Abstract: A novel coplanar X-ray guided method and device for insertion of distal locking screws in intramedullary bone nails. The device has coplanar holes, which allow insertion of protective sleeves. A drill and bone screws can be inserted through the protective sleeves. Radiopaque target markers in the aiming arm enable the easy positioning of an X-ray source such that an X-ray beam is coplanar with the aiming arm transverse holes. After the X-ray source is accurately oriented, a single X-ray snapshot is enough to assess the exact distortion of the implanted intramedullary nail. The X-ray beam need not be coaxial with the intramedullary nail holes. The aiming arm has a mobile portion and a fixed portion fastened to the nail, wherein said aiming arm can be adjusted, displacing the mobile portion over the fixed portion, to compensate for the distortion of the intramedullary nail after implantation.

Abstract: The disclosure extends to devices, systems and methods for connecting one or more sensors to one or more printed circuit boards (PCB) in the distal end or tip of a scope. The disclosure also extends to a connector assembly for an image sensor for protecting the sensor and conveying information from the sensor to the PCB.

Abstract: Various exemplary methods, systems, and devices for surgical suturing are provided. In general, a loading element can be configured to facilitate loading of a plate into a surgical instrument configured to facilitate passage of a suture through tissue. The surgical instrument can be configured to advance the suture through a tissue of a patient, to capture a free end or looped end of the suture after the suture's advancement through the tissue, and to pull the captured suture out of the patient's body with a portion of the suture remaining passed through the tissue within the patient's body.

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: A braided stent system includes an expansion ring attached to internal and external surfaces of a lumen. A frame of the ring may impart an outwardly expanding radial force to the lumen, the frame including a plurality of elongate members joined at a coupling and at first and second intersections opposite the coupling. A clip can extend from the intersections and can be operable to slidably secure the frame to the inner and outer surfaces of the lumen.

Abstract: An intraoperative neuromonitoring system for evaluating nerve function via a plurality of neural monitoring modalities includes an invasive medical instrument, a plurality of stimulating electrodes, a plurality of peripheral sensors, a patient module, and a control unit in communication with the patient module. The control unit is configured to maintain a range of acceptable values for each of a plurality of different neural monitoring modalities, determine, for each of the plurality of different neural monitoring modalities, whether the respective modality is within the range of acceptable values for that respective modality based on the indication of neuromuscular activity from one or more of the plurality of peripheral sensors, and provide an indication on a common screen displayed via the display, whether each respective neural monitoring modality is inside or outside of the range of acceptable values for that modality.

Abstract: The disclosure extends to methods, systems, and computer program products for digitally imaging with area limited image sensors, such as within a lumen of an endoscope. The system includes an image sensor comprising a pixel array for sensing electromagnetic radiation. The pixel array comprises a plurality of pixel groups comprising only active pixels, a plurality of pixel groups comprising only optical black pixels, and a plurality of line readouts, wherein each line readout is configured to read out a single group of the plurality of pixel groups in the pixel array. The imaging system samples one or more of the plurality of pixel groups comprising only optical black pixels a plurality of times to reduce a size of the image sensor by reducing a number of optical black columns.

Abstract: An orthopedic implant comprises an articulation head comprising a bearing surface and a reverse surface and a securement disk. The securement disk comprises an attachment surface attached to at least a portion of the reverse surface of the articulation head, a securement surface opposite the attachment surface and adapted for coupling to a fixation plate secured to a bone, and at least one opening formed in the securement surface of the securement disk and adapted to accept fasteners therein. The securement disk comprises a porous material.

Abstract: A method of treating an articular surface of a metal orthopedic implant includes polishing the surface, blasting the surface with a blast media after the first polishing step and polishing the blasted surface of the metal orthopedic implant after the blasting step. The blasting step roughens the surface to create a surface skew Rsk/Ssk defined by peaks and valleys. The second polishing step reduces the surface skew to a negative skew Rsk/Ssk and produces an average roughness Ra/Sa that is acceptable. Lubrication at the interface of the treated articular surface and the corresponding bearing articular surface is improved, thereby improving wear resistance. Both polishing steps may be performed by drag finishing the surface through an abrasive media.

Abstract: A control instrument 100 for a guidewire comprising a first component moveable from a first position, in which the guidewire can move axially relative to the first component, to a second position in which the guidewire is fixed relative to the first component and a second, rotatable, component, wherein rotation of the second component causes the first component to move axially, only when the first component is in its second position, thereby moving the guidewire move axially.

Abstract: An intervertebral connection system wherein the bone anchor has a helical configuration.

Abstract: Non-load-bearing, drug-eluting components that can be added to load bearing spinal implants.

Abstract: Surgical instruments and methods for use in implanting a modular femoral prosthesis during performance of a hip revision procedure are disclosed, and include a distal reamer operable to ream an intramedullary canal of a patient's femur during a surgical procedure. The distal reamer includes an elongated shank having a cutting head formed in a distal end of the elongated shank and a drive connector formed in a sidewall positioned at an opposite, proximal end of the elongated shank. The cutting head has a plurality of helical cutting flutes arranged in a geometry that corresponds with the geometry of the distal stem component. The drive connector has a female drive socket and a number of locking slots formed in the sidewall so as to open into the female drive socket.

Abstract: A system for achieving maxillo-mandibular fixation includes a bone fixation device including a bone fixation body formed from a plurality of links. The links define corresponding crests and valleys so as to impart flexibility into the bone fixation body. Thus, the bone fixation body can be aligned with the dental arch of the mandible and maxilla as necessary, and subsequently fastened to the underlying bone. Each bone fixation device includes at least one securement location on the fixation body that can attach to a securement device, such that the securement device fixes or stabilizes the mandible and the maxilla with respect to each other.

Abstract: A sacral fixation implant can include at least one implant segment, a guide wire, and at least one locking member that is configured to fix the implant segment to the guide wire. The implant segment can be configured to be secured to an ilium bone, and the guide wire can be configured to be secured to the sacrum. The implant can include first and second implant segments that are configured to be secured to opposed ilium bones, such that a first locking member is configured to fix the first implant segment to the guide wire, and a second locking member is configured to fix the second implant segment to the guide wire.

Abstract: An intervertebral implant includes a three-dimensional body and a securing plate. The three-dimensional body includes a front surface and a rear surface. The three-dimensional body further includes a plurality of boreholes for accommodating fixation elements. The intervertebral implant also includes a front plate disposed at the front surface of the three-dimensional body and has a plurality of boreholes. A securing plate can be fastened to the front plate.

Abstract: The present disclosure relates to a self-expanding braided tubular member for treating an aneurysm. The braid can include a distal implant end opposite a proximal implant end. Translating the braid distally from within a tubular delivery member can cause the distal implant end to invert and fold into itself thereby forming an occlusive sack for occluding an aneurysm.

Abstract: An expandable implant for inserting within a skeletal space is provided, and a method for using the implant to expand the skeletal space. The implant is preferably designed to be inserted into an intervertebral space to replace at least part of an intervertebral disc between adjacent vertebral bodies. The expandable implant contains at least one first expansion compartment and at least one second expansion compartments, which compartments can be inflatable balloons that are inflated by a catheter. Inflating the first expansion compartment expands the implant in a first direction and inflating the second expansion compartment expands the implant in a second direction.

Abstract: An instrument includes a bearing member, and an actuator spaced from the bearing member in a proximal direction. The instrument includes, or can be attached to, an elongate member that extends from a location of the actuator toward the bearing member. The elongate member can attach to or extend from a portion of an implant, wherein the location is spaced from the bearing member a distance in the proximal direction. The actuator includes a flexible portion that is spaced from the elongate member in a direction perpendicular to the proximal direction, such that, when a force is applied to the flexible portion of the actuator, the flexible portion of the actuator deforms so as to increase the distance between the location and the bearing member.

Abstract: Disclosed herein are devices and methods for removing tissue. In one aspect, a device for removing tissue includes a hollow elongate member having an outer wall and a lumen, a selectively deployable tissue-cutting element extending from the hollow elongate member, and an actuation member extending through the lumen and coupled to the hollow elongate member at a location that is distal to the tissue-cutting element. Movement of the actuation member can cause the tissue-cutting element to move from the insertion configuration where the tissue-cutting element is not deployed to a tissue-cutting configuration where the tissue-cutting element is deployed such that it is radially extended relative to the insertion configuration.