Abstract: A surgical access device includes a cannula having a variable length. The cannula may include a shaft assembly including an outer shaft, an intermediate shaft disposed within and longitudinal slidable relative to the outer shaft, and an inner shaft disposed within and longitudinal slidable relative to the intermediate shaft. The shaft assembly is movable between an unextended position, a fully extended position, and a semi-extended position between the unextended and fully extended positions. The cannula may include a shaft having annular folds formed therein. The annular folds are axially movable relative to each other such that the shaft is longitudinally movable between an unextended position and a plurality of extended positions.

Abstract: Hollow vector support multifunctional protection devices and systems for minimally invasive surgery are disclosed. In an embodiment, a hollow vector support multifunctional protection device includes a protective head, a pitching mechanism for the protective head, an inner cylinder, an axial movement mechanism for the inner cylinder, and a shell. The protective head includes a flap ring, a plurality of first rotating shafts, a plurality of flaps uniformly arranged on the flap ring through the first rotating shafts, and a torsion spring arranged on the first rotating shafts. The torsion spring is configured to provide a force for opening the plurality of flaps along the first rotating shafts, and the first rotating shafts are provided with limiting structures configured to limit a maximum opening degree of the flaps.

Abstract: A surgical access assembly including an elongated cannula member having proximal and distal end portions, a cannula housing coupled to the proximal end portion of the elongated cannula member, a balloon anchor coupled to the distal end portion of the elongated cannula member, and a collar disposed along the elongated cannula member and in fluid communication with the balloon anchor. The collar includes a first check valve and a manually actuatable pump. The first check valve is configured to control flow of air into the balloon anchor. The manually actuatable pump is coupled to the first check valve.

Abstract: There is a process for correcting a bone injury, an implant for correcting the bone injury and a kit for applying the implant for correcting the bone injury. The process can be made substantially uniform with the application of a standardized kit. In at least one application the process is for correcting a bunion on a patient. The process can include applying a first drill guide to a bone, and then a second drill guide. Once the drill guides have been applied and wires have been inserted into a bone, an implant can then be applied to correct a bone injury and to allow the bone injury to heal.

Abstract: An orthopaedic surgical instrument is provided having a first customized patient-specific surgical instrument and a second customized patient-specific surgical instrument configured to be removably coupled to the first customized patient-specific surgical instrument. The second customized patient-specific surgical instrument includes a body positioned in a gap defined between posteriorly-extending arms of the first customized patient-specific surgical instrument.

Abstract: A surgical drill for use with a drill bit. The drill includes a handpiece with a motor and a brake mechanism. The brake mechanism is a sliding rack adjacent a first end and a second end with a stop adjacent the drill bit. An actuator is mounted to the handpiece and a plunger is coupled to the actuator. A sensor asserts a signal when the drill bit penetrates bone. When the sensor asserts the signal indicting the drill bit penetrated bone, the actuator moves the plunger into engagement with the rack to prevent further insertion of the drill bit.

Abstract: Devices for treating a bone and methods of inserting such devices into a bone are disclosed. A device for treating a bone may include a flexible tube, a stiffening mechanism and an actuator. The flexible tube has a distal end and a proximal end. The stiffening mechanism within the flexible tube is configured to cause the flexible tube to become rigid. The actuator is configured to cause the stiffening mechanism to cause the flexible tube to become rigid in response to the actuator being actuated.

Abstract: A targeting device (100) for use in fixation of bone fragments at a bone fracture. The targeting device comprises an elongated body portion (110) comprising a first body end (111), an opposed second body end (112), and body through holes (113a, 113b, 113c) extending from the first body end to the second body end for guiding a respective fixation means (303; 303a, 303b, 303c) through the body portion. In its second body end the body portion is configured with a snap-fitting means (114) configured to removably attach a fixation plate (150) to the body portion such that fixation through holes (151) of the plate are located in line with a respective body through hole and, when in use, to provide a surface of the plate to abut a surface of an outer bone fragment for subsequent fixation of the plate to the fragment. The targeting device comprises further a bracket (120).

Abstract: A speculum includes a handle; a lower leaf extending forward and distally from the handle; at least one upper leaf supported on the handle; a lever pivotally coupled to the handle; and a pin extending from the lever and slidably coupled to the at least one upper leaf. Movement of the lever relative to the handle causes the lever to slide the pin and pivotally move the at least one upper leaf relative to the lower leaf from a collapsed position to an open position.

Abstract: The present disclosure relates to fixation devices. Certain embodiments provide a fixation device for insertion into bone. The fixation device includes a body comprising threads along an outer surface of the body. The fixation device includes one or more blades movably coupled to the body. The one or more blades are configured to move between at least a first position and a second position. In the first position, the one or more blades are retracted into the body. In the second position, the one or more blades are deployed out of the body for insertion into the bone.

Abstract: An apparatus for releasably holding a surgical tool having a body, the body having a longitudinal axis, a monolithic construction, and a shape apportioned to be grasped by a human hand, with body further having a tool engaging portion, a hand receiving portion, and a button pressing portion. A longitudinal bore is disposed along the longitudinal axis of the body, and on one end. A transverse bore is disposed through the body into the longitudinal bore, with the transverse bore disposed such that the longitudinal axis of the transverse bore intersects the longitudinal axis of the longitudinal bore. A button disposed on and pivotably attached at a resilient member to the button pressing portion of the exterior of the body, with the button being proximal to the tool engaging portion. The button has a button bore and a boss extending from the button bore into the transverse bore which is alignable with the longitudinal bore.

Abstract: Multi-directional drilling of a bone to create a perforation of bone cortex. The disclosure presents methods of using a drill having a measurement system to advance a drill bit through a bone with detection of penetration or eruption of the leading edge of the drill bit through the exterior of the cortex layer of the bone. In this regard, operation of the drill may be controlled to limit soft tissue damage adjacent to the distal side of the bone. The drill bit may be at least partially retracted through a first bore, repositioned, and one or more additional bores may be created, all while monitoring for penetration of the leading edge of the drill bit relative to the cortical layer. In turn, a perforated distal side of the cortical layer of the bone may be created that creates a desired weakness in the bone, which may be useful in various operations including when performing a corticotomy or the like.

Abstract: A guide for guiding drill bits to form holes in a bone in a predetermined pattern for receiving fasteners to secure an implant to the bone is provided. The guide includes a guide body having a bone interface side opposite an operative side, the bone interface side having a bone contacting surface engageable with a surface of the bone. The guide also includes a plurality of drill guides extending from the operative side of the guide body for guiding corresponding drill bits, wherein the bone contacting surface of the guide body is configured to substantially conform to surface contours of the bone at a predetermined position on the bone. A method of designing the guide is also provided.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: A drilling jig for drilling a drill hole into a jaw of a patient for a medical tooth implant. The drilling jig includes a prosthesis adapted to at least one of teeth and the jaw of the patient and a drilling model. The prosthesis has a bipartite design and includes an individualized part adapted to the teeth, and a standardized plate part with at least two reference markers suitable to provide reference points in digital images of the prosthesis and a first coupling part which couples the drilling model to the prosthesis. The drilling model is a standardized part which includes a drill channel adapted to the medical tooth implant, and a second coupling part adaptable to the prosthesis so that the prosthesis and the drilling model are connectable with each other through the first and second coupling parts.

Abstract: A passive end effector of a surgical system includes a base connected to a rotational disk, and a saw attachment connected to the rotational disk. The base is attached to an end effector coupler of a robot arm positioned by a surgical robot, and includes a base arm extending away from the end effector coupler. The rotational disk is rotatably connected to the base arm and rotates about a first location on the rotational disk relative to the base arm. The saw attachment is rotatably connected to the rotational disk and rotates about a second location on the rotational disk. The first location on the rotational disk is spaced apart from the second location on the rotational disk. The saw attachment is configured to connect to a surgical saw including a saw blade configured to oscillate for cutting. The saw attachment rotates about the rotational disk and the rotational disk rotates about the base arm to constrain cutting of the saw blade to a range of movement along arcuate paths within a cutting plane.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion sized and shaped so that, in an operative position, a proximal end thereof aligns with a vastus ridge of a greater trochanter of a femur. The plate also includes a shaft portion extending distally from the head portion. The shaft portion includes offset holes to receive bone fixation elements therethrough. Each of the offset holes includes a first hole positioned on a first side of a longitudinal axis of the plate and a second hole positioned on a second side of the longitudinal axis opposite the first side so that bone fixation elements inserted therethrough extend anterior and posterior of a prosthetic received within the femur. The first and second holes are staggered relative to one another along a length of the shaft portion and extending beyond longitudinal edges of the shaft portion.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: The present disclosure provides an apparatus comprising a wire having a first end and a second end opposite the first end. A first portion of the wire including the first end comprises a malleable region that is configured to remain deformed after bending, and a second portion of the wire including the second end comprises a superelastic region that is configured to return to a straight configuration after bending.

Abstract: Airway management methods, devices, assemblies and systems. Methods, devices, assemblies and systems may include robotic movement and control of an intubation tube introducer or guide, and may include utilizing image data from one or more image sensors. The methods, devices, assemblies and systems may optionally be used in endotracheal intubation procedures.