Abstract: Sterilization tray fasteners are disclosed herein. The disclosed sterilization tray fasteners may be formed to join sterilization tray bases stacked directly on top of one another together. In some embodiments, sterilization tray bases may be formed to have slots or apertures to accommodate features of the disclosed fasteners. For example, in some embodiments, the disclosed sterilization tray fasteners include an elongate body and two curved arms that can extend into apertures of the sterilization tray bases. In many embodiments, the disclosed fasteners can be attached to and detached from sterilization tray bases without tools.

Abstract: An adjustable rongeur includes a first handle portion pivotally connected to a second handle portion. A shank is connected to the first handle portion at a proximal end of the shank, wherein the shank has a footplate at a distal end thereof. A crossbar is slidably engaged with the shank, wherein the crossbar is connected to the second handle portion, wherein a cutting opening is formed between a distal end of the crossbar and the footplate of the shank. An opening selection actuator is positioned within at least one of the first and second handle portion, wherein the opening selection actuator engages between the first and second handle portions to control a length of the cutting opening.

Abstract: A universal arm has a proximal end, a distal end, and a middle portion therebetween. The middle portion has a plurality of interconnected ball and socket pieces. A plurality of clamps is selectively fixedly connected to the distal end of the universal arm by a connection that permits the selective rotation of each one of the plurality of clamps by 360° with respect to the distal end of the universal arm.

Abstract: A drill system for forming a curved tunnel in a bone includes a drill bit guidance device. The drill bit guidance device includes an elongated stationary outer tube extending along a first axis and an elongated inner tube. The elongated inner tube is configured to slidably move within the elongated stationary outer tube along the first axis and to exit from a distal end of the elongated outer tube. The elongated inner tube has a partially slotted distal end portion including a plurality of semi-cross-sectional slots extending perpendicular to the first axis. Each slot is configured to collapse inward in the slot direction when exiting the distal end of the elongated outer tube, thereby curving the distal end portion of the elongated inner tube.

Abstract: A drill system for forming a curved tunnel in a bone includes a drill bit guidance device. The drill bit guidance device includes an elongated stationary outer tube extending along a first axis and an elongated inner tube. The elongated inner tube is configured to slidably move within the elongated stationary outer tube along the first axis and to exit from a distal end of the elongated outer tube. The elongated inner tube has a partially slotted distal end portion including a plurality of semi-cross-sectional slots extending perpendicular to the first axis. Each slot is configured to collapse inward in the slot direction when exiting the distal end of the elongated outer tube, thereby curving the distal end portion of the elongated inner tube.

Abstract: An articulating shaft system includes an elongated shaft and first and second articulating components. The elongated shaft extends along a main axis and has a distal end surface that is not perpendicular to the main axis. The first articulating component is co-axial with the main axis and is positioned adjacent to the distal end surface of the elongated shaft and has a proximal end surface and a distal end surface that are not perpendicular to the main axis. The second articulating component is co-axial with the main axis and is positioned adjacent to the distal end surface of the first articulating component and has a proximal end surface that is not perpendicular to the main axis. Rotating the first articulating component around the main axis positions the first and second articulating components at an angle relative to the main axis.

Abstract: A flash sterilization container includes a hermetically sealed rigid and impermeable metal bellow valve. Upon pressurization of the external environment with steam the height of the bellow valve is reduced and this opens the valve thereby allowing steam to enter the sterilization container. Reducing the pressure outside of the sterilization container to atmospheric pressure increases the height of the bellow valve and closes the valve, thereby isolating the sterilized objects within the sterilization container.

Abstract: A tissue retractor is disclosed.

Abstract: An endoscopic surgical rotary capture instrument is used in minimally invasive laparoscopic surgery for closing a gastric band having a buckle end a free end. The rotary capture instrument includes a pusher end that has a stationary jaw and a movable jaw. The movable jaw is actuated by rotary motion of an inner shaft. The jaws are used to gasp securely and push the tube end of the gastric band after it has been threaded through the buckle end of the band. A hook instrument is used to hold the buckle end securely while the rotary capture instrument is used to push the free end of the gastric band.

Abstract: An endoscopic medical device system includes an elongated shaft assembly, a cam assembly and an articulating distal end assembly. The elongated shaft assembly extends along a main axis and includes first and second actuator rods arranged parallel to each other and the first actuator rod is longer than the second actuator rod. The cam assembly includes a cam, and the proximal ends of the first and second actuator rods are configured to be slidably attached to first and second locations of the cam, respectively, and the distal ends of the first and second actuator rods are positioned at the same distance from the cam center. The articulating distal end assembly extends along the main axis and is pivotally connected to the distal ends of the first and second actuator rods. Rotation of the cam around an axis perpendicular to the main axis provides angular displacement of the distal end assembly relative to the main axis.

Abstract: A universal arm has a proximal end, a distal end and a middle portion therebetween. The middle portion has a plurality of interconnected ball and socket pieces. A plurality of clamps are selectively fixedly connected to the distal end of the universal arm by a connection that permits the selective rotation of each one of the plurality of clamps by 360° with respect to the distal end of the universal arm.

Abstract: A ratchet assembly for multi-dimensional movement and placement of a retractor blade includes a retractor blade holder, a housing member, a rotating indexer and a self-retaining locking mechanism. The retractor blade holder is shaped and dimensioned to receive a stem of a retractor blade and includes a locking mechanism that enables selective lateral adjustment of the retractor blade relative to the retractor blade holder. The retractor blade holder is mated to the housing member and is vertically pivotable with respect to the housing member to enable selective vertical pivoting adjustment of the retractor blade relative to the housing member. The rotating indexer is mated to the housing member, and the housing member is rotatable with respect to the rotating indexer so that the retractor blade holder, the housing member and the retractor blade are able to selectively rotate about the longitudinal axis of the rotating indexer.

Abstract: A laparoscopic instrument is disclosed, including an elongated tube defining a proximal portion and a distal portion; an end effector removably coupled to the distal portion, the end effector including first and second elements pivotably coupled to one another; an anchor coupled to the tube and a pivot point of the end effector to restrict axial movement of the end effector; and a sleeve movably coupled to the tube, where the sleeve is slidable across at least a portion of the end effector to secure the end effector to the tube.

Abstract: A valve apparatus and methods associated thereof are provided. The valve apparatus includes a valve housing structure. A first valve portion is connected to the valve housing structure, wherein the first valve portion has a sealing edge. A second valve portion is positioned at least partially within the valve housing structure. A constrictable membrane has a pressurizable interior compartment, wherein the constrictable membrane supported by the second valve portion and positioned proximate to the first valve portion, wherein at least a portion of the constrictable membrane is movable to engageable with the sealing edge of the first valve portion.

Abstract: A retractor ring assembly includes a ring holder that has a first selectively engaged connection and a second selectively engaged connection. A first and second ring portion each has a proximal end and a distal end. The proximal end of the first and second ring portions are selectively connected to the respective first and second selectively engaged connections of the ring holder. The distal end of the first ring portion has a third selectively engaged connection. The distal end of the second ring portion has a fourth selectively engaged connection. The third selectively engaged connection and the fourth selectively engaged connection are connectable to form a reinforced closed ring configuration, and are disconnectable to form an open ring configuration.

Abstract: A rongeur has an elongated shank having a distal end and a proximal end. An elongated crossbar, which moves between a retracted position and a tissue capturing position position, has a distal end and a proximal end and reciprocates axially with respect to the shank. A first tip is selectively connected to the shank. The first tip has a proximal end and a distal end. The proximal end has a reduced diameter post. In the selectively connected position, the reduced diameter post of the first tip is received in a bore of the shank. A second tip is selectively connected to the crossbar. The second tip has a proximal end and a distal end. The proximal end has a reduced diameter post. In the selectively connected position, the reduced diameter post of the second tip is received in a bore of the crossbar.