A surgical access device including a cannula body and an anchor is disclosed. The cannula body includes a housing, and an elongated portion extending distally from the housing. The elongated portion defines a longitudinal axis and defines a channel extending therethrough. The anchor is disposed in mechanical cooperation with the elongated portion of the cannula body and is longitudinally translatable relative to the elongated portion. The anchor defines an aperture and includes a ratchet mechanism configured to selectively lock a size of the aperture.

A surgical system includes an instrument portal comprising a first proximal end, a first distal end, and a first elongated member, the first elongated member comprising a first bore defining a first diameter, wherein the first bore extends from the first distal end to the first proximal end, wherein the maximum clearance of the instrument portal is the first diameter, and a drill guide reducer configured to be inserted into the instrument portal, the drill guide reducer comprising an elongated cylindrical member defining an outside diameter such that the drill guide reducer is sized to fit within the instrument portal and defining an inner diameter configured to receive a drill guide, wherein the inner diameter of the drill guide reducer is smaller than the first diameter of the instrument portal.

An apparatus for treating obesity comprises a volume filling device formed by at least two segments and is provided and following implantation, the device is placed resting against the stomach wall of the patient to reduce the inner volume of the stomach, thereby affecting the patients appetite.

Devices, systems and methods for treating diseases and disorders effecting the cardiovascular system of the human body are disclosed. An exemplary device in accordance with this disclosure comprises a shaft, tip member fixed to the shaft, and a probe extending beyond a distal surface of the tip member. In some useful embodiments, the tip member is relatively atraumatic and the probe is shaped so as to be more likely to produce trauma than the tip member.

A surgical access device including a cannula body and a fixation mechanism is disclosed. The cannula body includes a housing, and an elongated portion extending distally from the housing and defining a longitudinal axis. The fixation mechanism includes a sleeve and a spring. The sleeve radially surrounds a portion of the elongated portion of the cannula body. The sleeve is rotatable about the longitudinal axis relative to the elongated portion of the cannula body, and the sleeve is longitudinally translatable relative to the elongated portion of the cannula body. A first portion of the spring is engaged with the sleeve, and a second portion of the spring engaged with a distal portion of the elongated portion of the cannula body. Rotation of the sleeve about the longitudinal axis relative to the elongated portion of the cannula body causes a portion of the spring to move away from the longitudinal axis.

A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.

A surgical access device includes a cannula body and an anchor. The cannula body includes a housing, and an elongated portion extending distally from the housing. The elongated portion defines a longitudinal axis and defines a channel extending therethrough. The anchor is disposed in mechanical cooperation with the elongated portion of the cannula body and is longitudinally translatable relative to the elongated portion. The anchor defines an aperture and includes a ratchet mechanism configured to selectively lock a size of the aperture.

Disclosed is a percutaneous transabdominal port that provides access to a hollow visceral organ. The percutaneous transabdominal port is hollow and has a channel connecting the external surface of the abdomen to the inside of an organ. A catheter or other instrument may pass through this channel into the organ. The percutaneous transabdominal port has a hollow tube which spans an abdominal wall tract, an internal retainer to prevent unintended removal, and an external retainer to prevent withdrawal into the body. If the internal retainer does not rely on inflation, the hollow tube may be cut to length. An optional seal prevents fluid leakage while permitting passage of catheters or instruments. An optional closure cap is described. A method of inserting, utilizing, and removing the percutaneous transabdominal port is described.

A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.

Surgical device deployment apparatuses that include a cannula having a shaft with an exterior surface, and an interior surface forming a lumen within said cannula, the shaft having a distal portion with a plurality of apertures. An obturator configured to be used in conjunction with the aforementioned cannula has an obturator shaft with a distal portion having a reduced diameter, wherein said obturator shaft is insertable into said lumen of said cannula. In other embodiments, a surgical device deployment tool comprises a handle member with a shaft attached to a distal end of said handle member, said shaft extending distally and terminating at a shaft head. A hollow hood is attached to said shaft head, said hood having an inner surface formed such that a gap exists between said inner surface and an adjacent outside surface of said shaft head.