A specimen retrieval device includes a tubular body, an inner shaft slidably positioned within a longitudinal bore of the tubular body, and a specimen bag supported on the distal portion of the inner shaft. The specimen bag includes an open end, a body, a closed portion, and an inner surface, the body of the specimen bag including a plurality of folds between the open end and the closed portion, the plurality of folds being movable from a folded state to an unfolded state to increase a volume of the specimen bag. The specimen bag also includes a release string secured to the plurality of folds, the release string movable from a non-actuated position to an actuated position to sequentially release at least one of the plurality of folds from the folded state to the unfolded state to increase the volume of the bag.

A collapsible and expandable containment system for laparoscopic morcellation that can be inserted into a patient's cavity and configured for a targeted tissue specimen to be placed inside through a closable large opening. The containment system includes a thin, flexible membrane defining an internal cavity and having an opening for insertion of the biological specimen into the internal cavity. Said system can include one or more pouches having a proximal opening on the membrane and that extend towards the internal cavity, terminating at a distal segment. The one or more pouches are configured to allow passage of a laparoscopic instrument shaft into the internal cavity, such that the distal segment of the one or more pouches conforms to the instrument shaft. Additional embodiments are directed to containment systems having a retractable sleeve for removal of the morcellation specimen.

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 channel defined therein near the proximal end thereof. The suture channel is defined around the periphery of the tissue specimen bag and is configured to house a suture therein. Pulling the suture away from the tissue specimen bag cinches the tissue specimen bag to secure the tissue specimen therein.

A handheld dissector includes a handle including an elongated cuff disposed at a distal end thereof. The elongated cuff defines an opening extending therethrough configured to receive a tissue specimen. The elongated cuff includes a proximal end including a cavity defined therein configured to receive a crimp ring configured to support a plurality of insulative tubes along an inner peripheral surface thereof. Each tube is configured to insulate a wire disposed therein and configured to extend from a distal end thereof. The crimp ring electrically couples to each wire. The dissector also includes a distal end configured to receive a return ring. An active lead operably couples to the crimp ring and a return lead operably couples to the return ring. An activation switch selectively energizes the dissector.

The tissue retrieval system deploys a tissue bag at the surgical site. The bag is supported by the system as tissue is placed within the bag and is closed to isolate the collected tissue and allow the bag and collected tissue to be removed from the body. The bag can be reopened and re-closed as desired through use of a guide bead and cord. The bead also facilitates removal of the collected tissue.

A tissue specimen retrieval device includes an outer shaft including a proximal portion and a distal portion. The distal portion of the outer shaft includes a first jaw defining a first side of a lumen in the distal portion of the outer shaft. A second jaw defines a second side of the lumen in the distal portion of the outer shaft. The first and second jaws are actuatable between a closed configuration and an expanded configuration in which the first and second jaws are spaced relative to each other. A tissue specimen bag is supported by the first jaw and the second jaw. A bag brim of the tissue specimen bag defines a collapsed configuration when positioned in the lumen defined by the first jaw and the second jaw and an open configuration when the first and second jaws are in the expanded configuration.

Disclosed herein are various systems and methods for guiding, supporting, and/or housing instruments. One exemplary system includes a guide tube having a manipulation section and mated with rails carrying instrument control members. Moving the rails with respect to the guide tube, or another point of reference, can control movement of the manipulation section.

A surgical stapling device includes an end effector and a handle assembly operably coupled to the end effector. The end effector includes an anvil assembly and a cartridge assembly. The surgical stapling device also includes a specimen bag adhered to both the anvil assembly and the elongated support channel of the cartridge assembly. The specimen bag includes a drawstring within a drawstring housing. Once the surgical stapling device is inserted into a patient's body and the anvil assembly and the cartridge assembly are open, a tissue specimen is placed into the specimen bag. The anvil assembly and the cartridge assembly are then closed on the tissue specimen and the surgical stapling device is fired. The specimen bag then separates from the surgical stapling device and both the surgical stapling device and the specimen bag are removed from the patient.

A tissue specimen retrieval device includes a first shaft having a first end of a bag brim for supporting a tissue specimen bag attached thereto and a second shaft including a second end of the bag brim attached thereto. The second shaft is telescopically movable within the first shaft between a retracted position, wherein the bag brim is disposed within the first shaft, a first deployed position, wherein a portion of the second end of the bag brim deploys distally from the first shaft forming a substantially circular enclosure having a first diameter for supporting the tissue specimen bag thereon, and one or more further deployed positions wherein the portion of the second end of the bag brim deploys further distally from the first shaft increasing the diameter of the substantially circular enclosure for supporting the tissue specimen bag thereon.

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.