Abstract: A mixer gun system includes a holder cap configured to separately store components in separate chambers. The components are selectively releasable through channels fluidly communicating with the separate chambers. The components are constituent materials for a bone cement mixture. A body forms a mixing chamber and is configured to receive the holder cap. The mixing chamber includes an opening corresponding with the channels for the separate chambers. A piston is disposed within the mixing chamber. A plunger is coupled to the piston and is configured to be biased toward the mixing chamber such that when the components are released into the mixing chamber a pressure developed by a biased motion of the plunger and piston infuses the components to form bone cement. Upon resetting the plunger and the piston, the bone cement is dispensed from the mixing chamber by the same biased motion. Methods of use are disclosed.

Abstract: A device includes a first member extending along an axis and including an inner surface defining a cavity. The inner surface defines a locking element extending into the cavity. First and second openings extend the first member and are in communication with the cavity. A pivoting member is movably disposed in the cavity and includes an inner surface defining a passageway. An outer surface of the pivoting member includes grooves configured to engage the locking element. A second member is disposed within the passageway. The pivoting member is movable between a first orientation such that the locking element is spaced apart from the grooves and the pivoting member is rotatable to a selected trajectory relative to the axis and a second orientation such that the locking element engages one of the grooves and the second member is fixed in the selected trajectory.

Abstract: A surgical system including an expandable device is provided, including an inflatable body, an inner shaft and an outer shaft. The inflatable body has at least one folded segment, which are housed in a distal portion of the outer shaft. The inflatable body is tethered to a portion of the outer shaft. The inner shaft is affixed to a portion of the inflatable body, and is configured to control an axial and/or a radial inflation pattern of the folded inflatable body.

Abstract: An apparatus and method for an anchoring cannula including a first cannula having a proximal end, a distal end, a longitudinal axis and a lumen extending from the proximal end to the oppositely disposed distal end along the longitudinal axis. A second cannula is concentrically arranged within the lumen of the first cannula, the second cannula having a proximal end, a distal end and a lumen extending from the proximal end to the oppositely disposed distal end along the longitudinal axis. The second cannula includes an expandable portion connected to the distal end that is configured to expand when the second cannula is advanced out of the distal end of the first cannula and to change to an unexpanded configuration when retracted back into the distal end of the first cannula.

Abstract: A device includes an outer member extending between a first end and a second end. The outer member comprises an inner surface defining a passage. The device includes an inflatable member having a first end extending from the second end of the outer member and a second end. The inflatable member includes an inner surface defining a chamber. The inner surface of the outer member is continuous with the inner surface of the inflatable member. The device includes an inner member having a first end positioned within the passage and a second end coupled to the second end of the inflatable member such that the inner member does not engage the inner surface of the outer member. Systems and methods are disclosed.

Abstract: A device including a first member extending along an axis between a first end and a second end. The first end includes a first portion spaced apart from a second portion by a gap extending parallel to the axis. An inner surface of the first portion and an inner surface of the second portion defining a cavity. A pivoting member is movably disposed in the cavity and includes an inner surface defining a passageway. A second member is disposed within the passageway. The pivoting member is movable between a first orientation such that the gap has a first width and the pivoting member is rotatable to a selected trajectory relative to the axis and a second orientation such that the gap has a second width that is less than the first width and the second member is fixed in the selected trajectory. Methods of use are disclosed.

Abstract: An ultrasonic surgical device for performing a surgical procedure includes an elongated member having a proximal end and a distal end spaced along a longitudinal axis. The elongated member has an inner surface and an outer surface. The inner surface defines a passageway. A septum is configured to separate the passageway into a first conduit and a second conduit. A distal end of the second conduit terminates before a distal end of the first conduit to form a stepped configuration. An ultrasonic-driven cutting blade is disposed within the second conduit and is configured for cutting tissue such that the cutting blade vibrates ultrasonically to cut tissue. The distal end of the first conduit includes an outlet configured for delivering material to a surgical site and the distal end of the second conduit includes an inlet configured for aspirating the surgical site.

Abstract: A surgical tool holder includes a flange comprising a body defining a first surface and a second surface, a first end and second end. The second surface defines a first opening configured for disposal of a cannula, wherein the first end of the flange is configured to engage at least a portion of skin of a patient to prevent the cannula from moving into the patient.

Abstract: A steerable catheter system is provided including an elongated shaft having a proximal end, a distal end and an outer surface. The outer surface includes at least one cavity configured to facilitate movement of the distal end relative to the proximal end so as to steer the elongated shaft. A catheter tip is attached to the distal end of the shaft. The catheter tip comprises a curved body having at least one RF cutting edge and at least one non-cutting area recessed from the at least one cutting edge.

Abstract: A device includes an outer member extending along a longitudinal axis between a first end and a second end. The first end includes an opening. The outer member includes an inner surface defining a first passageway that is in communication with the opening. An inner member is movably disposed in the first passageway. The inner member includes an inner surface defining a second passageway. The inner member further includes a first end including a cutting tip. The inner member is movable between a first orientation in which the cutting tip is disposed within the first passageway and the inner member has a linear configuration and a second orientation in which the cutting tip extends through the opening and the inner member has an arcuate configuration. Methods of use are provided.

Abstract: A cutting device includes an elongated shaft that extends between a proximal end and a distal end. A distal arm extends from the distal end of the elongated shaft. The distal arm includes an inner surface defining a cavity and an outer surface defining a blunt tip. At least one proximal arm extends from the distal end of the elongated shaft at a position proximal to the distal arm. The at least one proximal arm having an inner surface defines a cavity including a cutting portion configured to cut tissue.

Abstract: A device and method for treating bone fractures/lesions using an inflatable body is provided. The inflatable body includes a balloon having a substantially flat horizontal surface for quick easy insertion into bone beneath the fracture so as to align misaligned fragments of the fracture and/or to collapsed bone. The body has a shape and size to compress at least a portion of the cancellous bone to form a cavity in the cancellous bone and/or to restore the original position of the outer cortical bone, if fractured or collapsed. The inflatable body has a stylet attached to it's distal end so that once the inflatable body is deflated it can be twisted about the stylet to have a smaller profile so as to be easily withdrawn from the bone.

Abstract: A device includes a first member extending along an axis. The first member includes a first portion connected to a second portion by a hinge. Inner surface of the first and second portions define a cavity having a pivoting member is movably disposed therein. The pivoting member includes an inner surface defining a passageway having a second member disposed therein. A cap has an inner surface that engages an outer surface of the pivoting member. The pivoting member is movable between a first orientation such that the second portion is spaced apart from the pivoting member and the pivoting member is rotatable to a selected trajectory relative to the longitudinal axis and a second orientation such that the second portion engages the pivoting member to fix the second member in the selected trajectory. Methods of use are disclosed.

Abstract: A valve controller includes a housing, and a lever extending from the housing. The lever includes a protrusion rigidly attached to the lever, and the lever is biased to an initial position. A switch has an open and a closed position. A linkage is pivotally connected to the switch, and the linkage includes a centrally disposed slot configured to receive the protrusion such that movement of the switch controls movement of the linkage and the lever such that moving the switch to the closed position closes a valve controlled by the lever regardless of a position of the lever.

Abstract: A steerable catheter system is provided including an elongated shaft having a proximal end, a distal end and an outer surface. The outer surface includes at least one cavity configured to facilitate movement of the distal end relative to the proximal end so as to steer the elongated shaft. A catheter tip is attached to the distal end of the shaft. The catheter tip comprises a curved body having at least one RF cutting edge and at least one non-cutting area recessed from the at least one cutting edge.

Abstract: In one form, a system for use in percutaneous surgical procedures includes a cannula having an elongate body extending along a longitudinal axis between a proximal end and a distal end and including a working channel dynamically expandable from a first, unexpanded configuration. The system also includes a device that is positionable in and engageable with the working channel to expand the working channel from the first configuration as the device is moved through the working channel. In response to disengagement of the device with the working channel, the working channel returns to the first, unexpanded configuration. In one aspect of this form, the device includes an interbody spinal implant that is deliverable to a surgical site through the working channel of the cannula. In another form, a method for performing a percutaneous surgical procedure is provided. However, different forms and applications are envisioned.

Abstract: A system for assessing an intervertebral disc space comprises an elongated catheter with proximal and distal ends and an expandable body carried at the distal end of the elongated catheter. The expandable body includes a distal cap portion. The system further includes a mandrel extending through the elongated catheter and the expandable body and attached to the distal cap portion. The mandrel is movable within the elongated catheter and the expandable body to reposition the distal cap portion relative to the distal end of the elongated catheter while the expandable body is positioned within the intervertebral disc space.

Abstract: A device includes an inflatable member extending between a first end and a second end. An inner surface of the inflatable member defines a first passageway in the first end and a chamber in the second end. An inner member is disposed in the first passageway and extends through the chamber. The inner member includes an inner surface defining a second passageway. A second end of the inflatable member is bonded to an outer surface of the inner member. A guide is member disposed in the second passageway. An outer member includes a first end having a projection including a threaded outer surface. The outer member includes an inner surface defining a third passageway having the inflatable member disposed therein. A cap includes a threaded inner surface that engages the threaded outer surface of the projection. Methods of use are provided.

Abstract: An apparatus and method for mixing and dispensing bone cement is provided. The apparatus includes a mixing vessel for mixing bone cement attached to a syringe body. The syringe body having a lumen that is connected to the mixing vessel by a passageway between the mixing vessel and the lumen of the syringe body. A separator is provided between the mixing vessel and the syringe body and includes an orifice therein so that when the opening in the separator is misaligned with the lumen the passageway is blocked and when aligned the passageway is continuous with the lumen so that bone cement can pass into the syringe body. A plunger is provided and is slideably movable along the longitudinal axis of the syringe body so as to advance the bone cement out of the distal end of the syringe.

Abstract: A cutting device is provided that includes an outer tube. The outer tube includes an inner surface defining a passageway. An inner tube is movably disposed in the passageway such that a distal end of the inner tube extends beyond a distal end of the outer tube. The distal end of the inner tube includes a first cutting element. An inner surface of the inner tube defines a lumen. A shaft is slidably disposed in the lumen. The shaft has a distal end including a second cutting element. A deployment mechanism is coupled to a proximal end of the outer tube. The deployment mechanism includes a body, a push button disposed within the body and a collar disposed about the body. The shaft is fixed relative to the collar and the inner tube is fixed relative to the push button. Systems and methods are disclosed.