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 depth limiter that is configured to couple with a cannula tube of a trocar having a tube cross dimension. The depth limiter includes an outer frame portion and an inner gripping portion housed within the outer frame portion. The inner gripping portion includes a plurality of lobes flexible relative to each other between a relaxed configuration and at least a first flexed configuration. In the relaxed configuration the plurality of lobes collectively form a first effective cross dimension configured to be less than the tube cross dimension. In the first flexed configuration the plurality of lobes collectively form a second effective cross dimension greater than the first effective cross dimension and configured to be equal to the tube cross dimension such that the second effective cross dimension is sized to restrict axial movement of the depth limiter relative to the cannula tube of the trocar.

A depth limiter configured for use with a surgical cannula includes an annular base having a boss that extends about a longitudinal axis and has a boss lumen configured to receive the surgical cannula. A latch arm coupled with the annular base overlies the boss and includes an arm opening configured to align with the boss lumen to receive the surgical cannula. The latch arm is movable relative to the annular base between a release position and a lock position. In the release position the arm opening is positioned coaxially with the boss lumen such that the latch arm is configured to permit longitudinal movement of the depth limiter along the surgical cannula. In the lock position the arm opening is positioned non-coaxially with the boss lumen such that the latch arm is configured to inhibit longitudinal movement of the depth limiter along the surgical cannula.

A depth limiter that is configured to couple with first and second trocar cannulas having different diameters. The depth limiter includes first and second body portions. First and second body portions each include first and second gripping surfaces. The first and second body portions are pivotably coupled together and are movable between an open configuration and a closed configuration. In the open configuration, the first and second body portions are configured to allow for axial movement of the depth limiter relative to the first and second trocar cannulas. The first gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the first trocar cannula in the closed configuration. The second gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the second trocar cannula in the closed configuration.

A surgical access device assembly. The assembly includes a cannula having a working channel and a helical tissue engagement feature disposed along an outer surface of the cannula and configured to stabilize the cannula relative to a body cavity wall of a patient. The assembly also includes a depth limiter movably coupled with the cannula. The depth limiter includes a body portion extending about a central axis of the depth limiter and including a protrusion extending radially inwardly relative to the central axis. The body portion is movable angularly relative to the cannula between a fine adjustment configuration and a coarse adjustment configuration. In the fine adjustment configuration the protrusion is configured to selectively threadably engage the helical tissue engagement feature. In the coarse adjustment configuration the protrusion is configured to selectively threadably disengage the helical tissue engagement feature such that the depth limiter is translatable axially along the cannula.

A reusable instrument handle with single-use tip may include an instrument tip and an instrument handle. The instrument tip may include an outer base, a nosecone, a pressure mechanism, a hypodermic tube, a blank, a fixation mechanism, and a tip cover. The instrument handle may include an actuation structure, a fixation mechanism receptacle, and an instrument tip housing. The fixation mechanism and the fixation mechanism receptacle may be configured to temporarily fix the instrument tip in the instrument tip housing. A compression of the actuation structure may be configured to actuate the hypodermic tube relative to the blank. The instrument tip may be removed from the instrument tip housing after use by removing the fixation mechanism from the fixation mechanism receptacle.

A dilator system for arterial and venous cannulas, where there is a smooth transition between the dilator and the outer wall of the cannula. One aspect of the subject technology provides a blunt-tip cannula that is used as a dilator for insertion of an arterial or venous cannula. The balloon might either be a single diameter or may have a larger diameter at the distal portion such that the diameter of the distal portion of the balloon dilator matches the diameter of the cannula at the tip. Another aspect of the subject technology is a balloon dilator for cannulae that may be positioned over a guidewire, for guidewire-directed placement of a cannula within a vessel, duct, lumen or heart structure of the body. Another aspect of the subject technology is an inflation system for the balloon dilator, such that the balloon dilator may be deflated and quickly removed from the cannula after the cannula has been positioned and secured within the vessel, duct, lumen or heart structure. Another aspect of the subject technology includes a stiffening element in the balloon dilator along its shaft to increase the rigidity of the combined balloon dilator and cannula to provide improved ease of insertion. Another aspect of the subject technology is an improved curvature of the shape of the right angle dilator that achieves more uniform flow within the dilator and ease of insertion and more even flow within the cannula, and ease of insertion of and retraction of the balloon dilator. Another aspect of the subject technology is a gel-filled balloon dilator that improves ease of insertion of the cannula within the vessel, duct, lumen or heart structure, and can be removed without deflation.

Apparatuses, systems, and methods for sternal locators for placement of an intraosseous device into the sternum of a human patient.

A cannula includes a funnel portion and a tubular portion extending distally from the funnel portion. The tubular portion defines a longitudinal axis. An inner lumen extending through the tubular portion permits a medical instrument to be advanced or retracted through the tubular portion. A first visual indicator on the tubular portion is indicative of a first defined remote center of motion about which the tubular portion is pivotable by a robotic system, and a second visual indicator on the tubular portion and spaced apart axially from the first visual indicator is indicative of a second defined remote center of motion about which the tubular portion is pivotable by a robotic system.

A method of suturing a trocar path incision in a tissue of a patient with an obturator includes inserting the obturator through the tissue such that a shaft of the obturator extends through a tissue opening about the trocar path incision and a distal tip of the obturator is positioned within a cavity of the patient. The method also includes directing the suture via a suturing feature with the obturator inserted through the tissue in order to direct the suture relative to the tissue. Furthermore, the method includes closing the tissue opening about the trocar path incision with the suture.