A retractor, distractor, and camera system with the camera system and/or distractor configured to provide releasable attachment of the camera system to the distractor, and also provide for rotation of the camera assembly relative to the distractor to allow for adjusting the aim of the camera viewing axis to obtain an image of the surgical workspace established by the retractor.

In one embodiment, a system (20, 30) includes a retractor (100, 100A, 1113) with a plurality of rods (120, 120A-1-124A-1, 180, 220, 320, 420, 1111A-E) that are cylindrical over part of their length, a light source (230, 330), and a fiber optic cable (229, 329), where at least one rod includes a body with an opening (122, 182, 222, 322) therein. The opening extends from an upper surface (122A, 181B, 222A, 322A) of the rod, through an interior of the rod, and then to a side surface (122B, 182D, 222B, 322B) of the rod located between ends of the rod. The opening is sized so that at least a single monofilament fiber optic cable is disposable therethrough. The system is adapted so that any number of rods may include a fiber optic cable disposed therein and so that the cable may be easily removed or inserted from the rod during use of the retractor.

An apparatus for performing electrosurgical operations using an electrosurgical power generator comprises an articulated mechanical arm, an electrosurgical grasper connected to the mechanical arm at a distal end thereof, a flexible sleeve at least partly disposed in a bendable portion of the arm, an outer surface of the sleeve comprising a plurality of surface features that define a helical wire-path around a central longitudinal axis of the sleeve, an actuation-cable passing through an inner conduit of the sleeve and mechanically coupled to the grasper to open and shut the grasper, and an electrically conductive wire for providing electrical connectivity from the power generator to the grasper, the wire being disposed on the outside of the sleeve and engaged with one or more of the surface features so as to follow therethrough the helical wire-path.

A surgical camera system includes a camera with at least one sensor configured to capture image data comprising a first range of wavelengths and a second range of wavelengths. An excitation light source emits an excitation emission at an excitation wavelength. A controller is in communication with the at least one sensor of the camera. The controller is configured to process the image data from the at least one sensor and detect at least one fluorescent portion of the image data in response to a fluorescent emission generated by a fluorescent agent in the second range of wavelengths. The controller is further configured to generate enhanced image data demonstrating the at least one fluorescent portion of the surgical implement in the image data.

An endoscope based system is configured to provide one or more procedure guidance features. The endoscope is paired with an image processing device that performs object detection and other analysis on captured images, and displays an interface to users that includes various visual guidance combined with endoscopic images. Interfaces displayed in different modes may indicate the location and extent of energy delivery tracked by the system, may guide placement of implant devices, may identify the location of nerves within tissue, and may provide step-by-step guidance for navigating the endoscope to certain anatomy. In some implementations, a removable and replaceable sheath may be coupled to the endoscope, and may enable one or more functional features of the endoscope while maintaining a sterile barrier. Sheaths may include an embedded memory that stores procedure configurations and procedure results.

Disclosure herein are aerodynamic surgical lights and methods of manufacturing and use thereof. The aerodynamic surgical lights may include a light head made of one or more substantially tubular light housings. The substantially tubular light housings contain and protect a plurality of LED lights and their respective reflectors that aim a light beam toward the lower side of the substantially tubular light housings. The substantially tubular light housings are vertically elongate. The vertically elongated substantially tubular light housings include upper sections that are aerodynamically curved or pointed to streamline airflow past the light housings. The upper sections of the substantially tubular light housings are made of molded plastic resin reinforced with carbon fibers or glass fibers and the lower sections of the substantially tubular light housings are made of a clear moldable plastic.

A lighting device for attachment to a handheld electrosurgical instrument is disclosed, which includes an elongated housing having opposed proximal and distal end portions and defining an interior chamber containing a battery powered light assembly for illuminating a surgical site, the housing having at least one smoke evacuation passage that extends from an inlet located adjacent to or near the distal end portion of the housing to an outlet located adjacent to or near the proximal end portion of the housing for removing smoke generated at the surgical site.

A dual-blade retractor comprising a handle having a first end and a second end, a first blade extending from the first end of the handle, a second blade extending from the second end of the handle, and an illumination assembly including (a) one or more first direct light sources provided on the first blade and (b) one or more second direct light sources provided on the second blade, wherein the dual-blade retractor is configured to house therein an internal power source for supplying energy to the one or more first and second direct light sources.

A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either within the brain. Once positioned at a desired location, the obturator is removed, leaving a distal end of the outer sheath adjacent an area of interest, and creating a working corridor. Interrogation of the area of interest may be performed to evaluate a disorder and/or abnormality, as well as evaluate treatment regimes. Interventional devices may also be introduced to the area of interest, as well as a variety of treatments.

A system includes a screw tower, an instrument, and a housing. The instrument includes a driver shaft extendable longitudinally through the screw tower, and a threaded sleeve mounted on a proximal portion of the driver shaft. The housing includes one or more retention members coupleable to the screw tower, and a threaded button threadably coupleable to the threaded sleeve. The threaded sleeve is rotatable about a longitudinal axis to urge the driver shaft longitudinally relative to the screw tower.