A transvaginal occluder includes an elongated housing having proximal and distal portions and an internal cavity defined therebetween configured for selective receipt of a surgical instrument therethrough. The occluder includes a spine having an elongated shaft operably insertable within the internal cavity and a proximal end positionable outside the internal cavity. The proximal end includes one or more mechanical interfaces adapted to engage a proximal rim of an access device to secure the occluder therein.

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.

Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.

An occlusion device includes a body having a plurality of layers and defining a first diameter. Each layer of the plurality of layers is releasably coupled to a respective inwardly-adjacent layer. An outermost layer of the plurality of layers is removable from the respective inwardly-adjacent layer. Removal of the outermost layer reduces an outer diameter of the body from the first diameter to a second diameter that is less than the first diameter.

A surgical apparatus of the present disclosure includes a wound retractor having a specimen bag attached thereto. Kits of the present disclosure include the surgical apparatus and a vacuum tube. In embodiments, the vacuum tube may be introduced into a lumen of the wound retractor. A vacuum source is attached to a proximal end portion of the vacuum tube to draw a vacuum through the vacuum tube, which in turn draws a tissue specimen into the lumen of the vacuum tube through an opening in the distal end portion of the vacuum tube. The vacuum tube, possessing the tissue specimen therein, may then be removed from the wound retractor. Methods for using the surgical apparatus and/or kits of the present disclosure are also provided.

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 surgical apparatus of the present disclosure includes a wound retractor having a specimen bag attached thereto. Kits of the present disclosure include the surgical apparatus and a vacuum tube. In embodiments, the vacuum tube may be introduced into a lumen of the wound retractor. A vacuum source is attached to a proximal end portion of the vacuum tube to draw a vacuum through the vacuum tube, which in turn draws a tissue specimen into the lumen of the vacuum tube through an opening in the distal end portion of the vacuum tube. The vacuum tube, possessing the tissue specimen therein, may then be removed from the wound retractor. Methods for using the surgical apparatus and/or kits of the present disclosure are also provided.

A method may include coupling a proximal end of a first cannula to a first manipulator of a surgical system, the first manipulator being configured to remotely actuate movement of the first cannula, wherein the first cannula comprises a rigid portion disposed between the proximal end and a distal end of the first cannula, the rigid portion having a curved longitudinal axis, and coupling a proximal end of a second cannula to a second manipulator of a surgical system, the second manipulator being configured to remotely actuate movement of the second cannula, wherein the second cannula comprises a rigid portion disposed between the proximal end and a distal end of the second cannula, the rigid portion having a curved longitudinal axis. The coupling of the first and second cannulas to the respective first and second manipulators can further include positioning respective first and second centers of motion of the first and second cannulas proximate to each other, and positioning respective longitudinal axes of the first and second cannulas at the first and second centers of motion across one another.

The present disclosure relates generally to the field of medical devices and establishing access to the renal capsule. In particular, the present disclosure relates to devices and methods for performing a percutaneous nephrolithotomy (PCNL) procedure accurately and efficiently while minimizing exposure of the medical professional to harmful radiation.

A robotic system includes a master device and a slave manipulator configured to support an instrument. The instrument includes an instrument shaft having a proximal end and a distal end, and an end effector coupled to the distal end. The instrument shaft is optionally configured to be inserted into an inserted position through a port so as to provide the end effector with access to a site. A control system is operably coupled to the master device and to the slave manipulator. In response to input at the master device, the control system controls the slave manipulator to move the instrument based on modeling the end effector as being positioned along a line coincident with a longitudinal axis of the distal end of the instrument shaft. The line does not intersect the port when the instrument shaft is in the inserted position through the port. Methods relate to robotic systems.