A surgical instrument comprising a shaft, an end effector, and an articulation joint is disclosed. The end effector is rotatably connected to the shaft about the articulation joint, wherein the end effector is rotatable between a first orientation and a second orientation, wherein the shaft comprises a longitudinal axis and the end effector comprises a tissue gap, wherein the tissue gap faces the longitudinal axis when the end effector is in its first orientation, and wherein the tissue gap extends at an angle relative to the longitudinal axis when the end effector is in its second orientation. The surgical instrument further comprises an articulation drive system configured to articulate the end effector relative to the shaft and a dampener configured to prevent the end effector from being back-driven from its second orientation into its first orientation.

Systems for insufflation and recirculation of insufflation fluid in a surgical procedure include a control unit having a fluid pump, a supply conduit, a return fluid conduit and a pressure-controlled valve. The pressure-controlled valve is in fluid communication with an insufflation gas supply, the supply conduit and the return conduit and is adapted and configured to respond to pressure control signals to adjust position and thereby system flow parameters, to reduce entrainment of air from the surrounding environment, and to increase the concentration of insufflation gas in an operative space, and/or to reduce an overpressure condition in the operative space.

A single-port surgical device includes a housing and one or more cannulas. The housing includes a proximal port and a distal port, the one or more cannulas include an inner cannula section and an outer cannula section, the inner cannula section is located in the housing and communicates with the distal port of the housing, the outer cannula section is located outside the proximal port of the housing, and at least a portion of the outer cannula section of at least one cannula of the one or more cannulas is deformable in a radial direction, an axial direction or the radial direction and the axial direction of the outer cannula section.

Surgical access stabilization devices, systems, and methods are disclosed herein. For example, the devices, systems, and methods disclosed herein can be used during a surgical procedure to selectively establish, stabilize, and maintain a desired trajectory and/or positioning of a surgical access device. An exemplary surgical access stabilization device can include a pad with an adhesive distal facing surface to adhere to an anchor surface, a surgical access device coupled to the pad, and a locking mechanism to selectively lock a position of the surgical access device relative to the pad. In one embodiment, the anchor surface can be the skin of a patient. An exemplary surgical access device stabilization method can include making an incision in a patient at a surgical site, inserting a surgical access device through the incision, adhering a pad to an anchor surface, e.g., the skin of the patient, coupling the surgical access device to the pad, and selectively locking a position of the surgical access device relative to the pad. Other exemplary devices, systems, and methods are also provided.

An access port is disclosed for use in minimally invasive surgical procedures performed within a patient's abdominal cavity, which includes a body defining a bore configured to guide at least one surgical instrument into the abdominal cavity, and concave and convex anchoring regions for securing the access port relative to the abdominal cavity.

A method for implanting a replacement heart valve within a diseased valve includes accessing a patient's heart by piercing a myocardium, advancing a guidewire into the patient's heart, and installing an access device in a wall of the heart. The access device preferably has at least one valve mechanism. A valve delivery device is advanced over the guidewire and through the access device. The valve delivery device has a replacement heart valve disposed along a distal end portion thereof. The replacement heart valve preferably includes an outer support structure and a leaflet valve disposed within the outer support structure. The replacement heart valve is radially expanded within the diseased valve. During implantation, the outer support structure conforms to a diameter of the diseased valve and the leaflet valve expands to a fixed size having a diameter smaller than the diameter of the diseased valve.

The present disclosure relates to an intracranial guide for use in a medical procedure, such as to evacuate a subdural hematoma or to relieve an intracerebral hemorrhage. The intracranial guide generally includes a guide cannula to be received within a portion of a cranial port. The cranial port is configured to be anchored in a burr hole to be formed in the patient's cranium. The guide cannula includes at least one channel that may be used to guide a catheter to a targeted portion of the patient's anatomy or to apply a suction force within the patient's cranium.

Disclosed herein are surgical instruments used in ophthalmic surgical procedures and associated methods. Particular embodiments relate to a cannula assembly having a cannula tip that is retractable. The cannula assembly may comprise a cannula hub. The cannula assembly may further comprise an outer tube that extends from a distal end the cannula hub. The cannula assembly may further comprise an inner tube that extends from the distal end of the cannula hub and is disposed in the outer tube, wherein the inner tube has a cannula tip that extends from the outer tube and is retractable into the outer tube.

A tissue guard for use with a surgical access device includes a proximal ring having proximal and distal ends, the distal end configured to operably couple to a ground ring that ultimately electrically connects to an electrical ground. One or more mechanical interfaces extend about the proximal ring and are configured to mechanically engage a rim of an access device to secure the tissue guard thereon. A retention body is configured to operably couple to a distal end of the ground ring, the retention body including a distal end configured to operably engage the access device to secure the tissue guard therein.

Methods for delivering a sheet-like implant to a target site including a means of deploying and orienting the sheet-like implant within the body.