Abstract: A fixation device for folding a seal member includes a frame having a horizontal portion and an upright portion, a press assembly secured to the upright portion of the frame, and a nest assembly secured to the horizontal portion of the frame. The press assembly includes a handle assembly and an anvil assembly operably connected to the handle assembly. The nest assembly includes a clamping assembly, a folding assembly supported on the clamping assembly, a support assembly supported on the folding assembly, and a nest member. The support assembly includes a support plate and a seal clamp for securing a seal member.

Abstract: A treatment system (100) for debriding an area of a tissue site is disclosed. In some embodiments, the system may include a debridement tool (122) which may be fluidly connected to a negative-pressure source (116) and a fluid source (118). The system may also include a control unit for interfacing with an operator and for regulating the application of negative pressure and delivery of treatment fluid to the debridement tool. The debridement tool may include multiple fluid conduits for delivering and removing fluid to and from the tissue site, as well as a brush (128) for assisting with the removal of necrotic tissue.

Abstract: A bone material removal device, including a tubular element comprising a proximal end and a distal end, a shaft received within the tubular element and comprising a proximal end and a distal end, a cutting tooth movably coupled to the distal end of the shaft and a shaft displacement actuator at the proximal end of the tubular element rotatably coupled to the shaft, wherein at least partial rotation of the actuator in a first direction brings the cutting tooth to travel from a closed retracted position to an open extended position.

Abstract: Osteotomy cutting systems and surgical methods are provided herein. One surgical method includes coupling, to a cuneiform of a subject, a surgical apparatus for use in facilitating correction of a bunion and coupling the surgical apparatus to another bone of the subject. Another surgical method includes coupling a surgical apparatus to a cuneiform and metatarsal of a subject, coupling a cutting block for alignment at a joint between the cuneiform and the metatarsal, and performing a surgical procedure utilizing the surgical apparatus and the cutting block to correct a bunion. A further surgical method includes providing a surgical apparatus for use in facilitating correction of a bunion in a subject in which the surgical apparatus is configured to couple to a cuneiform and a metatarsal of the subject and performing a surgical procedure utilizing the surgical apparatus while the surgical apparatus is coupled to the cuneiform and the metatarsal.

Abstract: A system for cutting bone is provided and may comprise a cutting tool configured to rotate and a shield. The system may also comprise a first robotic arm configured to hold the cutting tool and a second robotic arm configured to hold the shield. A processor and a memory storing instructions for execution by the processor that, when executed, may cause the processor to cause the second robotic arm to orient the shield proximate an anatomical element along a cutting path of the cutting tool.

Abstract: A guidance system comprises a first guide configured to be detachably mounted to a first portion of a bone. The first guide has a first axis for alignment with a longitudinal axis of the first portion of the bone. A second guide is mountable on the first guide. The second guide is slidably translatable in a transverse direction relative to the first axis. A third guide is mountable on the second guide. The third guide is selectively positionable along a curved path extending at least part way around the longitudinal axis.

Abstract: An access assembly includes an instrument valve housing defining a cavity, and a valve assembly. The valve assembly includes a flange seal member, a seal assembly, a centering mechanism, and a retainer frame assembly. The flange seal member includes an arcuate portion configured to adjustably engage first and second surfaces of the instrument valve housing in a sealing relation. The centering mechanism is configured to bias the valve assembly towards a generally centered position within the cavity. The centering mechanism includes a plurality of coils including inner coil portions operatively secured with the seal assembly, and outer coil portions configured to engage the first surface of the instrument valve housing. The retainer frame assembly includes first and second members. The inner coil portion of the centering mechanism is disposed between seal assembly and the second member of the retainer frame assembly.

Abstract: Aspects of the present disclosure relate to systems for performing a surgical procedure using a power tool or power instrument with systems, devices and/or control units for adjusting, regulating, interrupting, and/or restoring electric current to the power tool or instrument during operation, for example, when the power tool or instrument is at a predetermined distance to a boundary of a safe zone or a target volume of operation.

Abstract: A device is provided, including a cutting rib, the cutting rib including an arcuate portion having an outer sharp edge and a centralizer configured to receive the cutting rib through a radial slot, the radial slot forming a gap with the cutting rib. The arcuate portion of the cutting rib is formed into a profile that follows a surface of the centralizer, the outer sharp edge of the arcuate portion of the cutting rib has a wavy profile that forms a tunnel in the gap between the centralizer and the cutting rib, and the outer sharp edge of the arcuate portion of the cutting rib protrudes outwardly from the surface of the centralizer. A method for using the device to cut bone in a surgical configuration is also provided.

Abstract: Technologies for monitoring impaction and predicting impaction state during an orthopaedic surgical procedure include one or more impaction sensors that generate sensor data. The surgical procedure includes impaction of an orthopaedic implement such as a surgical instrument or a prosthetic component. An impaction analyzer generates an impaction state prediction with a machine learning model based on the sensor data. The impaction state prediction may include an unseated state, a seated state, and a fracture state. An impaction state user interface outputs the impaction state prediction. A model trainer may train the machine learning model with labeled sensor data.

Abstract: A system, method and/or reamer driver device is provided having a domed external surface and a domed internal surface being concentric to the domed external surface thereby defining a hollow dome. At least one cutting tooth is disposed on the hollow dome. The cross-sectional thickness T measured substantially perpendicular to the crest of the at least one tooth is greater than the radial distance t between the external and internal domed surfaces.

Abstract: Systems for the minimally invasive repair, stabilization and/or fixation of a fractured bone, such as a rib, are disclosed. The systems include one or more rods/support members that are designed to extend along a dimension of a bone being repaired and secure the fractured bone. The support members can be photodynamic and are formed using an expandable member that is filled with a light-sensitive liquid that is cured to form the rigid support member. Two or more clamps are used to secure the support member(s) to the rib or other bone. Minimally invasive surgical methods for securing the systems to a fractured bone are also disclosed.

Abstract: The present invention is directed to a bone plate and its method of use for reducing a bone fracture, the bone plate having a longitudinal axis, the bone plate comprising an upper surface, a lower surface, a first hole for engaging a head of a first bone anchor. The first hole is configured and adapted to fix a shaft of the first bone anchor along a first axis. A second hole is spaced apart from the first hole along the longitudinal axis. The second hole is for engaging a head of a second bone anchor, and is configured and adapted to fix a shaft of the second bone anchor along a second axis. The first hole and the second hole are configured such that the first axis and the second axis define a single plane and intersect at a point below the lower surface. The shafts of the first and second bone anchors may touch or nearly touch at the point of intersection, such that the first and second bone anchors form a truss.

Abstract: The present disclosure relates to the field of tissue dissection. Specifically, the present disclosure relates to medical devices which lift and retract tissue during a dissection procedure to improve visualization of the target tissue and mitigate obstruction of dissection tools. In particular, the present disclosure relates to a tissue retraction device which moves from a constrained to relaxed configuration to immobilize and retract the dissected portion of target tissue during a dissection procedure.

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: This application describes a surgical retractor and related methods for providing access to a surgical target site for the purpose performing minimally invasive spinal fusion across one or more segments of the spinal column.

Abstract: A medical system comprising: a robotic arm, a control unit configured to issue a control signal, a medical device intended to penetrate an anatomical structure, the medical device being configured to emit a warning signal which varies as a function of a variable electrical characteristic of the anatomical structure, said medical device comprising a body with first and second electrodes, an electric generator suitable for applying at least one measurement electric current between the first and second electrodes, and a processing device suitable for determining a measurement parameter related to the electrical characteristic, based on said at least one measurement electric current, and for emitting the warning signal corresponding to the measurement parameter, wherein the control unit is configured to issue the control signal as a function of the warning signal.

Abstract: A gas circulation system is disclosed for performing robotically assisted surgical procedures in a surgical cavity of a patient, which includes a multi-lumen tube set including a dual lumen portion having a pressurized gas line and a return gas line, and a single lumen portion having a gas supply and sensing line, a valve sealed access cap for cooperative reception with a first robotic cannula and having an inlet path for communicating with the gas supply and sensing line of the tube set, and a gas sealed access cap for cooperative reception with a second robotic cannula and having an inlet path for communicating with the pressurized gas line of the tube set and an outlet path for communicating with the return gas line of the tube set.

Abstract: A driver assembly with a rotatable and interchangeable cannulated driver shaft for drilling a variety of fasteners. The driver assembly includes an elongated body having a proximal end and a distal end with a first channel extending from the distal end into the elongated body and a second channel extending from a first side of the elongated body into the elongated body. The driver assembly also includes a locking mechanism connected within the elongated body. The locking mechanism is rotatable between a first configuration and a second configuration. A cannulated driver shaft is removably attached to the locking mechanism and is rotatable between the first configuration and the second configuration via the locking mechanism.

Abstract: A guide device for aiding an operator during a medical procedure (e.g., bunionectomy) includes a first frame portion, a second frame portion, and projections at end portions of the first and second frame portions. The projections are configured to receive various elongated accessories, such as a guide wire. One of the end portions includes a swivel portion that is pivotable. The guide device includes holes on at least one of the frame portions to secure the guide device to a patient and/or to attach supplemental accessories thereto.