摘要:
A fastener cartridge assembly for an end effector of a surgical instrument can comprise a cartridge body, a deformable tube, and a fastener moveable between an initial position and a fired position. The deformable tube can be longitudinally positioned along a length of the cartridge body. When the fastener is moved to the fired position, the fastener can compress a portion of the deformable tube. The deformable tube can comprise a resilient material such that deformation of the deformable tube generates a restoring force. The deformable tube can comprise a lattice of strands woven together to form a tube wall. Further, the deformable tube can be bioabsorbable and can hold a therapeutic agent. The fastener cartridge assembly can comprise multiple, substantially parallel deformable tubes positioned side-by-side and/or within each other.
摘要:
Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a proximal housing and a distal retractor. At least one stability thread can extend around a perimeter of at least a portion of the distal retractor. In some embodiments, the stability thread can be mechanically adjustable to change a diameter of the distal retractor.
摘要:
Various devices and methods are provided with respect to inserting multiple surgical instruments through a single surgical access device. A medical device including a flexible tissue retractor and a releasable insert having multiple instrument openings is disclosed. The insert can be in the form of an insert assembly including multiple components. A method of using the insert is also described.
摘要:
Devices and methods are disclosed for accessing a body cavity or other surgical site while providing optimal device length and improved tissue retraction, device retention and stability, and seal integrity. A surgical access device is disclosed that generally comprises an external seal housing having at least one working channel and that is coupled to a flexible and/or resilient retractor. The retractor can include a resilient ring at its distal circumference configured to be deformed to facilitate insertion through an incision and then to return to an undeformed state having a diameter greater than a diameter of the incision once within a body cavity. Various means of coupling the retractor to the housing are disclosed, as are various types of seals that can be included within the housing. “Low-profile”and “peel-away cannula” embodiments of the surgical access device are disclosed, along with methods of accessing a body cavity using such devices.
摘要:
An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed.
摘要:
Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes an elongate hollow tube having a proximal end that is configured to be positioned adjacent to a tissue surface and a distal end configured to extend through a body wall into a body cavity. The proximal end of the device can be can be configured to allow the proximal-most portion of the surgical access device to rest flush or substantially flush against a tissue surface of a patient when the device is inserted into the patient. In some embodiments, the elongate hollow tube can have a non-circular cross-section.
摘要:
Various devices and methods are provided with respect to inserting multiple surgical instruments through a single surgical access device. A medical device including a flexible tissue retractor and a releasable insert having multiple instrument openings is disclosed. The insert can be in the form of an insert assembly including multiple components. A method of using the insert is also described.
摘要:
Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.
摘要:
Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.
摘要:
A two-part tissue thickness compensator assembly can include a first tissue thickness compensator configured to be positioned relative to an anvil of a surgical stapler, a second tissue thickness compensator configured to be positioned relative to a staple cartridge of the surgical stapler, and a hinge connecting the first tissue thickness compensator to the second tissue thickness compensator. The first and/or second tissue thickness compensators may include additional engagement features, such as a raised ridge that engages a slot in the anvil and/or the staple cartridge. In certain embodiments, the first and/or second tissue thickness compensators may include an encasement that contains a suitable biologic agent. An end effector assembly may be provided for attachment to a surgical instrument that includes, for example, a staple cartridge, an anvil, a first tissue thickness compensator positioned on the anvil, and a second tissue thickness compensator positioned on the staple cartridge.