Surgical systems for use with a surgical instrument for endoluminal access are provided. In one exemplary embodiment, the surgical instrument includes at least one deployable sealing element and fluid channel. The at least one deployable sealing element is operatively coupled to the surgical instrument and configured to move between unexpanded and expanded states. When the sealing element is in the expanded state, the deployable sealing element is configured to form a first seal at a portion of a natural body lumen. The fluid channel extends through the surgical instrument and has an opening distal to the first seal. The fluid channel is configured to allow fluid ingress and egress distal to the portion of the natural body lumen while the at least one deployable sealing member is in the expanded state, thereby selectively pressurizing the natural body lumen distal to the portion. Methods for using the same are also provided.

Surgical systems are provided. In one exemplary embodiment, a surgical system includes a first scope device having a first portion configured to be inserted into and positioned within an extraluminal anatomical space and a second portion distal to the first portion and configured to be positioned within an intraluminal anatomical space, and a second instrument configured to be inserted into the extraluminal anatomical space and configured to couple to and move the first portion of the first scope device within the extraluminal anatomical space to facilitate movement of the second portion of the first scope device while the second portion is positioned within the intraluminal anatomical space. Methods are also provided.

Surgical systems for operating endoscopically and laparoscopically are provided. The surgical system includes a first scope device configured to transmit image data of a first scene. A second scope device is configured to transmit image data of a second scene. A tracking device associated with the first or second scope device and configured to transmit a signal indicative of a location of the first or second scope device. A first surgical instrument is configured to interact with an internal side of a target tissue structure. A second surgical instrument is configured to interact an external side of the target tissue structure. A controller is configured to receive (i) the transmitted image data and transmitted signal (ii) to determine a first relative distance, a second relative distance, and a third relative distance. Relative movements of the instruments are coordinated based on the determined relative distances.

Surgical anchoring systems for use with a surgical instrument for endoluminal access are provided. The surgical instrument includes an outer sleeve defining a working channel therethrough. The outer sleeve is configured to be disposed within a first natural body lumen. A channel arm is configured to extend through the working channel and to move independently relative to each other. The channel arm has an anchor member and is configured to move between expanded and unexpanded states. When in the expanded state, the anchor member is configured to be disposed within a second natural body lumen. A control actuator extends along the channel arm and is operatively coupled to the anchor member, the control actuator being operatively coupled to a drive system that is configured to control motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.

Surgical systems for are provided. The surgical system includes a first scope device configured to transmit image data of a first scene within a field of view of the first scope device. A second scope device is configured to transmit image data of a second scene within a field of view of the second scope device. A tracking device is associated with one of the scope devices and configured to transmit a signal indicative of a location of the one of the scope devices. A controller is configured to receive the transmitted image data and the transmitted signal to determine a relative distance between the scope devices and to provide a merged image of at least a portion of the scope devices in a single scene, where at least one of the scope devices in the merged image is a representative depiction.

A method of operating a surgical anchoring system can include inserting an outer sleeve of a surgical instrument at least partially into a first natural body lumen, the outer sleeve having a working channel. The method can include inserting a channel arm of the surgical instrument through the working channel of the outer sleeve and into a second natural body lumen. The channel arm has at least one first anchor member coupled thereto and a control actuator operatively coupled to the at least one first anchor member. The method can include expanding the at least one first anchor member from an unexpanded state to an expanded state to form an anchor point at a portion of the second natural body lumen. The method can include controlling, by the control actuator, a motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.

Surgical systems are provided. In one exemplary embodiment, a surgical system includes a first scope device, a first instrument, a second scope device, and a second instrument. The first scope device has a first portion configured to be inserted into an extraluminal anatomical space and a second portion configured to be positioned within an intraluminal anatomical space. The first scope device includes a first insufflation port configured to insufflate the intraluminal anatomical space. The first instrument is configured to be inserted through the extraluminal anatomical space and into the intraluminal anatomical space such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces. The second scope device is configured to be inserted into the extraluminal anatomical space. The second scope device has a second insufflation port configured to insufflate the extraluminal anatomical space. The second instrument is configured to be inserted into the extraluminal anatomical space. Methods are also provided.

Surgical sealing systems are provided. In one exemplary embodiment, a surgical sealing system includes a seal housing having a plurality of ports, in which each of port has a nominal size and shape, is configured to assume a selected and/or shape that is different from the nominal size and shape, and is constrained by the size and shape of each of the other plurality of ports. The position of an instrument and a force applied thereto is effective to change the size and/or shape of the ports based on the movement, direction, and force of the instrument, and the ability to alter the nominal shape of any one port is constrained or limited by the size and shape of the other ports, thereby enabling a force applied to one instrument positioned within one of the plurality of ports to stabilize at least one other instrument positioned within others of the plurality of ports.

The surgical robotic access system provides access for robotic instruments and/or actuators including the introduction, operation and withdrawal of such robotic manipulators into a body cavity without permitting the escape of pressurized fluid or gas. The surgical robotic access system also provides a multi-faceted range of movement without touching or effecting pressure on the opening in the patient's body cavity.

A method of suturing a trocar path incision in a tissue of a patient with an obturator includes inserting the obturator through the tissue such that a shaft of the obturator extends through a tissue opening about the trocar path incision and a distal tip of the obturator is positioned within a cavity of the patient. The method also includes directing the suture via a suturing feature with the obturator inserted through the tissue in order to direct the suture relative to the tissue. Furthermore, the method includes closing the tissue opening about the trocar path incision with the suture.