A multi-functional soft tissue wound protective sleeve includes: a waste collection bag including a bottom patch and a surface patch connected to form a cavity; a bottom ring to be inserted into a human body, to push away human tissues surrounding the bottom ring to form a surgery space; a flip ring located above the waste collection bag and having an adjustable distance with the bottom ring, to prevent waste from touching a surgical surface; a medical inner membrane connecting the bottom ring to the flip ring and defining a surgery channel to the surgery space; a positioning ring sealed with a hole edge of the surgery through-hole on the bottom patch; and a medical outer membrane connecting the positioning ring to the flip ring so as to guide waste escaping the surgery channel over the flip ring to flow into the waste collection bag.

A tissue containment device (10) for isolating tissue from surrounding tissue during a surgical procedure to remove the tissue includes a bag (12) formed by one or more walls (14) defining a containment compartment (16) and an opening (18) for accessing the containment compartment. Each wall (14) is formed from at least two layers including an inner layer (20) facing the containment compartment and an outer layer (22) facing outwards from bag (12). The layers define between them one or more inflatable volumes (24). Layers (20) and (22) are interconnected at spaced-apart connection regions (28) that are arranged such that, when a fluid is introduced into the inflatable volumes (24), regions of the at least two layers between the connection regions form wall cavity regions surrounding an internal volume of the containment compartment.

In laparoscopic surgery, small (5-12 mm diameter) incisions are made in an abdominal wall through which instruments dissect and remove specimens that may be several centimeters in diameter. Removal of a sample typically requires either enlarging these incisions or morcellating the sample to pass through sub-centimeter ports. A laparoscopic device permits extraction of the sample to be removed in a female using a vagina, which has sufficient elasticity to accommodate removal of large specimens. A posterior portion of the vagina communicates to an abdomen through a few tissue layers, and is distant from vital anatomic structures. Utilizing the vagina is optimal due to its ease of access to the abdomen and repair, minimal scarring and post-operative pain, and faster recovery following surgery. A deployable collection bag is housed in a sheath, which is deployed into the vagina or an abdominal cavity to extract a large (multiple-centimeter) specimen(s) through the vagina. An optional insufflation system and an inflatable balloon to maintain a pneumoperiotoneum may be used to reduce a number of laparoscopic ports required.

A tissue specimen retrieval device includes a housing, an outer shaft extending from the housing, an end effector assembly extending from the outer shaft, an actuator associated with the housing, and an articulation mechanism operably coupled between the actuator and the end effector assembly. The articulation mechanism includes an articulation block supporting the end effector assembly thereon and is rotatable between first and second orientations to articulate the end effector assembly. A spring biases the articulation block towards the second orientation. An actuation sleeve is slidable relative to the articulation block, in response to actuation of the actuator, from an engaged position, wherein the actuation sleeve is disposed about and retains the articulation block in the first orientation, to a disengaged position, wherein the actuation sleeve is spaced from the articulation block such that the articulation block rotates to the second orientation to articulate the end effector assembly.

A tissue specimen retrieval device includes a first shaft and a second shaft telescopically movable relative to the first shaft. The second shaft supports an end effector assembly. The end effector assembly includes a tissue specimen bag supported by a first arm and a second arm extending from the distal end portion of the second shaft. A brim defines a bag mouth. The first and second arms open the bag mouth. A bag body extends from the brim and defines a pouch for a tissue specimen. The bag body reversibly furls and unfurls about the brim. The first arm includes a first upper arm and a first lower arm defining a first channel. The second arm includes a second upper arm and a second lower arm defining a second channel. The bag body is supported in the first channel and the second channel when the bag body is furled.

A method for removing a tissue specimen from a patient includes introducing a bag at least partially into a cavity in the body of the patient, the bag comprising an open end and a port, positioning a tissue specimen to be removed from the patient into an interior of the bag by passing the tissue specimen through the open end of the bag, sealing the open end of the bag, removing gas from the interior of the bag through the port while the tissue specimen is contained in the interior of the bag, and entirely withdrawing the bag containing the tissue specimen from the cavity. The bag may include a closure device configured to hermetically seal the open end of the bag, and the port may include a one-way gas valve configured to prevent or retard gas from entering the interior of the bag through the port.

Systems and methods for performing medical procedures in body lumens are described. Embodiments of the methods include forming a plug to partially or fully occlude the lumen and moving the plug through a surgical field. Embodiments of the systems include an elongate body graspable by a surgical instrument or by a surgeon that are adapted to anchor to the plug.

A tissue specimen retrieval bag assembly includes a tissue specimen bag having an open proximal end including a cuff defined therein and extending around a periphery thereof, a closed distal end and a bag brim disposed within the cuff. The bag brim includes a cross section configured to facilitate furling the tissue specimen bag onto itself around the bag brim to approximate a tissue specimen contained within the bag for morcellation. The tissue specimen bag also includes a suture operably disposed within the cuff. The suture includes a cinch tab operably engaged with an end of the suture to facilitate cinching the tissue specimen bag by pulling the suture away from the tissue specimen bag to cinch the tissue specimen bag to secure the tissue specimen therein. The cinch tab includes a magnetic material attracted to a metallic portion of a surgical instrument, wherein introducing the surgical instrument into the operating cavity attracts the cinch tab facilitating location thereof.

A system for morcellating tissue within a body cavity is provided. The system includes a bag guide having a tubular body with proximal and distal ends, the distal end including a flange, a morcellator including an enlarged mouth for receipt within the flange of the bag guide, and a specimen bag receivable between the flange of the bag guide and the enlarged mouth of the morcellator. Also provided is a method of morcellating tissue within a body cavity.

Two part laparoscopic tools and surgical methods using such tools are presented. The tools and methods enable use of multiple surgical tools each having wide tool heads to be used in a body cavity using a single wide trocar and one or more narrow incisions, thereby reducing surgical risk and enhancing patient comfort and shortening recovery time. Additional instruments for facilitating laparoscopic surgery are also presented.