Trocar components and methods of use are described, wherein the trocar components are configured to provide access to intraperitoneal space via the rectouterine pouch to surgical tools, which optionally include one or more surgical robot members. The surgical tools are optionally 5 mm or more in diameter. In some embodiments, a cannula part has a lumen sized to provide to a plurality of the surgical tools simultaneous transvaginal access to the intraperitoneal space via the rectouterine pouch. In some embodiments, an incision sized to receive a distal aperture of the cannula is created, optionally using one or two dilators. The dilators are sized to create (optionally starting from a puncture by a needle 2 mm in diameter or less) an oblong aperture. In some embodiments, the oblong aperture is at least twice as wide across a long diameter as across a short diameter.

Embodiments may include an expandable access system having contracted and expanded configurations. The system and methods may include an expandable access device having a helix or wrapped shape. Embodiments may include a cannula, stent, needle, trocar, introducer, fastener, and/or any other devices disclosed herein. Embodiments may also include an expandable trocar positionable in at least a portion of the access device. A sleeve or band may be disposed over at least a portion of the access device and configured to resist radial expansion of the access device. Expansion of the trocar and/or receipt of an object may radially expand the access device between a contracted configuration and an expanded configuration.

A valve assembly for use with a surgical instrument is disclosed. The valve assembly includes a housing and a seal assembly disposed within the housing, the seal assembly including a septum seal including an orifice configured to sealingly engage a surgical instrument inserted therethrough, at least a portion of the septum seal defining a seal curvature, a first guard member including a plurality of curved first guard portions defining slits therebetween, and a second guard member including a plurality of curved second guard portions defining slits therebetween. The first and second guard members may be positioned in an overlapping relationship with the plurality of first guard portions rotationally offset with respect to the second guard portions. The wide, triangular shaped slits of the guard members may improve flexibility of the guard portions.

Methods of delivering bone cement to within a vertebral body. An access cannula is directed into the vertebral body with a stylet disposed within a tube and extending through a valve in an open position. The stylet is removed from the access cannula such that the valve moves from the open position to a closed position in which the valve prevents egress of fluid from the access cannula. The bone cement is delivered through the access cannula with the valve in the open position. A delivery cannula may be directed into the access cannula, and the bone cement may be delivered through the delivery cannula. The delivery cannula may be prefilled with the bone cement. A bone cement mixer may be coupled to the access cannula and operated to direct the bone cement through the access cannula. Pressure from the bone cement may move the valve to the open position.

The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough.

An intra-cardiac introducer device includes a sheath having an inner wall and an outer wall spaced apart from the inner wall to define a sheath space, the sheath defining a distal end and a proximal end and arranged to penetrate cardiac tissue. A hub is connected to the proximal end of the sheath, an intracardiac stabilization balloon is coupled to the distal end of the sheath, and an external stabilization disc is slidingly positioned along the sheath. The cardiac tissue is sandwiched between the intracardiac stabilization balloon and the external stabilization disc to secure the position of the sheath in the cardiac tissue.

Surgical devices having a valve to facilitate thoroughly cleaning and drying the surgical devices, tools for opening the valve, and methods of using or operating the same are disclosed.

A surgical access assembly includes a surgical syringe and a balloon trocar. The balloon trocar has a collar in fluid communication with a balloon. The collar has a check valve configured to control the passage of inflation medium to and from the balloon. The syringe has a barrel and a plunger. The barrel of the syringe has a tip configured for engaging the check valve to discharge the inflation medium into the balloon. The syringe has a lateral extension configured for receipt in the check valve for opening the check valve to rapidly discharge inflation medium from the balloon.

An aspiration thrombectomy system, comprising a vacuum source comprising a controllable vacuum valve, a pressure source comprising a controllable pressure valve, an aspiration catheter having a proximal end and a distal end, wherein the proximal end of the aspiration catheter comprises connection tubing having a lumen configured to accommodate fluid, and wherein the connection tubing acts as a common conduit for fluid communication between the aspiration catheter and the vacuum and pressure sources via the vacuum and pressure valves, respectively, and a controller configured to open and close the vacuum and vent valves in a predetermined cycle to change a level of vacuum at the distal end of the aspiration catheter and control flow in and out from the distal end of the catheter.

A trocar comprising an alignment channel and an instrument seal comprising a bending portion and a base portion. The bending and base portions of the instrument seal are spaced relative the alignment channel such that when a surgical instrument is retracted the bending portion inverts and the lip does not enter the alignment channel.