A kit and method for intrauterine insemination is provided. The steps of the method include self-monitoring of a menstrual cycle of a patient by said patient, making an abrasion on the endometrial lining of a uterus of the patient following menstruation by the patient, predicting timing of ovulation by using an ovulation monitoring system or inducing ovulation; preparing sperm for insemination during ovulation by the patient, guiding an intrauterine insemination catheter accompanied by a cervical shield into the patient, depositing a semen sample into the uterine cavity or cervical canal, removing the catheter from the body of the patient while using a holding tool to hold the cervical shield in place at the entrance to the uterine cavity, and leaving the cervical shield in place for a predetermined time period.

An apparatus includes a base portion, a shaft, a colpotomy cup, and a colpotomy cup actuation assembly. The colpotomy cup is slidably attached along a length of the shaft and is configured to actuate along the shaft between a proximal position and a distal position. The a colpotomy cup actuation assembly is configured to drive the colpotomy cup between a proximal position and a distal position. The colpotomy cup actuation assembly includes an actuating assembly configured to operatively couple with a drive output of a robotic arm. The colpotomy cup actuation assembly further includes an elongated member extending distally from the actuating assembly and terminating into a distal end fixed relative to the colpotomy cup. The actuating assembly is configured to drive movement of the elongated member relative to the elongated shaft to thereby drive movement of the colpotomy cup between the proximal position and the distal position.

An apparatus includes a shaft including a distal shaft end. At least a portion of the shaft defines a first axis. The apparatus also includes a sleeve slidably coupled to the shaft. The sleeve includes a distal sleeve end. The apparatus further includes a colpotomy cup fixedly secured to the distal sleeve end, and a movable member extending distally from the distal shaft end. The movable member is configured to move relative to the shaft between a first state in which the movable member extends substantially along the first axis and a second state in which the movable member extends at least partially along a second axis transverse to the first axis for manipulating an anatomical structure.

An apparatus includes a base portion configured to selectively couple with a robotic arm. A shaft extends distally form the base portion and terminates into a distal end. A sleeve is slidably coupled to the shaft. A colpotomy cup is fixedly secured to a portion of the sleeve. One or more sensors are configured to detect a force applied to the sleeve, the shaft, or both the sleeve and the shaft.

An apparatus includes a shaft including a distal shaft end. The apparatus also includes a sleeve slidably coupled to the shaft. The sleeve includes a distal sleeve end. The apparatus further includes a colpotomy cup fixedly secured to the distal sleeve end, and an inflatable balloon positioned over the shaft near the distal shaft end such that the inflatable balloon is configured to manipulate an anatomical structure via movement of the shaft. The apparatus also includes at least one sensor configured to detect at least one of a fluid pressure within the inflatable balloon or a force acting upon the inflatable balloon. The at least one sensor is configured to generate at least one feedback signal based on the detected at least one of a fluid pressure or a force.

A system includes a uterine manipulator having a shaft. The uterine manipulator is coupled with the robotic arm. An imaging instrument is operable to provide an image of an exterior of the uterus of the patient. A console includes a display screen and is configured to provide a view from the imaging instrument of the exterior of the uterus of the patient, on the display screen. The console is further configured to provide an indicator on the view from the imaging instrument, on the display screen, the indicator indicating a location of a predefined anatomical structure, the indicator being provided as an overlay on the predefined anatomical structure.

An apparatus includes a base portion configured to selectively couple with a robotic arm. A shaft extends distally form the base portion and terminating into a distal end. A sleeve is slidably coupled to the shaft. A colpotomy cup is fixedly secured to a portion of the sleeve. A plurality of sensors are configured to locate the position of the sleeve relative to one or more anatomical features of a patient. The sensors are further configured to locate the position of the sleeve relative to the shaft.

The invention relates to an abdominal retractor system using human body parts as support points by means of extension levers, and maintains approach to the surgical region by pressing abdominal wall downwards.

This disclosure is relative to the field of laparoscopic surgery and gynecologic surgery. Specifically disclosed is a surgical technique for laparoscopic hysterectomy and bilateral salpingectomy-oophorectomy which encompasses dissection and removal of the uterus, fallopian tubes, and ovaries. The technique utilizes a single-entry port located at the umbilicus in conjunction with access through the vaginal opening to access and manipulate the organs within the abdominal cavity.

An excision apparatus for removing cellular tissue includes a housing provided with a fixation portion. The fixation portion is configured to be arranged on cellular tissue such that a closed space is formed by the cellular tissue and an inner surface of the fixation portion. The fixation portion is configured to fixedly retain the cellular tissue near the inner surface by removal of air from the closed space via an air evacuating means. The apparatus further includes a cutting element moveably arranged in the housing such that the cutting element is movable between a retracted position and an extended position with respect to the fixation portion. The cutting element includes an electrode arranged at a distal end of the cutting element and is configured for cutting a section of cellular tissue retained by the fixation portion when the cutting element is in the extended position.