The instrument ports for introducing instruments into a surgical site that are disclosed herein include a port body having a channel running therethrough from a proximal end to a distal end, an instrument sleeve in slidable contact with the channel, creating a gap therebetween, and a fluid flow element for removing emboli efficiently from the instrument port, wherein the fluid flow element includes the gap. Disclosed fluid flow systems are for use in the disclosed instrument ports. Methods are also disclosed for removably securing an instrument sleeve to a port body by anchoring the instrument port to heart tissue, making at least one flood line in a channel, flushing out emboli, and performing surgery with the instrument port.

An apparatus for the efficient provision of directed illumination to a subdermal surgical field that is attachable to or completely forms a surgical retractor blade. This illuminated surgical retractor system may include a retractor and a light guide disposed over the retractor. The retractor has a front surface facing a surgical field, a rear surface adapted to engage tissue, a distal end, and a proximal end. The light guide conforms to the shape of the retractor and is removably secured to the retractor and conducts light through the front or rear surface of the retractor. The light guide has an input adaptor and one or more light emitting surfaces.

A robotic system can include a surgical instrument with a wrist including an elongate shaft extending between a proximal end and a distal end, a wrist extending from the distal end of the elongate shaft, and an end effector extending from the wrist. The end effector may include a first jaw and a second jaw, the first and second jaw being moveable between an open position in which ends of the jaws are separated from each other, and a closed position in which the ends of the jaws are closer to each other as compared to the open position. The surgical instrument may also include at least one rotary cutter extending from the wrist and positioned at least partially within a recess formed in a face of the first jaw.

A body cavity illumination apparatus has a position-controlling trocar and an intra-corporeal light element. The position-controlling trocar has a sticker, a positioning device, a trocar tube, and a trocar connector. The sticker has a through hole. The positioning device is deposited on the sticker. The trocar tube is connected to the positioning device, extends through the sticker, and has an inner end and an outer end. The trocar connector is connected to the outer end of the trocar tube. The intra-corporeal light element is detachably mounted in the position-controlling trocar and has a shaft, a shaft connector, a cable connector, and a light cable. The positioning-controlling trocar may provide a holding effect to the intra-corporeal light element without manual holding to keep the position. In use, the intra-corporeal light element may provide an intra-corporeal illumination effect at multi-angles.

Surgical robotic systems may guide a user to align an instrument's insertion axis with a camera field of view. A surgical robotic system can include a first robotic arm coupled to a camera and a second robotic arm coupled to a surgical tool. The surgical tool can have a tool insertion axis along a shaft of the surgical tool. The surgical robotic system can be configured to determine whether the tool insertion axis overlaps with a field of view of the camera and provide a notification to a user in accordance with a determination that the tool insertion axis does not overlap with the field of view of the camera.

A system includes a dilation catheter and a guide member. The dilation catheter includes a proximal end, a distal end, a dilator, a navigation sensor, and a force sensor. The dilator is positioned proximal to the distal end and is configured to transition between a non-dilated configuration and a dilated configuration. The navigation sensor is positioned distal to the dilator and is configured to cooperate with a guidance system and thereby provide signals indicating a position of the dilation catheter in three-dimensional space. The force sensor is positioned distal to the dilator and is configured to provide signals indicating a force encountered by the force sensor. The dilation catheter is configured to slide relative to the guide member. A distal portion of the guide member is sized and configured to fit in a nasal cavity of a patient.

System for treatment by photodynamic therapy comprising: —an illuminating device (10) including a light emitting surface for illuminating an internal surface to be treated with a light adapted to activate a photosensitizer compound, the light emitting surface emitting light with a distribution of light power comprising fractions of light power decreasing from a maximum at the light emitting surface, the light emitting surface having a determined illumination profile that provides respective illuminated areas for a plurality of the fractions of light power, —a positioning system (40) adapted to position in real-time the light emitting surface within a reference frame, —an electronic unit (45) connected to the positioning system (40) and adapted to monitor in real-time a dose of light energy delivered to the internal surface based on the illumination profile and the position of the light emitting surface.

A device for robot-assisted surgery with at least one coupling unit (100) of a manipulator arm (16) comprising a first transmitting means (102). A sterile cover (38) comprising a sterile lock (200) serves to shield the manipulator arm (16) from a sterile area (39). The sterile lock (200) is connectable both to the coupling unit (100) and to the sterile unit (400). The sterile lock (200) has at least one lock flap (208, 210) which in a closed state shields the first transmitting means (102) in a sterile manner. The sterile unit (400) comprising a second transmitting means (406) has sterile flaps (402, 404) which in a closed state shield the second transmitting means (406) in a sterile manner. When connecting the sterile unit (400) to the sterile lock (200) the lock flap (208, 210) and the sterile flap (402, 404) are opened so that a direct transmission between the first transmitting means (102) and the second transmitting means (406) is possible. When separating the sterile unit (400) from the sterile lock (200) the lock flaps (208, 210) and the sterile flap (402, 404) are each automatically closed and locked so that they shield the first transmitting means (102) and the second transmitting means (406) from the sterile area (39). Further, the invention relates to a sterile lock (200) and a method for robot-assisted surgery.

A surgical sheath for use in endoscopic trans-nasal or intra-ocular surgery is made of a braid material. The sheath may be manufactured by placing a length of braided tube material over a mandrel. The braid material is conformed to the shape of the mandrel and is then heat set. An atraumatic end may be made by folding or rolling one or both ends of the sheath. A coating may also optionally be applied to the braid material. The sheath reduces collateral trauma to the tissues in the surgical pathway.

Devices and methods of identifying and treating bodily passages, such as sinus cavities, are provided. More particularly, irrigation devices and methods useful in the identification and treatment of bodily passages, such as sinus cavities, are provided. The irrigation devices comprise an elongate tubular member and an optical fiber which assist with the transcutaneous identification and/or treatment of a bodily passage.