Abstract: A bone void forming assembly includes a support member having a head portion and an elongate portion extending therefrom. A guide member is connected to the support member and has a guide body including a channel extending therethrough. The channel defines an axis offset and obliquely angled relative to an axis of the elongate portion. The assembly also includes reamer having a cutting head and a stop member. A bushing is slidably connected to the reamer between the stop member and cutting head and is slidably connectable to the guide body via the channel.

Abstract: An approach to removing necrotic bone under direct visualization is provided. To remove bone and to watch it being removed at the same time, one example uses an endoscope and bone removal tool assembled together by a sheath. The sheath includes separate passageways for the endoscope and bone removal tool. A surgeon uses the sheath to insert the endoscope and bone removal tool together into the bone tunnel. The passageways are spaced apart such that an axis of rotation of the bone removal tool is offset from the centerline of the bone tunnel. The endoscope remains in the bone tunnel while the surgeon removes bone with the bone removal tool. Advantageously, the surgeon watches the bone removal process as it is happening making the process less tedious and less time consuming.

Abstract: The present disclosure provides methods for forming or enlarging holes in bone tissue and methods for fixing medical plates to bodies. The present disclosure also provides for products produced by the methods of the present disclosure and for apparatuses used to perform the methods of the present disclosure.

Abstract: A system for augmenting a glenoid in preparation for implantation of a glenoid implant includes an augment guide block. The augment guide block includes a body having a guide slot angularly extending from a first surface to a second surface at an angle ?, a plurality of alignment members extending from the first surface of the body that couple the body to the glenoid at locations that correspond to locations where a central peg and a peripheral peg will couple the glenoid implant to the glenoid. The system also includes an augmenting device that is configured to be received within the slot, and that is operable to augment the glenoid at the angle ?, wherein the angle ? corresponds to a surface of the glenoid implant.

Abstract: A guide tool for guiding surgical instrumentation and facilitating insertion of surgical implants for repair of cartilage and/or bone damage and/or for remodeling of a joint surface for improved mobility in a finger or toe joint is disclosed. The guide tool includes an attachment part including a patient specific contact surface adapted to fit the proximal phalanxes or metatarsal bones in a toe or the distal-, middle-, or proximal phalanxes or metacarpal bones in a finger and further including a directing flange. A design model designing a guide tool described above and the use of the instruments are also disclosed.

Abstract: Methods and devices for performing an osteotomy on a bone are presented. In one example of the invention, a method of performing an osteotomy on a bone includes removing a portion of bone from a first side of the bone to create a gap on the first side of the bone; making a cut on a second side of the bone, opposite the first side; and rotating the bone from a first position to a second position to close the gap on the first side of the bone and open the cut on the second side of the bone to create a gap on the second side of the bone.

Abstract: Devices, kits, and methods that may be used to establish a distal femoral resection position or a proximal tibial resection position and a prosthetic gap in a total knee arthroplasty procedure are provided. Devices for establishing a distal femoral resection position or a proximal tibial resection position may comprise a support that attaches to and references a proximal resected tibia or distal resected femur and supports and establishes the position of a resection guide. A kit may comprise a device for establishing a distal femoral resection position or proximal tibial resection position and additional components that complement the device or facilitate application of the device during a total knee arthroplasty procedure. Methods for establishing a distal femoral resection position or a proximal tibial resection position are also provided.

Abstract: The invention relates to a snare device for catching an object, in particular for catching objects or foreign bodies in a human or animal body, said snare device comprising a hollow element, in particular a catheter, and a snare made of a flexible elastic shape-memory material, wherein the snare is movable relative to the hollow element and can be pulled into the hollow element and pushed out of it, and wherein the snare has an impressed original shape to which said snare return, when pushed out from the hollow element, as a result of the material stresses caused when it was pulled in, wherein the original shape of the snare has a twisted area, as a result of which a first loop and a second loop are formed, wherein the first loop is arranged substantially parallel to the longitudinal axis of the hollow element, and the second loop is at an angle with respect to the longitudinal axis of the hollow element, and which is characterized in that the snare thus deformed is introduced into the hollow element and is a

Abstract: A retrieval device having a contracted state and an expanded state may include a sheath, and at least three support members each having at least two lumens, a proximal end fixed to the sheath, and a distal end movable relative to the sheath. The retrieval device may also include at least three movable members movable relative to the support members. Each movable member may extend through a lumen of one support member of the at least three support members and through a lumen of a different support member of the at least three support members.

Abstract: A method of treating a thrombus is provided wherein a device is advanced to the vicinity of the thrombus, a thrombolytic agent is applied to the thrombus, and an expandable basket of the device is expanded to capture at least a portion of the thrombus within the expandable basket. The device includes a catheter having a distal portion, a lumen and a plurality of openings on the outer surface of the catheter, through which the thrombolytic agent is supplied. The device further includes a sheath and may include a collar which assists in expanding the expandable basket as the sheath is moved relative to the catheter.

Abstract: Membrane forceps for performing an ILM or ERM peel procedure include a handle, a tube extending from the handle, and forceps jaws extending from the tube. The forceps jaws may be configured to grasp an ILM or ERM, and may include an outer surface having a roughened surface. The roughened surface may be structurally configured to aid in gaining an edge of the ILM or ERM.

Abstract: A combination medical includes a first arm and a second arm interconnected to the first arm. The first arm and the second arm are biased towards each other by a closing force. A biasing member is disposed between the first arm and the second arm. The biasing member has a first position that biases the first arm and the second arm away from each other against the closing force and a second position that does not oppose the closing force. The combination medical device may be an electrosurgical device with a mono-polar and bi-polar configuration.

Abstract: The present invention relates to a surgical instrument for an iliac vein surgery includes a pressurizing part for fixing an iliac vein, an inclined part inclinedly formed on the end of one side of the pressurizing part, a height control part, for controlling the height, formed on the end of the opposite side to the one side of the pressurizing part, and a handle part formed on the end of the height control part. The present invention has the effects of minimizing interference of a surgical instrument and the hands of an operator at the time of anastomosis during iliac vein surgery, and accordingly reducing operation time and costs.

Abstract: A handle includes a first operation input body provided on a handle main body and configured to rotate in first and second directions to operate a first end effector; an interlock body rotatable relative to the first operation input body; an engaging portion provided in the interlock body and configured to be engaged with the handle main body and to restrict rotation of the first operation input body in the second direction when the first operation input body is rotated in the first direction; and a second operation input body configured to rotate to operate a second end effector, and disengage the engaging portion from the handle main body by pressing the interlock body.

Abstract: A self-closing device for implantation within a patient's body includes base material including an inner surface area for securing the base material to a tissue structure, and a plurality of support elements surrounding or embedded in the base material. The support elements are separable to accommodate creating an opening through the base material for receiving one or more instruments through the base material, and biased to return towards a relaxed state for self-closing the opening after removing the one or more instruments. The device may be provided as a patch, cuff, or integrally attached to a tubular graft or in various shapes.

Abstract: A blade for a cutting instrument, in particular for medical use, includes a first ceramic layer, a second ceramic layer, and a heating device arranged between the first ceramic layer and the second ceramic layer.

Abstract: An adjustable, tissue cutting tool for use in arthroscopic surgery and including a distal-end cutting mechanism adapted to be adjustably angled relative to the principal axis of the tool in order to reach tight, difficult to reach areas of tissue damage within a joint and to thereby minimize risk of iatrogenic, articular cartilage damage.

Abstract: The present invention includes a surgical stapler having a staple cartridge, an anvil, a cutting member having a cutting surface, and a driver operably engaged with the cutting member to move the cutting member relative to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can also be configured to receive a portion of the driver operably engaged with cutting member and support the driver when it moves the cutting member. In at least one embodiment, the slot is defined by at least one radius of curvature.

Abstract: A surgical stapling system including a driver and a staple where the driver is connected to the staple. In previous surgical stapling systems, the driver and the staple were not connected. A surgical stapling system in accordance with the present invention may have fewer components, less assembly and manufacturing time, and may accommodate larger staples which are at least partially embedded in the driver. In various embodiments, a surgical stapling system comprises a staple, the staple including a deformable member, and a stapler, the stapler including an anvil, a staple cartridge for removably storing the staple, and a cam movable between a first position and a second position. In these embodiments, the surgical stapling system further comprises a driver attached to the staple, the driver being operatively engaged with the cam to move the staple toward the anvil when the cam is moved between the first position and the second position.

Abstract: Apparatus and method for harvesting selected vessels in the body of a patient include manual manipulation of a rigid dissecting endoscope and the reconfiguration thereof to facilitate tissue dissection and tissue dilation in the formation of an anatomical space about the vessel within which side-branch vessels may be manipulated in preparation for severance and removal of the vessel from the anatomical space.

Abstract: An apparatus and method is disclosed for an intravascular balloon device having a balloon and a handle where a catheter tube extends between the two. The handle assembly includes an inflation device in fluid communication with the balloon. A medical tool is provided on the outer surface of the balloon for the treatment of intravascular conditions. The medical tool may be configured to score or remove atherosclerotic material.

Abstract: Atherectomy catheter devices having a C-shaped balloon opposite a cutting window out of which a rotating cutter may extend and a proximal annular balloon. The C-shaped first balloon may be used to drive the cutter against a vessel and to deploy the cutter by assisting in deflecting a nosecone (distal tip) to expose the distal-facing cutting edge of the cutter. The proximal annular balloon may be used to occlude blood flow. The device may pulled, pushed or rotated in a vessel with the balloons inflated or deflated.

Abstract: The invention provides a rotational atherectomy device having, in various embodiments, a flexible, elongated, rotatable drive shaft with a system of eccentric abrading heads attached thereto. At least part of the eccentric enlarged abrading heads in the system have a tissue removing surface—typically an abrasive surface. In certain embodiments, the abrading heads may be at least partially hollow. Preferably the eccentric enlarged abrading heads have centers of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the system of eccentric abrading heads to work together to open the stenotic lesion to a diameter substantially larger than the outer resting diameter of the enlarged abrading heads when operated at high speeds. Therefore, certain embodiments comprise a system having unbalanced centers of mass to not only stimulate greater rotational diameters but also arranged in a manner whereby a debris-removing augering effect occurs.

Abstract: A full-vagina sleeve cylindrical expansion and pneumoperitoneum integrated device, includes: an elastic embedded ring (1) and a sleeve (2). The elastic embedded ring (1) is made of elastic material and embedded inside a pelvic outlet. The elastic embedded ring (1) is capable of expanding in a natural state inside a vagina to tightly adhere to wall of the vagina, or being inflated into an annular ring which tightly adheres to the vagina wall so as to elastically expand a vagina tissue. The sleeve (2) is made of elastic material or a non-elastic material and is cylinder-shaped. A front end ring of the sleeve (2) is connected with the elastic embedded ring (1), and a rear end ring extends out of the vagina. An operation mask (3) is fixedly provided on the rear end ring.

Abstract: A seal comprises a first sealing member and a second sealing member. The sealing members each have an accessway to facilitate access from one side of the sealing member to the other side of the sealing member. The accessways are offset to facilitate sealed access of an object through the sealing members.

Abstract: A paddle lead insertion tool includes an insertion tool body having a delivery end portion, a delivery end portion, and a slider slit; a slider partially disposed within the slider slit; extenders coupled to the slider and extending to the delivery end portion to receive a paddle body between or upon the extenders; and a center push piece coupled to the slider and disposed between the extenders to push against a proximal end of the paddle body. The slider moves between an insertion position and a delivery position. The insertion tool extends the extenders and center push piece when the slider moves from the insertion position to the delivery position to extend a paddle body received by the insertion tool. The insertion tool retracts the extenders without retracting the center push piece when the slider moves from the delivery position towards the insertion position.

Abstract: A cannula device for removing, including by aspirating, bodily material is disclosed. The device may include a cannula and a hub. The cannula includes an open proximal end and a deflectable distal segment, and one or a plurality of distal orifices fluidly connected to the lumen. When distally extended from an outer guide cannula, the deflectable segment assumes a curved shape, which includes temperature-dependent curvature subject to elevated temperature along a memory metal length of the cannula.

Abstract: The present disclosure provides a clamp. The clamp can include a first clamp member, a second clamp member, and a lever. The first clamp member can include a first gripping surface. The second clamp member can include a second gripping surface. The lever can be connected to the first clamp member and can define a cam located proximate the first clamp member. The lever can be pivotable between a first position and a second position. A transition from the first position to the second position can cause the cam to move the second clamp member towards the first clamp member.

Abstract: External fixation systems, and methods for immobilizing joints or fractured bones. An external fixation system may include one or more clamp assemblies connected to one or more rod assemblies at polyaxial joints. Each rod assembly may be length adjustable, and may include a one-way locking mechanism to provisionally lock the length of the rod assembly, and additional locking mechanisms to permanently lock the length of the rod assembly. The system may be deployed pre-assembled as a unit to immobilize a joint or fracture. Another external fixation system further includes a spanning member extending transverse to the rod assemblies. Two or more external fixation systems may be deployed in a stacked configuration on one set of bone pins to immobilize two joints and/or fractures. The systems may be provided in kits including guiding instrumentation, bone pins and pin clamping assemblies for connecting the bone pins to the external fixation systems.

Abstract: A bone anchor coupler assembly is configured to couple a bone anchor to a spine stabilization member, and includes a coupler body and an angular adjustment member movably coupled to the coupler body.

Abstract: Hydraulically expandable spinal rods and methods of use thereof are disclosed. The spinal rod may include a piston rod, a static rod, and a hydraulic pressure chamber for accepting hydraulic fluid and causing the piston rod to move in an expansion direction relative to the static rod. Upon connection of the piston and static rods to a patient's spinal column, the hydraulic spinal rod may be expanded to aid in correction of an underlying spinal deformity.

Abstract: Systems and methods for flexibly stabilizing a vertebral motion segment by connecting a first vertebra and a second vertebra. The system includes an elongate connection element with end portions interconnected by a flexible coupling member. The system includes first and second attachment portions for connecting the connection element to the vertebrae. A first resilient member is positioned between the first end portion and the first attachment portion, and a second resilient member is positioned between the first attachment portion and the second attachment portion. The system is designed such that the second resilient member is compressed when the first and second attachment portions move towards each other, and the first resilient member is compressed when the first and second attachment portions extend away from each other.

Abstract: Treatment of spinal irregularities, including, in one or more embodiments, dynamic spine stabilizers and systems that can be used to stabilize one or more motion segments in a patient's spine. Spine stabilization systems may comprise a first bone fastener configured to attach the spine stabilization system to a first vertebra. Spine stabilization systems further may comprise a second bone fastener configured to attach the spine stabilization system to a second vertebra. Spine stabilization systems further may comprise a dynamic spine stabilizer configured to connect the first bone fastener and the second bone fastener with at least some relative movement between the first bone fastener and the second bone fastener.

Abstract: Screw and rod systems include polyaxial and hinge joints which provide independent first and second ranges of motion. The first and second ranges of motion are additive in a direction along the rod, so that the screw has greater angulation relative to the rod along the rod than transverse to the rod.

Abstract: A spinal treatment system includes a constraint device having an upper tether portion, a lower tether portion and a compliance member coupled therebetween. The upper tether portion is coupled with a superior spinous process of a spinal segment in a patient and the lower tether portion is coupled with an inferior spinous process or sacrum of the spinal segment. The length or tension in the constraint device is adjustable so that the construct of the tether portions and the compliance member provides a force resistant to flexion of the spinal segment. The system also includes a first prosthesis coupled with the spinal segment, wherein the constraint device modulates loads borne by the prosthesis or by tissue adjacent thereto.

Abstract: A surgical instrument for manipulating and positioning a surgical rod relative to a surgical implant features two legs rotatably coupled to each other by a hinge. Each leg includes a working end. The working ends come into engagement with the implant upon closing the instrument by rotating the legs around the hinge and pivotally position the instrument relative to the implant around a swivel axis transverse to its longitudinal axis. At least one of the legs includes a contact structure for a surgical rod by which the rod is manipulated and positioned upon swiveling the instrument around the swivel axis relative to a rod seating of the implant. At least one of the legs includes a guide structure for guiding a fixation screw, to be screwed in, for the rod and/or for a tool for screwing in the fixation screw after having positioned the rod in the rod seating.

Abstract: Implants and methods for augmentation of the disc space between two vertebral bodies to treat disease or abnormal pathology conditions in spinal applications. The implant includes a chain of biocompatible material suitable for insertion into a disc space between two adjacent vertebral bodies in a patient's spinal column, wherein the spinal disc space has a transverse plane. The chain comprises a plurality of adjacent bodies having a height configured to reside within the disc space between two adjacent vertebral bodies and a length configured to reside in the disc space between two adjacent vertebral bodies when the chain is curved in an orientation substantially along the transverse plane of the spinal disc space.

Abstract: Methods, systems and apparatuses including an assembly for changing an orientation of a first portion of a femur relative to a second portion of the femur are disclosed. The assembly can include an intramedullary nail and a jig. The intramedullary nail can be insertable into an intramedullary canal of both the first portion of the femur and the second portion of the femur. The intramedullary nail can have a first section disposed between a proximal end and a distal end thereof. The first section can have at least one surface that is angled relative to an axis of the intramedullary nail. The jig can be coupled to and rotatable about the intramedullary nail to change a rotational position of the first portion of the femur relative to the second portion of the femur.

Abstract: A compression device and method for interlocking compression nailing systems provide a compression force onto fracture site and a bone fixed between proximal and distal parts of intramedullary nail to prevent stress shielding and improve healing. The compression device having pre-assembled components of set screw, elastic component, distal cap and connector screw are rotated. After nail insertion, the nail is fixed to the bone fragments by inserting the fasteners into distal bores and proximal slot. The compression device is inserted within the bore of the nail. The set screw is screwed to move elastic component and distal cap to push the proximal bone fragment distally. Distal cap overlies on fastener screw shaft to spread compression forces in fastener screw surface to prevent stress concentration. After fracture gap minimization, the set screw is screwed further to compress elastic component to provide desired compression force.

Abstract: An internal fixed bone plates provided for load bearing and non-load bearing fixation for a rotational or translational osteotomy procedure for hallux valgus correction in the first metatarsal bone of the foot. The example include a set design plate having screw holes for attachment of the fixed bone plate to the first metatarsal bone of the foot. Screw holes are located on the plate, including screw holes on top or sides of the plate and screw holes at the ends of the plate. A temporary small holding wire hole may be located in the plate to hold the plate to the bone temporarily. This plate allows both angled screw fixation of various movable, rotational and translational osteotomy and locking screw hole capability to ensure stability when fixating the preferred rotational and translational osteotomy procedure.

Abstract: An implant for bone fixation is presented. The implant comprises an elongated member configured to be wound around bone parts that are to be fixed. Further, an engagement feature is provided that is 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. A fastening member is arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least one opening for receiving a bone fastener. In one variant, at least one visual indicator indicating a region of the fastening member to be severed in order to detach the implant is provided. In another variant, at least one of the engagement member and the elongated member are coupled to the fastening member by injection molding.

Abstract: According to one embodiment, a medical insertion apparatus includes a screw nail body inserted into a human body and an electrode which is provided in the screw nail body and includes an externally exposed portion. Here, a through hole may be formed in the screw nail body or the electrode. According to one embodiment, a medical insertion apparatus includes a screw nail body inserted into a human body and an electrode which is provided in the screw nail body and exposed outside the screw nail body. Here, the screw nail body and the electrode may be provided as a combinable or separable structure. According to one embodiment, a medical insertion apparatus includes a screw nail body inserted into a human body, a driver engaged with the screw nail body to tighten or loosen the screw nail body, and a conductor portion which may be provided in the screw nail body or the driver and may include an externally exposed portion.

Abstract: A fixation assembly for bone fixation and a method for joining bones or bone fragments of a single bone and translating uniform compression to the bones. The fixation assembly comprises a post member coupled to a screw member. The post member comprises a head portion connected to an anchoring portion, wherein the head portion is offset from the anchoring portion by a first angle. The head portion may comprise a curved body annularly extending from a first end to a second end, wherein the first end is separated from the second end by a slot, and wherein the curved body defines a tapered annular bore therein. The anchoring portion comprises a first leg extending from the first end of the curved body and a second leg extending from the second end of the curved body. The screw member comprises a tapered bulbous portion connected to a threaded elongated portion.

Abstract: A device for dispensing biomaterial includes a handle configured to receive a syringe, the syringe including a biomaterial and a threaded plunger, and an engagement pin retained within the handle and slidable between a first position and a second position. The engagement pin is configured to engage the threaded plunger in the first position, the engagement pin is further configured to disengage from the threaded plunger in the second position.

Abstract: A method of fixing a proximal bone mass to a distal bone mass can include driving a guide wire through the proximal bone mass and the distal bone mass to define a path through the proximal bone mass and the distal bone mass. The method can include inserting a suture from the proximal bone mass into the distal bone mass along the path defined by the guide wire and fixing the suture to the distal bone mass. The method can further include tensioning the suture to draw the distal bone mass against the proximal bone mass.

Abstract: Methods, apparatuses, and systems are described for minimizing various leakage effects of multi-zone ablation devices. Apparatuses may include an ablation device for treatment of tissue including an ablation structure with a plurality of bipolar electrode zones. Each of the zones may include an in-zone channel pair comprising a positive channel and a negative channel. The ablation structure may be configured such that, for any adjacent electrode zone pair comprising a first electrode zone and a second electrode zone adjacent to the first electrode zone, the positive channel of the first electrode zone is electrically distinct from the positive channel of the second electrode zone, and the negative channel of the first electrode zone is electrically distinct from the negative channel of the second electrode zone. Moreover, the ablation structure may be arranged such that a total number of electrically distinct channels that is less than twice a total number of the plurality of electrode zones.

Abstract: A system for use in tumor ablation. The tumor ablation system includes a microwave antenna which has a channel along the length thereof. There are two ports proximate the proximal end of the microwave antenna. The first port is an energy port configured to connect the antenna to an energy source. The second port is a fluid port configured to connect the channel to a fluid delivery mechanism. The system also includes an inflatable balloon configured to be attached to a distal end of the antenna. The channel permits fluid access from the fluid port to an interior of the balloon for inflation thereof.

Abstract: An electrosurgical electrode comprises an elongated body having a cross-sectional area and longitudinal side edges forming longitudinal cutting edges adapted for electrosurgical dissection along a plane. The body has a configuration, wherein: the thickness of the side edge is less than or equal to 0.01?, forming only one cutting edge, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.000150 in2 per cutting edge; or the thickness of a first side edge is greater than 0.01? and the thickness of a second side edge is less than or equal to 0.01?, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.001 in2 per cutting edge.

Abstract: An electrosurgical electrode comprises an elongated body having a cross-sectional area and longitudinal side edges forming longitudinal cutting edges adapted for electrosurgical dissection along a plane. The body has a configuration, wherein: the thickness of the side edge is greater than 0.01?, forming two or more cutting edges, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.0004 in2 per cutting edge; the thickness of the side edge is less than or equal to 0.01?, forming only one cutting edge, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.000150 in2 per cutting edge; or the thickness of a first side edge is greater than 0.01? and the thickness of a second side edge is less than or equal to 0.01?, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.001 per cutting edge.

Abstract: A jaw member for an electrosurgical instrument is manufactured by providing a jaw housing (1) having a longitudinal jaw section (2), and an electrically conductive plate (11) including one or more passages (14) therein. The electrically conductive plate is disposed on the jaw section of the jaw housing, and placed into a mould (15). A flowable insulating material (18) is injected into the mould to secure the electrically conductive plate to the jaw housing, such that the flowable material (18) flows through the one or more passages (14) to form one or more stop members (21) that project a predetermined distance from the electrically conductive plate.