Abstract: Implants described herein can be used as flow diverters and can generally include a plurality of twisting struts extending from a central node. The twisting struts can be twisted along a long axis of each strut. The implant can have a proximal portion affixed to the central node and extending radially from the central node. The twisting struts can have a distal portion. The long axis can be disposed between the proximal portion and the distal portion of the twisting struts. The implant can have a collapsed configuration to be delivered through a catheter into an aneurysm. The implant can have an expanded configuration to anchor within the aneurysm.

Abstract: An implant having two layers of tubular braid is provided that can secure within an aneurysm sac, occlude a majority of the aneurysm's neck, and at least partially fill the aneurysm sac. The implant can include two layers of tubular braid that can be set into a predetermined shape, compressed for delivery through a microcatheter, and implanted in at least one implanted position. In some examples, the two layers can be implanted in two distinct implanted shapes, allowing for treatment of a wide range of aneurysm sizes. In some examples, the implanted can include a double layer braided compaction resistant column spanning the height of the aneurysm.

Abstract: A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A lateral port passes through the body from the bore to the exterior surface and is formed of a slot entering the body from its proximal end. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more purchase enhancements.

Abstract: A drill sleeve, including: an outer sleeve with an internal collet at a distal end of the outer sleeve and an inner opening; a handle connected to the outer sleeve; an inner sleeve with an inner opening configured to receive and guide a drill bit, wherein the inner sleeve is configured to slide inside the inner opening of the outer sleeve; a trigger connected to the inner sleeve; and a biasing member configured to apply a biasing force between the handle and the trigger wherein the biasing force drives the inner sleeve into the outer sleeve, wherein when a distal end of the inner sleeve engages the internal collet, the internal collet is configured to engage a screw hole in a bone plate, align the drill sleeve with a nominal axis of the screw hole, and secure the drill sleeve to the screw hole.

Abstract: The disclosure relates to an endoscopic system that includes an image sensor, an emitter and an electromagnetic radiation driver. The image sensor includes a pixel array and is configured to generate and read out pixel data for an image based on electromagnetic radiation received by the pixel array. The pixel array includes a plurality of lines for reading out pixel data. The pixel array also has readout period that is the length of time for reading out all the plurality of lines of pixel data in the pixel array. The emitter is configured to emit electromagnetic radiation for illumination of a scene observed by the image sensor. The electromagnetic radiation driver is configured to drive emissions by the emitter. The electromagnetic radiation driver includes a jitter specification that is less than or equal to about 10% to about 25% percent of the readout period of the pixel array of the image sensor.

Abstract: An implant can be placed into an aneurysm sac that includes a bioabsorbable coiled fiber having a coiled shape similar to a metallic embolic coil. The implant can have an absorption rate long enough so that the aneurysm can become sufficiently occluded and sufficiently healed as the implant is absorbed. The implant can include crossing microfibers to initiate thrombosis within the aneurysm and/or a stretch-resistant member extending through a lumen of the coiled shape to inhibit elongation of the coiled shape. The crossing microfibers can be attached to the coiled fiber by friction fit between coil windings, heat bonding to the coiled fiber, and/or securement to the stretch-resistant member. The coiled fiber, crossing microfibers, and stretch-resistant member can have rates of absorption that differ to promote an accelerated sequence of occlusion and healing of the aneurysm.

Abstract: Bone anchors and surgical instruments (e.g., bone taps, drivers, etc.) are disclosed herein that include integrated guide tips. Use of these anchors or instruments can eliminate one or more of the steps in a conventional bone anchor installation procedure, improving surgical efficiency and safety. For example, a surgical instrument can include a guide projection configured for insertion through a cannulation formed in a bone anchor when the surgical instrument is coupled to the bone anchor. The surgical instrument can also include various mechanisms for adjusting the position of the guide projection relative to the bone anchor. The guide projection can replace the needle, stylet, and guidewire used in typical insertion procedures. The bone anchor can also include integrated tapping features to eliminate the need for a separate bone tap instrument. Thus, in some embodiments, targeting, tapping, and driving the bone anchor can be performed in a single step.

Abstract: An strut assembly extends along a strut axis and comprises a strut body, an actuator, and a locking assembly. The strut body includes a rod and a sleeve. The rod is translatable relative to the sleeve along the strut axis. The actuator is linearly engaged with the sleeve such that linear movement of the actuator causes linear movement of the sleeve. The locking assembly includes a lock member configured to transition between a locked position in which the lock member engages both the sleeve and the actuator such that rotation between the sleeve and the actuator is substantially prevented, and an unlocked position in which the lock member is spaced apart from the sleeve such that the actuator is substantially free to rotate about the sleeve.

Abstract: An example implant can have a tubular braid. The tubular braid can have an intrasaccular section, an intravascular section, a pinched section, and a predetermined shape. In the predetermined shape, the intrasaccular section can have a sack and an opening. The pinched section can be positioned approximate the opening. The intravascular section can be substantially disk shaped and positioned to occlude the opening. The tubular braid can be movable from a collapsed shape sized to traverse a catheter to an implanted shape based at least in part on the predetermined shape. In the implanted shape, the intrasaccular section of the braid can be sized to be positioned within an aneurysm's sac and the intravascular section of the braid can be sized to appose a blood vessel wall approximate an aneurysm's neck.

Abstract: A delivery member is provided for delivering and deploying an intravascular medical device. The delivery member includes a flexible distal portion including a wound wire coil surrounded by a flexible sleeve and inhibited from extending lengthwise by a stretch resistant member positioned through the lumen of the coil. The delivery member can include hypotubes positioned on either side (distally and proximally) from the wound wire coil to which the stretch resistant member and the wound wire coil can be attached. The distal hypotube can include attachment slots for positioning and attaching a loop wire to the distal hypotube.

Abstract: In one embodiment, an intramedullary nail has a body that includes proximal and distal ends and an inner surface that defines at least one locking hole that extends into an outer surface of the body so as to receive a bone anchor to lock the nail in a medullary canal of a bone. The body has a first biocompatible material that defines at least a portion of the outer surface. The nail has a second material that is different from, and at least partially encapsulated in, the first material. The second material can produce at least one of an electrical current and a magnetic field, and is supported by the nail body such that a position of the at least one bone-anchor locking hole can be detected based on the at least one of the electrical current and the magnetic field.

Abstract: A method of implanting a glenoid assembly, includes forming two bores in a glenoid region of a scapula. At least one of two pegs of a base component is flexed toward the other peg and the two pegs are positioned partially within the bores in the flexed position. After releasing the pegs from the flexed position, the pegs are fully inserted into the bores. At least one stiffening pin is inserted into a first passageway formed in the first peg after the first peg has been fully inserted into the first bore.

Abstract: An intervertebral implant frame that is configured to be attached to a spacer body can include a pair of arms that extend longitudinally from a support member such that the arms extend substantially around the spacer body. The arms may be configured to expand, crimp, or otherwise engage the spacer body to thereby hold the spacer body to the frame. The spacer body may be made from bone graft.

Abstract: An occlusion device that includes an inner embolic element with a proximal section and a distal section, wherein the distal section has a first stiffness and the proximal section has a second stiffness. An expandable mesh is included that is capable of being transformed between a collapsed position and an expanded position, wherein the expandable mesh is disposed over a portion of the proximal section of the inner embolic device and the first stiffness is greater than the second stiffness.

Abstract: An implant system presented herein includes an engagement wire, a pull wire, and a braided implant having a distal ring thereon. The engagement wire has an elongated member with a radially extending engagement feature at its distal end. The braid can be moved from a delivery shape sized to traverse a catheter to an implanted shape sized to occlude an aneurysm neck. When the braid is in the delivery shape, the pull wire and the elongated member extend through the distal ring and the engagement feature is in a distal direction in relation to the distal ring. Once at least a portion of the braid is positioned in the aneurysm, the pull wire and the elongated member can be moved in a proximal direction to engage the engagement feature to the distal ring and move the distal ring proximally, thereby reshaping the braid within the aneurysm.

Abstract: An expandable interspinous spacer implant that is configured to be inserted into an interspinous space that is defined between a spinous process of a superior vertebral body and a spinous process of an inferior vertebral body is provided. The implant may include a superior housing, an inferior housing, and a distracting member. The superior housing may have an outer surface that is configured to engage the spinous process of the superior vertebral body and the inferior housing may have an outer surface that is configured to engage the spinous process of the inferior vertebral body. The distracting member may be disposed between the superior and inferior housings, such that activation of the distracting member distracts the superior and inferior housings apart from each other.

Abstract: A self-expanding braided stent includes at least a distal radial expansion ring added to a distal end of the stent body to increase a radial expansion force of the self-expanding braided stent in deployment of the stent, and to facilitate advancement of the stent through a delivery sheath by a core advancement wire. A proximal radial expansion ring is optionally added to a proximal end of the stent body to allow the stent to be recaptured following partial deployment by retraction of the core advancement wire, prior to full deployment of a proximal portion of the stent body.

Abstract: An interbody fusion cage having upper and lower canals for receiving the heads of bone screws that have been pre-installed in opposing vertebral body endplates. The proximal wall of the cage preferably has a vertical slot that communicates with each canal and is adapted to allow access by a screwdriver and tightening of the screws.

Abstract: A bone fixation clamp includes a first arcuate clamp member conforming to a shape of a bone and extending between a first connection end and a first free end, a second arcuate clamp member conforming to a shape of the bone, a second connection end of the second clamp member being pivotally attached to the first clamp member, the second clamp member extending between the second connection end and a second free end and a driving member received in the first clamp member passing out of the first clamp member to abut an abutment portion of the second member so that, as the driving member is extended further out of the first member, the driving member pivots the second clamp member relative to the first clamp member to draw the first and second free ends toward one another to apply a radially compressive force to the bone.