Abstract: A cutting assembly for a surgical instrument. The cutting assembly comprises a tube assembly having an inner tube adapted to be rotated by a drive assembly, and an outer tube disposed over the inner tube. An aperture within each of the inner and outer tubes may define a cutting window adapted to be applied to a surgical site of a patient. A grip is coupled to the tube assembly and configured to be engaged by a hand of a user. A manually movable member for rotating the outer tube may be provided and rotated with an index finger or a thumb of the hand while the grip is engaged by a web of the hand. A web portion of the grip may be engaged by the web of the hand without being engaged by a palm of the hand. Methods of gripping a cutting assembly are also disclosed.

Abstract: A surgical implant system includes an implant and a fixation member for securing the implant to tissue. The implant and the fixation member together comprise a single monolithic structure. The implant includes an insertion instrument. The implant, the fixation member, and the insertion instrument together comprise a single monolithic structure and are constructed from a single material. The implant is monolithically connected to the fixation member at a first frangible connection and is monolithically connected to the insertion instrument at a second frangible connection. Each of the frangible connections can be broken when force is applied.

Abstract: Disclosed herein are a reversible bone plate template and a method for using the same to size an implant. The bone plate template may include first and second portions. The second portion may be wider than the first portion and asymmetrical about a longitudinal axis. A section between the first and second portions may allow the second portion to be moved between first and second positions such that either a first or a second surface may be a bone contacting surface. A method for sizing an implant with a bone plate template may include determining whether a first or second surface is to be placed on bone, moving a portion of the bone plate template, placing it on bone and selecting an implant based upon the bone plate template.

Abstract: Systems and methods for performing transcanal ear surgery. A volume of fluid is maintained within the ear canal to provide a flooded environment. A cutting member of a cutting instrument is submerged and operated within the flooded environment to resect tissue within the ear. A reservoir system may be coupled to the patient to facilitate providing the flooded environment. The reservoir system at least partially surrounds the auricle of the ear in fluid-tight sealing engagement with the head of the patient. An irrigation pump and a suction source on one or both of the reservoir system and the cutting instrument are operated to provide the flooded environment. The reservoir system includes an access opening sized to receive one or more surgical instruments, for example, the cutting instrument and an endoscope. The flooded environment improves cooling of the surgical site and visualization of the surgical site from the endoscope.

Abstract: Devices for occluding an aneurysm are provided. In particular, the device include an upper member that sits against the dome of the aneurysm, a lower member that sits in the neck of the aneurysm, and a means of adjusting the overall dimensions of the device. Also provided are methods of making and using these devices.

Abstract: A vaso-occlusion system for occluding an aneurysm includes a delivery catheter having a delivery lumen extending therethrough, a pusher member at least partially extending through the delivery lumen, and a vaso-occlusive device loaded within the delivery lumen, the vaso-occlusive device comprising an expandable braid formed out of a plurality of elongate braid filaments, the elongate braid elements having respective proximal end portions that are formed into a flexible transition section having a proximal end portion attached to a distal end of the pusher member and/or to an elongate central member coupled to, and extending distally of, the pusher member.

Abstract: In one embodiment, the present invention includes an intramedullary osteosynthesis or arthrodesis implant including a central body, a first pair of legs extending from the central body to a pair of leg tips, and a second pair of legs extending from the central body, in a direction opposite the first pair of legs, to a pair of leg tips such that the central body, first pair of legs and second pair of legs are positioned alongside a longitudinal axis.

Abstract: An apparatus and method of securing an elongate member to a medical instrument. The apparatus comprising an attachment device including a base, a liner, and an adhesive. The base comprising an aperture configured to receive the elongate member, wherein the liner may be positioned adjacent the aperture and axially aligned with the elongate member when the attachment device is coupled to the medical instrument. The attachment device may comprise a pair of apertures and the liner may be positioned adjacent the adhesive and at least partially between the pair of apertures. The method of securing the elongate member to the medical instrument comprises threading the elongate member through the aperture of the attachment device and adhering the attachment device to the medical instrument. The method of manufacturing the attachment device may comprise cutting the aperture in the base, the adhesive, and liner.

Abstract: A method of setting a cannula lock. An orientation of a bore of a brake is set by rotating a base and a head of the brake about at least one axis. An actuator is actuated to cause relative movement between the head and the base to engage internal surfaces of the shell to fix the orientation of the bore. A device may be directed through the bore and into tissue along a trajectory established by the orientation of the bore. The actuator may be rotated about its longitudinal axis to move the head and the base away from one another. Anchors coupled to the shell may be embedded into the section of tissue. The actuator may be an extraction tool for extracting a drive ring from the base of the shell to permit unembedding of the anchors from the tissue. The head and the base may be semi-spherical.

Abstract: The invention relates to a bone screw and a method for locking a bone screw into a bore. The bore can be provided in e.g. an implant, a plate, a nail or the like. The bone screw comprises a head portion with a first axis, a proximal shaft portion with a second axis, and a distal shaft portion with a third axis. The first axis is a center axis extending in a longitudinal direction of the head portion, the second axis is a center axis extending in a longitudinal direction of the proximal shaft portion, and the third axis is a center axis extending in a longitudinal direction of the distal shaft portion. The first and third axes are aligned to each other. The second axis is displaced relative to the first and third axes.

Abstract: A universal sterile packaging assembly for an orthopedic device includes an outer blister having a first recessed central region and an inner blister having a second recessed central region. The second recessed central region includes a protrusion configured for securement of a medical part thereto. The inner blister is sized to fit within the first recessed central region. The assembly also includes a first lid securable to the inner blister and a second lid securable to the outer blister so as to enclose the inner blister within the outer blister.

Abstract: Disclosed herein are strut attachments for external fixation frames. The strut attachments provide solutions for frame configurations in which it is not possible to attach a strut at its ends to corresponding rings. The strut attachments may be considered an outrigger type of mechanism that achieves more travel out of completely collapsed struts. The strut attachments, each having a pivot and a hinge joint, allow a strut to be attached on the level of a first ring and extend at least partially proximally or distally to a second ring depending on the frame of reference of the ring system. These strut attachments may be used when the fully collapsed length of the strut will not allow the rings to get any closer to one another than is needed or proscribed. In such cases, the strut attachments allow for even tighter ring to ring distance.

Abstract: A device for loading bone graft material into a delivery tube is provided herein. The device includes a housing defining a reservoir for receiving bone graft, a magazine at least partially disposed within the housing, and an actuation member coupled to the housing for discharging the bone graft material into the delivery tube. The magazine defines a first chamber and a second chamber and is moveable between a first position in which the first chamber is in communication with the reservoir and a second position in which the second chamber is in communication with the reservoir. The actuation member includes a plunger configured to slide into the first chamber and the second chamber to discharge bone graft material, when bone graft material is contained therein, into the delivery tube. Methods of loading bone graft material are also provided.

Abstract: Disclosed herein is an implant for bone fixation comprising an elongated member configured to be wound around bone parts that are to be fixed, an engagement member coupled to the elongated member and configured to engage a portion of the elongated member so as to secure the implant in a loop around the bone parts, and a fastening member arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least two separate pieces each comprising one opening for receiving a bone fastener, wherein the separate pieces are coupled to each other by a material having a lower material strength than a material from which the separate pieces are made.

Abstract: A bone graft loading system includes a loading funnel, syringe, cannula, plunger, and loading tool. The loading funnel includes an interior passageway to receive the cannula and a syringe docking portion. The syringe may be coupled to the syringe docking portion so that it extends along a longitudinal axis that is transverse to the longitudinal axes of the cannula and the loading funnel. A user may advance bone graft from the syringe to a holding area of the loading funnel. The user may then move the loading tool through the holding area and into the interior space of the cannula to load the cannula with bone graft. This process may be repeated until the cannula is fully loaded with bone graft. The cannula and the plunger inside the cannula may then be removed from the loading funnel and coupled to an injector assembly for use in surgery.

Abstract: A cutting accessory for use with a powered surgical handpiece includes an elongated shaft, a tissue working member, and a proximal section. The elongated shaft has proximal and distal ends, and a longitudinal axis. The working member is attached to the distal end of the shaft. The proximal section extends proximally from the distal end and includes a plurality of faces extending inwardly from an outer surface of the shaft. Each face has at least one shallow portion and is shaped to receive a clamping member. At least two of the faces are arranged linearly, extending along the shaft proximal section. A flat extends distally forward of the distalmost face, and is located a distance from the shaft longitudinal axis greater than the distance the shallow portions are located from the longitudinal axis and less than the distance the outer surface of the shaft is from the longitudinal axis.

Abstract: A tracker for a surgical navigation system is provided. The tracker includes one or more markers for determining a position of the tracker and an attachment element configured to releasably attach the tracker to a surgical tool. The attachment element includes an opening for receiving the surgical tool, wherein the opening defines a longitudinal axis. The one or more markers are coupled to the attachment element so as to be symmetrically arranged with respect to the longitudinal axis.

Abstract: An intramedullary nail is suggested comprising a nail shaft with a lateral recess, with an expansion element being arranged in that recess, and an adjustment screw for adjusting the position and orientation of the expansion element relative to the nail shaft. A threaded bore may be formed in the nail shaft, wherein the threaded bore extends through the nail shaft and into the recess and is adapted to receive the adjustment screw.