This disclosure relates to a surgical device configured to both strip and cut a tendon. The harvested tendon can be used in various orthopedic procedures, such as ACL, PCL, and UCL reconstructions.

A visualization tissue retractor includes a handle defining a proximal end portion and a distal end portion, a dock extending from the proximal end portion of the handle and configured to receive a portable display device, a retractor arm extending from the distal end portion of the handle and defining a guide track disposed along at least a portion of a length thereof, and a surgical camera assembly engaged with the guide track and configured to slide therealong.

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a tip disposed at the distal end of the elongated body; and a cutting unit having a first cutting portion and a second cutting portion, the first cutting portion and the second cutting portion being moveable in a longitudinal direction relative to the elongated body to capture a blood vessel between the first cutting portion and the second cutting portion, and being rotatable relative to one another circumferentially about the tip to cut the captured blood vessel.

A vein harvesting assembly for harvesting a vein in a body comprises: a dissecting member, with the dissecting member being insertable into the body and moved along a vein to dissect tissue surrounding the vein. A covering member possesses a proximal end portion and a distal end portion, with the covering member possessing a covered space extending from the proximal end portion to the distal end portion, and the covering member being mountable on and movable along the dissecting member when the dissecting member is positioned in a living body. A cutting member is comprised of an elongated member and a blade member so that rotation of the elongated member results in turning of the cutting member to cut tissue surrounding the vein. The cutting member is insertable into the space in the covering member and is movable in a distal direction along the space.

Instruments and methods for harvesting a tissue structure such that a tendon graft are provided. In general, the surgical instrument includes an elongate shaft and an end effector pivotally coupled to a distal end thereof. The end effector defines a tissue seating passage configured to seat therethrough a portion of the tendon when the end effector is in use. The end effector is configured to be manipulated such that either its first or second end is positioned as a leading end. A method for using the end effector to harvest a tendon includes using the end effector to strip and cut the tendon at one end thereof when the first end of the end effector is a leading end, manipulating the end effector such that its second end becomes the leading end, and using the end effector to strip and cut the tendon at another, opposite end thereof.

A trans-xiphoid procedure for gaining entry to the chest cavity of a patient, sometimes also referred to herein as a TRAX procedure. The procedure may be used for, among other things, mobilization of the mammary arteries and performing coronary artery bypass surgery in which the mammary artery of the patient or other conduit is joined to a coronary artery of the patient, such as the left anterior descending (LAD) coronary artery.

A surgical device includes a handle assembly, an elongated portion, an end effector, a visualization device, and a constant horizon mechanism. The elongated portion extends distally from the handle assembly and defines a longitudinal axis. The end effector is rotatable about the longitudinal axis relative to the handle assembly. The visualization device defines a visualization axis. A first portion of the visualization device extends through the elongated portion, and a second portion of the visualization device is disposed at least partially within the handle assembly. The visualization device is rotatable about the longitudinal axis relative to the handle assembly. The constant horizon mechanism is disposed in operative engagement with the visualization device and is configured to prevent the visualization device from rotating about the visualization axis when the visualization device rotates about the longitudinal axis.

Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.

A tissue illumination system and a method for harvesting a section of a blood vessel from a patient's body for further use. The tissue illumination system includes a light catheter inserted into a lumen of the blood vessel section to illuminate the vessel section and vessel side branches with an intensity which is visible to the physician from an exterior of the vessel section and also includes a viewing element insertable into the lumen and capable of viewing the illuminated vessel section. The tissue illumination system also includes at least one tool insertable into the lumen and used to harvest the vessel section.

A guide operates in the creation of a bone spur to facilitate harvesting a quadriceps tendon and includes an end having a width equal to a desired graft width with a terminal slope equal to a cutting angle desired. In use, the guide may be initially positioned parallel to the femur to form guide cuts in the patella. The guide is then rotated ninety degrees to allow an angled cut at the guide cut. The guide is again rotated, this time one hundred eighty degrees and a second angled cut made on the other guide cut. A final lateral cut is made and the bone spur may be lifted from the patella.