A dressing for treating tissue with negative pressure is provided herein comprising a composite of dressing layers, including a release film, a perforated coated polymer film, a manifold, and an adhesive cover. Additionally, a method of manufacturing the dressing may comprise applying a cross-linkable polymer to a polymer film, curing the cross-linkable polymer to a gel layer to form a coated polymer film, and perforating the coated polymer film to form fluid restrictions, such as slits and/or slots, though the coated polymer film.

A surgical instrument comprises a housing and a valve mounted in the housing. The valve is configured to control a flow of a fluid into or out of a surgical site in response to either a robotic actuation of the valve or a manual actuation of the valve. The valve comprises a valve shaft, a receiving member structurally coupled to the valve shaft, and a manual actuation component structurally coupled to the valve shaft and extending from the housing. The receiving member is configured to releasably couple to a driver of a robotic manipulator to receive the robotic actuation from the driver remotely controlled by a surgeon to adjust a state of the valve. The manual actuation component is configured to receive the manual actuation to adjust the state of the valve.

A system includes a pump, an inlet sensor, an outlet sensor, and a controller. The pump is configured for pumping fluid in a phacoemulsification system. The inlet sensor is coupled with an inlet port of the pump and is configured to sense an inlet temperature of the fluid at the inlet port. The outlet sensor is coupled with an outlet port of the pump and is configured to sense an outlet temperature of the fluid at the outlet port. The controller is configured to take a responsive action based a difference between the inlet temperature and the outlet temperature crossing a defined threshold.

Fecal management methods and apparatuses (e.g., devices, systems, etc.) are described herein. The fecal management apparatuses may apply one or more fecal removal cycles of suction and irrigation (and in some examples air) to actively remove fecal material. The apparatus may control the timing of delivery of the fecal removal cycles as well as the parameters of the applied suction, irrigation and/or air within and between fecal removal cycles.

A hysteroscopic fluid management system includes a saline source with an electrolyte concentration, at least one pressure mechanism for circulating saline to and from a targeted site and through a filter having filter characteristics back to the source, and a controller. The controller provides a saline inflow in a first flow path to the site and a saline outflow in a second flow path from the site through the filter and back to the source at a controlled flow rate. A diagnostic or therapeutic procedure is performed at the site in the presence of the saline. The filter characteristics and the controlled flow rate are selected to (1) cause substantially no change in the electrolyte concentration in the saline, (2) to prevent hemolysis of greater than 5% of filtered red blood cells exposed to the saline, and/or (3) to minimize effect on prothrombin time of plasma exposed to the filter.

A phacoemulsification system includes a hollow needle, an aspiration line, and a protection valve inserted in the aspiration line. The needle is configured to emulsify a lens of an eye. The aspiration line is for evacuating material from the eye. The protection valve includes a chamber, a piston and a seal. The chamber has an inlet for receiving the material arriving from the needle, and an outlet for flowing the material along the aspiration line. The piston is configured to move in the chamber between a first position that enables material flow between the inlet and the outlet, and a second position that blocks the material flow. The seal is coupled with the inlet and is configured, when the piston is in the second position, to compress between the piston and the inlet in response to a pressure pulse that propagates in the aspiration line, thereby hermetically sealing the inlet.

Systems, methods, and apparatuses for irrigating a tissue site are described. The system can include a tissue interface and a sealing member configured to be placed over the tissue site to form a sealed space, and a negative-pressure source fluidly coupled to the sealed space. The system includes an irrigation valve having a housing, a piston disposed in the housing, a fluid inlet to fluidly couple a fluid inlet chamber to a fluid source, and a fluid outlet to fluidly couple a fluid outlet chamber to the sealed space. A piston passage extends through the piston and fluidly couples the fluid inlet chamber and the fluid outlet chamber, and a biasing member is coupled to the piston to bias the irrigation valve to a closed position. The negative-pressure source is configured to move the piston between the closed position and an open position to draw fluid to the sealed space.

A fluid pump system having a first fluid pump for pumping fluid from a source to a surgical site and a second fluid pump for removing fluid from the surgical site at a first predetermined rate, wherein said fluid pump system intermittently operates in conjunction with a surgical tool which, when operational, removes fluid from the surgical site at a second predetermined rate greater than said first predetermined rate, the improvement including a sensor for sensing a predetermined parameter of the surgical tool and providing an output signal indicating that the surgical tool is operating; and an actuating means responsive to said output signal to actuate said second fluid pump to remove fluid from the surgical site at second predetermined rate.

Systems and methods for nasal irrigation are provided in which a nasal irrigation device includes a source of saline solution, an effluent receptacle, a nasal interface, a vacuum source, a fluid passageway to communicate the source of saline solution with the effluent receptacle through the nasal interface and a nasal cavity of a user, and a switch and valve assembly for selectively controlling the vacuum source and flow of the saline solution through the fluid passageway. The source of saline solution is disposed relative to the device to provide gravitational inducement of the saline solution to the nasal interface in engagement to the device user's nostrils. A combination of the gravitational inducement and a relative vacuum from the effluent receptacle generates a fluid flow for irrigating, cleansing and massaging the nasal cavity and ostia of the user. The entire device is assembled as a hand-held device for convenient lifting and disposal against the user's nostrils.

A flow controllable type suction and irrigation device includes: a handle having an installation space therein; a cannula provided with a conductive tube and an insulating protective tube, the conductive tube extending in a forward direction of the handle to be inserted into the abdominal cavity of a patient and being coupled to an electrode for surgery, the insulating protective tube being disposed to surround the conductive tube; and a suction supply unit provided to the handle and supplying an irrigation fluid to the cannula or suctioning blood or contaminants from the abdominal cavity of the patient through the cannula.