Disclosed are medical devices for surgical procedures, especially procedures that involve the manipulation of surgical instrument end effectors close to the skin surface at an incision site. In accordance with some embodiments, an instrument access device is configured to couple to a wound retractor at a distal end of the device and to receive a multiple instrument entry guide in a port at the proximal end of the instrument access device, with an envelope between the distal and proximal ends defining a sealed cavity for maintaining insufflation pressure. Various embodiments provide means for rotating an assistant port in the envelope about a port that receives the instrument entry guide without twisting the envelope. Also disclosed are various envelope shapes. Also disclosed is an instrument entry guide that aligns surgical instrument shafts.

A gap gauge is disclosed for facilitating an arthroplasty procedure on a first bone and a second bone of a patient. The gap gauge may include a first plate positionable in contact with the first bone, a second plate positionable in contact with the second bone. The second plate may be displaced from the first plate by a displacement. The gap gauge may further include a balance indicator configured to indicate a balance status between the first plate and the second plate and a pin guide. The pin guide is configured to couple to one of the first plate and second plate and includes a pin hole that is configured to guide a pin for insertion into the second bone. The pin can be used to couple a cutting guide to the second bone to resect the second bone to adjust the balance status.

The invention encompasses devices and methods that at least partially entrap the droplets and aerosols from a person undergoing an aerosol/droplet-generating procedure, thereby reducing a heath care worker's direct exposure to such health hazards. The device includes a planar cover structure impermeable to aerosols, droplets, fluids and gas. The planar cover structure providing a barrier between a health care worker and the body cavity or orifice of a patient. A hollow tubular extension forming an opening on the planar cover structure and the opening is configured to he positioned approximately on top of the body cavity or orifice of the patient. The opening configured to be reversibly closed via a closure mechanism.

A medical device may include an introducer sheath, having a distal and a proximal end and a lumen extending from the distal end to the proximal end. The introducer sheath may also include a tab formed at the distal end and extending distal to the lumen, and a frangible portion extending between the distal end and the proximal end.

An arrangement, and associated method, for cleaning and disinfecting an endoscope having an internal channel accessible via an opening. The arrangement includes: a support structure; at least one tray including at least one fixture arranged to maintain the endoscope in the desired position within the tray; a rack arranged to support the tray; a control unit arranged to control and operate the arrangement; a user interface connected to the control unit and arranged to make it possible for an operator to indicate the type of endoscope arranged in the tray; an optical device connected to the control unit and configured to confirm the type of endoscope arranged in the tray; a robotic device operated by the control unit and arranged to clean the at least one channel in the endoscope arranged in the tray; and a disinfector device arranged to enclose the tray and disinfect the endoscope.

A device used for applying an antiseptic preparation, such as an antibiotic solution or water, or all other substance deemed necessary in treating a wound prior to arrival at a hospital or other treatment facility or for continuing wound therapy and maintenance while hospitalized, in an out-patient facility or at home. A loose-fitting bag is provided which encloses the wound by securing the open end(s) to the patient by closing means. The bag further includes ports or resealable flaps that allow access to the wound for treatment and cleaning while containing all fluids resulting therefrom. A high friction scrub surface is provided in the bag. A method and apparatus are also provided for wound maintenance with a lavage system.

Devices and methods for sterilizing the outer and inner surfaces of a working end-site of a medical device such as a catheter hub, luer connector, luer component, needleless access site, and/or access port are discussed. The sterilizing device can include a housing, a sterilizing element including an antipathogenic agent configured for sterilizing the working end-site of a medical device, and a cap hingedly coupled to the housing and configured to hermetically seal the sterilizing element within the housing. One or more features on the cap and housing serve to hermetically seal the cap to the housing prior to use.

A device for introducing sterile instruments into an operation chamber or an instrument chamber comprises an introduction frame, a first roller and a second roller rotatable around their respective longitudinal axis and attached to the introduction frame such that the longitudinal axis of the first roller and the longitudinal axis of the second roller are parallel and the first roller and the second roller are movable along an axis extending perpendicular to their respective longitudinal axis. A distance between the first roller and the second roller is defined by a position of a movement of the first and second roller along the axis extending perpendicular to their longitudinal axes. The first and second rollers are biased to contact each other and may be moved along the axis to increase the distance to allow insertion of an instrument through a gap provided by the distance.

A device for introducing sterile instruments into an operation chamber or an instrument chamber comprises an introduction frame, a first roller and a second roller rotatable around their respective longitudinal axis and attached to the introduction frame such that the longitudinal axis of the first roller and the longitudinal axis of the second roller are parallel and the first roller and the second roller are movable along an axis extending perpendicular to their respective longitudinal axis. A distance between the first roller and the second roller is defined by a position of a movement of the first and second roller along the axis extending perpendicular to their longitudinal axes. The first and second rollers are biased to contact each other and may be moved along the axis to increase the distance to allow insertion of an instrument through a gap provided by the distance.

A sterile barrier assembly, mounting system, and method for kinematically coupling first and second surgical components together through the sterile barrier assembly so that positioning is repeatable and deterministic.