation. A change in capacitance resulting from movement of the electrode wire toward the electrode pipe or contact of the electrode wire with the electrode pipe during bending of the catheter correlates to a force applied to the catheter.

Abstract: A colpotransilluminator is provided for arrangement on a uterus manipulator, wherein the colpotransilluminator is designed in a sleeve-shaped manner of an elastic material. The colpotransilluminator at a distal first axial end forms a portio receiver and at a proximal second end forms a vaginal seal. In a central region between the first and the second axial ends, the colpotransilluminator is designed in a waist-shaped manner and includes axially extending stretch folds in the region of the waist. A uterus manipulator is also provided with such a colpotransilluminator.

Abstract: An embodiment in accordance with the present invention provides a device and method for collecting cord blood from the umbilical cord and placenta. The device includes a vascular access device, a portable tray container, and a perfusion pump device. The vascular access device includes two vascular access components (VACs) that clamp onto the umbilical cord at the time of delivery to accurately guide cannulation of the vein. After clamping on the VACs, the placenta and VACs are placed into the portable tray container. The portable tray container is a closable and disposable container which features a dock for accepting the VACs and impaling the umbilical vein for vascular access. The dock is also connected to perfusate and collection bags, located on the outside surfaces of the tray. The tray and perfusate and collection bags interfaced with the perfusion pump device to flush out and collect the stem cells from the umbilical cord and placenta.

Abstract: An anatomic vaginal occluder is constructed of soft, relatively compliant materials for atraumatic insertion through the vaginal opening. This device integrates at its distal end a horizontally oriented, elliptically shaped, occlusive prominence coupled with a larger vertically oriented, elliptical occlusive prominence, located more proximally on the device's longitudinal axis. The vaginal wall tissue is compressed radially and put under longitudinal tension completely circumferentially around the occlusive features to create a seal against gas loss.

Abstract: A uterine clamp for stemming or stopping bleeding of a hemorrhagic uterus. A pair of inflatable bladders are nested in a pair of rigid shells shaped and sized to fit the anterior and posterior of a uterus without impinging on the uterine horn on placement of the shells nesting the bladders in mirrored spaced opposition to one another in front of and behind the uterus and the broad ligament supporting the uterus. At least one latch on an upper end of one shell and at least one latch catch in the upper end of the other shell provide an interlock for releasably interlocking the opposed shells in front of and behind the broad ligament anteriorly and posteriorly against the uterus for inflation of the bladders to compress the uterus to stem or stop hemorrhage.

Abstract: Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. The system is configured to permit simultaneous tissue cutting and removal from a target site. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.

Abstract: Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. An access sheath is provided with at least one lumen, and a lens attached thereto. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.

Abstract: An embodiment includes a uterine manipulator system comprising: a collar including a first shelf connected to the inner surface of the collar; a stabilizer including a stabilizer rim adapted to couple to the first shelf; and a shaft adapted to pass through the stabilizer and a hollow tunnel of the collar with a bulbous tip. Other embodiments are described herein.

Abstract: An apparatus includes a hollow sleeve member with an open interior section and a sleeve proximal and a sleeve distal end. Two or more probes are disposed within the open interior section and extending beyond the sleeve distal end when in a deployed position. Distal ends of the probes have a lateral space between each other. One or more tissue manipulators are disposed at the distal end of each of the at least two probes. The hollow sleeve member and the two or more probes move axially relative to each other to reduce the lateral space. A method of closing a vaginal cuff of a vaginal canal is also provided.

Abstract: Occlusion devices and delivery systems are described in which a polymerizing oil is used to protect a hydrogel from premature swelling. In an embodiment, a delivery system includes an occlusion device releasably coupled within a catheter sheath. The occlusion device includes an expandable implant and a hydrogel. An at least partially oxidized polymerizing oil is inside a lumen of the catheter sheath between the distal end of the catheter sheath and the hydrogel.

Abstract: Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic. Distension is achieved mechanically, rather than with liquid distension media, thereby eliminating the risk of intravasation.

Abstract: A uterine manipulator for manipulation of a uterus of a patient is provided. The uterine manipulator has an articulation section having a proximal end and a distal end. The articulation section defines a channel therethrough. An elongate tensioning member extends through the channel of the articulation section. A tension release mechanism is connected to the tensioning member. The tension release mechanism is configured to selectively relax and tighten the tensioning member. A manipulator end is disposed at the distal end of the articulation section. The manipulator end is configured to be inserted into a vaginal canal and the uterus of the patient.

Abstract: The navel umbilical cord tab is a method and apparatus provided for cleaning the navel and umbilical cord. The navel umbilical cord tab placed around the navel with the umbilical cord protruding through the center orifice The navel umbilical cord tab is engaged to maneuver, control, support, and protect the umbilical cord. The navel umbilical cord tab allows for thorough cleaning of the navel and umbilical cord using cotton swabs with or without cleaning chemicals The navel umbilical cord tab eliminates physical holding of the umbilical cord during the cleaning procedure.

Abstract: A vaginal manipulator includes a shaft attached to a head and a door connected to the head. The head has an anterior side opposite a posterior side and includes a core fixed to the shaft and a sleeve coupled in a sliding relationship to the core. The door is coupled to the core and is movable relative to the posterior side of the head through an opening provided in the sleeve. A proximal end of the core defines a proximal end of the head and a distal end of the sleeve defines a distal end of the head. The proximal end of the core is fixed to the shaft. The sleeve moves relative to the core to provide the head with an adjustable length between the proximal end of the head and the distal end of the head.

Abstract: Described herein is a device, comprising a base and a positioning member, for preventing or reducing the severity of external hemorrhoids in a patient during childbirth. The base has a first longitudinal axis and a surface extending from a first side of the base in a first direction corresponding to a height of the surface, which has a second longitudinal axis with a constant angular orientation relative to the first longitudinal axis, is of a size greater than the anal orifice, is anatomically configured to contact only the perianal region and to not substantially enter the anal canal or substantially interfere with the birthing canal. The positioning member extends from a second side of the base in a second direction away from the first side, and includes a substantially rigid structure configured for gripping by a user to position and hold the device against the anal orifice.

Abstract: A post-partum hemorrhage treatment device includes an anterior wall, a posterior wall, and a flexible joint that connects the anterior and posterior walls. The anterior and/or posterior wall includes an inflation chamber that is adapted for selective inflation. A left stud fastener and a left stud-receiving aperture are both located on a left lateral side of the device. A right stud fastener and a right stud-receiving aperture are both located on a right lateral side of the device. The left and right stud fasteners are selectively inserted into and retained in the left and right stud-receiving apertures, respectively, for securing the treatment device relative to a human uterus. A fluid is communicated into the inflation chamber to urge the anterior and posterior surfaces of the uterus toward each other. The stud fasteners are inflatable so as to be secured in their respective stud-receiving apertures.

Abstract: Aspects and embodiments directed to cervical seals are disclosed. In one embodiment, a cervical seal having adjustable length comprises a first portion and a second portion, each configured to receive an elongated central member, a length of the cervical seal corresponding to a distance between the first portion and the second portion. The cervical seal further comprises a membrane coupled to the first portion and the second portion and extending along the length of the cervical seal, wherein the first portion is movable from a first position along the elongated central member to a second position along the elongated central member, so as to change the length of the cervical seal and the membrane is configured so that a radial profile of the membrane increases in response to increasing the length of the cervical seal, so as to provide a conformable cervical seal.

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: The present invention relates to a device and method for cleaning an infant's navel and umbilical cord stump. In particular, the present invention provides a device that eliminates the need for a user to physically hold the umbilical cord stump and allows trapped dirt and moisture to be accessed and removed easily, avoiding premature detachment of the umbilical cord stump and minimizing the risk of infection. The device of the present invention also protects the skin surrounding an infant's navel from cleaning solutions while the infant' navel and umbilical cord stump is being cleaned.

Abstract: A device for accessing a hollow organ comprises an elongated body sized for insertion into an entrance passage to the hollow organ, the elongated body including an outer sealing surface engaging an inner surface of the entrance passage and a working channel extending therethrough from a proximal port which, when the elongated body is in the operative position is proximal to a proximal opening of the entrance passage, to a distal port which, when the elongated body is in the operative position, extends distally past a distal opening of the entrance passage into the hollow organ and a plurality of suction holes formed through an outer wall of the elongated body, disposed around a circumference of a portion of the elongated body which, when the elongated body is in the operative position, is located within the entrance passage in combination with a vacuum channel formed in the elongated body for transferring a negative pressure to the suction holes to increase a sealing force applied by tissue of the entrance pa

Abstract: The present disclosure relates to a device for use with an operating end of a uterine manipulator for sealing tissue that includes a shaft having a handle at an operating end thereof and a ring-like snare at a distal end thereof. The handle has an actuator operable to selectively cinch the snare from a first configuration to a second configuration. An electrode is operably coupled to the snare and is connected to an energy source to energize tissue to create a tissue seal. The shaft is positionable within a surgical cavity such that the snare encircles tissue and operably engages and cinches the operating end of the uterine manipulator under a sealing pressure. Energy is applied to the electrode to seal the tissue disposed between the uterine manipulator and the snare under a working pressure. The tissue may then be resected and removed from the body.

Abstract: A uterine manipulator includes an elongate shaft and a tip hub. The elongate shaft has a proximal end and a distal end. The distal end is configured to be inserted into a vagina. The tip hub is disposed at the distal end and is configured to releasably receive and support a tip mount for engaging a uterus. The elongate shaft includes one or more channels extending between the distal and proximal ends. The channels are configured to releasably receive catheter tubing.

Abstract: The invention is incorporated into a tissue removal and manipulation device for vaginal hysterectomies and related surgeries. The present invention solves the suturing problem of the prior art devices by providing a device that not only can manipulate the uterus during surgery but remove the uterus without the need for suturing.

Abstract: A vaginal manipulator includes a head, a tissue index, a door, and a head extender. The head has a first end connected to a distal end of a shaft and a distal end opposite of the first end, and an anterior side opposite a posterior side. The anterior side of the head has a first lateral edge opposite of a second lateral edge, where the first and second lateral edges of the anterior side of the head extend between the first end and the distal end of the head. The tissue index is attached to the head. The door has a pivot portion attached to a distal portion of the head and a free portion that is movable away from the first end of the head. The head extender attached to the distal end of the head and configured to provide manipulation and control of an apex the vagina.

Abstract: A device serves for performing examination and surgical intervention on the uterus. The device comprises an approximate rod-shaped body and an extension piece protruding from a distal end of said body. Said extension piece can be introduced in a cervical canal of an uterus. At least one adjustable jaw part for fixing of a cervical tissue between said extension piece and said jaw part is provided. An operating device serves for operating said adjustable jaw part. Said operating device is arranged on said rod-shaped body in such a way that a hand of an operator gripping said body can operate said operating device.

Abstract: A vaginal manipulator includes a head with a tissue index, a door, and a head extender that are attached to the head. The head has an anterior side opposite a posterior side. The tissue index has a first arm that is slidingly engaged with a first groove formed in a first lateral edge of the head, a second arm that is slidingly engaged with a second groove formed in a second lateral edge of the head, and a rib connected between the first and second arms and disposed laterally across the anterior side of the head. The door is coupled to and movable relative to the posterior side of the head. The head extender is removably attached to a distal end of the head.

Abstract: The present invention relates to postpartum uterine manipulators and methods of use thereof. According to certain embodiments of the invention, the devices generally comprise (a) a primary shaft having a proximal end and a distal end, and which encapsulates an interior shaft; (b) a handle located at the proximal end of the primary shaft, which comprises a ratchet, two fixed rings and a movable thumb piece coupled to the interior shaft; and (c) a tip located at the distal end of the primary shaft, which comprises multiple sections connected by joints that forms a triangular configuration when in an open position.

Abstract: A perianal support device is provided that is configured to inhibit the formation and/or progression of tissue damage in the perianal region of the body. A method is provided to apply the perianal support device to patients during childbirth to inhibit the formation and/or progression of tissue damage in the perianal region of the body.

Abstract: A micro-invasive medical instrument includes a shaft and an end balloon on a distal end of the shaft, where the end balloon completely encloses the distal end of the shaft.

Abstract: An embodiment of a uterine hemorrhage controlling system comprises a suction module including a suction end coupleable to a pump by a connecting tube, and a sealing module coupled to the suction module. The system may further comprise the pump and a filter coupled to the suction module. A uterine hemorrhage controlling method comprises: shielding a suction module that has been delivered into a uterus; sealing an entrance into the uterus while the suction module is situated within the uterus; applying a negative pressure within the uterus upon activation of a pump; and maintaining the negative pressure within the uterus to induce uterine contraction. The method may further comprise delivering the suction module into the uterus; transmitting bodily fluids, out of the uterus through the suction module, and filtering the bodily fluids.

Abstract: The invention is incorporated into a tissue removal and manipulation device for vaginal hysterectomies and related surgeries. The present invention solves the suturing problem of the prior art devices by providing a device that not only can manipulate the uterus during surgery but remove the uterus without the need for suturing.

Abstract: The present invention provides a device that protects the tissue in the posterior part of the introitus vaginae, i.e. the commissura posterior. The origin of perineal tear starts here when the segment is stretched to double or triple its length during delivery of the head. Tears can be more extensive into the perineal body, continue into the anal sphincter and in worse cases even through the whole perineum into the anal canal. In use the device may protect against perineal tears of the posterior vaginal wall into the mucosa, perineal skin, muscles, even more profound down to the anal sphincter muscle and into the rectum and the rectal mucosa.