An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

A retractor having an elongated body that provides access to a surgical location within a patient. The elongate body includes a plurality of segments that are connected to one another through a plurality of ratcheting mechanisms. The ratcheting mechanisms permit relative movement of the segments with respect to one another when expander dilators are inserted within the retractor. The segments are surrounded and retained by a resilient elastomeric sleeve or bands. The distal end surfaces of the segments include thin edges that are configured to mobilize, dissect, split and retract the terminal tissues in the surgical area. The retractor may be used in conjunction with a shim.

A retractor having an elongated body that provides access to a surgical location within a patient. The elongate body includes a plurality of segments that are connected to one another through a plurality of ratcheting mechanisms. The ratcheting mechanisms permit relative movement of the segments with respect to one another when expander dilators are inserted within the retractor. The segments are surrounded and retained by a resilient elastomeric sleeve or bands. The distal end surfaces of the segments include thin edges that are configured to mobilize, dissect, split and retract the terminal tissues in the surgical area. The retractor may be used in conjunction with a shim.

This document provides surgical retractor devices and systems. For example, this document provides a weighted surgical retractor system. In one example embodiment, this document provides a weighted Deaver retractor system that includes a selectable amount of weight that can be releasably coupled to a shaft of the retractor. The surgical retractors provided herein can be used during a variety of surgical procedures, including surgical procedures performed on the abdomen, thoracic regions, limbs, and so on. In some embodiments, the surgical retractors provided herein are well-suited for retraction of the vaginal canal for hysterectomy surgery, and for other procedures for which vaginal retraction is necessary.

This document provides surgical retractor devices and systems. For example, this document provides a weighted surgical retractor system. In one example embodiment, this document provides a weighted Deaver retractor system that includes a selectable amount of weight that can be releasably coupled to a shaft of the retractor. The surgical retractors provided herein can be used during a variety of surgical procedures, including surgical procedures performed on the abdomen, thoracic regions, limbs, and so on. In some embodiments, the surgical retractors provided herein are well-suited for retraction of the vaginal canal for hysterectomy surgery, and for other procedures for which vaginal retraction is necessary.

A method for optimizing initial discriminating information extracted from a two-dimensional image of the patient dental arches, referred to as “acquired image”, by a three-dimensional digital reference model of at least one portion of a patient arch, the method including the steps: C1. assessing quality of the initial discriminating information and quality threshold, filtering to keep only the initial discriminating information that has quality higher than the quality threshold, and defining “the discriminating information to be tested” as the initial discriminating information selected; C2. testing consistency between the discriminating information to be tested and reference model; C3. assessing test result and, in accordance with the assessment: adding discriminating information that was not kept to the discriminating information to be tested and/or deleting discriminating information from the discriminating information to be tested, and then returning to step C2. or; defining the optimal discriminating information as the discriminating information to be tested.

A system for performing minimally invasive procedures in a body lumen of a patient including a flexible catheter having a first lumen configured and dimensioned to receive an endoscope therethrough and a second lumen configured and dimensioned to receive a first flexible tube therethrough. The first flexible tube is movable through the second lumen and has a distal portion including a first curve extending in a first direction with respect to the longitudinal axis and a second curve extending in a second different direction with respect to the longitudinal axis. A retractor system is positioned at a distal portion of the catheter and is movable from a non-expanded insertion position to an expanded position forming an expanded cage to form a larger working space. The distal portion of the first flexible tube is movable within the expanded cage.

A system for performing minimally invasive procedures in a body lumen of a patient including a flexible catheter having a first lumen configured and dimensioned to receive an endoscope therethrough and a second lumen configured and dimensioned to receive a first flexible tube therethrough. The first flexible tube is movable through the second lumen and has a distal portion including a first curve extending in a first direction with respect to the longitudinal axis and a second curve extending in a second different direction with respect to the longitudinal axis. A retractor system is positioned at a distal portion of the catheter and is movable from a non-expanded insertion position to an expanded position forming an expanded cage to form a larger working space. The distal portion of the first flexible tube is movable within the expanded cage.

Described is a surgical device to retain and move an organ during surgical operations, which makes it possible to easily prepare the system for holding the organ and avoids the need both for a dedicated access trocar for exclusive use and the insertion of an operating member connected irreversibly to the surgical device. The surgical device minimises the risk of tearing and/or bleeding of the organ following the actions applied on the same organ during the surgical operation.

A surgical access assembly comprises a trocar and a surgical instrument. The trocar comprises a housing and an access tube extending distally from the housing. The housing comprises a hollow light emitter. The housing and the access tube define a lumen extending through the housing and the access tube. The hollow light emitter is configured to project light in the lumen. The surgical instrument comprises an end effector and a shaft extending proximally from the end effector. The shaft comprises an optical receiver positioned within reach of the light from the hollow light emitter. The shaft further comprises a light guide extending from the optical receiver along at least a portion of the shaft toward the end effector.