An arthroscope's insertion shaft has near its distal end a solid state camera. The shaft has an outer diameter of no more than 6 mm, and has rigidity and strength for insertion of the camera into joints for arthroscopic surgery. Light conductor(s) have a flattened region shaped to lie between an endoscope camera and an inner surface of an outer wall of an endoscope shaft. The flattened region is shaped to conduct illumination light though the space between the camera and inner surface of the other wall to a distal end of the endoscope shaft for illumination of a surgical cavity to be viewed by the camera. The flattened region is formed by heating a region of a plastic optical fiber, and squeezing the heated region in a polished mold.

An intra-body system and method of inserting a flexible sleeve as a passageway into an internal organ. The method comprises inserting a channel into an organ by perforating the wall of the organ; releasing a distal fixation portion of the passageway sleeve inside the organ; fixating the distal fixation portion to the wall of the organ; pulling a proximal portion of the passageway sleeve outside the body to stretch the sleeve. The stretched sleeve: a) generates a passageway between the proximal end of the sleeve at the outer body portion and the distal portion of the sleeve inside the organ, and b) seals the perforation rim at the organ.

A microsurgical instrument includes a cannula with a straight segment at a proximal end and a parting tip at a distal end. The parting tip includes a parting tip projection, a convex parting edge formed on the parting tip projection, and a spatulated parting face. The spatulated parting face includes a convex surface portion formed on the parting tip projection and a concave surface portion joined to the convex surface portion along a line of inflection at a proximal end of the parting tip projection. The microsurgical instrument optionally includes a cannula head attached to the cannula. The cannula head includes a tapered outer surface, a circumferential outer flange, an arcuate inner flange, and an inner flange ridge extending radially away from the inner flange. A payload guide attached to the cannula and cannula head directs payloads into the lumen of the cannula.

Surgical devices having a plurality of outwardly-biased flexible fins capable of both inward convergence and outward flexion, provide for fluid retention and soft tissue retraction during surgical procedures. The outwardly-biased flexible fins also provide for soft tissue compression, decreasing the length of the lumen or passageway through which instruments pass, allowing for a wider range of movement of instruments and better access to the surgical site, especially in patients with greater amounts of fat tissue that would otherwise require longer lumen lengths in prior art endoscopic cannulas. An obturator assembly including a cannulated handle member with a cannulated shaft attached to said handle member, said shaft extending distally and terminating at a cannulated obturator tip. A hood structure found on such obturator tip may be used to secure one or more flexible fins prior to deployment.

Described here are delivery devices for delivering one or more implants to the body, and methods of using. The delivery devices may deliver implants to a variety of locations within the body, for a number of different uses. In some variations, the delivery devices have a cannula with one or more curved sections. In some variations, a pusher may be used to release one or more implants from the cannula. In some variations, one or more of the released implants may be a self-expanding device. Methods of delivering implants to one or more sinus cavities are also described here.

A catheter delivery system is disclosed. The system includes a sheath having a bend disposed proximal to a distal end, a pigtail dilator having a loop portion in the shape of a pigtail disposed proximal to a distal end, and a straight dilator. A diameter of the loop portion is smaller than a diameter of an aortic valve and larger than a cusp of the aortic valve. The sheath and pigtail dilator are percutaneously inserted together into a blood vessel without an exchange procedure and advanced together into the left ventricle of a heart through the aortic valve without an exchange procedure.

An insertion set system includes a base configured to be secured to a patient, and a flexible tubing on the base. The flexible tubing has a distal end portion forming a cannula to be inserted into the patient. An inserter having a needle is received by the base. The needle has a channel in which the distal end portion of the flexible tubing is received. The needle is able to slide relative to the flexible tubing, to selectively withdraw the needle off of the distal end portion of the flexible tubing. The base may include a passage for fluid flow arranged transverse to the axial dimension of the distal end portion of the flexible tubing.

A medical probe for guided insertion into soft tissue, such as the brain, is disclosed. The medical probe may include a flexible, elongated body having a proximal end portion and an opposed distal end portion. The elongated body has a length of at least 1 cm and an outer diameter of 80 μm or less. The distal end portion may comprise a beveled tip such that the distal end portion of the medical probe can be steered independently to a target site in the soft tissue.

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 surgical stapling system includes an adapter assembly, a trocar assembly attachable to the adapter assembly, a processor, and memory. The memory includes instructions executable by the processor to cause the trocar assembly to move relative to the adapter assembly and determine whether the trocar assembly is properly attached to the adapter assembly. Such determination is based on an amount of force applied between the trocar assembly and the adapter assembly, an amount of current detected in the surgical stapling system, or an amount of time the trocar assembly moves relative to the adapter assembly without an indication that the amount of force is within a predetermined range.