82 results about "Endoscopic surgical procedure" patented technology

A flexible fiberoptic endoscope has an insertion member with a distal end portion split longitudinally into a plurality of independently operable working segments each provided with at least one longitudinally extending working channel. Visualization optics are provided in the working segments or a separate central segment surrounded by the working segments. A sheath temporarily joins the working segments to one another during an introduction procedure. The sheath is removed upon insertion of the endoscope, so that the working segments may be / separated from one another and independently maneuvered via proximal control heads to facilitate the performance of an endoscopic surgical procedure.

A disposable apparatus is disclosed for applying latchless surgical clips to body tissue in endoscopic surgical procedures. The latchless clips are resiliently biased to a closed configuration. The apparatus includes a frame which is adapted to be gripped by hand, and an endoscopic section connected to the handle and capable of storing surgical clips in preparation for clipping arteries or other body tissue. The apparatus includes means for advancing each clip sequentially, temporarily opening the clip and advancing the clip further to a pair of distal jaws where the clip is positioned around the body tissue and closes around the tissue. Also included are means for closing the jaws about the clip. When the jaws are closed, the clip advancing means is simultaneously positioned to advance the next clip. The present apparatus also makes it possible to partially close a clip without interfering with the sequential movement of the clip advancing mechanism.

A surgical access apparatus adaptable to permit the sealed insertion of either the surgeon's hand and / or surgical instruments during laparoscopic and endoscopic surgical procedures includes an access housing defining a central longitudinal axis and having a longitudinal opening extending therethrough for passage of a surgeon's hand, a retractor base mounted to the access housing and having a flexible liner for positioning within the incision to engage tissue portions defining the incision, and a trocar adapter which is releasably mounted to the access housing. The trocar adapter includes a trocar sleeve positioned for reception within the longitudinal opening and a trocar valve adapted to receive a surgical instrument in fluid tight relation therewith. The access housing may include a seal adapted to form a seal about each of the surgeon's arm and the trocar sleeve. The seal is adapted to close in absence of the surgeon's arm or the trocar sleeve.

A surgical access apparatus adaptable to permit the sealed insertion of either the surgeon's hand and / or surgical instruments during laparoscopic and endoscopic surgical procedures includes an access housing defining a central longitudinal axis and having a longitudinal opening extending therethrough for passage of a surgeon's hand, a retractor base mounted to the access housing and having a flexible liner for positioning within the incision to engage tissue portions defining the incision, and a trocar adapter which is releasably mounted to the access housing. The trocar adapter includes a trocar sleeve positioned for reception within the longitudinal opening and a trocar valve adapted to receive a surgical instrument in fluid tight relation therewith. The access housing may include a seal adapted to form a seal about each of the surgeon's arm and the trocar sleeve. The seal is adapted to close in absence of the surgeon's arm or the trocar sleeve.

An evacuation system for continuously removing gas from a body cavity of a patient during an endoscopic surgical procedure is disclosed, which includes an inlet flow path leading to a first trocar communicating with the body cavity through which an essentially continuous flow of gas is delivered to the body cavity, an outlet flow path leading from a second trocar communicating with the body cavity though which an essentially continuous flow of gas is removed from the body cavity, a pump communicating at least with the outlet flow path for removing an essentially continuous flow of gas from the surgical cavity, and a processor operatively associated with the pump for controlling at least the essentially continuous flow of gas from the body cavity.

Apparatus and methods for performing endoscopic surgical procedures where only a minimal number of (or even one) openings are required to perform the procedures. Ablation procedures, including epicardial ablation procedures and apparatus for performing such procedures. Epicardial atrial ablation may be performed epicardially with access through only one side of a patient's chest required to perform all procedures.

The present invention discloses means and methods for providing trans-Douglas endoscopic surgical procedures in the pelvis and in other body portions, and especially gynecological, cardiological, urological, vascular, neurological or surgical operations; said method comprising steps of opening the Pouch of Douglas; inserting an U-shapeable or S-shaped endoscopic surgical device into the vagina in parallel to the blood vessels; introducing the distal end into the abdominal cavity; U-shaping or S-shaping the tubular assembly; and carrying out an operation in the pelvis.

A system for organizing a set of surgical instruments for an endoscopic surgical procedure includes a tray body that defines a set of recesses. Some of the recesses are each designed to receive the operating portion of a respective endoscopic surgical instrument. These recesses are notched at one side such that the elongated invasive portions of the endoscopic surgical instruments are positioned entirely or partially outside of the tray body, directly supported by the same table surface that supports the tray body during an endoscopic procedure.

A flexible fiberoptic endoscope has an insertion member with a distal end portion split longitudinally into a plurality of independently operable working segments each provided with at least one longitudinally extending working channel. Visualization optics are provided in the working segments or a separate central segment surrounded by the working segments. A sheath temporarily joins the working segments to one another during an introduction procedure. The sheath is removed upon insertion of the endoscope, so that the working segments may be / separated from one another and independently maneuvered via proximal control heads to facilitate the performance of an endoscopic surgical procedure.

Apparatus and method for performing surgical procedures within the mediastinum and within the pericardium include an endoscopic cannula having a transparent tip, and an endoscope for introduction into the mediastinum and optionally into the pericardium via a single subxiphoid incision. A cavity may be initially dilated for advancing the endoscopic cannula using a dilating tool that exerts a lateral-expansive force against surrounding tissue for evaluating the endoscopic cannula to be introduced into the mediastinum. Other surgical instruments are positioned through the endoscopic cannula to cut a flap of the pericardium as an opening through which other surgical apparatus may be introduced. The endoscopic cannula may be swept around selected regions of the heart through an aperture near the apex of the heart to facilitate placement of epicardial tacks about regions of the heart.

A surgical access apparatus adaptable to permit the sealed insertion of either the surgeon's hand and / or surgical instruments during laparoscopic and endoscopic surgical procedures includes an access member having a passageway therethrough and first and second seal members mounted across the passageway. The first seal includes an inner seal portion and an outer seal portion. The inner seal portion has an aperture for substantial sealed reception of an object inserted therein and is arranged about a first seal axis. The outer seal portion includes at least one expansible rib dimensioned to facilitate movement of the aperture to a displaced position radially displaced from the first seal axis upon insertion of the object therethrough. The second seal member also has an inner portion defining an aperture for substantial sealed reception of the object and is arranged about a second seal axis radially displaced from the first seal axis. Preferably, the apertures of the first and second seal members are in non-overlapping relation in the absence of the object positioned therein. The first seal member is adapted to move to the displaced position upon insertion of the object therethrough whereby the apertures of the first seal member and the second seal member overlap. The first and second seal members are preferably adapted to form a substantial seal within the passageway of the access member in the absence of the object inserted within the aperture of the first member. The outer seal portion of the first seal member may include a plurality of expansible ribs. The expansible ribs may be are arranged along respective lines of intersection with the axis of the first seal member.

A surgical device and method for endoscopic surgical procedures capable of preventing injuries to internal organs during insertion. The surgical device can include one or more of the following: a multiple system of sharp blade edges or a single blade, a mechanical tissue protection device that includes a series of thin plastic guards sliding along the sides of the planar knives and having an angle between their edges smaller than that of the cutting knife edges, one or more fixed conical deflectors to expand the cut tissue passage leaving the guards to contact tissue contact only at their tips, an insufflation passage configured to transport fluid into the body cavity during penetration, a locking system for the guards that prevents accidental reuse of the cutting features, and / or an ergonomic design which facilitates handling.

A delivery device (suture passer or suture snare) that may be used in both open and endoscopic surgical procedures. The delivery device is designed with an internal member terminating in a snare and a retractable outer sheath (sleeve). The device is passed through tissue, and the outer sheath is retracted (moved back), allowing the snare to open. The suture is captured by the snare, and the outer sheath is then released so that it returns to its distal position, closing the snare and securing the captured suture. Since the snare is exposed by retracting the outer sheath (sleeve), rather than advancing the snare, the space requirement for the device is reduced, as is the possibility that the snare will undesirably contact sensitive tissue.

An endoscopic surgical procedure on a patient, and more particularly, a novel and unique endoscopic surgical procedure known as an endoscopic gastrocnemius tenotomy to relieve posterior heel cord contracture tending to cause foot and ankle deformities.

Example embodiments relate to devices, systems, and methods for performing a surgical action. The system may comprise a port assembly and instrument arm assembly. The port assembly may include a central access channel formed through the port assembly and plurality of anchor ports. The instrument arm assembly may include a shoulder section securable to a first anchor port, first arm section secured to the shoulder section, elbow section secured to the first arm section, second arm section secured to the elbow section, wrist section secured to the second arm section, and end effector section secured to the wrist section. The image capturing assembly may include an image capturing device and multi-curvable body. The multi-curvable body may be configurable to curve at one or more locations along the multi-curvable body, in one or more of a plurality of curvatures, and in one or more of a plurality of directions.

A minimally invasive endoscopic surgical procedure or an endoscopic surgical procedure through natural orifices which includes: introducing a spacial structure in a shrunken state into a body cavity by a spacial structure introduction portion; enlarging the spacial structure in the body cavity; setting the enlarged spacial structure in a predetermined position in the body cavity and supporting the tissues inside of the body cavity with the set spacial structure; inserting a distal end of at least an endoscope or a treatment instrument from at least a part of an opening portion of the spacial structure, and orienting the distal end to a pathological lesion located on the inner side of the tissues inside of the body cavity which is supported by the spacial structure.

The present invention relates to a cleaner for an endoscope, the cleaner being used inside a living body during an endoscopic, surgical procedure. In particular, an object of the present invention is to reduce the burden on a physician and the patient during an endoscopic surgical procedure. The present invention therefore relates to a cleaner for cleaning debris from an endoscope and / or endoscopic accessories, such as an endoscope lens and / or an endoscope hood (attachment), inside a living body. The present invention also relates to an antifoulant for antifouling treatment of an endoscope and / or endoscopic accessories. The antifoulant may comprise, for example, (i) a nonionic surfactant with an HLB of 1 to 11 and (ii) a nonionic surfactant with an HLB of 11 to 20.

A surgical tool arrangement for performing endoscopic surgical procedures which includes a powered handpiece and a cutting accessory which detachably connects to the handpiece and incorporates multiple blade configurations or styles into one accessory. The accessory includes a cutting element which rotates within an outer housing element, wherein each element has a cutting window at its distal end, and one of the cutting windows has two sides which have differently configured cutting geometries.

A delivery device (suture passer or suture snare) that may be used in both open and endoscopic surgical procedures. The delivery device is designed with an internal member terminating in a snare and a retractable outer sheath (sleeve). The device is passed through tissue, and the outer sheath is retracted (moved back), allowing the snare to open. The suture is captured by the snare, and the outer sheath is then released so that it returns to its distal position, closing the snare and securing the captured suture. Since the snare is exposed by retracting the outer sheath (sleeve), rather than advancing the snare, the space requirement for the device is reduced, as is the possibility that the snare will undesirably contact sensitive tissue.

Gas recirculation systems for use in endoscopic surgical procedures including a gas recirculation pump are disclosed. The gas recirculation pump may work in conjunction with an insufflator used to inflate a patient's peritoneal cavity during surgery. The gas recirculation system may recirculate a high flow rate of gas from and to the patient while filtering particulate matter out of the gas and while maintaining an adequate moisture content in the gas. The gas recirculation pump may include a disposable pump cartridge releasably connected to a pump motor. A controller may detect a fault or safety condition in the gas recirculation system based on the load placed on the pump motor.

Systems and methods for performing robotic endoscopic surgical procedures, according to a surgical plan prepared on a preoperative set of three dimensional images. The system comprises a surgical robot whose coordinate system is related to that of fluoroscope images generated intraoperatively, by using a three dimensional target having radio-opaque markers, attached in a predetermined manner to the robot or to another element to which the robot is attached, such as the spinal bridge or an attachment clamp. The robot is mounted directly or indirectly on a bone of the patient, thereby nullifying movement of the bone, or a bone tracking system may be utilized. The coordinate system of the intraoperative fluoroscope images may be related to the preoperative images, by comparing anatomical features between both image sets. This system and method enables the endoscope to be directed by the robot along the exact planned path, as determined by the surgeon.

A surgical tool arrangement for performing endoscopic surgical procedures which includes a powered handpiece and a cutting accessory which detachably connects to the handpiece and incorporates multiple blade configurations or styles into one accessory. The accessory includes a cutting element which rotates within an outer housing element, wherein each element has a cutting window at its distal end, and one of the cutting windows has two sides which have differently configured cutting geometries. One of the cutting windows has a first side with a cutting edge that is toothed and a second side with a cutting edge that is generally straight.

The present invention relates to a pharmaceutical composition in form of emulsion or microemulsion and the use thereof as aid during endoscopic procedures in which it is injected in a target tissue in order to form a cushion. More in details, the invention relates to a method for performing an endoscopic procedure, which comprises injecting said pharmaceutical composition in form of emulsion or microemulsion in a target tissue of a patient, in order to form a cushion, which cushion is then optionally subjected to an endoscopic surgical procedure, such as a resection.

Example embodiments relate to surgical devices, systems, and methods. The system may include a port assembly and instrument arm assembly. The port assembly may have first and second end sections. The first end section may include a first end channel and first gate assembly. The second end section may include a second end channel, second gate assembly, and anchor port. The first and second gate assemblies may be configurable to transition between an open position to allow access through the first and second end channels, respectively, and a closed position to prevent access to same. The instrument arm assembly may include a shoulder section securable to the anchor port, first arm section secured to the shoulder section, elbow section secured to the first arm section, second arm section secured to the elbow section, wrist section secured to the second arm section, and end effector section secured to the wrist section.

Methods and systems for accessing an operating cavity when performing endoscopic surgery comprising. The systems and methods include at least one obturator-free cannula unit and a trocar assembly. The trocar assembly includes a single dedicated functional obturator independent of the cannula unit and an endoscopic cannula. The invention also provides a system and methods for providing continuous flow of carbon dioxide during a laparoscopic procedure.

A surgical instrument for endoscopic surgery having a solid or transparent body and open windows on each of the opposing sides at the distal end, proximate a top open region. The open windows can be arcs or other configurations either open or with bars which are generally integral with the top and extend across the windows. An integrated tissue retractor spring, once activated, extends above the open region and when not activated rests within the open region. A marking member, that can be in fluid contact with a marking reservoir, can be placed at the distal end of the body. In another embodiment the body can be curved using a flexible blade shaft. In a further embodiment the handle has a linear body, containing a blade activation mechanism, at least one activation trigger, and a connector means.

Methods and systems for accessing an operating cavity when performing endoscopic surgery comprising. The systems and methods include at least one obturator-free cannula unit and a trocar assembly. The trocar assembly includes a single dedicated functional obturator independent of the cannula unit and an endoscopic cannula. The invention also provides a system and methods for providing continuous flow of carbon dioxide during a laparoscopic procedure.