A colpotomy system includes a surgical instrument having a cutting element and a receiver at a distal end thereof and a uterine instrument. The uterine instrument has a handle operably coupled to a shaft having a balloon at a distal end thereof, the shaft extending through a retaining member to access a surgical site, the retaining member including a plurality of transmitters for transmitting at least one signal. A distance between the cutting element of the surgical instrument and one end of the retaining member of the uterine instrument is calculated to determine whether the cutting element is within a predetermined operating zone.

A uterine manipulator device includes: an elongated cannulated tube having proximal and distal ends, a cervical cup positioned on the elongated cannulated tube with a top distal portion of a first diameter and a base proximal portion of a second smaller diameter, and an occluder assembly comprising an occluder positioned proximally from the cervical cup on the elongated cannulated tube, the occluder having a body with at least one primary rib and at least two secondary ribs, wherein a diameter of at least one secondary rib is smaller than the diameter of the primary rib.

A medical instrument configured to be inserted into a body cavity comprises a body comprises a first probe at a first end, the first probe comprising a first cylindrical portion with a first outer circumferential surface of a first diameter; a first circumferential edge at a distal end of the first probe; a first distal lip projecting outwardly from the first outer circumferential surface beyond the first circumferential edge and extending for at least a part of a circumference of the first circumferential edge; and a first marker lip projecting outwardly from the first outer circumferential surface and extending for at least a part of a circumference of the first outer circumferential surface; wherein the first distal lip is positioned distal to the first marker lip; and wherein the body comprises a hollow cavity to enable a second medical instrument to pass therethrough.

An embodiment includes a uterine manipulator system comprising: a collar including a first shelf connected to the inner surface of the collar; a stabilizer including a stabilizer rim adapted to couple to the first shelf; and a shaft adapted to pass through the stabilizer and a hollow tunnel of the collar with a bulbous tip. Other embodiments are described herein.

A uterine manipulator device includes a shaft including a proximal end and a distal end, a cervical cup positioned on the shaft near the distal end, and a cutting tool. The cervical cup includes a first base and an annular wall with a rim. The cutting tool positioned along the rim of the cervical cup is rotatably coupled to the rim.

A gynecological suction module (1) comprising a hollow rod (20) and a suction chamber (10) connected to the hollow rod by a hole (H) for fluid connection, the aforesaid suction chamber being configured to engage the surface of the vaginal portion of the cervix, the aforesaid suction chamber (10) being delimited by a concave wall W defined by an edge (P) having a C shape and comprising an external portion (P1), an internal portion (P2) and two end portions (P3, P3), wherein said internal edge P2 is out of the plane defined by said external portion P1.

Components, systems and kits for capturing and removing tissue from mammalian bodies include a tissue container that may be introduced into a body cavity and within which a tissue specimen may be placed, cut and removed from the body cavity. Methods of using these components, systems and kits are also described.

A robotically-operated uterine manipulator includes an articulation assembly having a driven member configured to be operably coupled to a first drive member of an instrument drive unit. A nut of the articulation assembly is threadedly coupled to the driven member. A cable of the articulation assembly has a proximal end portion coupled to the nut, and a distal end portion coupled to a tip hub. The cable is configured to translate with the nut and relative to the driven member in response to a rotation of the driven member to articulate the tip hub.

An access channel for access to a body cavity through a natural orifice including: a variable length unobstructed channel including: a rigid cannula having a distal opening configured to fit through an incision in a wall of the orifice; a rigid tubular extension for the cannula; a distal opening of the extension fitting to a proximal opening of the cannula and joining a lumen of the cannula to a lumen of the extension to form the variable length channel between the distal opening of the cannula and a proximal opening of the extension; the extension sliding longitudinally with respect to the cannula to extend and contract a length of the variable length channel by at least 25% of a maximal length of the channel; wherein a cross section of the channel has a long dimension at least twice a short dimension of the cross section.

A uterine manipulator can include a shaft including a first end, a second end, and embodiments of a cutting head configured and arranged to receive a cervix. The cutting head can be configured and adapted to be used to cut the tissue joining the vaginal wall to the cervix and uterus to facilitate removal of the uterus in a minimally invasive manner.