A surgical system may include a conductive stylet with a distal end advanceable into bone material and a proximal end coupled to a stylet hub. A handle is non-removably attached to the stylet hub, and removably attachable to an insulative cannula hub. The cannula hub is non-removably attached to a conductive cannula that surrounds the stylet when the handle is attached to the proximal end of the insulative cannula hub. An outer insulative sheath is slideably engaged to insulative cannula hub, and has a radiopaque distal tip. An electrical signal source may be applied to the stylet hub to conduct a pedicle integrity assessment. The handle and stylet may be removed from the cannula assembly, leaving the cannula assembly in place at the surgical site.

Tactile sensing devices, systems, and methods to image a target tissue location are disclosed. When force is applied to the tactile sensing device, voltage data is detected and visualized on a screen, indicating the target tissue location.

A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).

A surgical stapling device for performing anastomoses procedures within a body of a patient includes a handle assembly, an elongate body, and a tool assembly. The handle assembly includes a manually actuated approximation mechanism and a motorized firing mechanism.

Access port cutters and related systems and methods can be used to cut an access port to a desired length based on particular patient and/or surgical procedure needs at a point of use. More particularly, an access port cutter can include a base with an opening that can receive an access port therein such that a desired length of the access port can extend from the opening. An actuation mechanism can translate a blade linearly along at least a portion of the base such that the blade can traverse the opening and cut across the access port. In some embodiments, the actuation mechanism can include a handle that can pivot relative to the base to drive the blade. One or more safety features can reduce the risk of inadvertent actuation of the blade and/or prevent debris from contaminating a surgical site or falling onto a patient.

A guide wire for guiding a dilator to be inserted into a living body includes: a flexible elongated shaft portion; a puncture portion at a distal end portion of the shaft portion to form a hole in biological tissue; and an elastically deformable cover portion covering the puncture portion. The cover portion includes a sparse pitch portion that has a wire member wound in a spiral shape and axially contractible, and a distal end cover located on a distal end side of the sparse pitch portion and covering at least a part of the puncture portion. The puncture portion includes a first contact portion. The distal end cover includes a second contact portion configured to contact the first contact portion from a proximal end side, so that relative axial movement of the first and second contact portions is restricted by the first contact portion contacting the second contact portion.

In some examples, a tool for, e.g., creating a sub-sternal tunnel in a patient or other use, is described. The tool may include a handle and a tunneling shaft coupled to the handle. The tunneling shaft extends from a proximal end to a distal end, and at least a portion of the tunneling shaft extends in a curved orientation between the first end to the distal end. The distal end of the tunneling shaft includes a cutting tool having a sharp edge. The cutting tool is moveable from a recessed position in which the sharp edge of the cutting tool is recessed into the distal end of the tunneling shaft to a deployed position in which the sharp edge of the cutting tool extends beyond the distal end of the tunneling shaft in the deployed position, e.g., to cut pericardium, scar tissue, and/or connective tissue with the sharp edge.

A surgical access attachment for use with a surgical access device is disclosed. The surgical access attachment includes a ring and an access portion assembly. The ring is configured to engage a proximal portion of a surgical access device. The access portion assembly includes at least one flexible tab having an engagement structure. The engagement structure is configured to selectively engage the ring. The access portion assembly is configured to retain a seal. The access portion assembly is configured to disengage from the ring in response to a predetermined amount of force exerted on one flexible tab of the at least one flexible tab.

A tissue guard includes a body having a proximal end and a distal end and defining a lumen therethrough. The distal end has a long petal and a short petal disposed in substantial opposition relative to one another and the short petal is configured to move between a first position wherein the short petal is disposed within the lumen to facilitate insertion of the long petal within an incision and a second position wherein the short petal is extended relative to the lumen and in substantial opposition to the long petal to facilitate retention of the tissue guard within the incision.

A pen needle assembly, comprising an outer cover having an open end, a lid removably connected to the open end of the outer cover, a pen needle disposed in the outer cover, and connecting members disposed on opposite sides of the outer cover. Also disclosed is a pen needle assembly, comprising an outer cover having an open end, a lid removably connected to the open end of the outer cover, a pen needle disposed in the outer cover, and connecting members disposed on opposite sides of the outer cover, wherein a plurality of pen needle assemblies are connected adjacent to each other via the connecting members.