Abstract: An electrosurgical device includes a high dielectric material and at least one conductor arranged relative to the high dielectric material such that, in use, the high dielectric material is disposed between the conductor and target tissue. A second conductor is arranged relative to the high dielectric material such that, in use, the high dielectric material is disposed between the second conductor and target tissue. Each conductor includes a plurality of conductive fingers interleaved, e.g. in a comb-like fashion or as concentric circles. A method for performing electrosurgery includes delivering energy to a target tissue through a high dielectric material. The electrosurgery includes, e.g., ablation, coagulation, or the treatment of skin lesions.

Abstract: An electrosurgical generator that can be used, for example, to provide radio-frequency (RF) energy for localized tissue coagulation, cutting, ablation, and to create lesions in nervous tissue. The generator can provide controls for line power, RF power, setting temperature and/or power, for selecting preset temperature and power combinations, and for selecting programmed treatment profiles. The generator can have a display to display the desired probe and tissue temperature, measured probe impedance, actual probe and/or tissue temperature, delivered power, treatment time, mode setting, preset selection, and messages, and indicators for RF Power On, Stimulation On, and Fault Condition. The generator can include the ability to generate low frequency pulses to stimulate nerves and to assist in the proper placement of the electrosurgical probe in the location that is causing pain.

Abstract: A textured surface and oxidation layer coating on a metallic material is accomplished through the chemical and/or electrochemical etching of the surface to modify the surface texture and an in-situ oxidation procedure. The surface is useful for the fabrication of prosthetic devices, particularly medical implants, due to the corrosion and wear resistance imparted by the oxidation layer and the ability to enhance grafting of the implant onto bone imparted by the surface texture.

Abstract: Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable used in conjunction with an orthopedic implant device, a bone, and/or bone implant or structure. A sequence for a method in accordance with various embodiments the invention includes providing a surgical cable clamp and an orthopedic surgical cable. Next, mounting a portion of the surgical cable to the surgical cable clamp. Next, applying a force to the portion of the surgical cable so that the surgical cable is restrained or secured relative to the surgical cable clamp with a first tension in the surgical cable. Then releasing the force on the extended portion of the surgical cable so that the surgical cable can be repositioned relative to the surgical cable clamp. Finally, applying another force to the extended portion of the surgical cable so that the surgical cable is again restrained or secured relative to the surgical cable clamp.

Abstract: A surgical endoscopic cutting device includes cutting elements fitted in a protective tube. The device has an inlet for fluid, a discharge outlet for tissue and fluid, and a further outlet that discharges most of the fluid.

Abstract: Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable used in conjunction with an orthopedic implant device, a bone, and/or bone implant or structure. Systems and methods provide a clamping body, a clamping mechanism, and a force application member that cooperate to allow tensioning and re-tensioning of a surgical cable.

Abstract: Embodiments of the present invention include products and methods for reducing fractures with the aid of image guidance. In one embodiment, products and methods are directed to reduction for the placement of an intramedullary nail.

Abstract: The present invention relates to a new composition and medical implant made therefrom, the composition comprising a thick diffusion hardened zone, and preferably further comprising a ceramic layer. The present invention relates to orthopedic implants comprising the new composition, methods of making the new composition, and methods of making orthopedic implants comprising the new composition.

Abstract: An apparatus for cleansing and applying therapy or prophylaxis to wounds, in which irrigant fluid containing a physiologically active material from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing and a means for fluid cleansing and back to the dressing. The cleansing means (which may be a single-phase, e.g. microfiltration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The dressing and a method of treatment using the apparatus.

Abstract: Tissue fixation devices are provided. The devices include a first component and a second component, the components having different rates of in vivo degradation. The first component and second component are arranged so that, upon degradation of one of the components, the other component provides a scaffold into which bone can grow.

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 method includes recognizing an electrosurgical probe coupled to an electrosurgical generator, selecting a mode of the electrosurgical generator based upon the recognized probe, setting a therapy profile based upon the selected mode, and displaying the therapy profile. The generator can include user inputs for modifying the therapy profile. A computer implemented method for achieving a target temperature includes: a) receiving the target temperature; b) calculating a first set temperature; c) commanding a first output power level until a measured temperature is equal to or greater than the first set temperature; d) calculating an updated set temperature based upon the target temperature; e) commanding a second output power level until the measured temperature is equal to or greater than the updated set temperature; and repeating d and e until the updated set temperature is equal to the target temperature.

Abstract: A pre-assembled orthopaedic implant adapted for improved gas sterilization. The implant includes a first component adapted for assembly with a second component such that a mating surface of the first component is in close proximity with a mating surface of the second component. At least one gas conduit associated with the mating surface of the first component facilitates a sterilizing gas to penetrate into and dissipate from the interface defined by the mating surfaces.

Abstract: An intramedullary implant for mounting within an intramedullary canal of a bone is disclosed. The intramedullary implant includes a lower stem portion, an upper stem portion, and a modular sleeve body. The modular sleeve body is connected to one of the lower stem portion or the upper stem portion. The sleeve body includes an inner portion that covers at least a segment of the upper stem portion and has one or more longitudinally extending bone engagement members for engagement with the bone.

Abstract: Systems and methods for planning surgical procedures involving custom medical implants that can involve the selection, design and/or creation of custom medical implants and/or the selection, modification, and/or design of custom surgical procedures related to those implants. Certain embodiments allow implants to be selected, designed, created, or otherwise customized and then placed in patients using non-standard surgical techniques. The invention provides greater flexibility in implant use by allowing a surgeon to revise, create, or otherwise select surgical techniques for custom implants and, ultimately, provide better treatment in a greater variety of medical circumstances. Certain embodiments of the invention involve computer assisted surgery to provide for implant-related surgery involving non-standard surgical steps and/or implants.

Abstract: There is provided an acetabular shell liner, and particularly a constrained liner, having a variable rim surface geometry to improve the range of motion of a femoral component within the liner and decrease the incidence of dislocation and subluxation. There are also provided methods of making and using the acetabular shell liner. Prosthetic devices, and particularly hip joint prostheses, containing the acetabular shell liner having a variable rim surface geometry are also provided.

Abstract: An apparatus for tissue repair includes first and second fixation members configured to secure tissue together, a flexible coupling member coupling the first and second fixation members, a first flexible pull member attached to the first fixation member but not the second fixation member, and a second flexible pull member attached to the second fixation member but not the first fixation member. A surgical method for repairing a wound in a rotator cuff includes forming a first and second channel through tissue, advancing a first flexible member and a first fixation member coupled thereto through the first channel, advancing a second flexible member and a second fixation member coupled thereto through the second channel, and pulling a third flexible member coupling the first and second fixation members to shorten a length of the third flexible member between the first and second fixation members.

Abstract: A fluid flow device includes a housing configured to releasably mate with a surgical control unit for controlling fluid flow during a surgical procedure. First and second ports measure fluid pressure within a fluid path provided within the housing. The fluid flow device includes a restrictor for restricting fluid flow at a restriction location along the fluid path. The first port is located upstream of the restriction location and the second port is located downstream of the restriction location. A fluid pump is provided within the housing.

Abstract: A set of surgical instruments for repairing a cartilage surface on a posterior surface of the patella includes a first instrument and a second instrument. The first instrument includes a channel defining a longitudinal axis that extends from the channel to intersect an anterior surface of the patella. The second instrument is mountable to the first instrument and includes a surface that is configured to be placed against a posterior surface of the patella. The longitudinal axis of the channel is at an angle to the surface of the second instrument when the second instrument is mounted in the first instrument.

Abstract: A modular humeral prosthesis for replacement of the humeral head of a humerus. The prosthesis generally comprises a stem to be fitted to a resected humerus; a head sized and configured to approximate the humeral head; and an intermediate connecting member for connecting the stem to the head. The intermediate connecting member provides a desired angle of inclination or offset between stem and head. The head may be a traditional humeral head, or it may be an eccentric humeral head, with its mating portion being offset. The head may also comprise a groove or milled trench at least partially surrounding or otherwise defining mating portion. Also disclosed is a modular humeral prosthesis kit comprising a variety of different intermediate connecting members that may be selected to tit the prosthesis to the patient, and a method of replacing a humeral head in a patient.