An insertion instrument includes a shaft projecting, by being inserted through a hole of a fixing instrument, from a distal end of the fixing instrument toward a distal side, and a gas supply channel formed in the shaft section and having a jet port, which jets a gas, in a distal portion of the shaft section. The gas is supplied from a proximal side to the distal side toward the jet port in the gas supply channel, and an extension dimension along the longitudinal axis from the jet port toward the proximal side is greater than an extension dimension of the hole of the fixing instrument.

Described herein are introducer devices and methods for using an introducer device to facilitate passing an endoluminal instrument to a target region of a body cavity. An introducer device may include a tubular member having an inner wall that defines a channel configured to receive the endoluminal instrument and a plurality of projections disposed in the channel at perimetrically spaced apart locations around the inner wall, where the projections extend inward and are configured to offset the endoluminal instrument from the inner wall, thereby creating a space between the endoluminal instrument and the inner wall. A method for using an introducer device may include passing the endoluminal instrument to a first instrument insertion depth within the introducer device, advancing the introducer device in the body cavity, and advancing the endoluminal instrument to a second instrument insertion depth within the introducer device.

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.

An instrument access device (500) comprises a distal O-ring (11) for insertion into a wound interior, a proximal member for location externally of a wound opening and a sleeve (12) extending in two layers between the distal O-ring (11) and the proximal member. The proximal member comprises an inner proximal ring member (25) and an outer proximal ring member (24) between which the sleeve (12) is led. A seal housing (300) is mounted to the inner proximal ring member (25). A gelatinous elastomeric seal (302) with a pinhole opening (303) therethrough is received in the housing (300). An instrument may be extended through the seal (302) to access the wound interior through the retracted wound opening in a sealed manner.

An operating room control system that is soft configurable allowing a user to completely configure the control and function of the system. The system includes a touchscreen that provides a video display received from a video endoscope and presents icons on the touchscreen allowing the user to control and interface with the tools/equipment in the operating room as well as hospital systems. The controls, displays, tools, equipment, etc. are configured to be operated from a single centralized platform.

A surgical gas delivery system is disclosed for gas sealed insufflation and recirculation during an endoscopic or laparoscopic surgical procedure, which includes a gaseous sealing manifold for communicating with a gas sealed access port, a compressor for recirculating gas through the gaseous sealing manifold, and a source of UVC irradiation for sterilizing at least the gas recirculating through the gaseous sealing manifold.

A surgical gas delivery system is disclosed for gas sealed insufflation and recirculation, which includes a gaseous sealing manifold for communicating with a gas sealed access port, an insufflation manifold for communicating with the gas sealed access port and with a valve sealed access port, a compressor for recirculating gas through the gas sealed access port by way of the gaseous sealing manifold, a first outlet line valve associated with the insufflation manifold for controlling a flow of insufflation gas to the gas sealed access port, a second outlet line valve associated with the insufflation manifold for controlling a flow of insufflation gas to the valve sealed access port, and a proportional valve associated the insufflation manifold and located upstream from the first and second outlet line valves for dynamically controlling the flow of insufflation gas to the first and second outlet line valves.

A vane compressor for a surgical gas delivery system is disclosed, which includes a compressor head having an outlet port for delivering pressurized gas to a gaseous sealing manifold communicating with a gas sealed trocar and an inlet port for receiving spent gas from the gaseous sealing manifold by way of the gas sealed trocar, wherein the compressor head is coupled to and driven by a motor.

A manifold assembly for a surgical gas delivery system is disclosed, which includes a manifold body including an inlet port for receiving gas from an outlet side of a compressor and an outlet port for recirculating gas to an inlet side of the compressor, a bypass valve communicating with the inlet port and the outlet port of the manifold body, an air ventilation valve for dynamically controlling the ingress of air from atmosphere, a smoke evacuation valve for dynamically controlling the egress of gas from the manifold assembly when the gas delivery system is operating in a smoke evacuation mode, and a gas fill for dynamically controlling the receipt of gas from a source of surgical gas.

A gas heater for a surgical gas delivery system is disclosed, which includes an elongated tubular body defining an interior flow passage having an inlet port for receiving insufflation gas from a gas source and an outlet port for delivering heated insufflation gas to an insufflation manifold, a dielectric support positioned within the interior flow passage of the tubular body, and a resistive element operatively associated with the dielectric support for heating insufflation gas flowing through the tubular body from the inlet port to the outlet port.