Abstract: An interchangeable shaft assembly for a surgical instrument that includes first and second drive systems. The interchangeable shaft assembly is configured for removable attachment to a housing of the surgical instrument. Various embodiments include a latch system that enables the interchangeable shaft assembly to be detached from the housing when the first drive system is unactuated but prevents the interchangeable shaft assembly from being detached from the housing when the first drive system is in an actuated position.

Abstract: The present disclosure provides a power assembly including a housing configured to couple to a surgical instrument. The housing includes at least two electrical contacts. A power source is coupled to the at least two electrical contacts. The power source is configured to provide power to the surgical instrument and a usage cycle circuit is configured to monitor one or more conditions of the power assembly and maintain a usage cycle count.

Abstract: The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor in signal communication with the primary processor, and a segmented circuit comprising a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments comprising a storage verification segment configured to indicate when a surgical instrument has been properly stored and sterilized.

Abstract: The present disclosure provides a surgical instrument including a handle assembly and an interchangeable shaft assembly. The shaft assembly includes an elongate shaft, and an end effector extending distally from the elongate shaft. The handle assembly includes a motor configured to effectuate at least one motion in the end effector while said handle assembly is coupled to the shaft assembly. A power assembly is separably couplable to the handle assembly. The power assembly includes a power source configured to power the motor and a power management controller in communication with the power source. The power management controller is configured to receive an input signal corresponding to at least one power requirement of the shaft assembly. The power management controller is configured to modulate power output of the power source to the motor to conform the power output with the at least one power requirement of the shaft assembly.

Abstract: A surgical system can include an electric motor, a sensor and a microcontroller in signal communication with the electric motor and the sensor. In various instances, the microcontroller can adjust the velocity of a firing element when the sensor detects a change in current drawn by the electric motor that exceeds a threshold amount.

Abstract: A surgical system configured to place an anchor in tissue includes an anchor delivery tool having a shaft and an adapter attachable to the shaft. The shaft provides a bore and a length that are sized to retain a plurality of stacked anchors inside of the shaft. A rotatable anchor ejector located inside of the bore of the shaft. The adapter has an segment that is sized to be frictionally fit to an outside diameter of the shaft and a flange that is connected to the segment. When the adapter is attached to the shaft, the flange extends distally beyond a distal end of the shaft.

Abstract: Clips, or clasps for temporarily attaching lines and devices during refraction or for compressing, ligating or dissecting various vessels and ducts are often required during surgical (e.g., arteries, veins and the common bile duct) and non-surgical procedures.

Abstract: A first element (91) includes a first arm (92) and a second arm coupled thereto and having a concavity (103) facing the first arm and defining a space (96). In an open state, a tissue anchor portion (46) moves into the space through a gap between distal portions (94) of the first and second arms. In the closed state, the anchor portion is not movable through the gap. A second element (82) is movable with respect to the first element, such that, while the portion (46) of the anchor (40) is within the space, and the first element is in the closed state, in a first position of the second element, the portion of the anchor is movable within the space, and in a second position of the second element, the second element applies torque to the anchor by rotating the second element. Other embodiments are also described.

Abstract: A magazine (200;400) for dispensing at least one band (106) onto the tip of a haemorrhoid ligator (100), the magazine (200; 400) comprising at least one expander receiving a respective band, the expander being arranged to expand the band and push it onto the tip (104) of the ligator (100) as the tip (104) is inserted into the magazine (200; 400). The only action required by the medical practitioner to load the band (106) onto the ligator (100) from the magazine (200;400) is to push the tip (104) of the ligator (100) inside the magazine (200; 400) whereupon the band (106) is expanded, pushed into place and is ready for immediate discharge. Therefore the magazine (200; 400) provides a medical practitioner with an easy way to load a haemorrhoid ligator (100).

Abstract: An endoscopic multi-clip dispensing apparatus has elongated inner and outer conduits sleeved together, wherein the inner conduit reciprocates between extension and retraction. A plunger rod pushes a line of clips through the core of the inner conduit at an indexed rate of one clip at a time. Each C-shaped clip has a pair of elongated jaws mated together at a hinge end. The clips are loaded into the inner conduit in head to tail fashion, with the jaw ends of a trailing clip pushing the hinge end of a leading clip. There further is a pair of wedge-shaped flared structures proximate the dispensing end of the conduits, for prying open the jaws of the lead clip during the progression of it being dispensed. Ultimately, after the lead clip passes clear of the flared structures, its jaws are free to snap shut and ‘bite’ into a target anatomy.

Abstract: An occlusion device suitable for endovascular treatment of an aneurysm in a blood vessel in a patient, including a substantially tubular structure having a proximal end region and a distal end region, having a first, expanded condition and a second, collapsed condition. The device has dimensions in the second, collapsed condition suitable for insertion through vasculature of the patient and through a neck of the aneurysm. The device further includes a control ring having a substantially annular body disposed on the proximal end region of the structure and at least substantially circumscribing the proximal end region to prevent radial expansion of the proximal end region and to provide an engagement feature during manipulation of the occlusion device.

Abstract: Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.

Abstract: Exemplary embodiments of a method for assisting breathing in a lung having damaged tissue are disclosed. The method may include inserting an implant containing a dilatant fluid into a pleural cavity of a patient to reduce an inhalation volume of the lung. Additional embodiments may include an implant configured to apply a force toward a portion of a lung. A controller may be coupled to the implant and configured to sense a biological event and control an amount of outwardly directed force applied by the implant to the lung in response to the biological event. Further, a method may include applying a force to an organ via an implant to expel material from the organ and adjusting the implant so as to transition between a first configuration and a second configuration. The implant may include at least one of an electro-active material and a pressure sensitive material.

Abstract: A ratcheting adjustable vascular compression device assists in achieving partial or full occlusion of a blood vessel when applied to a patient's limb, during or following a medical procedure. During deployment, a compression pad on the device applies preferential compression to at least one portion of the circumference of the limb. Further, securement, adjustment and rapid release of the device are all enabled by an alternate ratcheting mechanism that enables gradual adjustments to be made to the tightness and thus to the compression applied without releasing the device, so as to permit patent blood flow through blood vessels in the limb during the compression period.

Abstract: A bone saw and a method for using the bone saw. The bone saw includes a saw blade comprising a distal end, a proximal end, and a distal tip comprising a cutting edge. The flexible saw blade is rectangular in shape over at least a portion thereof. The bone saw further includes a saw handle base insert a saw shaft tip assembly comprising an opening through which the flexible saw blade is advanced. The saw shaft tip assembly may comprise a saw shaft tip comprising a channel comprising a distal end and a proximal end and a saw channel insert disposed within the channel of the saw shaft tip to form a lumen between the saw shift tip and the saw channel insert. The bone saw may further comprise a saw blade advancement mechanism coupled to the flexible saw blade for moving the flexible saw blade in discrete amounts.

Abstract: A bone cutting guide for osteochondral transplantation, including a cutting guide block having a distal portion and a posterior portion, said distal portion having a distal cutting guide slot disposed therethrough, said posterior portion having a posterior cutting guide slot disposed therethrough; a plurality of condylar rails attached to said cutting guide block; a tower cutting guide disposed superior to said cutting guide block and having at least one cutting guide track disposed at an angle of between 0 and 180 degrees in relation to the angle of said posterior cutting guide slot; and fixation structure for attaching said cutting guide block and said tower cutting block to bone.

Abstract: Embodiments of the invention include instruments, implants, and methods for surgically treating facet joints of vertebrae. An instrument may be advanced into one or more facet joints to one or both separate vertebrae and remove tissue from one or more articular processes. A stop on the instrument may be used to terminate advancement of the instrument by contacting a vertebra, and one or more implants may be placed into one or more facet joints.

Abstract: A surgical, motor-powered hand-held MRI-compatible drill with a remote control unit and user controls for drilling though target bone of a patient and/or attaching a bone screw.

Abstract: A device for guiding a drilling of a femoral head of a femur in femoral head resurfacing comprises a body defining a guide channel adapted to receive and guide a drilling component therein. Arms are pivotally connected to the body and biased toward one another, the arms each having a contact end extending below the body, the contact ends adapted to contact a femoral neck when the body is in a hovering position relative to the femoral head. Sensors produce a signal indicative of an orientation angle of each of the arms relative to the body. A processor unit calculates the orientation angles of the arms from the signal, and evaluates from the orientation angles an alignment of the body relative to the femur. A visual output produces a visual signal representative of said alignment. A method for aligning a drill guide device on a femur for subsequent drilling a femoral head with a guide channel in the drill guide device is also provided.

Abstract: An implant and guide are described, together with methods for configuring the same. The implant and guide are for maxillofacial osteosynthesis and may be provided as a kit. Three-dimensional models of the pre- and post-operative anatomy are used to define attachment points. These attachment points are used to define a structure for the implant and the guide.

Abstract: Described herein are methods and devices useful for reaming and shaping the surfaces of a joint in a mammalian body. The reaming and shaping devices and methods are particularly useful in preparation of a joint for a minimally invasive joint replacement or resurfacing, though they may be used as part of any appropriate arthroplasty procedure.

Abstract: A drill guide assembly for drilling a tunnel having a fixed, non-zero radius of curvature, where the drill guide assembly includes a housing and a sleeve, or cutting tube, configured to reciprocate within the distal portion where the sleeve, or cutting tube, is configured to receive a bone cutting instrument.

Abstract: Systems and methods for treating a blood clot include a catheter to be inserted into a patient. The catheter is used to deliver low stability microbubbles toward the blood clot in the patient. A thrombolytic agent is delivered toward the blood clot, and ultrasonic energy is applied to the microbubbles to vibrate the microbubbles.

Abstract: In various embodiments, a surgical instrument is disclosed. The surgical instrument comprises a handle assembly having a closure trigger, a closure actuator coupled to the closure trigger at a first pivot, and a closure spring. The closure actuator moves proximally on a longitudinal axis in response to actuation of the closure trigger. The closure spring applies a force vector to the closure spring tangential to the longitudinal axis. A shaft assembly is coupled to the handle assembly. An end effector is coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly comprising a first jaw member and a second jaw member. The first jaw member is pivotally moveable with respect to the second jaw member. At least one of the first and second jaw members are operatively coupled to the closure actuator.

Abstract: Methods and devices for using surgical devices with articulating end effectors are provided. Surgical devices with articulating end effectors can provide rotary driven pivoting of the end effector. In some embodiments, the device can include a handle, a first and a second tube extending from the handle, the second tube disposed within the first tube, and an end effector that includes a pair of distal jaws configured to move in response to rotation of the first tube about a longitudinal axis thereof and rotation of the second tube about a longitudinal axis thereof. The jaws can move in two different ways depending on whether the first and second tubes are rotating in a same direction as one another or in different ways than each other. The jaws can open/close and articulate using the same mechanical mechanism. The device can be powered, or the device can be non-powered.

Abstract: A surgical instrument is provided. The surgical instrument includes: a test end effector including a test jaw assembly having a pair of jaws configured to clamp about tissue and at least one sensor configured to measure at least one tissue property; and a handle assembly configured to couple to the treatment end effector. The handle assembly includes: a drive assembly; a motor operatively coupled to the drive assembly; and a controller operatively coupled to the motor, the controller configured to control operation of the motor to actuate the test end effector to measure the at least one tissue property and to determine, based on the at least one tissue property, at least one suitable treatment end effector.

Abstract: The pump unit (10) according to the invention has a particularly simple design, which includes just two housing parts (14, 15) and also four valve closure members (37) and pump pistons (25, 29). The valve closure members (37) are preferably identical to one another and are trapped in a pocket between both housing parts (14, 15). The housing parts (14, 15) are preferably permanently interconnected by means of an ultrasonic weld seam. The valve closure members are formed by disc-like or plate-like plastic parts, which are resilient per se and which may optionally have a central pin (42) as an assembly and orientation aid. As desired, the valve closure members bear against their respective valve seat (43) with or without bias and form valves which open and close particularly reliably, are responsive to the slowest flow velocities and can be easily sterilised.

Abstract: Devices and methods for cutting tissue are provided, and more particularly the devices and methods provide for ways to prevent a cutting blade from becoming dislodged or otherwise disassociated from jaws of a surgical device. In one exemplary embodiment, a surgical device includes a jaw assembly having first and second jaws and a cutting blade. The cutting blade can include a spring mechanism configured to engage a portion of the second jaw to bias a cutting edge of the cutting blade towards the first jaw such that a top of the cutting blade distal portion contacts a portion of the first jaw. In another exemplary embodiment, a biasing block is included as part of a surgical instrument to help maintain distal ends of two cutting blades hooked against each other to form a single cutting surface. Other devices and methods for cutting tissue are also provided.

Abstract: A method for elongating a tendon including by moving a cutting blade along the tendon in a helical path so as to make a helical cut in the tendon which allows elongation of the tendon.

Abstract: A powered surgical handpiece includes a housing comprising a motor, and a surgical tool removably coupled to the housing and configured to be driven by the motor. The surgical tool includes a radio frequency identification (RFID) tag. The handpiece includes an antenna for wirelessly transmitting RF energy, and a coupler that is electrically isolated from the antenna and the RFID tag and that is configured to guide the transmitted RF energy to the RFID tag.

Abstract: A perforation instrument and method of using same, including a shaft capable of being inserted into a joint of a patient, having a longitudinal axis, and carrying at least one piercing member, each piercing member having a tip suitable to pierce sub-chondral bone. The instrument is capable of being altered between an exposed condition wherein the tip of the at least one piercing member is exposed and a safety condition wherein the tip of the at least one piercing member is not capable of piercing tissue.

Abstract: A spinal catheter for insertion into the epidural space of a human or animal subject includes first and second lumens. A pressurized fluid can be discharged through the first lumen directly onto a tissue obstruction to form a partial/pilot or full/final opening in the tissue obstruction. If a full opening was not formed sufficient for passage of the stimulator lead, the distal-end portion of the stimulator lead can be inserted into the partial opening and then a pressurized fluid can be delivered through the second lumen and into a distensible balloon for expanding the balloon to clear the tissue obstruction sufficient for passage of the stimulator lead. In this way the catheter can be advanced past a tissue obstruction and into place for use within the epidural space, without having to remove and reinsert multiple surgical implements.

Abstract: A method and device for the extraction of follicular units from a donor area on a patient. The method includes aligning a dissecting punch over a follicular unit and rotating the dissecting punch to score the epidermis layer of the skin so that hair follicles are disposed within the lumen. The dissecting punch is then moved through the dermis layer and fatty tissue layer of the skin to dissect the follicular unit from the tissue surrounding the follicular unit.

Abstract: Devices and methods are provided for percutaneously treating atherosclerotic plaques within blood vessels. Atherosclerotic plaques cause significant morbidity and mortality by narrowing the arteries, which adversely affects blood flow, and by acting as a source for thrombi and emboli thus causing acute organ ischemia. Current treatments include open surgery with its inherent drawbacks, and stenting, which is less invasive but leaves the plaque material in the artery, which promotes restenosis. The present invention combines the advantages of both approaches. In general, the invention provides tools that enable percutaneously dissecting the plaque from the arterial wall and removing it from the body.

Abstract: A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including inserting a plurality of cutting members and a tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting members and tracking member, inserting the catheter over the tracking member and leaving the cutting members outside the catheter, and expanding a portion of the catheter to move the cutting members into cutting contact with the lesion. A device for treating a lesion in a body lumen including a plurality of cutting members and a tracking member is also provided.

Abstract: A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including inserting a cutting member and tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting member and tracking member, inserting the catheter over the tracking member and leaving the cutting member outside the catheter, and expanding a portion of the catheter to move the cutting member into cutting contact with the lesion. A device for treating a lesion in a body lumen including a cutting member and tracking member is also provided.

Abstract: A catheter device for crossing occlusions includes an elongate catheter shaft, a rotatable tip configured to rotate relative to the elongate catheter shaft, a drive shaft, and an OCT imaging sensor. The rotatable tip includes a housing coupled with the elongate catheter shaft and cutting wedges extendable from the housing. The drive shaft has a central lumen extending therethrough and extends within the elongate catheter shaft. The drive shaft is coupled with the wedges and is configured to rotate the rotatable tip. The OCT sensor includes an optical fiber coupled with the rotatable tip and configured to rotate therewith. The elongate catheter shaft is configured to move axially over the drive shaft to extend and retract the wedges from the housing while maintaining a fixed position of the imaging sensor relative to the cutting wedges.

Abstract: A lancet removal mechanism for a blood sampling device contains: a stop assembly, a trigger unit, and a control button. The stop assembly includes an inner protrusion. The trigger unit includes a lancet holder and a triggering shaft, wherein the lancet holder is fixed in the stop assembly and has an outer protrusion formed on an outer wall thereof to engage with the inner protrusion of the stop assembly, the lancet holder has an orifice defined therein, and the orifice has a first inner shoulder arranged on a top end thereof, the triggering shaft extends into the orifice of the lancet holder and has a first outer shoulder for engaging with the first inner shoulder of the lancet holder. Furthermore, the control button is fitted on a top end of the triggering shaft.

Abstract: A cannula assembly including a camera system to help provide multiple viewing angles of a surgical site. This added visualization provides the surgeon with more comprehensive feedback during the surgical procedure, leading to better patient outcome and a reduction in the surgical failure rate. The cannula has a main lumen and a smaller secondary lumen and is insertable into the surgical site for easy surgeon adaptation. The camera is coupled to the secondary lumen toward the side of the cannula. This allows the camera to provide visualization without obstructing the main lumen for the use of tools. The camera wiring runs through a long tube connected to the camera and through a handle at the end of the tube without blocking access to the surgical site.

Abstract: Described here are devices, systems, and methods for accessing the pericardial space through the pericardium. The access devices may include a plurality of elongate members having lumens that may be advanced together through the body to the pericardium. The elongate members may have different lengths and may be slideably positioned one within the lumen of another. At least one of the elongate members may comprise a distal tip configured to pierce tissue. In some instances, the access devices may also comprise a locking member to constrain the position of one elongate member relative to another.

Abstract: A collection bag for better isolating and removing a large mass of tissue from a female patient's abdominal cavity during a laparoscopic surgery includes: (a) a flexible and resilient ring that has a configuration adapted to: (i) enable it to be distorted so that it can be vaginally inserted into the patient's abdominal cavity and then quickly return to essentially the same shape that it took prior to being deformed, (ii) size the ring's open area so that the large tissue mass can pass though it, and (iii) be further distorted so that it can be removed from the abdominal cavity through a laparoscopic-surgery-appropriate incision in the wall of the abdominal cavity, and (b) a sleeve having a flexible wall, an open end, and a defined interior volume, and wherein the sleeve's open end is affixed to the ring, and its interior volume is sized to allow the excised tissue to reside and be isolated within the bag's sleeve.

Abstract: An improved system for isolating and removing a large mass of tissue from a female patient's abdominal cavity during a laparoscopic surgery, includes: (1) a wound retractor platform, (2) a vaginally-insertable, tissue collection bag having a flexible and resilient ring at its open end that is distortable for vaginal insertion but quickly resumes its open and undistorted shaped within the patient's abdominal cavity upon insertion, and whose open end receives the large mass of tissue and is then connected to the wound retractor platform so as to form a sealed bag, (3) a tissue cutting instrument which cuts the large mass of tissue into smaller pieces and then aspirates them along with some of the surrounding fluid, and (4) a fluid recirculation system which filters and recirculates the aspirated fluid back through the bag.

Abstract: A method for better isolating and removing a large mass of excised tissue from a female patient's abdominal cavity during a laparoscopic surgery includes the steps of: (1) vaginally inserting a collection bag that includes: (a) a flexible and resilient ring adapted to enable: the ring to be distorted for vaginal insertion, a specified ring open area sized to allow the mass of tissue to pass through it, and the ring to be removed from the patient's abdominal cavity through a laparoscopic-surgery-appropriately-sized incision, (b) a sleeve having a flexible wall and open end that is affixed to the ring and a defined interior volume sized so as to allow the mass of tissue to reside in the sleeve, and (2) utilizing the collection bag to contain the mass of tissue.

Abstract: A kit having instructions for use for performing uterine lavage in a female patient includes a uterine lavage catheter configured for insertion into a woman's uterus to remove viable blastocysts from the uterus, and one or more first containers having a sufficient dosage amount of a GnRH antagonist to cause desynchronization of the endometrium of the patient prior to, during and/or following recovery of viable blastocysts from the uterus.

Abstract: An apparatus for treating skin has a console with a user input device and a handpiece assembly. The handpiece assembly is configured to treat skin. A fluid line provides fluid communication between the console and the handpiece assembly. A manifold system is coupled to the console and controlled by the user input device. The manifold system is configured to hold releasably a plurality of fluid sources and deliver fluid from at least one of the plurality of fluid sources to the handpiece assembly.

Abstract: An external fixation system includes top and bottom fixation plates that may be connected to fragments of a bone. At least one y-shaped strut attaches the two fixation plates. Each y-shaped strut has first, second and third telescopic struts coupled at a connector joint. The first strut member is coupled to the top fixation plate and the second and third strut members are coupled to the bottom fixation plate. Each strut member may include a joint and may also include an actuation unit connecting the particular strut member to the top or bottom fixation plate. Rotation of a head portion of the actuation unit causes rotation of a threaded rod, causing adjustment in the length of the respective strut member. As the lengths of the strut members change, the joints may reposition, leading to the top fixation plate becoming repositioned with respect to the bottom fixation plate.

Abstract: Clamping devices and methods for external fixation systems include a post component having a yaw axis and a clamping system secured to the post component and rotatable about the yaw axis. The clamping system includes a outer jaw and a inner jaw having an inner surface facing the outer jaw. The outer and inner jaws together form an opening for receiving a fixation element of the external fixation system. The inner jaw and outer jaw have a roll axis alignable with a longitudinal axis of the fixation element. The clamping system and post component are rotatable about the roll axis. The inner jaw also includes a cylindrical outer-facing surface. The devices also include a base component having a cylindrical concave surface having a pitch axis. The concave surface of the base component interfaces with the cylindrical outer facing component on the inner jaw. The outer and inner jaws being rotatable relative to the base and the post component about the pitch axis.

Abstract: Bone anchor assemblies are disclosed herein and include bone anchors, receiver members, and closure mechanisms. In one embodiment, a receiver member can be configured to seat a portion of a bone anchor and to receive a spinal fixation element, such as a rod. In an exemplary embodiment, the receiver member is bottom-loading and can include a seat having an opening that can be selectively increased and decreased in size so as to allow a bone anchor to be bottom-loaded. A force can be applied to the receiver member to increase a size of the opening, allowing a portion of the anchor to pass through the opening and into the seat. A closure element can be coupled to the receiver member and can apply a force to decrease a size of the seat and a size of the opening, angularly fixing the receiver member relative to the bone anchor.

Abstract: A medical implant assembly includes a polyaxial bone anchor having a shank, a receiver, a lower compression insert with surfaces for closely receiving an elongate connecting member and a dual closure structure that may include a single flange or helical flange. The dual closure structure independently engages the connecting member and the lower compression insert. A threaded capture connection of the bone anchor includes a shank upper surface exclusively engaging the lower compression insert and a retainer threadably attached to the shank and spaced from the upper surface, the retainer configured for polyaxial motion with respect to the receiver prior to locking.

Abstract: A spinal fixation device includes an inner housing, an outer housing, a screw, and a pivot inhibitor. The outer housing is circumferentially disposed around at least a portion of the inner housing, wherein the outer and inner housings are translatable relative to one another to cause transitioning of the spinal fixation device between a locked configuration and an unlocked configuration. The screw including a screw head pivotably coupled to a lower portion of the inner housing and a shaft extending from the screw head. The pivot inhibitor is coupled to one of the inner housing or screw, such that pivoting of the inner housing about the screw head is inhibited in a direction of the pivot inhibitor.