Gas recirculation systems for use in endoscopic surgical procedures including a gas recirculation pump are disclosed. The gas recirculation pump may work in conjunction with an insufflator used to inflate a patient's peritoneal cavity during surgery. The gas recirculation system may recirculate a flow of gas from and to the patient, based on a detected amount of smoke in the gas, while filtering particulate matter out of the gas and while maintaining an adequate moisture content in the gas. A controller may adjust the speed of a pump motor based on the detected amount of smoke, and may also open a suction exhaust path to vent gas and smoke if the amount of smoke detected exceeds a threshold.

A surgical humidification system includes a source of gas flow and a humidifier that receives the gas flow and outputs a humidified gas to a delivery conduit. The delivery conduit has an outlet and a suitable interface, such as a diffuser, is connected to the outlet. The interface can be positioned near or within an open surgical cavity of a patient to supply the humidified gas to the cavity. The system also includes a pressure relief arrangement that operates to relieve pressure from the system above a normal operating pressure. The pressure relief arrangement can be located in a non-sterile portion of the system, such as upstream from the humidifier, for example.

Endoscopic image analysis, endoscopic procedure analysis, and/or component control systems, methods and techniques are disclosed that can analyze images of an endoscopic system and/or affect an endoscopic system to enhance operation, user and patient experience, and usability of image data and other case data.

A filter cartridge assembly is disclosed, which includes a housing having a reservoir for collecting fluids entering the housing through a gas return path, a sensor located within the reservoir for detecting a fluid level therein, and a backer plate positioned within the housing adjacent an inlet port to the reservoir and including fluid management structure to shield the sensor from fluid entering the reservoir from the gas return path through the inlet port and causing a false indication of the fluid level in the reservoir.

Systems for insufflation and recirculation of insufflation fluid in a surgical procedure include a control unit having a fluid pump, a supply conduit, a return fluid conduit and a pressure-controlled valve. The pressure-controlled valve is in fluid communication with an insufflation gas supply, the supply conduit and the return conduit and is adapted and configured to respond to pressure control signals to adjust position and thereby system flow parameters, to reduce entrainment of air from the surrounding environment, and to increase the concentration of insufflation gas in an operative space, and/or to reduce an overpressure condition in the operative space.

An access port is disclosed for use in minimally invasive surgical procedures performed within a patient's abdominal cavity, which includes a body defining a bore configured to guide at least one surgical instrument into the abdominal cavity, and concave and convex anchoring regions for securing the access port relative to the abdominal cavity.

The invention provides an insufflation apparatus having a housing and a gas generator arranged to be, at least partially, mounted to the housing. The housing includes a gas outlet for delivering gas to a patient and a gas storage chamber arranged to store gas and deliver it to the gas outlet. The gas generator includes a cartridge mount on the housing adapted to receive a gas generating cartridge, the gas generating cartridge containing gas generating material that generates gas that is delivered to the gas storage chamber. The invention also provides alternative insufflation apparatus, a gas cartridge and a method of generating insufflation gas.

Systems and methods for reducing pathogens near an implant are discussed. In some cases, the methods include reducing contaminants in a portion of a patient that has an implant and that is disposed interior to a closed surface of skin of the patient. The method can further include placing a conduit in the closed surface of skin and flowing an antimicrobial fluid into that portion of the patient to contact the antimicrobial fluid with a surface of the implant and tissue adjacent to the implant. In some cases, the antimicrobial fluid is then removed from the portion of the patient having the implant. As part of this method, biofilm near the implant can be mechanically, ultrasonically, electrically, chemically, enzymatically, or otherwise disrupted. Other implementations are described.

A filter cartridge for surgical gas delivery systems includes a filter housing configured to be seated in a filter cartridge interface of a surgical gas delivery system. A first filter element is seated in a first end portion of the filter housing. A second filter element is seated in a second end portion of the filter housing opposite the first end portion. A third filter element is seated in the filter housing between the first and second filter elements. The third filter element can include an activated carbon material, such as an activated carbon disc.

A system is disclosed for delivering insufflation gas to a body cavity of a patient during a surgical procedure, which includes an insufflator for delivering a flow of insufflation gas to the body cavity of the patient through a flow path that communicates with a pneumatically sealed trocar, a flow meter for measuring an amount of gas that has been removed from the body cavity by use of a suction device, and a controller operatively connected to the flow meter for receiving a flow measurement from the flow meter to determine when the suction device is in use and an amount of insufflation gas needed to be delivered to the body cavity by the insufflator to compensate for the gas removed from the body cavity by the suction device.