A collection device (1) for minimising dispersal of pathogens into the environment during insufflating of the peritoneal cavity (12) of a subject (3), and which are entrained in insufflating gases and other gases escaping through an incision (8) in the abdominal wall (9) of the subject (3), through which a trocar is entered into the peritoneal cavity (12) comprises a patch (5) supported on a support framework (30). The patch (5) terminates in an outer peripheral portion (20) with a pressure sensitive adhesive (21) coated thereon for sealably securing the outer peripheral portion (20) to the abdominal wall (9). A central access opening (24) formed in the patch (5) tightly and sealably engages the trocar (10). With the trocar (10) extending through the access opening (24) of the patch (5) and with the patch (5) bonded by the pressure sensitive adhesive (21) to the abdominal wall (9) of the subject, the patch (5) defines with the trocar (10) and the abdominal wall (9) of the subject an annular collection chamber (17) for collecting insufflating and other gases leaking through the opening (8) in the subject. An outlet port (25) extending from the patch (5) and communicating with the collection chamber (17) is connected through a filter (29) to a vacuum system (27) for drawing gases from the collection chamber (17) where they are filtered in the filter (29) for removing pathogens therefrom, and clean filtered gases are dispersed into the atmosphere from the vacuum system (27). Other access devices and apparatus for collecting and filtering insufflating gases and other gases leaking through an incision formed in the body of a subject or through other body orifices are also disclosed.

Surgical systems can include evacuation systems for evacuating smoke, fluid, and/or particulates from a surgical site. A surgical evacuation system can be intelligent and may include one or more sensors for detecting one or more properties of the surgical system, evacuation system, surgical procedure, surgical site, and/or patient tissue, for example.

A system for monitoring gas composition in a surgical cavity during an endoscopic surgical procedure includes an gas recirculation system including a main gas flow circuit for fluid communication with a surgical cavity. The system includes a sensor for monitoring a gas species in a gas flow from a surgical cavity of a patient. The sensor is positioned in a channel branching off from the main gas flow circuit coming from the surgical cavity.

This invention relates to a surgical smoke evacuation system for use in removing gases and smoke created in surgical procedures form within an insufflated surgical cavity. Such a system comprises a discharge assembly adapted to form a gases path, and having an end which in use is located within said surgical cavity so that gases and/or surgical smoke inside said cavity can pass out of said cavity and through said discharge assembly along said gases path, a flexible discharge limb having an operational site end and an outlet end, and a self-supporting wall defining a gases flow passage between said operational site end and said outlet end, in use said open operational site end sealingly connected to said discharge assembly so that said gases and/or surgical smoke can pass out of said discharge assembly and into said discharge limb, a filter connected in use to the outlet end of the discharge limb, at least part of said wall of the discharge limb formed from a breathable material, said breathable material allowing the passage of water vapour through the wall of the discharge limb without allowing the passage of liquid water or surgical smoke or other gases.

Various systems and methods for evaluating a surgical staff are disclosed. A computer system, such as a surgical hub, can be configured to be communicably coupled to a surgical device and a camera. The computer system can be programmed to determine contextual information pertaining to a surgical procedure based at least in part on perioperative data received from the surgical device during a surgical procedure. Further, the computer system can visually determine a physical characteristic of a surgical staff member via the camera and compare the physical characteristic to a baseline to evaluate the surgical staff member.

A surgical system is disclosed including an end effector, a control circuit, a closure member, and a firing member. The end effector includes a first jaw, a second jaw, and an electrode. The first jaw is rotatable relative to the second jaw between an open position and a close position to capture tissue therebetween. The electrode is configured to conduct a sub-therapeutic RF current to the tissue. The control circuit is operably coupled to the electrode. The control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current. The closure member is configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue. The firing member is configured to move within the end effectors towards a fired position at a firing rate based on the impedance of the tissue.

A surgical instrument includes a handle assembly, an elongated shaft, an end effector, and an evacuation port. The elongated shaft extends distally from the handle assembly and includes an outer wall. The end effector is coupled to a distal portion of the elongated shaft. The evacuation port is configured for fluid communication with a suction device. A portion of the evacuation port is disposed within the outer wall of the elongated shaft.

A computing system may use redundant communication pathways for communicating surgical imaging feed(s). The computing system may obtain multiple surgical video streams via multiple pathways. The multiple surgical video streams may include copies of the same video. The surgical video streams may be obtained, for example, from the same intra-body imaging feed, such as intra-body visual light feed. For example, a first video stream may be obtained via a communication pathway, and a second video stream may be obtained via another communication pathway. The computing system may display or send a surgical video stream for display. The computing system may whether the video stream being displayed has encountered any issues. Upon detecting an issue with the video stream being displayed, the computing system may display or send another obtained surgical video stream for display.

A method for controlling a user interface of a modular energy system. The modular energy system comprises a header module and a display screen on which the user interface is displayed. The modular energy system can detect attachment of a first module thereto, control the user interface to display one or more first user interface elements corresponding to the first module, detect attachment of a second module to the modular energy system, control the user interface to resize the one or more first user interface elements to accommodate display of one or more second user interface elements corresponding to the second module, and control the user interface to display the one or more second user interface elements. The various UI elements can correspond to the particular module type that is being connected to the modular energy system.

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.