Abstract: An ultrasonic surgical instrument includes a shaft having a proximal end and a distal end and a first jaw having a proximal end and a distal end, the distal end of the shaft terminating at the proximal end of the first jaw and the first jaw has an internal trough running from and through the proximal end of the first jaw and terminating at a point prior to the distal end of the first jaw and a surface having a plurality of teeth on either side of the trough and at the distal end of the first jaw. A second jaw has a surface facing the surface of the first jaw and having a plurality of teeth thereat.

Abstract: A torque-transmitting, variably-flexible device, comprising a hollow body having a proximal end, a distal end and a given length, a torque-transmitting element that extends substantially entirely over the given length of the hollow body, a steering element that steers the distal end of the hollow body, the steering element being comprised of steering tendons disposed within the hollow body, and stiffening tendons disposed within the hollow body to selectively maintain the hollow body in a relatively stiff condition, wherein the stiffening tendons are unassociated with the steering element of the device.

Abstract: A torque-transmitting, variably-flexible device, comprising a hollow body having a proximal end and a distal end, a torque-transmitting element operable to transmit torque from the proximal end towards the distal end of the hollow body, and a steering element operable to steer the distal end of the hollow body.

Abstract: A joint support and subchondral support system and method of use of same for providing structural and dampening support to damaged subchondral bone adjacent to a body joint are disclosed. The joint support and subchondral support system and method of use of same are applicable to many parts of the joint as any area with cartilage disease has an adjoining subchondral component.

Abstract: A battery-powered, modular surgical device includes an electrically powered surgical instrument operable to surgically interface with human tissue and a handle assembly connected to the surgical instrument. The handle assembly has a removable hand grip and a handle body. The hand grip is shaped to permit handling of the surgical device by one hand of an operator, has an upper portion and a cordless internal battery assembly that powers the surgical instrument. The internal battery assembly has at least one energy storage cell. The handle body is operable to removably connect at least the upper portion of the hand grip thereto and create an aseptic seal around at least a portion of the hand grip when connected thereto and electrically couple the internal battery assembly of the hand grip to the surgical instrument and thereby power the surgical instrument for interfacing surgically with the human tissue.

Abstract: A medical device includes a laparoscopic shaft having proximal and distal ends and defining a shaft axis. A surgical end effector is at the distal end of the shaft. A surgical procedure actuator carries out a surgical procedure on tissue at the end effector when actuated. A rotating knob is at the proximal end of the shaft. The rotating knob rotates the end effector with respect to the shaft about the shaft axis when rotated and actuates the procedure actuator when slid in a proximal direction.

Abstract: A battery assembly for use with a surgical device having a battery terminal and operational parameters includes a housing having a shape formed to removably connect with the terminal. The housing contains a modular battery operable to supply power to the device at the terminal and has a control circuit with a microprocessor, a memory, and a real-time clock. The control circuit is communicatively coupled to the battery and is operable to detect an identity of the surgical device, to determine at least one piece of information pertaining to at least one of the operational parameters of the surgical device based upon the detected identity, to record the piece of information at least in the memory, and to selectively allow or prevent the battery from supplying power to the surgical device dependent upon the piece of information.

Abstract: A battery assembly for use in a number of battery-powered, cordless ultrasonic surgical instruments with handles having a battery chamber and coupled to different ultrasonic waveguide types, comprises a housing having an exterior shape formed to removably connect with the battery chamber of the handles. The housing has at least one energy storage cell operable to power an ultrasonic-signal-generation assembly of the surgical instruments. The ultrasonic-signal-generation assembly is operable to dynamically produce a resonant wave along an ultrasonic waveguide. A battery/handle interface has a plurality of connectors shaped to mate with a plurality of corresponding connectors within the battery chamber of the handles. A voltage-control circuit communicatively couples with and provides power to the ultrasonic-signal-generation assembly, detects which one of the ultrasonic waveguide types is coupled to the handle connected to the housing, and provides an output in response to the detected waveguide type.

Abstract: A battery-powered, modular surgical device comprising an electrically powered surgical instrument that requires a pre-determined minimum amount of electrical energy to complete a surgical procedure, and a power module assembly that has a battery that powers the surgical instrument and has a current state of electrical charge, and a control circuit that is electrically coupled to the battery and the surgical instrument and has a memory and a microprocessor. The microprocessor determines the current state of electrical charge of the battery, compares the current state of electrical charge to the pre-determined minimum amount of electrical energy, permits the battery to discharge if the current state of electrical charge is above the pre-determined minimum amount of electrical energy, and maintains the battery in a non-discharge state if the current state of electrical charge is below the pre-determined minimum amount of electrical energy.

Abstract: A cordless cautery and cutting surgical device includes a modular battery and a surgical handle. The battery has a cordless radio-frequency-signal-generation assembly generating an output radio-frequency signal and a first selectively removable connector part. The surgical handle has a first handle body portion with a bipolar cautery and cutting end effector. The end effector has jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle has a second body portion connected to the first body portion, defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery, and a second selectively removable connector part operable to removably hold the first connector part thereto.

Abstract: A device for ameliorating joint conditions and diseases comprising a) a first section comprising a joint-ward end, an opposing mating end, and a lateral wall, a peripheral column partially forming the lateral wall of the first section, a central column, and three or more than three struts extending between and connecting the peripheral column and the central column, and each strut thereby supporting the central column, the joint-ward end further comprising a plurality of fenestrations formed by a confluence of the peripheral column, the central column and two adjacent struts of the three or more than three struts, and first section further comprising a central aperture within and formed by the central column, and configured to mate with a driver, b) a second section comprising a mating end, an opposing leading end, and a lateral wall, the lateral wall of the second section comprising threads.

Abstract: A surgical device assembly includes a vessel-sealing end effector having opposing surfaces engaging tissue when disposed therebetween, at least one of the surfaces having an energy delivering component, and a surgical device handle. The surgical device handle is connected to the end effector and has a switch with a switch-actuation direction in which the switch actuates, an unactuated position at a rest point of the switch, a first actuated position at first distance from the rest point in the switch-actuation direction, a second actuated position at a second distance further from the rest point in the switch-actuation direction than the first distance, and a force required to sustain the first actuated position being less than a force required to enter the second actuated position. The energy delivering component delivers energy when in at least one of the first and second actuated positions.

Abstract: A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.

Abstract: A battery-powered, modular surgical device includes an electrically powered surgical instrument operable to surgically interface with human tissue and a handle assembly connected to the surgical instrument. The handle assembly has a removable hand grip and a handle body. The hand grip is shaped to permit handling of the surgical device by one hand of an operator, has an upper portion and a cordless internal battery assembly that powers the surgical instrument. The internal battery assembly has at least one energy storage cell. The handle body is operable to removably connect at least the upper portion of the hand grip thereto and create an aseptic seal around at least a portion of the hand grip when connected thereto and electrically couple the internal battery assembly of the hand grip to the surgical instrument and thereby power the surgical instrument for interfacing surgically with the human tissue.

Abstract: A method for assembling an ultrasonic surgical device includes the steps of rotatably freely connecting an ultrasonic waveguide to an ultrasonic surgical handle body, the ultrasonic waveguide having a proximal coupling end, substantially simultaneously removably coupling an ultrasonic-driving-wave-signal generating circuit to the ultrasonic surgical handle body and removably inserting an ultrasonic-movement-producing distal end of a cordless, rotatably free ultrasonic transducer into the ultrasonic surgical handle body opposite the proximal coupling end of the ultrasonic waveguide, and rotating the ultrasonic waveguide with respect to the ultrasonic transducer to fixedly couple the ultrasonic waveguide to the ultrasonic-movement-producing distal end of the ultrasonic transducer.

Abstract: A device for ameliorating joint conditions and diseases comprising a) a first section comprising a joint-ward end, an opposing mating end, and a lateral wall, a peripheral column partially forming the lateral wall of the first section, a central column, and three or more than three struts extending between and connecting the peripheral column and the central column, and each strut thereby supporting the central column, the joint-ward end further comprising a plurality of fenestrations formed by a confluence of the peripheral column, the central column and two adjacent struts of the three or more than three struts, and first section further comprising a central aperture within and formed by the central column, and configured to mate with a driver, b) a second section comprising a mating end, an opposing leading end, and a lateral wall, the lateral wall of the second section comprising threads.

Abstract: A method for operating a surgical end effector of a medical device includes the steps of operably associating a passive articulation joint with a surgical end effector to allow articulation of the end effector, retaining the passive articulation joint in a still position with an articulation lock, releasing the articulation lock to free the passive articulation joint from its still position thereby permitting the end effector to articulate through the passive articulation joint dependent upon forces that are external to the device and are applied to the end effector, and passively articulating the end effector into a desired articulated position by pressing a portion of the end effector against a feature of the environment.

Abstract: A surgical instrument comprising a tissue-compressing device comprising opposing compression surfaces, a switching element having first and second switching states changed solely by mechanical movements, a biasing element mechanically coupled to the switching element, the biasing element retaining the switching element in one of the first and second switching states until a pre-determined force is imparted to the switching element, wherein the pre-determined force is an amount of force proportional to an optimal tissue compression force of compressed tissue disposed between the opposing compression surfaces and the switching element is positioned in line with the tissue-compressing device to cause a force, proportional to a force placed upon compressed tissue disposed between the opposing compression surfaces, to be imparted to the switching element.

Abstract: A joint support and subchondral support system and method of use of same for providing structural and dampening support to damaged subchondral bone adjacent to a body joint are disclosed. The joint support and subchondral support system and method of use of same are applicable to many parts of the joint as any area with cartilage disease has an adjoining subchondral component.

Abstract: A method for implanting a stent includes contracting a self-expanding/forcibly-expanding stent of a shape-memory material set to a given shape to a reduced implantation size with a delivery system having drive wires. The stent has a selectively adjustable assembly with adjustable elements operatively connected to the drive wires such that, when the adjustable elements are adjusted by the drive wires, a configuration change in at least a portion of the self-expanding stent occurs. The contracted stent is inserted into a native annulus in which the stent is to be implanted. The drive wires are rotated with the delivery system to forcibly expand the stent into the native annulus. While rotating the drive wires, a torque applied to the drive wires is determined with the delivery system. Rotation of the drive wires is stopped based upon a value of the determined torque.