The Marchand Salpingectomy is a fast, safe and minimally invasive procedure for removal of the fallopian tubes. The procedure involves minimal blood loss and gives the patient the benefit of permanent sterility as well as a decreased lifetime incidence of ovarian cancer. The procedure relies on two novel aspects of the technique which make the surgery significantly different than any surgery previously described as well as extremely minimally invasive.

The present invention relates to a laparoscopic port unit module in which one end thereof and the other end are placed inside and outside the human body, respectively, through the vaginal inlet, and provides a vaginal endoscopic port unit module comprising: an outer unit of which the end is exposed to the outside of the vaginal inlet and which comprises one or more outer ports allowing the entry of a surgical instrument including an endoscope; an inner unit formed at the inner wall of the vaginal canal so as to be placed at an incision region connected to the abdominal cavity and allowing the surgical instrument entering through the outer port to come in and out of the abdominal cavity; and a runner unit for connecting the outer unit and the inner unit.

A uterine manipulator includes a shaft defining a proximal end portion and a distal end portion, a handle operably coupled to the proximal end portion of the shaft, and a distal assembly operably coupled to the distal end portion of the shaft. The distal assembly includes a colpotomy cup and an elongated tip extending distally from the colpotomy cup. At least a portion of the distal assembly is releasable from the distal end portion of the shaft and configured to engage tissue and to operably couple to a surgical tool to enable the surgical tool to perform at least one surgical task on tissue engaged by the at least a portion of the distal assembly.

Described here are methods and systems for the manipulation of ovarian tissues. The methods and systems may be used in the treatment of polycystic ovary syndrome (PCOS). The systems and methods may be useful in the treatment of infertility associated with PCOS.

An occlusion device formed of a microcoil having a three-dimensional relaxed state employing open looped portions interposed between closed loop portions. Planes defined by sequentially formed open looped and closed loop portions are neither coincident nor parallel to one another.

The present invention comprises systems, methods and devices for the delivery of compositions for occluding or of means for opening conduits. The implantable occlusive material may be delivered pre-formed or in situ cured and, may be a resorbable material that supports tissue ingrowth that eventually replaces the material leaving little or no original material in place. The delivery system is positioned to allow for placement of the occlusive material into the body conduit. Use of delivery systems, methods and devices for re-opening an occluded body conduit are also included.

In certain aspects, the invention relates to processes for using renally excretable optical agents to detect one or more tissues of the renal system of a surgical patient. In certain aspects, the invention relates to a kit including a biocompatible composition containing one or more optical agents and instructions for using the optical agent(s) in a process of the present invention.

A surgical instrument for cutting tissue includes a sleeve, a shaft slidably disposed within the sleeve and defining a longitudinal axis, and a plurality of legs coupled to the shaft and disposed about the longitudinal axis. Each leg has a blade attached to an end portion thereof and each blade defines a cutting edge. The shaft is slidable relative to the sleeve between a collapsed configuration, wherein the legs are disposed within the sleeve, and an expanded configuration, wherein the legs extend distally and radially outwardly from the sleeve. In the expanded configuration, the cutting edge of each blade is disposed in a proximally-facing orientation. Alternatively, the shaft is rotatable relative to the sleeve to rotate the legs about the longitudinal axis, thereby rotating each blade through a circular cutting path defining a different diameter. Methods of cutting tissue are also provided.

The present disclosure generally relates to devices, systems, and methods for Fallopian tube diagnostics. In some embodiments, a tube may have a distal end, and a balloon may be coupled to the distal end of the tube. The balloon may be disposed in the tube in a first, inverted position and movable to a second, everted position. The balloon may be extendable a distance distal of the tube distal end such that a surface of the balloon is contactable with an inner surface of the Fallopian tube. A push wire may have a distal end coupled to a second end of the balloon. The balloon may be movable from the first inverted position to the second everted position by actuation of the push wire. The surface of the balloon may include a plurality of surface features for collection of a tissue sample of the inner surface of the Fallopian tube.

Methods and apparatuses for utilizing an integrated, automated aerating device for echogenicity are described. The aeration device can have a pressurized vessel to provide echogenic air bubbles independently of fluid delivered for sonohsyterosalpingography. The aeration device can selectively supply a gas in liquid during ultrasound and radiographic procedures for enhanced visualization of the uterine cavity and fallopian tubes.