Abstract: A surgical tool includes a rocker assembly configured to cause rotation of a surgical blade to form an incision. The rocker assembly includes a gear. The surgical tool also includes a ratchet configured to rotate in a first direction and a second direction. The surgical tool further includes a linkage arm connecting the rocker assembly and the ratchet so that rotation of the ratchet causes rotation of the rocker assembly. In addition, the surgical tool includes a spring configured to be extended by the ratchet when the ratchet is rotated in the first direction. The spring is also configured to retract and cause the ratchet to rotate in the second direction.

Abstract: A head assembly (200) for a power operated dermatome (100) including a frame body or housing (202) supporting a gear train (520), a blade housing assembly (400), an annular rotary knife blade (300) supported for rotation about an axis of rotation (R) by the blade housing assembly (400). The rotary knife blade (300) includes an inner wall (365) defining an interior region (301) and has a cutting edge (360) at one end (368) defining a cutting plane (CP). The head assembly (200) further includes a depth gauge assembly (600) including a depth gauge support (602) and a depth gauge (620) including a depth gauge plate (622) supported by the depth gauge support (602) for axial movement along the axis of rotation (R), the depth gauge plate (622) extending into the interior region (301) and the depth gauge support (602) attached to and extending from the frame body (202).

Abstract: Apparatus and methods are provided to remove biopsy specimens from a bone and/or associated bone marrow using a powered drive and an intraosseous (IO) needle set. The powered driver may rotate the IO needle set at an optimum speed to obtain a biopsy sample of bone and/or bone marrow. Apparatus and methods may also be provided for aspiration of bone marrow and/or stem cell transplant procedures. The apparatus may include a powered driver, a coupler assembly, a containment bag or sterile sleeve and various IO needles and IO needle sets with associated hubs and/or hub assemblies. Each IO needle set may include a cannula or catheter and an associated trocar stylet with respective tips operable to penetrate a bone and/or bone marrow with minimum trauma to a patient. Each hub assembly may be used to releasably dispose a respective stylet within an associated generally hollow cannula. Some coupler assemblies and/or hub assemblies may also be used with manual drivers.

Abstract: A surgical instrument includes a cutting member with an implement for cutting tissue, and a drive coupled to the cutting member to simultaneously rotate and translate the cutting member in response to a force applied to the drive. A method of cutting tissue includes positioning an outer member such that tissue is located within the outer member, engaging the tissue with an inner member, and simultaneously rotating and translating the inner member to cut the tissue. A tangential cutting force is applied to the tissue with the inner member to mechanically cut the tissue. The inner member is mechanically driven to undergo simultaneous rotation and translation.

Abstract: A surgical cutting device and method for performing surgery using such is provided. The surgical device includes a handpiece or other, a stationary outer cannula connected to the base, a rotatable inner cannula connected to the base, an inner elongated shaft member connected to a distal interior surface of the lumen of the outer cannula, and a tissue cutting opening. The inner cannula includes a plurality of blades that interact with a plurality of ridges on the inner elongated shaft upon rotation of the inner cannula facilitating maceration of tissue within the lumen to prevent clogging of the device.

Abstract: A tissue resection device may include an hourglass shaped bun to resect tissue according to the shape and curvature of the hourglass shaped burr. The tissue resection device may also include a depth stop window and a movable protective guard to control the amount of cutting.

Abstract: The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and methods relate to removal of the occluding material from the blood vessels as well as other body lumens. In some variations, the methods comprise providing a vascular device comprising a catheter body, a cutter assembly, a drive mechanism, a torque shaft, and a deflecting mechanism. The methods may further comprise operating the drive mechanism to cut occlusive material, operating the deflecting mechanism to deflect the cutter assembly, and rotating the distal end of the catheter body to sweep the cutter assembly.

Abstract: An angled tissue cutting instrument comprises an angled outer tubular member rotatably receiving a flexible inner tubular member. The inner member has a flexible region in correspondence with an angle of the outer member. The flexible region comprises a helically cut length portion of an elongate tubular body of the inner member and a continuous solid flexible surface secured to an outer surface of the body along the helically cut length portion. A method of fabricating a flexible inner tubular member involves forming a helical cut through the solid wall of a length portion of a tubular body and securing a continuous solid flexible surface to the outer surface of the body along the helically cut length portion to form a flexible region.

Abstract: The invention provides a guide for controlling a surgical instrument, that includes a cutting member configured to resect a portion of anatomy and a sheath. The sheath may have a circular connecting portion with an inner diameter substantially the same as the outer diameter of the surgical instrument to receive the surgical instrument. The sheath may also include at least two distally extending arms connected to the circular connecting portion and a ring connected to the distal portion of the at least two distally extending arms. The sheath may also include a distally extending extension connected to the ring. The guide has a superiorly extending guard connected to the distal portion of the extension and a projection member positioned on a superior surface of the guard. The projection member includes a generally circular base and circular platform that has a diameter larger than the generally circular base.

Abstract: A surgical tissue cutting instrument comprises a tubular outer member, an inner member rotatably disposed within the outer member and having a cutting element, a handpiece, and an irrigation system. The irrigation system includes an irrigation channel composed of a first irrigation passage within the handpiece and a second irrigation passage within the thickness of the annular wall of the outer member, and a sleeve disposed over a front end of the handpiece and over the outer member adjacent an outlet opening of the second irrigation passage. The sleeve allows communication through the outlet opening of the second irrigation passage and an inlet port of the first passage. The inlet port is connectable with a source of irrigation fluid.

Abstract: A surgical tool includes a rocker assembly configured to cause rotation of a surgical blade to form an incision. The rocker assembly includes a gear. The surgical tool also includes a ratchet configured to rotate in a first direction and a second direction. The surgical tool further includes a linkage arm connecting the rocker assembly and the ratchet so that rotation of the ratchet causes rotation of the rocker assembly. In addition, the surgical tool includes a spring configured to be extended by the ratchet when the ratchet is rotated in the first direction. The spring is also configured to retract and cause the ratchet to rotate in the second direction.

Abstract: A surgical handpiece with a rotating spindle for receiving the coupling head of a surgical attachment or a cutting accessory. A gear train has plural drive heads that simultaneously rotate at different speeds. A clutch assembly has pins that move along the length of the spindle. The clutch assembly sets the position of the pins so they will engage one of the drive heads. The spindle rotates with the drive head with which the clutch pins are engaged.

Abstract: A remote controlled actuator includes a spindle for holding a tool, a spindle guide section of an elongated configuration, a distal end member rotatably supporting the spindle, and a drive unit housing connected to a base end of the spindle guide section. The distal end member is fitted to the spindle guide section for alteration in attitude. The spindle guide section includes an outer shell pipe, a rotary shaft, and guide pipe. Within the guide pipe, an attitude altering member is inserted to alter the attitude of the distal end member. A connection device detachably connects the spindle guide section with the drive unit housing.

Abstract: A dual function arthroscopic blade provides multiple cutting surfaces of differing cut aggressiveness for selective engagement of the desired cutting blade without retracting the instrument for changing cutting members to apply a different set of cutting edges, or blade. An inner rotating member within a stationary outer cutting member provide cutting edges defined by cutting windows on the inner and outer cutting members, and a rotational drive applies an oscillating rotation such that one of the cutting windows, corresponding to one of the sets of cutting edges, engages an extraction region such as tissue or bone. The use of different sized cutting windows allows variance in the aggressiveness of the cut, and allows selection of another cutting window by rotating the cutting member to align the selected cutting edges without requiring extraction and reinsertion in order to attach a different blade with a different cut aggressiveness.

Abstract: A rotation sensor system is included with a surgical instrument having an outer tube, an inner rotating member rotatably disposed within the outer tube and a handpiece coupled to proximal ends of the outer tube and the inner rotating member. The rotation sensor system includes a magnetic member provided on the inner rotating member near the proximal end of the inner rotating member, a magnetically permeable member provided on the outer tube near the proximal end of the outer tube, and a sensor provided on the handpiece to sense magnetic flux of the magnetically permeable member adjacent to the sensor. This sensed magnetic flux can be used to determine the rotational position of the inner rotating member relative to the outer. tube. Such information can be used to control the position of the cutting member relative to the cutting window when a surgeon stops rotating the inner rotating member.

Abstract: A surgical dissection tool for cutting bone and other tissue includes a cutting head having an outer surface having non-paired or an odd number of flutes formed therein. Each flute includes a rake surface intersecting with the outer surface to form a cutting edge, and a relief surface opposite the rake surface. The relief surface and the rake surface form a first angle. Each flute also includes a leading angled surface extending from the relief surface to a distal end portion of the cutting head, the leading angled surface and the rake surface forming a second angle substantially the same as the first angle.

Abstract: Some embodiments of the invention provide an instrument for mechanically removing segments of tissue from a patient during a minimally invasive surgical procedure. An exemplary instrument provides an inlet for receiving tissue a mechanism for cutting away received tissue and for simultaneously moving the cut away tissue away from the inlet to allow additional material to enter the inlet for removal wherein multiple specimens can be captured and eventually removed from the patient's body without the need of removing the instrument after each capture.

Abstract: Devices and methods are provided for penetrating tissue and/or effecting movement of devices relative to tissue. In general, a surgical instrument is provided having an at least partially fabric-covered distal tip that be used to at least partially penetrate tissue by contacting the tissue with the fabric and rotating the fabric to “drill” into the tissue. The surgical instrument can be configured for delivery proximate to tissue through a working channel of a delivery device and can include an elongate shaft having in its distal portion an end effector at least partially covered in fabric. The fabric, the end effector, and/or the shaft can rotate, thereby allowing at least the fabric to penetrate the tissue and, if sufficiently rotated, causing an opening to form in the tissue. The surgical instrument and/or the delivery device can be advanced through the opening.

Abstract: A medical instrument for cutting tissue having a tubular outer shaft which, in the area of its distal end, has at least one window with at least one blade, and further comprises a tubular inner shaft which is rotatable about a longitudinal axis, is received in the outer shaft and has, at its distal end, a cutting element which is arranged in the area of the at least one window of the outer shaft and is provided with several circumferentially arranged openings, each of the openings of the cutting element having at least one blade which, when the cutting element is moved in rotation, cooperates in a cutting action with the at least one blade of the outer shaft. It is proposed that at least some of the openings of the cutting element should have different widths, seen in a circumferential direction.

Abstract: An orthopaedic reamer is provided for preparing a bone socket, such as the glenoid of the scapula, to receive a prosthetic glenoid component. The orthopaedic reamer includes an elongate shaft and an oblong cutting head, such as a cutting head having an oval or elliptical shape.

Abstract: According to an aspect of the present invention, a medical device is provided, which comprises the following: (a) a hollow elongate body (e.g., an elongate cylinder, such as a needle) having distal and proximal ends; and (b) a rotatable member comprising a tissue morselizer and an elongate shaft (e.g., an auger-like tissue-drilling bit). The device (i) advance material (e.g., morselated tissue) toward the proximal end of the hollow elongate body when the shaft is rotated in a first direction, and (ii) advance material (e.g., a therapeutic agent and/or a bulking agent) toward the distal end of the hollow elongate body when the shaft is rotated in a second direction that is opposite the first direction. The invention also provides a method of treatment for morselizing and removing tissue from within the patient and creating a void within the patient and introducing a therapeutic agent and/or a bulking agent into the void.

Abstract: The present devices and methods relate generally to vacuum or suction powered medical devices and methods for cutting, resecting, excising, morcellating and/or evacuating tissue from various regions of a patient's body, in certain variations, the devices may produce a rotational motion by converting a linear reciprocating motion to a rotational motion, causing a cutting shaft or other tool to rotate to perform work on a tissue in various regions of the body.

Abstract: A remote controlled actuator includes a spindle guide section of an elongated configuration, a distal end member fitted to a tip end of the spindle guide section for alteration in attitude, and a drive unit housing to which a base end of the spindle guide section is connected. The distal end member rotatably supports a spindle then holding a tool. The spindle guide section includes a hollow outer shell pipe, a rotary shaft and a guide pipe, and an attitude altering member for altering an attitude of the distal end member is inserted within the guide pipe. A hollow of the outer shell pipe includes a round hole portion at a center and a grooved portion depressed radially outwardly from the round hole portion. The rotary shaft is arranged within the round hole portion whereas the guide pipe is arranged within the grooved portion.

Abstract: A surgical cutting instrument including two coaxially arranged tubular members. The first tubular member has a cutting tip and is co-axially disposed within the second tubular member, which in turn has a cutting window to expose the cutting tip to tissue and bone through the cutting window. Movement of the tubular members with respect to each other debrides soft tissue and thin bone presented to the cutting window. The second (outer) tubular member has one or more features which contribute to reduced clogging of the cutting tip as a whole.

Abstract: Disclosed is a surgical tool holder adapted to connect to a disposable cutting tool, and the surgical instrument combination. The tool holder has a shank with a quick tool coupling at one end and a drive adaptor at a second end. The coupling assembly has a coupling interface for holding the tool, and has a debris reservoir. A locking mechanism is engageable with the shank by a lock interface that holds the coupling assembly in functional assembly, and when unlocked allows component parts of the coupling assembly to be separated for cleaning and sterilization. The surgical tool has a flat base and complementary fittings adapted to be received by the holder's coupling interface. The combination of the flat base with the reservoir defines a relatively enclosed collection space to receive cutting debris from the tool while the holder and tool are coupled together.

Abstract: A surgical milling cutter includes a milling cutter bracket, a locking device and a bottom electric motor connected successively. The milling cutter bracket includes a fixing seat with a through hole. A finger guide apparatus with an L-type first bracket at the top end thereof is provided on the upper part of the fixing seat. The end of the L-type first bracket's short side is provided with a downward projection. The lowest point of the projection is lower than that of the milling cutter's cylindrical head when the milling cutter is working normally. The surgical milling cutter utilizes the projection to prevent the possibility of an object contacting with the cylindrical head, thus avoiding an object being cut unevenly. Meanwhile, the L-type bracket can be driven by the finger guide apparatus to rotate so as to change the running direction of the milling cutter, thus facilitating surgical procedures.

Abstract: A tissue cutting device includes an outer cannula, and axially fixed inner member, an actuation assembly, a slidable shuttle member, and a vacuum fitting configured to connect to a vacuum source. The outer cannula is configured for selective rotation. The shuttle member is operatively connected to the outer cannula to reciprocate the outer cannula. The axially fixed inner member is disposed within the outer cannula.

Abstract: A medical device and method of using the device to reinforce and stabilize a compressed tissue is disclosed. The medical device comprises a shaft with a single blade that is biased with a bend, but is elastic enough to be straightened. The end of a cannula is inserted into a tissue, and the blade and shaft are then inserted into a cannula to straightens the blade and direct it to the tissue site. When the blade reaches the tissue site, the blade naturally returns to its bent biased state, and the shaft and blade are then rotated to pulp a volume of tissue. A binding material is then injected into the pulped tissue without removing the tissue.

Abstract: A sealing assembly hinders or prevents air or other fluid from seeping between various components of a medical device by use of a liquid seal. An infusion port is for introducing a sealing liquid to immerse a flood space between a liner that surrounds a torque tube and/or within the torque tube, thereby creating a liquid seal around the torque tube and lubricating the torque tube. The length of the liner and the cross sectional space of the flood space are adjusted to control flow rate. An aspiration port may force suction pressure into a lumen extending along the length of the medical device in a distal direction. The liquid seal also prevents diluting of the suction pressure by stopping ingress of air.

Abstract: The present disclosure relates generally to the field of tissue removal and more particularly to methods and devices for use in medical applications involving selective tissue removal. One exemplary method includes the steps of providing a tissue cutting instrument capable of distinguishing between target tissue to be removed and non-target tissue, urging the instrument against the target tissue and the non-target tissue, and allowing the instrument to cut the target tissue while automatically avoiding cutting of non-target tissue. Various tools for carrying out this method are also described.

Abstract: A method of implanting a hearing prosthesis in a recipient, including boring an artificial passageway into the temporal bone to a middle ear cavity based on a virtual model of at least a portion of a recipient's temporal bone.

Abstract: A rotatable thrombectomy wire for breaking up thrombus or other obstructive material comprising an inner core composed of a flexible material and an outer wire surrounding at least a portion of the inner core. The outer wire has a sinuous shaped portion at a distal region. The inner core limits the compressibility of the outer wire. The outer wire is operatively connectable at a proximal end to a motor for rotating the wire to macerate thrombus.

Abstract: A surgical marking tool for marking a location on a patient includes a cutting head and a handle. The cutting head includes a screw thread. The handle is coupled to the cutting head to rotate the cutting head. The screw thread is configured to progressively embed in the patient to mark the location when the cutting head is placed in contact with the patient and rotated with respect to the patient using the handle.

Abstract: A surgical instrument comprises a housing, an end effector carried by the housing, and one or more connections adapted to connect the surgical instrument to a controller such as an electrosurgical generator. The housing includes a plurality of handswitches located at different rotational positions around the housing. The handswitches comprise two handswitch sets the handswitches of each set being connected in to common so as to send the same signal to the controller whichever one of the handswitches is activated. In this way a user of the surgical instrument can send signals to the controller using any of the handswitches within a particular set, depending on the orientation of the surgical instrument.

Abstract: The shank (12) of a disposable rotary cutting tool (10) comprises a pipe section (16) cut from a drawn metal pipe. The tool head (14) is formed from a cut-out (18a, 18b) of a drawn metal sheet or a section of a metal tube by non-cutting machining. The pipe section (16) and the tool head (14) are advantageously attached by force fitting.

Abstract: Interacting cutting blades, forming a part of a rotary tissue cutter, has an outer cutting blade 28 including an edge 36 defining a port 34 formed near a distal end 30 of the outer cutting blade 28. An inner cutting blade 12 for rotation relative to the outer cutting blade 28 is held within the outer cutting blade 28. The inner cutting blade 12 includes one or more cutting elements 20 formed near a distal end 18 such that an edge 14 of the inner cutting blade 12 forms resilient frictional contact with the edge 36 and the cutting elements 20 each have a convex shape such that an apex 22 of each of the cutting elements 20 extends within the port 34 and beyond an inner surface 38 of the outer cutting blade 28 as the inner cutting blade 12 is rotated within the outer cutting blade 28.

Abstract: A method of removing a nucleus pulposus from an intervertebral disc, involving rotating a distal end head of an instrument so that flexible protrusions thereon will cut nucleus pulposus native material.

Abstract: A surgical handpiece with a rotating spindle for receiving the coupling head of a surgical attachment or a cutting accessory. A gear train has plural drive heads that simultaneously rotate at different speeds. A clutch assembly has pins that move along the length of the spindle. The clutch assembly sets the position of the pins so they will engage one of the drive heads. The spindle rotates with the drive head with which the clutch pins are engaged.

Abstract: The present invention relates generally to the field of micro-scale or millimeter scale devices and to the use of multi-layer multi-material electrochemical fabrication methods for producing such devices with particular embodiments relate to shredding devices and more particularly to shredding devices for use in medical applications. In some embodiments, tissue removal devices include tissue anchoring projections, improved blade configurations, and/or shields or shrouds around the cutting blades to inhibit outflow of tissue that has been brought into the device.

Abstract: A rotation sensor system is included with a surgical instrument having an outer tube, an inner rotating member rotatably disposed within the outer tube and a handpiece coupled to proximal ends of the outer tube and the inner rotating member. The rotation sensor system includes a magnetic member provided on the inner rotating member near the proximal end of the inner rotating member, a magnetically permeable member provided on the outer tube near the proximal end of the outer tube, and a sensor provided on the handpiece to sense magnetic flux of the magnetically permeable member adjacent to the sensor. This sensed magnetic flux can be used to determine the rotational position of the inner rotating member relative to the outer. tube. Such information can be used to control the position of the cutting member relative to the cutting window when a surgeon stops rotating the inner rotating member.

Abstract: A surgical cutting instrument including two coaxially arranged tubular members. The first tubular member has a cutting tip and is co-axially disposed within the second tubular member, which in turn has a cutting window to expose the cutting tip to tissue and bone through the cutting window. Movement of the tubular members with respect to each other debrides soft tissue and thin bone presented to the cutting window. The second (outer) tubular member has one or more features which contribute to reduced clogging of the cutting tip as a whole.

Abstract: A method of manufacturing an orthopaedic surgical instrument comprising the steps of forming a generally planar shim having a predetermined shape; creating a plurality of holes or slots in the plane of the shim; temporarily shielding said holes or slots. from a plastic molding process; overmolding said shim with a plastic substrate using said plastic molding process; and creating a cutting surface at each of said holes or slots.

Abstract: The present invention relates to a medical handheld device including at least one power unit, at least one power consumer, at least one actuation element and at least one switching device which is movable from a first switching position into a second switching position when the actuation element is actuated. The invention also relates to a power unit for use in a handheld device according to the invention. The invention also relates to a power unit for use in a medical handheld device, wherein the power unit includes at least one power consumer, at least one power source, and at least one switching device which is arranged to be moved from a first switching position into the second switching position when the actuation element is actuated by the user to provided power from the voltage source to operate the power consumer and/or the handheld device.

Abstract: The invention relates to an apparatus for mechanical action upon a medium (30) having at least one first element (9??, 10??) which can be brought from a transport state into an operating state by changing at least one mechanical property. Such an apparatus can, for example, be a blood pump for the medical, microinvasive area. The object of achieving a transition between the transport state and the operating state which is as comfortable as possible and in so doing leaving a freedom in the design of the corresponding apparatus, in particular of a pump, which is as large as possible, is achieved using the means of the invention in that the first element at least partly comprises a material (24, 25, 26, 27) or can be filled with a material or material mixture which passes through a chemical reaction, in particular cross-linking, or a crystallization for transition into the operating state.

Abstract: The present invention relates to a device and method for cutting an annular piece out of the soft tissue of a selected mammal. The device can be utilized in surgical situations such as capsularhexis. The device comprises one or more blades which when rotated, cut an annular path.

Abstract: An interventional catheter assembly comprises an operating head for removing obstructive material from a target site in a body lumen or cavity and at least one aspiration port located proximal to the operating head and penetrating the catheter assembly, the aspiration port being in communication with a sealed lumen that communicates with a vacuum system for withdrawing aspirate fluid and obstructive material from the target site. The interventional catheter incorporates an elongated guidewire lumen bushing extending proximally from a distal region of the operating head to reduce the clearance between the guidewire and the internal surface of the guidewire lumen during operation of the interventional catheter. This feature restricts entry of fluid and debris into the guidewire lumen and promotes maintenance of consistent and high aspiration pressure and volume during operation of the aspiration system and interventional catheter assembly.

Abstract: Exemplary embodiments of the present disclosure can provide a catheter which can include a removal mechanism which can excavate a tubular-organ occluding object. For example, the exemplary catheter can include: a sheath portion which can have a elongated lumen insertable into a tubular-organ. The catheter can further include an insertion member which can have a second elongated lumen which can be arranged free, slidably, and rotatably with respect to the lumen of the sheath portion. The catheter can also include a removal mechanism configured to remove a occluding object of the tubular-organ. The removal mechanism can include a support portion arranged at a distal portion of the insertion member and a plurality of rotating arrangements having at least one blade edge configured to excavate the occluding object. The support portion can have an axis of rotation that intersects an axis of extension of the insertion member.

Abstract: The medical handpiece of the present invention includes a cutting tool having a flexible shank and a cutting bur, a plastically deformable tubular casing for the cutting tool, a handpiece body detachably holding the cutting tool, bearing members disposed in the casing, an inner intervening member for receiving the shank, and an outer intervening member arranged around the inner intervening member. The inner and outer intervening members are composed of a plurality of segments, and each segment is arranged between or on distal or proximal side of the bearing members. Each segment of the outer intervening member is further composed of a plurality of sub-segments. Annular members having the outer diameter that is larger than that of the outer intervening member are arranged between the sub-segments of the outer intervening member. The present handpiece provides improved operationality since shaking is hardly generated even when the casing is flexed.

Abstract: A catheter-based system for accessing specific body cavities percutaneously and minimizing patient trauma is provided. In the preferred embodiment, in order to create an aperture at an access site in a patient's existing tubular body organ structure, a delivery sheath is passed axially along the interior of a portion of the existing tubular body organ structure to place a distal end of the delivery sheath near the access site. A centering wire is passed axially along the interior of the delivery sheath, piercing through from inside to outside of the patient's existing tubular body organ structure at the access site by causing an end portion of the centering wire to emerge from the distal end of the delivery sheath. A cutting catheter is passed substantially coaxially over the centering wire and axially along the interior of the delivery sheath.

Abstract: A device for osteoligamentous resection comprising a resector having a shaft with a resecting tip at its distal end, and a retractor at least partially surrounding the resector, and at least part of the retractor being moveable relative to the resector.