The disclosure provides various embodiments of systems to facilitate the cutting of luminal tissue structures percutaneously.

The present disclosure relates to a surgical device including an adapter assembly for selectively interconnecting an end effector and the device housing. The adapter assembly includes at least one drive converter assembly that converts and transmits a rotation of the rotatable drive shaft to an axial translation of at least one axially translatable drive member of the end effector. A first drive converter assembly includes a first drive element, a nut, an articulation sleeve, an articulation bearing, and an articulation link. Rotation of the rotatable drive shaft results in rotation of the first drive element. Rotation of the first drive element results in axial translation of the nut, the articulation sleeve, the articulation bearing, the articulation link, and the at least one axially translatable drive member of the end effector.

In certain embodiments, the systems, apparatus, and methods disclosed herein relate to robotic surgical systems with built-in navigation capability for patient position tracking and surgical instrument guidance during a surgical procedure, without the need for a separate navigation system. Robotic based navigation of surgical instruments during surgical procedures allows for easy registration and operative volume identification and tracking. The systems, apparatus, and methods herein allow re-registration, model updates, and operative volumes to be performed intra-operatively with minimal disruption to the surgical workflow. In certain embodiments, navigational assistance can be provided to a surgeon by displaying a surgical instrument's position relative to a patient's anatomy. Additionally, by revising pre-operatively defined data such as operative volumes, patient-robot orientation relationships, and anatomical models of the patient, a higher degree of precision and lower risk of complications and serious medical error can be achieved.

Apparatus for performing lavage and suction at a surgical site, the apparatus comprising: a first sleeve having a proximal end, a distal end and a lumen extending from the proximal end to the distal end; an irrigation/suction tube mounted to the first sleeve for delivering fluid into, or removing fluid from, the surgical site; a second sleeve having a proximal end, a distal end and a lumen extending from the proximal end to the distal end, wherein the lumen of the second sleeve is configured to receive the first sleeve and an endoscope in a side-by-side disposition, with the distal end of the first sleeve being movable relative to the distal end of the second sleeve and the distal end of the endoscope; an aft balloon mounted to the second sleeve; an inflation/deflation tube mounted to the second sleeve and in fluid communication with the interior of the aft balloon; a pair of push tubes slidably mounted to the second sleeve; and a fore balloon mounted to the pair of push tubes, such that the fore balloon can be moved relative to the aft balloon.

Apparatus for performing lavage and suction at a surgical site, the apparatus comprising: a first sleeve having a proximal end, a distal end and a lumen extending from the proximal end to the distal end, wherein the lumen of the first sleeve is configured to receive an endoscope; an irrigation/suction tube mounted to the first sleeve for delivering fluid into, or removing fluid from, the surgical site; a second sleeve having a proximal end, a distal end and a lumen extending from the proximal end to the distal end, wherein the lumen of the second sleeve is configured to receive the first sleeve and an endoscope disposed therein, with the distal end of the first sleeve being movable relative to the distal end of the second sleeve and the distal end of the endoscope; an aft balloon mounted to the second sleeve; an inflation/deflation tube mounted to the second sleeve and in fluid communication with the interior of the aft balloon; a pair of push tubes slidably mounted to the second sleeve; and a fore balloon mounted to the pair of push tubes, such that the fore balloon can be moved relative to the aft balloon.

Devices and methods to stabilize an eye and suture with wound visibility are shown. In selected examples, a forceps is shown that includes one or more transparent projections. In use, the one or more transparent projections can be concurrently pressed against the wound while holding an eye stable with gripping surfaces of the forceps. The one or more transparent projections and the gipping of the forceps work together to aid in a suture placement.

The present invention relates to a protective nasal mask device which hermetically seals the nasal region of a user during an ENT procedure. The device facilitates access to the user's nose and throat using a plurality of surgical tools. The primary advantage of the present invention is to provide a nasal mask device which protects medical professionals from disease transmission during an ENT procedure. Additional advantages include a nasal mask device which enables usage of a plurality of surgical tools during an ENT procedure, a device which at the same time, prevents exposure of biohazardous waste to medical professionals. The device hermetically seals the nasal region of a patient during an ENT procedure.

Disclosed is a surgical drape configured to selectively allow or block a patient's view of the surgical field, as is desired in Caesarean section operations. Generally, the drape includes a main sheet, a substantially transparent sheet attached to the main sheet proximal the patient's head, and a substantially opaque screen attached to the patient-facing side of the substantially transparent sheet. This substantially opaque screen occludes the patient's visual access through the substantially transparent sheet but may be at least partially removed to permit the patient viewing access through the substantially transparent sheet towards the area of the surgery, without compromising the sterility of the surgical field. Desirably, the drape is provided with an adhesive strip disposed on the sheet or screen to permit reconnection to thereby again occlude the patient's view through the sheet.

An actuator handle for a hand-held surgical tool, the actuator handle comprising: a body part adapted to be gripped by a user's hand, the body part having an end effector mounted or mountable thereon; an actuating member alongside the body part and arranged to be operably moveable by a single finger of the said hand, in a substantially linear manner between first and second positions relative to the body part, for actuating the end effector in use; and one or more coupling components coupled to the actuating member, for mechanically transmitting motive force from the actuating member to the end effector upon movement of the actuating member between the first and second positions by the user in use. A surgical clip, for example for use in aneurysm clipping, is also provided, the clip comprising: first and second clipping arms that are mutually openable and closable; biasing means arranged to resiliently bias the first and second clipping arms into a closed configuration; and first and second engagement fixtures respectively coupled to the first and second clipping arms and arranged such that first and second gripping arms of a complementary surgical clip deployment tool can grip the clip and open the clipping arms by applying a lateral force to the first and second engagement fixtures; wherein each of the first and second engagement fixtures comprises at least part of a ball or at least part of a loop or cup, with which each of the arms of said surgical clip deployment tool can engage in a substantially ball-and-socket manner.

In some examples, a tissue compression device includes a base including a major surface configured to engage a dorsal surface of a hand of a patient, a flexible backing adjustably mechanically connected to the base and configured to engage a palmar surface of the hand when the dorsal surface of the hand is engaged with the base, and an expandable member mechanically connected to the flexible backing. The expandable member is configured to be positioned over an ulnar region of the patient when the palmar surface of the hand is engaged with the flexible backing and the dorsal surface of the hand is engaged with the base, such that inflation of the expandable member may apply pressure to tissue near the ulnar artery of the patient.