Abstract: The objectives for the designs presented herein can be for a variably flexible and kink-resistant catheter for vascular applications. The designs benefit from good compressive and tensile stiffness. A braided wire support structure can be disposed around an inner liner and an outer layer having a plurality of outer jackets of variable durometer. A metallic reinforcing layer can be cut from a hypotube and be used as the primary structure for catheter stiffness, reducing the reliance on and number of jackets to transition stiffness changes along the length of the catheter. The metallic reinforcing layer can have one or more ribbon cut segments and one or more axial hole patterns laser cut into the hypotube to progressively evolve the stiffness from proximally regions with more column stiffness and distal regions with greater lateral flexibility. The polymer jackets can be reflowed to bond the structure together.

Abstract: A system to stabilize and guide the growth of the spinal column includes an elongated support member having a width and a length and a guiding connector having a bone connecting portion and a guiding portion. The bone connecting portion secures the guiding connector to a vertebrae and the guiding portion has a bearing element with a passageway adapted to receive the elongated support member. The bearing element permits relative sliding movement of the elongated support element in the passageway of the bearing element. The system may further include a bone fixation element has an elongated support member receiving channel, a locking mechanism and a bone anchoring portion. The bone anchoring portion secures the bone fixation element to bone. The locking mechanism secures the elongated support member in the channel. The guiding connector is moveable along the elongated support member to permit and control the growth of the spinal column along a predetermined path.

Abstract: Disclosed embodiments determine, at an early stage, suitability of an intraoperative image for further intraoperative surgical analysis. The determination of suitability may be made using a first angle (such as a first obturator angle) based on at least three pelvic feature points in a preoperative image, a corresponding second angle (such as a corresponding second obturator angle) based on at least three corresponding pelvic feature points in an intraoperative image, and by comparing the first angle and the corresponding second angle to determine intraoperative image suitability. The first intra-operative image is indicated as suitable for further intraoperative analysis when an absolute value of a difference between the first angle and the corresponding second angle does not exceed a threshold. When the intraoperative image is determined as unsuitable for further intraoperative analysis, an indication of a movement direction for a fluoroscopy camera used to capture the intraoperative image is provided.

Abstract: Technologies for determining the spatial orientation of input imagery to produce a three-dimensional model includes a device having circuitry to obtain two-dimensional images of an anatomical object (e.g., a bone of a human joint), to determine candidate values indicative of translation and rotation of the anatomical object in the two-dimensional images, and to produce, as a function of the obtained two-dimensional images and the candidate values, a candidate three-dimensional model of the anatomical object. The circuitry is also to determine a score indicative of an accuracy of the candidate three-dimensional model, to determine whether the score satisfies a threshold, and to produce, in response to a determination that the score satisfies the threshold, data indicating that the candidate three-dimensional model is an accurate representation of the anatomical object.

Abstract: Technologies for a monitoring system for monitoring a user's movement include a sensor module and a monitoring device. The sensor module is attached to the user or wearable by the user. The monitoring device detects the sensor module positioned in proximity to the monitoring device, receives sensor data from the detected sensor module, analyzes the received sensor data to determine a position and an orientation of the detected sensor module relative to the monitoring device, compares the determined positions of the detected sensor module to predefined planned positions, and initiates an alert notification in response to a determination that a difference between the determined positions of the detected sensor module and the predefined positions is greater than a reference threshold.

Abstract: A catheter can have a textured outer body surface with protrusions and/or indentations that can reduce friction between the outer body surface and vascular anatomy or an inner lumen of another catheter in contact with the outer body surface. The catheter can include protrusions and/or indentations on an inner lumen surface that can reduce friction between the inner lumen surface and an outer body surface of another catheter within the example catheter. The protrusions can be filled with a lubricant or vasodilating drug, and the protrusions can be configured to break to release the fluid in response to forces on the protrusion during navigation through vascular anatomy and/or an inner lumen of another catheter. The catheter can include a metallic tubular reinforcing layer with openings through which the protrusions and/or indentations extend and/or protrusions and/or indentations shaped into the reinforcing layer.

Abstract: An occlusive device can include a tubular braid including an open end and a pinched end. The tubular braid can define a longitudinal axis. In a predetermined shape, the tubular braid can include an outer sack and an inner sack. The open end can include a plurality of braided wires that are deflected towards the longitudinal axis in the predetermined shape.

Abstract: A method of delivering a fusion cage to an intervertebral disc space bounded by adjacent vertebral endplates, comprising the step of delivering the fusion cage into the disc space without contacting its teeth to the vertebral endplates during delivery, wherein a sheath is interposed between a cage surface and the endplates to prevent contact therebetween during delivery.

Abstract: An apparatus for the approximation of two bones with a first anchor having a proximal end and a distal end configured for insertion into a first hole in a first bone. A second anchor has a proximal end and a distal end configured for insertion into a second hole in a second bone. A flexible link extends between the first and second anchors limiting a spacing from the first anchor to the second anchor when in a deployed configuration. The first hole comprises a first diameter, the second hole comprises a second diameter and the first diameter is smaller than the second diameter. The second diameter is uniform across the entire length of the second hole.

Abstract: Various exemplary gas spring surgical impacting tools and methods of using gas spring surgical impacting tools are provided. In general, a surgical impacting tool includes a gas spring assembly. The gas spring assembly includes a sealed chamber configured to contained compressed gas therein. The surgical impacting tool also includes a motor configured to cause compression of the gas in the sealed chamber. The compression and decompression of the gas is configured to drive movement of a surgical implement attached to the surgical impacting tool and configured to impact bone.

Abstract: A shoulder arthroplasty kit includes a humeral head component, a combination sizer and guide device substantially identical to the humeral component but including a including a guide bore, and a guide pin configured to be inserted into the resected surface of the humerus and configured to be guided by the guide bore to a center of the resected surface of the humerus which is covered by the at least one combination sizer and guide device.

Abstract: The disclosure extends to methods, systems, and computer program products for producing an image in light deficient environments with luminance and chrominance emitted from a controlled light source.

Abstract: A delivery system for deploying an implantable medical device to a target location of a body vessel can include a tubular body with a lumen extending therethrough, a pull wire extending through the lumen, and a proximal support tube disposed within the lumen and engaged to the pull wire such that proximal translation of the support tube causes proximal translation of the pull wire. The proximal support tube can include a marked distal section that is not visible to an operator of the delivery system prior to the release of the implant and that becomes visible when the proximal support tube is pulled proximally a sufficient distance to cause the delivery system to release the implant.

Abstract: An adjustable spinal fusion intervertebral implant including upper and lower body portions each having proximal and distal surfaces at proximal and distal ends thereof. The implant can include a proximal wedge member disposed at the proximal ends of the respective ones of the upper and lower body portions, and a distal wedge member disposed at the distal ends of the respective ones of the upper and lower body portions. First and second linkages can connect the upper and lower body portions. Rotation of an actuator shaft can cause the distal and proximal wedge members to be drawn together such that longitudinal movement of the distal wedge member against the distal surfaces and the longitudinal movement of the proximal wedge member against the proximal surfaces causes separation of the upper and lower body portions.

Abstract: The disclosed technology generally relates to braided implants for aneurysm therapy. The disclosed technology can include a system having a tubular braid comprising an open end, a pinched end, and a predetermined shape. In the predetermined shape, the tubular braid can include a first segment extending from the open end to a first inversion, a second segment extending from the first inversion to a second inversion and forming a bag comprising a semi-frustoconically-shaped portion proximate the first inversion such that the semi-frustoconically-shaped portion defines an inner channel forming an opening to the bag, and a third segment surrounded by the second segment and extending from the second inversion to the pinched end. The system can include a catheter having a lumen therethrough, a distal end, and an outer diameter at the distal end being sized to be inserted into the bag through the opening of the bag.

Abstract: A multi-basket clot capturing device that includes a distal basket connected to a wire. The distal basket may be positionable distal of the clot and operable to capture a distal portion of a clot. A proximal basket may be connected to a hypotube that is slidably axially connected to the wire. The proximal basket may be positionable proximal of the clot and operable to capture a proximal portion of the clot. A cage can form between the proximal and distal baskets around multiple portions of the clot for capturing the clot. Sliding the wire distally, or microcatheter proximally, relative to the clot causes the distal basket to move from a collapsed state to an expanded state. The cage may be around at least two portions of the clot that are opposed.

Abstract: An intramedullary bone fixation device that includes a shaft with a flexible region. The flexible region may be configured to flex from a first shape to a second shape as the shaft moves along a curved medullary canal. For example, the bone fixation device may include a distal bone screw that is configured to move along the curved medullary canal of first and second segments of a fractured bone (e.g., two segments of a broken rib) and fasten to the segment bone segment. The bone fixation device may include a locking member (e.g., a proximal bone screw) that is configured to lock the shaft to the first bone segment. For example, the shaft may be fixed to the distal bone screw and ratchetably coupled to the shaft such that the first and second bone segments can be compressed together by urging together the distal bone screw and the locking member.

Abstract: A saw gear set comprising a set of saw blades and a saw drive (1), wherein each saw blade of the set is configured to be coupled to the saw drive (1) by means of a coupling mechanism (100), which coupling mechanism (100) is configured to transmit a driving force of the saw drive (1) to the saw blade in a force transmission point, for oscillating the saw blade around a pivot axis (300). Each saw blade of the set is configured to be pivotably borne around the pivot axis (300). In operation, an oscillation angle (?) around the pivot axis (300) is different for each saw blade of the set depending on a pivot distance between the pivot axis (300) and the force transmission point which varies for each saw blade of the set.

Abstract: Disclosed herein are various exemplary systems and methods for deploying an implant to a target location of a body vessel. The delivery member can include a tubular body including a lumen and compressed distal portion. The delivery member can include a loop wire with a loop opening positioned approximate the compressed distal portion. The delivery member can include a pull wire that has a proximal pull wire portion and a distal pull wire portion connected by a suture linkage. The suture linkage can include a proximal suture knot engaged to the proximal pull wire portion and a distal suture knot engaged to the distal pull wire portion. Pull wire beads positioned on the proximal pull wire and distal pull wire portion can retain the suture knots during proximal translation of the pull wire. The suture linkage can include slack that is effective to prevent premature deployment of the implant.

Abstract: A separate nub component between the plate and an intervertebral fusion cage, wherein the nub is attached to the plate. The nub lessens the undesired pivotal movement of the plate. It is believed that when the nub fits snugly between the endplates of the adjacent vertebral bodies, it acts as a stop against the undesired pivotal movement of the plate.