A method of inserting a circular stapling apparatus into a body lumen includes inserting a distal portion of a shell assembly of the circular stapling apparatus in an entrance to a body lumen, introducing an insufflation fluid through an aperture defined in an outer surface of the shell assembly, and inserting a remainder of the shell assembly and a portion of an elongated member into the body lumen. Introducing the insufflation fluid through the aperture flows insufflation fluid into the body lumen.

A medical device can include a housing, a first seal structure, and a seal expander. The first seal structure can have a proximal end and a distal end, and a side wall surrounding and defining an interior chamber. A seal wall can be connected to the side wall and include an expandable opening. A seal expander can be coupled to the housing, and can be at least partially in the interior chamber of the first seal structure. The seal expander can include an expandable neck portion and a seal interface portion, the seal interface portion being near an intersection of the side wall and the seal wall.

Implants comprising electrically-responsive hydrogel are described. Systems to provide electricity to induce response in hydrogel-containing implants are described. Methods for utilizing said system and methods for utilizing said hydrogel-containing implants are described.

Implants comprising electrically-responsive hydrogel are described. Systems to provide electricity to induce response in hydrogel-containing implants are described. Methods for utilizing said system and methods for utilizing said hydrogel-containing implants are described.

An insufflator for exposing structures within an internal cavity forming a confined volume within an animal or human body, the apparatus including: an input conduit for exchanging gas with the confined volume; a gas insufflator for insufflation of gas into the confined volume through the input conduit, wherein the gas insufflator is configured to deliver an insufflator pressure to the confined volume, wherein the gas insufflator is configured to (super)impose at least one pressure or flow oscillation to obtain a forced oscillating pressure or flow delivered to the confined volume, the forced oscillating pressure or flow having at least one component with a frequency and an amplitude; a monitoring unit for monitoring a response of the internal cavity to the forced oscillating pressure or flow for determining one or more physical properties of the internal cavity; and an adapter unit for adjusting the insufflation pressure based on the determined one or more physical properties of the internal cavity.

An insufflator for exposing structures within an internal cavity forming a confined volume within an animal or human body, the apparatus including: an input conduit for exchanging gas with the confined volume; a gas insufflator for insufflation of gas into the confined volume through the input conduit, wherein the gas insufflator is configured to deliver an insufflator pressure to the confined volume, wherein the gas insufflator is configured to (super)impose at least one pressure or flow oscillation to obtain a forced oscillating pressure or flow delivered to the confined volume, the forced oscillating pressure or flow having at least one component with a frequency and an amplitude; a monitoring unit for monitoring a response of the internal cavity to the forced oscillating pressure or flow for determining one or more physical properties of the internal cavity; and an adapter unit for adjusting the insufflation pressure based on the determined one or more physical properties of the internal cavity.

A system for performing an endoscopic surgical procedure in a surgical cavity of a patient that includes a gas delivery device configured to deliver a flow of pressurized gas to a gas delivery lumen extending therefrom, a gaseous sealing module communicating with a distal end of the gas delivery lumen and configured to generate a gaseous seal within a gas sealed lumen extending therefrom, and an access port communicating with a distal end of the gas sealed lumen so as to provide sealed instrument access to the surgical cavity and maintain a stable pressure within the surgical cavity.

A surgical access device including a housing having a nozzle assembly, a gas supply plenum, a gas return plenum, and a pressure sensing plenum, as well as an elongated tubular body that extends from the housing portion and defines a central lumen communicating with the nozzle assembly and the gas return plenum, a telescopic cannula assembly associated with the tubular body and including a proximal section arranged coaxially within the tubular body and a distal section coaxially supported within the proximal section and mounted for movement relative to the proximal section between retracted and extended positions, and an elastomeric sheath associated with the telescopic cannula assembly and having a distal anchor portion for securing the surgical access device during a laparoscopic surgical procedure.

A medical system includes a handle having (1) a handle chamber including an outlet and (2) a barrel extending into the handle chamber and defining a lumen having a longitudinal axis, and a spindle movably disposed within the lumen of the barrel, the spindle including a plurality of spindle enclosures, and wherein the spindle is configured to move between a first configuration, in which at least a portion of each of the plurality of spindle enclosures is positioned within a first portion of the lumen within the handle chamber, and a second configuration, in which at least the portion of each of the plurality of spindle enclosures is positioned in a second portion of the lumen outside the handle chamber.

A medical system includes a handle having (1) a handle chamber including an outlet and (2) a barrel extending into the handle chamber and defining a lumen having a longitudinal axis, and a spindle movably disposed within the lumen of the barrel, the spindle including a plurality of spindle enclosures, and wherein the spindle is configured to move between a first configuration, in which at least a portion of each of the plurality of spindle enclosures is positioned within a first portion of the lumen within the handle chamber, and a second configuration, in which at least the portion of each of the plurality of spindle enclosures is positioned in a second portion of the lumen outside the handle chamber.