A multi-functional soft tissue wound protective sleeve includes: a waste collection bag including a bottom patch and a surface patch connected to form a cavity; a bottom ring to be inserted into a human body, to push away human tissues surrounding the bottom ring to form a surgery space; a flip ring located above the waste collection bag and having an adjustable distance with the bottom ring, to prevent waste from touching a surgical surface; a medical inner membrane connecting the bottom ring to the flip ring and defining a surgery channel to the surgery space; a positioning ring sealed with a hole edge of the surgery through-hole on the bottom patch; and a medical outer membrane connecting the positioning ring to the flip ring so as to guide waste escaping the surgery channel over the flip ring to flow into the waste collection bag.

A percutaneous nephrolithotomy (PCNL) needle may include a cannula including a shaft and a cannula hub coupled to a proximal end of the cannula shaft. A depth guide may be disposed on an outer surface of the cannula shaft. A stylet may be disposable within the cannula lumen and may include a tapered point at a distal end of the stylet and a stylet hub coupled to a proximal end of the stylet that is configured to be releasably securable to the cannula hub. An adjustable depth stop may be releasably securable to the cannula shaft at a desired position relative to the depth guide, the adjustable depth guide capable of being manipulated between an adjustment configuration in which the adjustable depth guide is moveable relative to the cannula shaft and a secured configuration in which the adjustable depth guide is secured relative to the cannula shaft.

Methods and surgical tools for treating back pain use a spinal facet debridement tool with cautery and denuding action and minimally invasive protocol that can denude and cauterize soft tissue associated with a synovial capsule of the spinal facet joint.

An endoscope and methods of use thereof is provided with at least one multi-functional, multi-directional arm supporting a plurality of imaging, lighting and other sensory elements. The multi-functional arms provide a mounting platform upon which cameras, lights and sensors may be mounted to generate multiple-angled images and video, arena-like lighting and other data relevant to performing a diagnostic or MIS procedure. The multi-directional arms may be inserted through a single portal in the endoscope and deployed in multiple directions from a single portal once inserted into a body cavity. The pitch, roll, length and curvature of each of the extending arms may be individually or jointly adjusted to create a customized view of an internal space during an endoscopic procedure. The extending arms may also include communication elements to wirelessly transmit the images and other data generated by the sensory elements to a remote computing and display device.

A single body port or body flange access device and method for performing laparoscopic surgery are disclosed. The device comprises a plurality of crisscrossing conduits through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient.

Several methods to reduce surgical site infections include inserting a surgical access device into an incision, retracting tissue, and introducing fluid into the surgical access device such that the fluid exits the surgical access device and irrigates a surgical site. Other methods do not include introducing fluid into a surgical access device but include suctioning a fluid into the surgical access device and removing the fluid from the body.

Surgical devices having a plurality of outwardly-biased flexible fins capable of inward movement such that the fins converge to provide both a passageway for surgical instruments to traverse towards a surgical site, and provide a substantially impermeable seal, thus providing for fluid retention during the surgical procedure. The outwardly-biased flexible fins 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.

A movement dampening system for a surgical tool. The system includes a height-adjustable base positionable adjacent to a surgical site on a patient. An elastic damper is disposed adjacent to the height-adjustable base, A channel extends through the elastic damper and the height-adjustable base to the surgical site. A portion of the channel extending through the elastic damper is sized to receive the surgical tool and to restrict movement of the surgical tool.

A collar for a surgical access device includes an annular body laterally attachable to a cannula of the surgical access device. A spring is coupled to the annular body and movable between an uncompressed state and a compressed state. The spring is configured to manipulate the annular body between a first condition and a second condition to selectively fix the annular body at predetermined locations along the cannula or to laterally remove the annular body from the cannula while the cannula is supported within a patient's body.

A seal anchor member defines a housing defining a longitudinal axis, the housing having leading and trailing ends, and including a plurality of lumens extending between the leading and trailing ends, each lumen being adapted for substantially sealed reception of an object therein and defining a longitudinal axis, wherein at least two of the lumens define longitudinal axes that are non-parallel to facilitate angled, at-rest placement of multiple instruments within the seal anchor member.