Gas recirculation systems for use in endoscopic surgical procedures including a gas recirculation pump are disclosed. The gas recirculation pump may work in conjunction with an insufflator used to inflate a patient's peritoneal cavity during surgery. The gas recirculation system may recirculate a high flow rate of gas from and to the patient while filtering particulate matter out of the gas and while maintaining an adequate moisture content in the gas. The gas recirculation pump may include a disposable pump cartridge releasably connected to a pump motor. A controller may detect a fault or safety condition in the gas recirculation system based on the load placed on the pump motor.

A surgical stapler apparatus or assembly comprises a surgical stapler device having an internal channel extending from a stapler actuating handle to a stapler head of the device and a gas insufflation device having a pressurized gas supply connected to the internal channel of the stapler device via an inlet port at a handle portion intersecting with the channel in order to supply pressurized gas to the channel as the stapler shaft is inserted into the lumen of a colon, rectum or the like. Pressurized gas travels along the channel and out of the stapler head at the distal end of the stapler device in order to inflate the lumen ahead of the advancing stapler head, easing insertion.

An insufflator for insufflating a body cavity includes a compressed air vessel and a flow control valve for delivering insufflating air to the cavity through a first trocar. A discharge control valve at an outlet port of a second trocar exhausts insufflating air from the cavity. A pressure sensor on the first trocar monitors cavity pressure, and a microcontroller operates the flow control valve for maintaining a predefined working pressure in the cavity. A foot operated switch is operable by a surgeon for opening and closing the discharge control valve. When the pressure in the cavity drops below the predefined working pressure, the flow control valve increases the insufflating air to the cavity, thereby increasing the insufflating air flow through the cavity for removing undesirable gases. The apparatus and insufflator may also be adapted for removing smoke, nitrogen or other undesirable gases during both cauterisation and cryogenic procedures.

An insufflator for insufflating a body cavity includes a compressed air vessel and a flow control valve for delivering insufflating air to the cavity through a first trocar. A discharge control valve at an outlet port of a second trocar exhausts insufflating air from the cavity. A pressure sensor on the first trocar monitors cavity pressure, and a microcontroller operates the flow control valve for maintaining a predefined working pressure in the cavity. A foot operated switch is operable by a surgeon for opening and closing the discharge control valve. When the pressure in the cavity drops below the predefined working pressure, the flow control valve increases the insufflating air to the cavity, thereby increasing the insufflating air flow through the cavity for removing undesirable gases. The apparatus and insufflator may also be adapted for removing smoke, nitrogen or other undesirable gases during both cauterisation and cryogenic procedures.

A surgical access port or trocar is provided. The trocar has a trocar seal housing and a trocar cannula with an optical obturator insertable through the trocar seal housing and the trocar cannula. The trocar is configured to access a body cavity, to maintain positive pressure and to prevent loss of surgical insufflation gas used in laparoscopic procedures. The trocar seal housing can be releasably attached to the trocar cannula. The trocar seal housing may also have a shield and/or alignment channel that provide protection or assist in operation of instrument and zero seals housed in the trocar seal housing.

The present disclosure relates to an insufflator with insufflation tube with integrated heating element and humidifier for laparoscopy, whereby measurement of the moisture content is possible.

Disclosed herein are multiple cannulas defining a lumen sized and dimensioned to receive one or more medical instruments, an inflatable outer membrane attached to an outer surface of the cannula, and at least one activator that reversibly pressurizes a fluid contained in the outer membrane to fill or pressurize the outer membrane.

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.

An access device for a minimally invasive procedure can include a port body defining an instrument channel for a medical instrument, a radial extension extending at least partially outward from the body in a radial direction. The radial extension can extend from a distal end of the port body. The radial extension can define an imaging device cavity defined therein spaced from the port body and opening distally from the radial extension. The imaging device cavity can be configured to receive an imaging device therein for providing images within a field of view that is at least partially distal of the port body.

An endoscopic system includes a processor. The processor generates from a measured value of pressure in a lumen of a subject a first temporal change image of the pressure in the lumen, generates an observation image for observing an opened/closed state of a valve portion in the lumen of the subject in real time from an image pickup signal obtained by picking up an image of the opened/closed state of the valve portion in the lumen in real time using an endoscope, and generates a superposition image by superposing the first temporal change image and the observation image in a temporally synchronized manner.