Abstract: Methods and devices are disclosed for breast reconstruction surgery. An implantable fixation device is attached to pectoralis muscle tissue and a tissue graft that forms a sling for supporting a tissue expander or permanent breast implant. The implantable fixation device provides flap stabilization of overlying skin and reduces breast reconstruction complications such as seroma formation.

Abstract: A shoulder implant device includes one or more fixation features including an acromial intrusion element and an inflatable humeral balloon portion that receives a fluid through the acromial intrusion element. The intrusion element comprises a valve that can receive multiple needle sticks to add or remove fluid to or from the inflatable humeral balloon. The device is implanted in a subacromial space such that the one or more fixation features at least secure the device to the acromion and the inflatable balloon portion rests against the proximal end of the corresponding humerus. Fluid in the balloon portion maintains separation of the acromion and the humerus to reduce or prevent impingement.

Abstract: A shoulder implant device includes one or more fixation features including an acromial intrusion element and an inflatable humeral balloon portion that receives a fluid through the acromial intrusion element. The intrusion element comprises a valve that can receive multiple needle sticks to add or remove fluid to or from the inflatable humeral balloon. The device is implanted in a subacromial space such that the one or more fixation features at least secure the device to the acromion and the inflatable balloon portion rests against the proximal end of the corresponding humerus. Fluid in the balloon portion maintains separation of the acromion and the humerus to reduce or prevent impingement.

Abstract: Multi-component separation devices configured to separate components of a liquid sample by centrifugation are provided. Aspects of the separation devices include a container having a distal end and a proximal end and a buoy configured to be displaced along a longitudinal axis within the container where the buoy includes one or more sealed chambers. Also provided are methods of using the subject devices to separate components of a multi-component liquid sample such as whole blood, bone marrow aspirate or stromal vascular fraction as well as systems suitable for practicing the subject methods.

Abstract: Methods and devices are disclosed for breast reconstruction surgery. An implantable fixation device is attached to pectoralis muscle tissue and a tissue graft that forms a sling for supporting a tissue expander or permanent breast implant. The implantable fixation device provides flap stabilization of overlying skin and reduces breast reconstruction complications such as seroma formation.

Abstract: A handheld surgical device includes a gripping mechanism for gripping pins or wires with a range of different sizes. The gripping mechanism includes a plurality of gripping blocks, the plurality of gripping blocks interacting to form a variable size channel. A sliding compression control element applies a compressive force to each gripping block and thereby grip a wire or pin within a range of sizes in the center of a pin/wire receiving channel.

Abstract: A centrifuge vessel is configured to have at least two chambers therein separated by a divider, and with a spillway around a lip at an end of the divider to join the chambers. After centrifugation differing density phases of an original sample remain on opposite sides of the divider. Separate extraction ports are provided for removal of differing density phases of the original sample from opposite sides of the divider. A method of use of the centrifuge vessel includes centrifugation and extraction at differing orientations of the vessel for convenient and reliable extraction of differing density fractions from the original sample.

Abstract: A shoulder implant device includes one or more fixation features including an acromial intrusion element and an inflatable humeral balloon portion that receives a fluid through the acromial intrusion element. The intrusion element comprises a valve that can receive multiple needle sticks to add or remove fluid to or from the inflatable humeral balloon. The device is implanted in a subacromial space such that the one or more fixation features at least secure the device to the acromion and the inflatable balloon portion rests against the proximal end of the corresponding humerus. Fluid in the balloon portion maintains separation of the acromion and the humerus to reduce or prevent impingement.

Abstract: The centrifugation vessel includes an outer wall containing an interior space. A dam defines a barrier which divides the interior space into at least two regions including a catch basin defining a higher gee region and a reservoir defining a lower gee region. These regions are joined together over the dam. The dam includes a face which is preferably tapered to enable optimization of speed of separation of a sample placed within the vessel. The vessel is usable in a biological sample processing method by having the higher gee region of the vessel configured to have an elongate form and the volume optimized for collection of a higher density fraction of the sample. Supply and withdrawal tubes extend into the regions for reliable extraction and separate collection of differing density fractions after separation by centrifugation.

Abstract: The centrifugation vessel includes an outer wall containing an interior space. A dam defines a barrier which divides the interior space into at least two regions including a catch basin defining a higher gee region and a reservoir defining a lower gee region. These regions are joined together over the dam. The dam includes a face which is preferably tapered to enable optimization of speed of separation of a sample placed within the vessel. The vessel is usable in a biological sample processing method by having the higher gee region of the vessel configured to have an elongate form and the volume optimized for collection of a higher density fraction of the sample. Supply and withdrawal tubes extend into the regions for reliable extraction and separate collection of differing density fractions after separation by centrifugation.

Abstract: The centrifugation vessel includes an outer wall containing an interior space. A dam defines a barrier which divides the interior space into at least two regions including a catch basin defining a higher gee region and a reservoir defining a lower gee region. These regions are joined together over the dam. The dam includes a face which is preferably tapered to enable optimization of speed of separation of a sample placed within the vessel. The vessel is usable in a biological sample processing method by having the higher gee region of the vessel configured to have an elongate form and the volume optimized for collection of a higher density fraction of the sample. Supply and withdrawal tubes extend into the regions for reliable extraction and separate collection of differing density fractions after separation by centrifugation. A medium density fluid is used within the vessel to further isolate constituents of differing densities.

Abstract: Methods are described wherein bone constructs of a patient are used to arthroscopically attach sutures to torn or dysfunctional tissue. A suture or multiple sutures are passed through intersecting/bisecting tunnels formed in the bone. An end of the suture extends from each of the tunnels, and the ends are used to secure the tissue to the bone, such as by arthroscopic tying of the ends, and pulling the tissue against the bone. Devices for performing the methods are also described.

Abstract: A handheld surgical device includes a multi-position throttle, rotatably attached to the body of the device, to allow for ambidextrous positioning of a motor speed control lever. The motor speed control lever may interact with a speed control sensor in the body of the device capable of detecting the actuation level of the motor speed control lever in any one of two or more positions.

Abstract: A shoulder implant device includes one or more fixation features including an acromial intrusion element and an inflatable humeral balloon portion that receives a fluid through the acromial intrusion element. The intrusion element comprises a valve that can receive multiple needle sticks to add or remove fluid to or from the inflatable humeral balloon. The device is implanted in a subacromial space such that the one or more fixation features at least secure the device to the acromion and the inflatable balloon portion rests against the proximal end of the corresponding humerus. Fluid in the balloon portion maintains separation of the acromion and the humerus to reduce or prevent impingement.

Abstract: A suture passer (121) and method of using for the exchange of sutures between sections of a device used for attachment of tissue to bone or delivering suture to a separate device with the purpose of pushing then pulling suture through a plane of bone and/or tissue. In one embodiment a U-shaped or teardrop-shaped ridged material (18) (solid wire, braided wire, monofilament extruded polymer) stiffer than the intended suture material is used to pass the suture. Suture material or passing loops may be further contained in a preloaded tube or slotted tube that provides additional stiffening and the elimination of surgical steps. In another embodiment, a method of subcortical-transosseous knot placement is described which increases the load bearing and eliminates post surgical impingement with the acromion.

Abstract: A probe for a surgical instrument used for cutting selected tissue in a body cavity while under visual inspection, e.g., a surgical tool for the release of the transverse carpal tunnel ligament, has a profile where the flat top surface of the probe has a wider width dimension than the lower surface of the probe. Thus, the sides of the lower surface are sloped or curved inward such that all points below the flat top surface at any particular point on the first and second sides of the flat top surface have a width that is smaller than the width dimension of the flat top surface. The degree of sloping or curving inward will cause tissues to be moved downward (instead of upward) when the probe is inserted, and will provide for generating an upward force that firmly holds the probe against the tissue to be cut and a downward force on the surrounding tissue below the probe.

Abstract: An endoscopic tool utilizes a fiber optic system for illuminating and imaging ligaments or other tissue which are to be cut. Illumination and imaging is performed above a lateral opening at the distal end of a probe that is inserted into an incision point. Preferably, a two edged blade which can be moved in both the distal to proximal direction and the proximal to distal direction is selectively deployable from of the lateral opening at the distal end of the probe. The endoscopic tool is small in size, and preferably includes a pencil grip with a button actuator for deploying the two edged cutting blade. A wire actuator that fits into a slot in the bottom of the deployable blade, can be nested with the fiber optic cable such that the cross sectional area of the probe is reduced. Alternatively, a tube concentric with the fiber optic cable can be used as the mechanism for actuating the blade or other device.

Abstract: A surgical instrument that includes a probe that is extended into a body cavity and a handle held by a surgeon outside the body cavity, where the surgical instrument includes both an optical system and surgical tool operable by the surgeon that passes through the handle and probe includes a connection configuration on its proximal end of the probe and elements within a bore of the handle which allows for securely locking the probe in at least two different orientations. In particular, the proximal end of the probe includes a pair of axial slots and a twist region which cooperate with inwardly projecting land regions in a bore of the handle. A locking mechanism is used to selectively move a locking member into and out of one or the other of said pair of axial slots so as to secure the probe on the handle in the desired orientation.