Ethicon, Gmbh

Cilag International Gmbh

Ethicon Endo-surgery, Inc.

Craig T Gates

Frederick E Shelton, IV

Christopher J Hess

Douglas E Withers

Ryan A Bledsoe

Jerome R Morgan

Jeffrey L Savage

Adam David Hensel

Daniel J Mumaw

Monica L Zeckel

Surgical access devices having wound closure features incorporated as part of the device are provided. The devices allow suture to be inserted directly into the device and operated to close an opening through which the device is disposed as or shortly after the device is removed from the surgical site. Further, the wound closure features allow for various orientations of wound closure to be achieved by adjusting an angle at which the suture enters tissue surrounding the opening to be closed. Some of the wound closure features provided for include openings formed in both the housing and cannula of the surgical access device, multiple openings formed in one or both the housing and cannula, locations of the openings being adjustable or otherwise movable, and various flexible seals. Other features, as well as methods of closing an opening through which the surgical access device was disposed, are also provided.

Surgical access device having a variable tissue approach angle

Devices and methods for delivering end effectors through surgical trocars are described herein. In one embodiment, a surgical end effector loading device is provided that includes a housing having a distal-facing first portion configured to couple with a proximal end of a surgical trocar, and an elongate second portion protruding distally from the first portion. The second portion can include a lumen formed therein and can be configured to extend into a working channel of the surgical trocar when the housing is coupled thereto. The device can also include at least one mating element coupled to the housing and configured to interface with a complementary mating element of the surgical trocar to restrict movement of the housing relative to the trocar, as well as an end effector retainer coupled to the housing and configured to selectively couple a surgical end effector to the housing.

Surgical end effector loading device and trocar integration

Devices and methods for positioning a surgical instrument are described herein. In one embodiment, a positioning device can include a base that can be placed against tissue and a shuttle including a lumen that can receive a surgical instrument. The lumen can be translated in at least two directions relative to the base and an orientation of the lumen relative to the base can be polyaxially adjusted. Further, the device can include a locking mechanism that, upon actuation, prevents both translational movement and polyaxial movement of the lumen relative to the base.

Positioning device for use with surgical instruments

Devices and methods for organizing a plurality of end effectors and selectively delivering them through surgical trocars are described herein. In one embodiment, a surgical end effector loading device is provided that includes at least one mating element to interface with a surgical trocar, a deployment lumen positioned to align with a working channel of a surgical trocar, an end effector repository having a plurality of end effector lumens formed therein to receive end effectors, the repository being configured to selectively align any of the plurality of end effector lumens with the deployment lumen, and an advancer coupled to the repository and configured to advance an end effector from the repository through the deployment lumen.

Multi-head repository for use with a surgical device

Surgical access devices having a variable tissue approach angle

Surgical access devices having adjustable suture paths

Surgical access devices with integrated wound closure features

Surgical access devices that include an elongate opening with an adjustable entry port disposed in the opening

Systems, devices, and methods designed to make it easier to couple end effectors to surgical instruments are provided. A variety of features are disclosed, which can be used independently or in conjunction with each other. The resulting benefits include enhanced visualization, more secure coupling, easier communication that coupling has occurred, self-clocking components with respect to each other, and more component modularity. In one exemplary embodiment, an end effector assembly having an end effector and an attachment arm includes a terminal end surface of the attachment arm having a three-dimensional configuration such that a portion of the end surface extends further away from a set location than another portion of the end surface extends from the location. In another exemplary embodiment, end effector assemblies include chambers having curved configurations that assist in self-clocking the assemblies with respect to surgical devices. Other features, devices, systems, and methods are also provided.

Systems, devices, and methods for coupling end effectors to surgical devices and loading devices

Devices and methods for cleaning a surgical device, and or end effectors associated with the device, are provided. In one exemplary embodiment, a surgical device includes a housing, a plurality of shafts extending distally from the housing, a port disposed at a proximal end of the shafts to form a proximal compartment and an end effector receiver disposed at a distal end of the shafts to form a distal compartment. A fluid and/or a vacuum source can be supplied at the port, through the proximal compartment and shafts, and to the distal compartment. The supplied fluid or vacuum source can be effective to remove fluid and/or tissue from the distal compartment. A plurality of seals can be provided on an outer-most shaft in the compartments to seal fluid from the compartments from entering a housing and/or an outside environment. Other devices and exemplary methods are also provided.

Devices and methods for cleaning a surgical device

Surgical access devices having a cannula sidewall seal with a variable cross-sectional thickness

Growing community of inventors

West Chester, OH, United States of America

Craig T Gates