A tissue dilator includes a plurality of segments pivotable between a first configuration to define a first channel, and a second configuration, to define a second channel, larger in size than the first channel.

Components, systems and kits for capturing and removing tissue from mammalian bodies include a tissue container that may be introduced into a body cavity and within which a tissue specimen may be placed, cut and removed from the body cavity. Methods of using these components, systems and kits are also described.

A surgical tissue bag (7) for use in the removal of tissue from a surgical site comprises an elongate handle (8) having a proximal portion (15) and a distal portion (14), and a pouch (9) disposed at the end of the handle. The pouch (9) comprises a flexible ring (10) and a bag portion (11) depending from the ring and forming an enclosure to contain tissue and other fluid material. The handle (8) includes an offset portion (13) such that the distal portion (14) is offset from the proximal portion (15) by a discrete amount. The proximal portion of the handle forms a longitudinal axis, and the ring (10) forms a plane at an angle to the longitudinal axis. The bag portion (11) is shaped such that it defines a bag longitudinal axis, the bag longitudinal axis being non-orthogonal to the plane of the ring (10).

Devices and methods for removal of calculus (including for example, kidney stones) are disclosed. In an embodiment, a device for removal of kidney stones includes a substantially sealable pouch that can be inserted into the kidney for capturing a kidney stone. The pouch is also designed to permit fragmentation of the kidney stone inside the pouch, while preventing kidney stone fragments from escaping from the pouch. As a result, the likelihood of dispersing stone fragments during fragmentation of a large stone is greatly lessened.

A surgical apparatus of the present disclosure includes a wound retractor having a specimen bag attached thereto. The wound retractor includes a proximal ring, a distal ring, and a film extending therebetween. The specimen bag is attached to the distal ring of the wound retractor. Kits of the present disclosure include the surgical apparatus and a wound guard. Where the tissue specimen to be removed from the patient is too large for passing through an incision or wound, the wound guard is introduced into a lumen of the wound retractor. Mechanical devices such as scalpels or morcellators may then be introduced into the lumen of the wound guard and manipulated adjacent the wound guard to break up the tissue specimen without damaging the specimen bag or wound retractor. Methods for using the surgical apparatus and kits of the present disclosure are also provided.

Disclosed is a specimen retrieval bag, which includes an introducing tab arranged at an opening end of the bag body; and a bag extending tab arranged on a closed end of the bag body; the introducing tab and the bag extending tab are configured to cooperate with an insertion rod, and the insertion rod is configured to pass through the bag extending tab to insert a top end of the insertion rod into the introducing tab. The beneficial effects of the present application are as follows: the diameter of the insertion rod may be effectively reduced, through using the specimen retrieval bag together with the insertion rod matching with the specimen retrieval bag, and a trocar cannula used in conjunction with the insertion rod is also reduced, thereby achieving an effect of minimally invasive in the true sense.

Apparatus for placement in an incision of a natural body opening comprises a retractor having a sleeve (655, 656, 657) and a guard device comprising overlapping petals (662) depending from a mounting ring (661). The guard device is movable by the retractor from an insertion configuration to a deployed configuration as the retractor sleeve is moved to the retracting configuration.

A tissue retrieval system can include a tissue retrieval bag with an elongate profile. The tissue retrieval bag can have a relatively large volume, but be rollable to a stowed configuration to fit in a relatively small diameter introducer. The tissue retrieval system can include one or more support arms coupled to the tissue retrieval bag, the support arms biased to position the tissue retrieval bag in an access position once deployed from the introducer. A tissue retrieval system can have a hybrid tissue retrieval bag including material properties that vary along the depth of the bag from an open end to a closed end. A tissue retrieval bag can be used in conjunction with an introducer, or as a stand alone tissue retrieval bag.

A system and method for removing a tissue specimen or organ from the body of patient is disclosed. The system includes a bag and an excising instrument. The tissue specimen or organ is located in the bag, which is located in the patient's body. The instrument comprises a guide and a cutter. The guide is configured for introduction into the bag. The cutter is rotatable within the guide and includes a central passageway and an annular cutting blade. The cutting blade is brought into engagement with a peripherally located portion of the tissue specimen and rotated to produce a tangentially cut peripheral portion while a pulling force is applied to the tissue specimen through the central passageway. The pulling force rotates the tissue specimen within the bag to effect the production of the tangentially cut peripheral portion and to move the tangentially cut peripheral portion out of the patient's body. Gas pressure may be applied to inflate the bag to facilitate placement of the excising instrument.

A specimen retrieval system includes a bag having a flexible basket with an opening configured for receiving a tissue specimen, an elongate tail extending from the flexible basket, a primary loop attached to a proximal end of the tail opposite the flexible basket, and a string encircling the flexible basket and extending therefrom along the tail and terminating exterior of the proximal end of the tail, the string being operable to close the opening of the flexible basket. The system also includes an outer cannula having a distal end and a proximal end with a cannula handle located at the proximal end of the outer cannula, the outer cannula configured to receive the bag therein via the distal end of the outer cannula, with the tail of the bag, the primary loop and a portion of the string extending out of the proximal end of the outer cannula. The system also includes an interior tube having a distal end slidably positionable within the outer cannula via the proximal end of the outer cannula, the interior tube having a tube handle mounted to a proximal end of the interior tube at a location exterior of the cannula handle, the tube handle including a hook rotatably mounted thereon and configured for engaging the primary loop of the bag when rotated to a first position and configured for disengaging from the primary loop when rotated to a second position, and a spring secured within the distal end of the interior tube and extending outwardly of the distal end of the interior tube, the spring connectable to the opening of the basket of the bag.