A SURGICAL ACCESSORY TO BE USED WITHIN THE BODY WHICH IS ATTACHED TO THE ABDOMINAL WALL, FOR HOLDING AND POSITIONING TISSUE AND SURGICAL IMPLEMENTS DURING LAPEROSCOPIC OR ROBOTIC SURGERY.

THIS CONSIST OF A COLLAPSABLE TABLE WITH ATTACHED FLEXABLE OR FIXED ARMS WITH ACCESSORIES FOR HOLDING SURGICAL TOOLS OR MANIPULATING TISSUES OR ORGANS.

A SURGICAL CLIP THAT ATTACHES TO OTHER INSTRUMENTS OFFERING MULTIPLE APPLICATIONS FOR CAPTURING AND SECURING OTHER ACCESSORIES SUCH AS CAMERAS OR INTRA OPERATIVE ULTRASOUND PROBES.

A surgical access system includes a cannula assembly and an obturator assembly. The obturator assembly provides an insufflation channel or fluid passage for delivery of insufflation fluids directly to an underlying cavity, e.g., the abdominal cavity. The fluid passage is completely confined within the obturator assembly isolated from the cannula assembly and terminates at a location distal of the cannula assembly such that the insufflation fluids released from the fluid passage are directed toward the abdominal cavity and not within the cannula assembly.

Intra-abdominal liver retraction devices and methods of use. One device includes a body, a stabilizing member, and a lifting filament. The stabilizing member is configured to be swiveled so that the device can be introduced through a trocar into the abdomen of a patient. The filament pulls the stabilizing member into engagement with the abdominal wall while a foot section lifts the liver. Another device includes first, second and third sections coupled together by a filament. The first and second sections are pivotably connected by a first pivotable joint. The second and third sections are pivotably connected by a second pivotable joint including the flexible filament. The second and third sections are pivoted with respect to each other to form a support surface to lift the liver by pulling the filament. The second pivotable joint separates to enable the device to be removed.

Systems and methods for minimally invasive tele-surgery are described. For example, the disclosure describes methods for independently controlling motions of the robotic manipulator, cannula, and surgical instrument in various surgical contexts.

An intra-abdominal liver retraction device and methods of use. The device includes a flexible sling, an anchor and a filament. The sling has a base edge and a pair of side edges tapering toward a leading edge. The sling also includes a stiffener extending across it adjacent the base edge to enable it to be gathered and inserted through a port into the abdomen, whereupon it can be opened. The anchor is configured to be releasably secured to the diaphragm with the base edge adjacent the diaphragm so that the liver can be disposed on the sling. The filament is connected to the sling adjacent the leading edge and configured to be drawn through an aperture in the abdominal wall to lift the sling with the liver thereon upwards.

A method includes providing an indwelling tool having a magnetic body at the inside of a luminal organ by inserting the tool into a working channel inserted from a natural opening of a living body to the luminal organ, in a manner such that an axis along a length of the magnetic body is arranged substantially parallel to a length direction of the working channel; disposing the tool in a vicinity of a diseased part of the luminal organ; applying a magnetic field to the magnetic body by using a magnetic field generating device provided at the outside of the luminal organ, so as to attract the magnetic body and make a side face of the magnetic body along the axis thereof push against a tissue in the vicinity of the diseased part; and lifting a tissue around a position of the tool, which includes the diseased part, by applying a magnetic force to the magnetic body by using the magnetic field generating device.

Provided herein are expandable devices, rail systems, and motorized devices. In one embodiment, an expandable device comprises an expandable sac having a tool housed therein. The expandable device is optionally configured for operation while inside a body cavity. The expandable device optionally comprises at least one rail in the sac, and at least one railed device coupled to the rail for movement there on. Movement of the railed device on the rail is provided by, for example, a motor such as an electromagnetic motor or an inch-worm type motor. Expandable devices can be used, for example, to perform minimally invasive medical procedures requiring access to a body cavity. Expandable devices can also be used, for example, to provide safe and stable transport of instruments to the body cavity.

A tissue retention system to assist in maintaining adipose tissue on a patient in a displaced position during a medical procedure to provide access to a body region of the patient includes an anchor pad having a pad length and a pad width. The anchor pad may include a pad body with an adhesive surface thereon, the adhesive being configured to adhere to a patient's skin. The anchor pad also may include an opposing first attachment surface facing away from the adhesive surface. The tissue retention system also may include a tension member having a second attachment surface.

A medical device for use in the creation of a temporary pneumoperitoneum includes a substantially dome-shaped body having a vacuum port providing a fluid passageway between an underside of the dome-shaped body and an upside of the dome-shaped body. A frustoconical port is provide in the domed-shaped body for reception and through passage of one or more pieces of associated medical apparatus therethrough.

A medical device for use in the creation of a temporary pneumoperitoneum includes a substantially dome-shaped body having a vacuum port providing a fluid passageway between an underside of the dome-shaped body and an upside of the dome-shaped body. The medical device includes a first grasping wing and a second grasping wing circumferentially opposite one another. The combination of the first grasping wing and the second grasping wing is configured to enable a user to single-handedly place the medical device at a surface of a patient. The medical device includes a plug disposed within an aperture of the dome-shaped body. The plug includes a first frustoconical aperture facing an opposite direction than a second frustoconical aperture to form a substantially hour-glass shape. The plug is configured to provide a penetrable barrier from the outside surface of the hard-body dome to the inside surface of the hard-body dome.