The present disclosure provides a cannula assembly having a tube with an internal lumen, a proximal end portion and a distal end portion configured for insertion into a patient. The cannula assembly further includes a housing rotatably coupled to the tube between a closed position and one or more open positions. The housing contains an electronic component comprising an image transmission device, such as a camera, for collecting and receiving images of the surgical site. The housing is adapted to provide the image transmission device with a longitudinal or forward view when the housing is in the closed position and a transverse view (i.e., offset from the longitudinal axis) when the housing is in one of the open positions. The housing is disposed distal to the proximal end portion and proximal to the distal end portion of the tube to protect the image transmission device as the distal end portion creates an incision and/or passes through an existing incision in the patient.

A tissue retractor comprising an outer ring, an inner ring, and a flexible, metal sheath extending therebetween is described. Embodiments of the inner ring comprise a flat or wedge-shaped conformation useful for insertion between muscle layers. Other embodiments of the inner ring include variable diameter inner rings, where the diameter can be adjusted as required and optionally locked into place, and reshapeable inner rings that permit a user to conform the inner ring to the anatomy of the patient when placing the inner ring.

An insertion device includes a cover body, an insertion module. The insertion module is disposed in the cover body, and includes a main body, an insertion seat, a first elastic member, a retraction seat and a second elastic member. When the cover body is depressed, the insertion seat is driven by the first elastic member to perform an automatic-insertion operation and to collapse a limiting structure between the insertion seat and the cover body. A limiting structure between the insertion seat and the retraction seat collapses upon the collapse of the limiting structure between the insertion seat and the cover body, so that the retraction seat is driven by the second elastic member to perform an automatic-retraction operation.

A device and method for a guidance sheath is provided which is configured to prevent laceration or puncture of nerves, blood vessels and surrounding tissue, during positioning of a coaxially located needle employed for various medical procedures, such as, the administration of an anesthetic blockade, neuromonitoring, electromyography or a therapeutic intervention.

A biosensor inserter includes a push member with a push element, a contact member including a latch, a transmitter carrier supporting a transmitter and sensor assembly, and a pivot member having a latch end, the pivot member supporting an insertion device during biosensor insertion. In operation, the push member is telescoped axially by the user relative to the contact member, which is provided in contact with a user's skin. This pushes the push element against the pivot member and translates the transmitter carrier during insertion of the biosensor. During a first portion of a stroke of the insertion device, insertion of the biosensor is accomplished, and the pivot member is prevented from pivoting. In a second portion of the stroke, after latch end moves past the latch, the pivot member is allowed to pivot and the insertion device is retracted. Other system and method embodiments are provided.

Aspects of the present disclosure are directed toward apparatuses, systems, and methods for stent access and device delivery. In certain instances, the apparatuses, systems, and methods may include a plurality of struts arranged about the one or more cutting blades on a tip portion.

Systems, methods, and devices are disclosed for robotic surgical systems including a robotic arm, the systems comprising an end effector attached to the robotic arm and retaining an access guide, and an initial access tool detachably connected to the access guide, wherein the initial access tool comprises a housing, a shaft extending from the housing coaxially through the access guide, and a distal tip attached to the shaft and protruding from a portion of the access guide distal to the end effector, wherein the housing is adapted to prevent rotation with respect to the access guide. In some embodiments, the access guide is adapted to retain an initial access tool and one or more of a burring tool, a drilling tool, or a tapping tool. In some embodiments, the initial access tool further comprises a step spaced from a distal end of the shaft, a rigid sleeve for placing over the shaft below the step, a spring for placing over the shaft below the step, and at least one detachable tip for engaging the distal end of the shaft, wherein the housing is adapted to prevent rotation with respect to the access guide.

For producing a skin opening for minimally invasive surgery an instrument is employed, comprising a grip (10) and a puncture awl (16). The puncture awl (16) is provided on the distal end of a grip (10), which distal end forms a stop surface (12), which limits the penetration depth of the puncture awl (16).

An MRI guided breast biopsy targeting set includes a firing obturator for use with positioning a breast biopsy device within a patient. The obturator is insertable into a targeting cannula in lieu of a needle of a biopsy device. The targeting set includes an obturator and a firing assembly. The firing assembly includes a housing, a latch mechanism, and a release mechanism, The firing assembly is responsive to the release mechanism to fire the obturator into the desired position within the breast.

A medical device is provided. The medical device includes a puncture needle that is inserted into body tissue from outside a body and pierces membranous tissue near pulsating tissue inside the body tissue; a tubular protection member that is disposed on the outer side of the puncture needle; a pulse-information acquisition portion that acquires pulse information of the pulsating tissue; and a driving unit that moves the puncture needle and the protection member relative to each other in synchronization with the pulse information of the pulsating tissue acquired by the pulse-information acquisition portion, in such a manner that a tip of the puncture needle is retracted toward a proximal end from a distal end of the protection member when the pulsating tissue expands and that the tip of the puncture needle is projected farther forward from the distal end of the protection member when the pulsating tissue contracts.