Delivery systems and methods of creating an accessory maxillary ostium and implanting a ventilation tube for purposes of ventilation, irrigation, infusion or procedural work are described. The delivery systems include an introducer and an associated ventilation tube. An irrigation and/or infusion catheter may be advanced through the ventilation tube in order to irrigate or express the contents of the sinus cavities. A secondary irrigation and/or infusion catheter or a balloon catheter may be advanced through an outer irrigation and/or infusion catheter, deeply into the sinus cavity, in order to irrigate or express the contents of the sinus cavities. Moreover, the balloon catheter may alternatively or additionally be employed to for dilation of the natural ostium. Still further, a device for delivering drugs, fluids or the like, may be coupled to the ventilation tube for delivery of same.

A surgical access system facilitates access to a surgical site within a patient's body through an incision in the body. Surgical access systems can have at least one retention member and a fluid transportation member configured to deliver fluid to a surgical site or to remove fluid from a surgical site. In some embodiments, a surgical access device irrigates a surgical site to reduce surgical site infections and removes fluid from the surgical site to increase a physician's visibility into the surgical site.

An access device for surgical procedures is disclosed which includes a multiport end cap including a plurality of separate access ports for accommodating the introduction of individual surgical instruments into a body cavity or lumen of a patient, and a coupling for operatively connecting the multiport end cap to a tubular body.

The present disclosure relates to a trocar assembly with an integrated scope-cleaning structure. The trocar assembly may include a chamber with a proximal opening configured to receive a distal end of a scope. A cannula extend distally from the chamber and may be configured to extend distally into a patient body. The cannula may be further configured to receive the distal end of the scope such that the scope can be maneuvered through the cannula to a location within the patient body. The trocar assembly may include a cleaning element forming a surface within the chamber, where the surface of the cleaning element is configured to remove debris from at least one non-longitudinal, end-facing surface of the scope.

The present disclosure relates to a housing for a laparoscopic trocar assembly with an integrated scope-cleaning structure. The housing may include a shell forming a wall portion of a chamber and a cleaning element forming at least a portion of an internal surface of the chamber, the cleaning element configured to remove debris from a distal end of a scope upon contact between the cleaning element and the distal end of the scope. The cleaning element may be movable with respect to the shell of the housing in response to an input force upon the shell that moves a portion of the shell and a portion of the cleaning element between a default state and a displaced state.

The present disclosure relates to a trocar assembly with an integrated scope-cleaning structure. The trocar assembly may include a housing defining boundaries of a chamber with (a) a proximal opening configured to receive a distal end of a scope, and (b) a distal opening in fluid and mechanical communication with a trocar cannula. The trocar assembly may further include a cleaning element located at least partially between the proximal opening and the distal opening, where the cleaning element is movable with respect to the housing from at least a first setting where a first portion of the cleaning element may be in a first location and may form a first cleaning surface within the chamber, the first cleaning surface configured to remove debris from a distal end of the scope when the distal end of the scope contacts the first portion of the cleaning element.

A seal assembly for use with an access apparatus includes an integral filter and evacuation port for filtering of fluids, e.g., smoke, from an operating site and removing contaminants and/or odor from the fluids for release of the filtered fluids into the ambient atmosphere. The seal assembly may be a separate subassembly or component which is releasably couplable to the access apparatus or may be integral with the access apparatus. The seal assembly defines its own flow path independent of the insufflation mechanism of the cannula assembly, and is capable of filtering fluids even in the presence of a surgical object positioned within the cannula assembly.

A cannula incorporating a blood wicking/diversion mechanism to absorb and/or obstruct blood from running down the cannula onto an endoscope inserted therein, and/or the procedure site, thereby obfuscating the field-of-view during a thoracic procedure. In an embodiment the device comprises an elongate woven fabric wick contained within an open-faced lumen molded into the bottom wall of the cannula tubular body and running along its length to absorb blood or fluid running down its length. In another embodiment the wick is formed in a sleeve-like configuration slightly larger in diameter than tubular body (configured for slidable insertion thereon) woven back into a string at the distal end. Alternatively the device comprises an expandable dome-shaped hood attached to the cannula.

A probe may be inserted into a body cavity to perform diagnostic intervention(s), therapeutic intervention(s), or both. The probe may be inserted through a body aperture that is naturally occurring or man-made, intentionally or by accident. The body aperture may form a seal encircling the probe so that insufflation retention material may be effectively retained in the body cavity so that an operator can perform the intervention(s). However, there may be leakage of the insufflation material. The insufflation retention device is configured to form an effective seal contactingly adjacent the body aperture and to provide a passageway for the introduction of the probe into the body cavity, such that a diagnostic intervention or therapeutic intervention or both may be performed.

A percuscopic access device is disclosed. The percuscopic access device has a hollow shaft with a proximal opening and a distal opening. The percuscopic access device also has one or more barrier ridges on the outside of the hollow shaft. The percuscopic access device also has one or more recesses on the inside of the hollow shaft and in communication with the distal opening. A cleaning obturator for use with the percuscopic access device is also disclosed. The cleaning obturator and percuscopic access device may be combined as a surgical apparatus. The cleaning obturator has a guide rod having a proximal end and a distal end. The cleaning obturator also has a plugging tip on the distal end. The cleaning obturator further has one or more swab guides proximal to the plugging tip.