Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft including a reciprocating driveshaft disposed within the elongated shaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft for displacing one or more fasteners within the elongated shaft towards a distal fastener deployment position. In some embodiments, the surgical instrument may include a removable preload lock-out attached to the elongated shaft to prevent the follower from applying a preload to the fasteners.

An improved biopsy tray includes a container having bottom surface and continuous perimeter wall extending upward therefrom to form a cleaning zone which is sufficient to hold an adequate amount of fluid for cleaning a biopsy forceps, and at least one specimen bottle receiving receptacle adjacent the perimeter wall to receive and retain a specimen bottle. A method of obtaining a biopsy specimen includes employing the tray of the invention.

An improved biopsy tray includes a container having bottom surface and continuous perimeter wall extending upward therefrom to form a cleaning zone which is sufficient to hold an adequate amount of fluid for cleaning a biopsy forceps, and at least one specimen bottle receiving receptacle adjacent the perimeter wall to receive and retain a specimen bottle. A method of obtaining a biopsy specimen includes employing the tray of the invention.

A number of variations may include a sterile kit that may include a tray constructed and arranged to hold the necessary items to access an Ommaya reservoir and the tray may define a plurality of other resources or indentations constructed and arranged to seat, hold, or house additional components of the sterile kit. The sterile kit may additionally include a paper towel, a fenestrated drape, a plurality of sponge applicators, at least one pouch of povidone-iodine, at least one retractable winged butterfly needle, at least one luer lock syringe, a 3-way stopcock, a plurality of collection vials with tops which may be screwed on to prevent the contents thereof from leaking or escaping, sterile pads, bandages including adhesive bandages, and other components.

A number of variations may include a sterile kit that may include a tray constructed and arranged to hold the necessary items to access an Ommaya reservoir and the tray may define a plurality of other resources or indentations constructed and arranged to seat, hold, or house additional components of the sterile kit. The sterile kit may additionally include a paper towel, a fenestrated drape, a plurality of sponge applicators, at least one pouch of povidone-iodine, at least one retractable winged butterfly needle, at least one luer lock syringe, a 3-way stopcock, a plurality of collection vials with tops which may be screwed on to prevent the contents thereof from leaking or escaping, sterile pads, bandages including adhesive bandages, and other components.

A notched rim medical organizer includes a rim structure and is configured to be integrated with or selectively seated on a receptacle and includes an internal edge and an external edge, wherein the external edge includes notches or slits spaced around the outer edge, allowing patties, sponges, gauze, cotton balls, pledgets, and other wound care and management devices to be clearly organized and secured for counting and disposal during and after medical procedures.

A notched rim medical organizer includes a rim structure and is configured to be integrated with or selectively seated on a receptacle and includes an internal edge and an external edge, wherein the external edge includes notches or slits spaced around the outer edge, allowing patties, sponges, gauze, cotton balls, pledgets, and other wound care and management devices to be clearly organized and secured for counting and disposal during and after medical procedures.

An optical prism is designed to displace a field of view offset angle of an endoscope. A connector is designed to affix the optical prism to a tip of an endoscope that has a field of view at an initial offset angle displaced off-axis. The optical prism and connector are designed to reduce the offset angle of the field of view of the endoscope toward on-axis. Delivery packaging for an endoscope has a vial, well, or cavity designed to retain anti-adhesive lubricant in contact with a lens or window of the endoscope.

An optical prism is designed to displace a field of view offset angle of an endoscope. A connector is designed to affix the optical prism to a tip of an endoscope that has a field of view at an initial offset angle displaced off-axis. The optical prism and connector are designed to reduce the offset angle of the field of view of the endoscope toward on-axis. Delivery packaging for an endoscope has a vial, well, or cavity designed to retain anti-adhesive lubricant in contact with a lens or window of the endoscope.

An arrangement, and associated method, for cleaning and disinfecting an endoscope having an internal channel accessible via an opening. The arrangement includes: a support structure; at least one tray including at least one fixture arranged to maintain the endoscope in the desired position within the tray; a rack arranged to support the tray; a control unit arranged to control and operate the arrangement; a user interface connected to the control unit and arranged to make it possible for an operator to indicate the type of endoscope arranged in the tray; an optical device connected to the control unit and configured to confirm the type of endoscope arranged in the tray; a robotic device operated by the control unit and arranged to clean the at least one channel in the endoscope arranged in the tray; and a disinfector device arranged to enclose the tray and disinfect the endoscope.