A catheter placement system including a catheter having a catheter tube distally coupled to a catheter hub having one or more extension legs proximally coupled to the catheter hub. The catheter tube defines one or more lumens where each of the one or more lumens is in fluid communication with one of the extension legs. The catheter placement system further includes a skin nicking device configured to transition between a sheathed configuration and a deployed configuration. The skin nicking device includes a needle defining a needle lumen, having a needle wall including one or more slots in fluid communication with an outside surface of the needle, and one or more blades configured to be aligned with the one or more slots, the one or more blades coupled to a distal end of one or more connecting members within the needle lumen.

Described herein are various method of using a direct drive system to perform procedures at a distance. One exemplary method include tying a knot or suturing at a distance with a first and second end effector. The direct drive system can enable sufficient end effector dexterity, including the ability to control various degrees of freedom of end effector movement, and allow a user to perform complicated task at a distance. In one aspect the direct drive system includes flexible tools that permit access to surgical site via a natural orifice.

Minimally invasive, multi-functional robotic surgical tool devices for use as lavaging, material aspiration or delivery surgical forceps, scissors or clamp or other device, consisting of a monolithic work element and open central lumen with various functional tips. Such devices may in use follow a central lumen of another device or over a wire in a longitudinal direction upon introduction to a body. Flush and vacuum transport mechanisms, imaging mechanisms or energy source mechanisms may be incorporated. Inner and outer sheaths which may be co-axially disposed relative to a work element may be configured to actuate a beak or beaks and provisions for simultaneous beak closing under rotation may be incorporated.

An end effector assembly configured for use with a surgical instrument or surgical system includes first and second jaw members each including an outer jaw housing, a tissue-treating plate, and a longitudinally-extending channel therethrough. At least one of the first or second jaw members is pivotable relative to the other between a spaced-apart position and an approximated position. A cutting mechanism is configured to cut tissue grasped between the jaw members. The cutting mechanism may include an activation member coupled to a knife and configured to advance the knife transversely between the jaw members, a heat-activated elongated sheet configured to un-roll to advance a cutting edge thereof transversely between the jaw members, or a clutch and spring mechanism configured to deploy a knife longitudinally between the jaw members.

The present disclosure provides a mechanically-actuated tool for cutting a tissue graft having a hollow core and methods for use thereof. A portion of a biological structure, such as a nerve, is attached to the hollow core to form an implantable neural graft assembly. The tool has a cutter mechanism and a grasper mechanism. The grasper mechanism has one or more component(s) that open and close via an actuation mechanism, like a handle, and rotate via a controller component, like a rotatable wheel. The cutter mechanism may be a cutting tube component that harvests the tissue graft. The tool may also have an ejector mechanism to remove the tissue graft as part of the implantable neural graft assembly. Such devices and methods are particularly suitable for treating neuromas and other neural regeneration procedures.

The present disclosure provides a mechanically-actuated tool for cutting a tissue graft having a hollow core and methods for use thereof. A portion of a biological structure, such as a nerve, is attached to the hollow core to form an implantable neural graft assembly. The tool has a cutter mechanism and a grasper mechanism. The grasper mechanism has one or more component(s) that open and close via an actuation mechanism, like a handle, and rotate via a controller component, like a rotatable wheel. The cutter mechanism may be a cutting tube component that harvests the tissue graft. The tool may also have an ejector mechanism to remove the tissue graft as part of the implantable neural graft assembly. Such devices and methods are particularly suitable for treating neuromas and other neural regeneration procedures.

A method and device for the percutaneous release of the A1 pulley in the hand, as the triggering of the associated tendon can occur at the A1 pulley in the hand. A blade/hook construct is provided to release the A1 pulley and subsequently confirm the release. The blade and hook are disposed about opposite ends of an elongated shaft, allowing the tool to be used for both cutting and confirming the release of the A1 pulley in the hand. The blade assembly is adapted to avoid damage to adjacent structures, such as nerves and arteries. Advantageously, the A1 pulley may be cut in a distal-to-proximal or proximal-to-distal manner and the percutaneous skin incision may be made centered over the mid-portion of the A1 pulley, or it may be made more proximal or distal.

Surgical tools are disclosed that include a first handle having a first recess, a second handle having a second recess, a first tip disposed in the first recess and extending distally, and a second tip disposed in the second recess and extending distally. The first tip has a first external surface and a first internal surface. The second tip has a second external surface and a second internal surface. The surgical tool has a first configuration wherein the surgical tool operates as forceps. The surgical tool has a second configuration wherein the surgical tool operates as scissors. The first internal surface can be moved adjacent to the second internal surface to permit rotation of the first tip relative to the first recess and permit rotation of the second tip relative to the second recess. The rotation of the first tip and the second tip transitions the surgical tool between the first configuration and the second configuration.

Systems and methods for fixating a graft in a bone tunnel are provided. In general, the system includes a tissue fixation device having a delivery configuration and a deployed configuration, at least one graft retention loop coupled to the tissue fixation device, and a drill pin having a sidewall surrounding a cavity at a proximal end of the pin and at least one longitudinally oriented opening in the sidewall in communication with the cavity, the cavity being configured to fully seat the tissue fixation device. The drill pin is configured to substantially contain therein the tissue fixation device when in the delivery configuration and to enable deployment of the tissue fixation device through the opening. Drill pins configured to contain a tissue fixation device are also provided.

A hand-held gripping device that allows a surgeon to reach interior portions of a person's anatomy, includes a gripping portion having a pair of jaws and/or nets movable relative to each other between fully clamped and fully opened positions thereof, a handle portion spaced apart from the jaw portion by a bendable central portion that is hollow and corrugated, with a cord extending therethrough.