A knob locking assembly for a laparoscopic medical device is provided. The knob locking assembly includes a lock configured to engage the knob locking assembly with a drive tube housing of the laparoscopic medical device in extended and retracted positions where the knob locking assembly rotates but does not translate with respect to the drive tube housing when engaged. The knob locking assembly also has a biasing member that provides a biasing force for biasing the lock in each of the extended and retracted positions to lock out longitudinal translation of the rotatable drive assembly when the knob locking assembly is engaged with the drive tube. In addition, the knob locking assembly includes an actuator to counter the biasing force for disengaging the lock to permit longitudinal translation of the rotatable drive assembly via the knob locking assembly when disengaged.

A medical device for performing a hysterectomy is provided. The medical device has a tissue incision assembly that includes a first cup nested within a second cup. The tissue incision assembly also includes a spacer assembly between the first cup and the second cup in order to maintain a spacing between the first and second cups. The tissue incision assembly also has a cutting implement that has a portion extending between, and movable with respect to, the first and second cups. The cutting implement can provide a circular cut guided via the spacing between the first and second cups.

A colpotomy device for performing a hysterectomy is provided. The device includes a flexible drive tube having a proximal end and a distal end and bendable therebetween. The device also has a rotatable cutting implement at the distal end of the flexible drive tube at a specified offset from a bendable longitudinal axis of the flexible drive tube. Furthermore, the device includes couplings located within the flexible drive tube and rotatable about the bendable longitudinal axis of the flexible drive tube. The couplings can be in a series that includes inter-coupling joints and transmits a rotational force between the proximal and distal ends of the flexible drive tube through a variable angle between the couplings. The variable angle can correspond to bending of the drive tube in order to drive rotation of the cutting implement at the specified offset about the axis of the flexible drive tube.

A colpotomy device having a tissue treatment assembly for performing a hysterectomy is provided. The tissue treatment assembly comprises an elongated body defining a longitudinal axis and an end effector coupled to a distal portion of the elongated body. The end effector can be offset from and rotatable about the longitudinal axis. The tissue treatment assembly also has an axial first electrical contact coupled to the end effector, where the axial first electrical contact is affixed to and rotatable with the end effector. Moreover, the tissue treatment assembly includes a circumferential second electrical contact that can be arranged to contact the axial first electrical contact throughout a rotation of the end effector about the longitudinal axis.

An intrauterine balloon apparatus to augment uterine birthing forces and assist fetal descent during parturition is provided. The body of the balloon apparatus begins packaged in a compressed state minimizing volume, enabling delivery through the birth canal. The apparatus is advanced to a proximal uterine location and deployed for operation by introducing a pressurized agent through its conduit, causing the body to expand and apply directional forces towards the infant and birth canal. The balloon body is shaped to apply pressures dispersed towards the infant and the bidirectional conduit enables fluid conduction as the infant descends. After the infant has successfully descended and been delivered through the birth canal, pressure within the balloon body is relieved through the conduit thereby collapsing the volume of the balloon body and enabling retraction through the birth canal.

A system for augmenting uterine forces includes a medical apparatus having a balloon body that transitions between a compacted state and an expanded state, a catheter that receives the medical apparatus and obtains electrical signals indicative of intrinsic uterine contractions, and a controller coupled to the catheter to receive the electrical signals, and to a source of an agent. The controller processes the electrical signals to detect an onset of an intrinsic uterine contraction, an increase in uterine contraction forces, or a decrease in uterine contraction forces. In response to a detection of an onset of an intrinsic uterine contraction or an increase in uterine contraction forces, the controller causes an agent to be delivered from the agent source to the balloon body to expand the balloon body. In response to a detection of a decrease in uterine contraction forces, the controller causes agent to discharge from the balloon body to collapse the balloon body.

An access port for sealing an opening of a natural orifice and supplying access to a body cavity through the natural orifice including: a sealing unit; an unobstructed single lumen cannula extending to the body cavity; a connector connecting the cannula to the sealing unit; an access opening through the sealing unit to the single lumen; a cap including a plurality of cap openings configured to seal between medical instruments inserted into the openings and the access opening.

A uterine manipulator includes a cervical cup assembly having a cervical cup with an adjustable diameter to facilitate use of the uterine manipulator with patients having a wide range of cervical sizes. In embodiments, the cervical cup is formed from a plurality of slats that are connected to a base member by a living hinge. An actuator is positioned in relation to the cervical cup to move the slats towards or away from adjacent slats to vary the diameter of the cervical cup.

A method of positioning a uterine manipulator within a patient includes applying a deforming force to a colpotomizer cup of the uterine manipulator to adjust the colpotomizer cup from a nominal width configuration to a reduced width configuration, inserting the colpotomizer cup into a vaginal canal of the patient while the colpotomizer cup is in the reduced width configuration, removing the deforming force from the colpotomizer cup to allow the colpotomizer cup to expand from the reduced width configuration to the nominal width configuration, and positioning the colpotomizer cup about a cervix of the patient while the colpotomizer cup is in the nominal width configuration.

A surgical visualization and medical imaging device and related computer based imaging methods and systems are disclosed. The surgical devices of the present invention use indocyanine green dye combined with a plastic, and are used in enhanced surgical imaging in applications such as robotically assisted surgeries. A near infrared light source, such as an 805 nm laser, may be used to excite the surgical device so that the device emits 835 nm light. Both the excitation and emission wavelengths penetrate tissue and blood, and provide enhanced imaging of surgical procedures. The resulting fluorescence image allows a user to readily determine relative tissue depth, to identify tissue inhomogeneity, to detect masses or tissue irregularities, to pinpoint anatomical holes, and to visualize tears.