Abstract: An elongate embolectomy device having a radially constrained configuration and a radially expanded configuration, the embolectomy device being formed out of a plurality of elongate clot engaging structures, each clot engaging structure comprising a plurality of interconnected struts forming an open cell pattern, wherein, when the embolectomy device is in the radially expanded configuration, the clot engaging structures each have a semi-tubular arcuate profile, including a convex face and an concave face facing opposite the convex face, extending along a length of the embolectomy device, the clot engaging structures being longitudinally disposed relative to each other such that the concave faces are facing radially outward, and the convex surfaces are facing radially inward, respectively, relative to a longitudinal axis of the embolectomy device.

Abstract: A cutting assembly configured to be removably coupled to a drive assembly of a surgical instrument. An inner tube is coaxially and rotatably disposed within an outer tube and defines a lumen in communication with a cutting window. A projection is disposed within the lumen of the inner tube. The projection may include a distal first portion displaced radially inward relative to an interior surface of the inner tube, and a proximal second portion angled relative to the distal first portion. A distance between a proximal boundary of the cutting window and a nearest point on the projection may be less than a diameter of the lumen. An inner surface of the projection permits cutting action to continue until the material is sufficiently reduced to pass between a proximal boundary of the cutting window and the insert. The projection may be formed by an insert secured within the inner tube.

Abstract: The present disclosure provides a bioresorbable foam closure device for trans-nasally closing an opening in a base of a skull. The closure device comprises a phase-separated polymer. The device includes a stem portion having a proximal end and a distal end, and a head portion at the distal end of the stem portion. The closure device is deformed from a free shape to a constricted shape, inserted through a nasal cavity and into the opening, and released to at least partially revert back to the free shape such that the stem portion fills the opening and the head portion abuts cranium and dura to secure the closure device in position and seal the opening.

Abstract: A vaso-occlusion system for occluding an aneurysm includes a delivery catheter having a delivery lumen extending therethrough, a pusher member at least partially extending through the delivery lumen, and a vaso-occlusive device loaded within the delivery lumen, the vaso-occlusive device comprising an expandable braid formed out of a plurality of elongate braid filaments, the elongate braid elements having respective proximal end portions that are formed into a flexible transition section having a proximal end portion attached to a distal end of the pusher member and/or to an elongate central member coupled to, and extending distally of, the pusher member.

Abstract: The present disclosure provides a bioresorbable foam closure device for trans-nasally closing an opening in a base of a skull. The closure device comprises a phase-separated polymer having a porosity of greater than 80%. The device includes a stem portion having a proximal end and a distal end, and a head portion at the distal end of the stem portion. The closure device is deformed from a free shape to a constricted shape, inserted through a nasal cavity and into the opening, and released to at least partially revert back to the free shape such that the stem portion fills the opening and the head portion abuts cranium and dura to secure the closure device in position and seal the opening.

Abstract: An implant delivery system comprises an elongate tubular member having a lumen, a tubular implant coaxially disposed within the lumen of the elongate tubular member, and a delivery assembly having a distal portion coaxially disposed within tubular implant. The delivery assembly comprises a delivery wire, an engaging bumper fixedly coupled to the delivery wire, a stopper bumper fixedly coupled to the delivery wire, and a floating element slidably coupled around the delivery wire and disposed between the bumpers, thereby limiting linear translation of the floating element therebetween. The floating element has an engaging portion configured to engage the engaging bumper when the delivery wire is axially translated relative to the elongate member in a first direction. The floating element is configured to radially expand outward to frictionally engage the implant when the engaging portion of the floating element engages the engaging bumper.

Abstract: Vaso-occlusive apparatuses, including implants, and methods of using them to treat aneurysms. For example, described herein are expandable vaso-occlusive implants that include one or more soft and expandable braided member coupled to a pushable member such as a coil that maybe inserted and retrieved from within an aneurism using a delivery catheter. In particular, the expandable implants described herein are configured to allow relatively soft and elongate implants to be pushed out of a cannula without binding up within the cannula.

Abstract: Vaso-occlusive apparatuses, including implants, and methods of using them to treat aneurysms. For example, described herein are expandable vaso-occlusive implants that include one or more soft and expandable braided member coupled to a pushable member such as a coil that maybe inserted and retrieved from within an aneurism using a delivery catheter. In particular, the expandable implants described herein are configured to allow relatively soft and elongate implants to be pushed out of a cannula without binding up within the cannula.

Abstract: A vaso-occlusive device is constructed out of dissimilar metallic materials that are in contact or otherwise in close proximity with one another, thereby causing the device to undergo galvanic corrosion when exposed to an electrolytic medium, such as blood or other body fluid, wherein one of the dissimilar metallic materials is zirconium or zirconium alloy to create a corrosive product including zirconia having a relatively high hardness, a relatively high fracture toughness, and a relatively high stability when the device is implanted in a vasculature site, such as an aneurysm.

Abstract: A method, a controller, and a surgical hybrid navigation system for transferring a registration of three dimensional image data of a surgical object from a first to a second surgical navigation system are described. A first tracker that is detectable by a first detector of the first surgical navigation system is arranged in a fixed spatial relationship with the surgical object and a second tracker that is detectable by a second detector of the second surgical navigation system is arranged in a fixed spatial relationship with the surgical object. The method includes registering the three dimensional image data of the surgical object in a first coordinate system of the first surgical navigation system and determining a first position and orientation of the first tracker in the first coordinate system and a second position and orientation of the second tracker in a second coordinate system of the second surgical navigation system.

Abstract: A surgical tool may move a saw blade in a sagittal plane. The saw blade has a distal blade end with teeth. The surgical tool comprises a handpiece body and a carrier operatively attached to the handpiece body. The carrier is configured for oscillating movement about a pivot axis. A retainer is operatively attached to the carrier for concurrent movement and releasably secures the saw blade in the sagittal plane relative to the handpiece body. An actuator is coupled to the handpiece body to selectively oscillate the carrier relative to the handpiece body such that the retainer and the saw blade pivot back and forth about the pivot axis within the sagittal plane. An ultrasonic transducer is operatively attached to the handpiece body to selectively generate ultrasonic energy to resonate the saw blade such that the teeth at the distal blade end reciprocate proximally and distally within the sagittal plane.

Abstract: A surgical instrument system including an endoscope having an elongated housing extending between a proximal instrument end and a distal instrument end. The surgical instrument system may further include an irrigation sleeve having a sleeve body extending between a proximal sleeve end and a distal sleeve end. The irrigation sleeve may further have a first lumen and a second lumen spaced out of fluid communication with the first lumen, the first lumen formed in the sleeve body for receiving at least a portion of the elongated housing of the endoscope with the distal instrument end arranged adjacent to the distal sleeve end. The second lumen may be formed in the sleeve body and extend between a lumen inlet adapted for fluid communication with an irrigation source and a lumen outlet arranged to direct irrigation fluid toward the distal instrument end.

Abstract: An irrigation sleeve, for use with a surgical system that comprises an irrigation source and a surgical tool having a tube to support a cutting accessory having a head, in turn comprises a body extending between proximal and distal ends. A first lumen formed in the body receives the tube. The head is adjacent the distal end. A second lumen formed in the body is spaced from the first lumen and comprises proximal and distal regions thereof. The proximal region of the second lumen extends from an inlet for fluid communication with the source, to a transition. The distal region of the second lumen is spaced out of fluid communication with the first lumen and extends from the transition to an outlet to direct fluid adjacent to the head.

Abstract: A connecting member includes a fastening portion configured to be fastened to an object by an adhesive. The connecting member includes at least one supply opening for supplying the adhesive and at least one discharge opening for discharging a part of the adhesive, wherein the at least one supply opening and the at least one discharge opening are arranged outside of a fastening portion or at least outside of a fastening area. A channel connecting the at least one supply opening and the at least one discharge opening is configured to direct the flow of adhesive. The channel includes an open channel portion that at least partly extends on a surface of the fastening portion and that comprises at least one redirecting portion configured to redirect the flow of adhesive between the at least one supply opening and the at least one discharge opening.

Abstract: A technique for processing patient-specific image data for computer assisted surgical navigation. A database is provided including multiple first data sets of two- or three-dimensional image data. Each first data set is representative of first shape data or first biometric data of a skin surface of at least one patient. The method further comprises obtaining, by an optical camera system, a second data set of two- or three-dimensional image data of a skin surface of a particular patient and deriving second shape data or second biometric data of the skin surface from the second data set. By comparing the second shape data or second biometric data with the first shape data or the first biometric data of one or more first data sets, a similarity score is calculated. A signal generated based on the similarity score triggers one of selection and de-selection of a first data set.

Abstract: A bone fastener includes a head, and a screw portion extends from the head. The screw portion includes a shaft and a thread extending along and about the shaft. The thread has a height extending from a root to a tip thereof. The thread also has first and second portions disposed between the root and the tip. The second portion has a porous structure configured to promote bone ingrowth and has a porosity greater than that of the first portion.

Abstract: The present disclosure provides a bioresorbable foam closure device for trans-nasally closing an opening in a base of a skull. The closure device comprises a phase-separated polymer having a porosity of greater than 80%. The device includes a stem portion having a proximal end and a distal end, and a head portion at the distal end of the stem portion. The closure device is deformed from a free shape to a constricted shape, inserted through a nasal cavity and into the opening, and released to at least partially revert back to the free shape such that the stem portion fills the opening and the head portion abuts cranium and dura to secure the closure device in position and seal the opening.

Abstract: A surgical blade assembly includes a blade having side surfaces defining a width greater than its thickness. The surgical blade assembly also includes a reinforcing member having a body portion, and first and second arms extending from the body portion to define a receiving portion. The receiving portion is configured to receive the blade and the first and second arms are configured to abut the side surfaces of the blade. The first and second arms act as a strut to reinforce the blade against external forces applied to the blade. The blade and the reinforcing member may include coupling features to prevent separation of the reinforcing member from the blade. The blade and the reinforcing member may be substantially perpendicular to each other when coupled.

Abstract: A tip is formed for use with an ultrasonic handpiece. The handpiece, when actuated, is capable of causing the tip to go into ultrasonic vibrations. The tip has a shaft from which a head extends. Teeth extend from the head. At least the teeth have a case hardened outer layer. The case hardened outer layer reduces the wearing of the teeth when the teeth are vibrated against hard tissue.

Abstract: An elongate embolectomy device having a radially constrained configuration and a radially expanded configuration, the embolectomy device being formed out of a plurality of elongate clot engaging structures, each clot engaging structure comprising a plurality of interconnected struts forming an open cell pattern, wherein, when the embolectomy device is in the radially expanded configuration, the clot engaging structures each have a semi-tubular arcuate profile, including a convex face and an concave face facing opposite the convex face, extending along a length of the embolectomy device, the clot engaging structures being longitudinally disposed relative to each other such that the concave faces are facing radially outward, and the convex surfaces are facing radially inward, respectively, relative to a longitudinal axis of the embolectomy device.