A visual insufflation obturator is provided. The obturator includes seals, valves, screens and/or various other tip features to eliminate the ingress of fluids, matter and/or gas that can disrupt the visual field of the laparoscope disposed within the obturator. The obturator provides additional features such as lens and anti-fog features to further increase visibility of the scope, efficiently insufflate the patient and ultimately provide an access channel into the insufflated abdomen once the visual insufflation obturator is removed.

Example embodiments relate generally to surgical systems. The system may include a first arm assembly having a first arm assembly body. The system may also include a distal elbow joint assembly secured to a proximal end of the first arm assembly. The distal elbow joint assembly may be configurable to provide the first arm assembly with a first degree of freedom relative to a first axis. The system may also include a proximal elbow joint assembly secured to the distal elbow joint assembly. The proximal elbow joint assembly may be configurable to provide the first arm assembly with a second degree of freedom relative to a second axis. The second axis may be different from the first axis. The first degree of freedom may be different from the second degree of freedom.

An improved transparent bladeless obturator includes a proximal handle, a distal-end portion and a shaft therebetween, the handle and the shaft including a generally-aligned axis aperture, the distal-end portion including a transparent tip, from the distal end to the proximal end, the transparent tip divided into a top-portion, a spear-portion, a transition-portion and a base-portion; the top-portion includes an apex and a rotary-wall extending axially from the apex to the proximal end and gradually increasing in a transverse direction, the rotary-wall limiting a hollow cone; the main-portion including a main-body wall, the rotary-wall and the main-body wall extend to be intersected and form a circular field of vision; the sweeping-wall extends axially from the distal end to the proximal end and gradually increases in a transverse direction; and the spear-portion includes the first transverse-portion and the second transverse-portion.

The present invention presents a medical instrument for penetrating cutaneous and sub-cutaneous tissue, causing less hemorrhage and patient pain. This medical device for insertion into tissue comprising one or more section, said section including a plurality of facets; and each facet is configured to deflect the tissue it contacts in a direction that is different than adjacent facets.

A trocar assembly and associated methods are shown. Using example devices and methods shown, a surgeon may insert an obturator with a blade portion and a tube portion of a cannula into tissue such as eye tissue. In one state, the blade portions are wider than or equal to outer diameters of the tube portions. This facilitates an incision in tissue such as eye tissue that is wide enough to allow the tube portions to pass through. Because the blade portions are adapted to deform, they may be withdrawn through the inner diameter of the tube portions.

A handle device is provided comprising a first wing and a second wing. The first wing and the second wing are configured to pivot about a common axis to one another. The first wing has one or more first ridge, and a first one or more clearance spaces. The second wing has one or more second ridges and a second one or more clearance spaces. The one or more first ridges is configured to be received within the second one or more clearance spaces and the one or more second ridges is configured to be received within the first one or more clearance spaces when the first wing is pivoted about the common axis to the second wing in a folded configuration.

A handle device is provided comprising a first wing and a second wing. The first wing and the second wing are configured to pivot about a common axis to one another. The first wing has one or more first ridge, and a first one or more clearance spaces. The second wing has one or more second ridges and a second one or more clearance spaces. The one or more first ridges is configured to be received within the second one or more clearance spaces and the one or more second ridges is configured to be received within the first one or more clearance spaces when the first wing is pivoted about the common axis to the second wing in a folded configuration.

An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed. The instrument comprises a shaft having an insufflation channel extending between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end. A tip is at the distal end and a vent hole is formed in the tip being in connection with the insufflation channel and adapted to expel fluid under pressure to insufflate the abdominal region. The tip is formed of a transparent material to facilitate visualization of the abdominal wall and region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel.

Medical systems, devices and methods for creation of autologous tissue valves within a mammalian body are disclosed. One example of a device for creating a valve flap from a vessel wall includes an elongate tubular structure having a proximal portion and a distal portion and a longitudinal axis; a first lumen having a first exit port located on the distal portion of the elongate tubular structure; a second lumen having a second exit port located on the distal portion of the elongate tubular structure; a recessed distal surface on the distal portion of the elongate tubular structure, wherein the recessed distal surface is located distally to the first exit port; and an open trough on the recessed distal surface extending longitudinally from the first exit port.

A trocar assembly and associated methods are shown. Using example devices and methods shown, a surgeon may insert an obturator with a blade portion and a tube portion of a cannula into tissue such as eye tissue. In one state, the blade portions are wider than or equal to outer diameters of the tube portions. This facilitates an incision in tissue such as eye tissue that is wide enough to allow the tube portions to pass through. Because the blade portions are adapted to deform, they may be withdrawn through the inner diameter of the tube portions.