Abstract: Medical devices and accessories for accessing the biliary tract include a tubular member with a tapered distal region adapted for endoscope insertion. The distal region can expand to accommodate endoscope advancement and contract upon retraction, utilizing accordion folds or axial slots that splay outward. An accessory device includes a mounting member with tapered prongs that spread apart as an endoscope advances. The devices may include proximal handles with steering and locking mechanisms.

Abstract: Medical devices and actuation mechanisms thereof are described. The medical device may include a handle with an actuation mechanism comprising a cam, the cam including a plurality of posts on a surface of the cam. Each post of the plurality of posts may define a channel aligned with a channel of an adjacent post. The actuation mechanism may further include an actuator coupled to the cam and may be configured to receive and transmit user input to the actuation mechanism. The medical device may further include at least one control wire fixedly attached to the plurality of posts via the at least one channel of each post. The plurality of posts may be spaced apart from one another and may collectively provide a curved pathway for control wire(s), e.g., the curved pathway including a change in direction of less than 90 degrees.

Abstract: A method for removing tissues may comprise disposing a tissue resection device at a target tissue site, causing the tissue resection device to resect a core of tissue from the target tissue site, removing the core of tissue from the body, wherein the removing the core of tissue from the body creates a core cavity at the target tissue site.

Abstract: Medical devices, systems, and methods are described, including a medical system including a medical device, a fluid management system, and a processor. The medical device may include a shaft that includes at least one working channel extending from a proximal end of the shaft to a distal end of the shaft. The fluid management system may include a first conduit in fluid communication with the at least one working channel and a pressure sensor configured to measure pressure within the first conduit. The processor may be communicatively connected to the fluid management system and configured to estimate a pressure around the distal end of the medical device based on the pressure of the first conduit measured by the pressure sensor and at least one parameter of the medical device.

Abstract: According to an aspect, a penile implant includes an articulating portion, a control portion, and an elongate member. The elongate member extends from the control portion to the articulating portion. In some aspects, the articulating portion includes a plurality of articulating members and a plurality of locking members.

Abstract: Medical devices, systems, and related methods useful for facilitating navigation through patient anatomy during a medical procedure are described. The medical device may include a handle including a proximal portion, a distal portion, and a middle portion between the proximal portion and the distal portion. The distal portion may be detachable from the middle portion by complementary mating elements. An articulation mechanism may be disposed within the distal portion of the handle, and configured to control articulation of a shaft coupled to the handle. A first electronic drive assembly may be configured to drive rotation of the middle portion and the distal portion relative to the proximal portion about a first axis. A second electronic drive assembly may be configured to drive rotation of the articulation mechanism about a second axis different from the first axis.

Abstract: An intervertebral implant includes a first endplate member and a second endplate member, and a distal wedge member and a proximal wedge member that couple the first and second endplate members together. The distal wedge member is configured to move in an expansion direction that causes the fusion cage to move from a contracted position to an expanded position.

Abstract: Medical devices and related methods useful for facilitating the rotation of a medical device to multiple planes are described. The medical device may include a handle that comprises a proximal portion and a distal portion coupled to the proximal portion by a connector configured to be gripped by a user. The distal portion may be rotatable relative to the proximal portion by rotation of the connector and an articulation mechanism may be disposed within the proximal portion and the distal portion of the handle and extend through the connector. The articulation mechanism may be configured to control articulation of a shaft coupled to the handle and includes a coupler translatable relative to the connector independent of rotating the connector.

Abstract: A tissue resection apparatus is provided which includes an outer tube with a helical coil disposed on a distal end. The coil is provided with a first electrode. A central tube has a distal edge profile comprising one or more surface segments. One of the surface segments includes a second electrode. The central tube is slidably disposed within the outer tube and positioned such that second electrode opposes at least a portion of the first electrode. A cutting tube is slidably disposed within the central tube and includes a cutting edge.

Abstract: A lordotic lateral implant, an implant system, process, and method of use are presented. More specifically, and without limitation, the present disclosure relates an implant, the implant, in example, includes a unique four-wedge design for an improved adjustment system, which includes a left-hand and right-hand threaded shaft option. More specifically, and without limitation, the present disclosure includes ramps for simultaneous, same slope adjustment, which also translates effectively from the shaft when the implant is expanded. Furthermore, but without limitation, this expansion is achieved by only one shaft rotation.

Abstract: Implant bending instruments disclosed herein can have a plurality of bending elements that can be symmetrically driven to bend or contour an implant, such as a spinal rod. A single actuator handle can be moved to drive a compound gear train and move the bending elements to intersect an implant-receiving channel and bend an implant received therein. Instruments of the present disclosure can have an increased mechanical advantage than conventional bending instruments thereby allowing for an increased amount of force to bend an implant. A locking pawl can selectively prevent counter rotation of the gear train such that the handle can be actuated a plurality of times to achieve a desired contour angle.

Abstract: An expandable intervertebral cage includes vertically opposed superior and inferior plates and longitudinally opposed distal and proximal wedges disposed between the plates. The wedges define ramps that engage complimentary ramps of the superior and inferior plates to increase a vertical distance between the plates. An actuator is located between the plates, defines a central, longitudinal axis, and is coupled to the wedges such that, as the actuator rotates about the axis, at least one of the wedges moves longitudinally relative to the other, thereby increasing the vertical separation distance. At least one locking component is insertable within a receptacle at least partially defined by the proximal wedge and is configured to transition from an unlocked configuration, where the actuator is rotatable relative to the proximal wedge, to a locked configuration, where the actuator is rotationally affixed relative to the proximal wedge.

Abstract: An intervertebral implant includes a first endplate member and a second endplate member, and a distal wedge member and a proximal wedge member that couple the first and second endplate members together. The distal wedge member is configured to move in an expansion direction that causes the fusion cage to move from a contracted position to an expanded position.

Abstract: A tissue resection apparatus is provided which includes an outer tube with a helical coil disposed on a distal end. The coil is provided with a first electrode. A central tube has a distal edge profile comprising one or more surface segments. One of the surface segments includes a second electrode. The central tube is slidably disposed within the outer tube and positioned such that second electrode opposes at least a portion of the first electrode. A cutting tube is slidably disposed within the central tube and includes a cutting edge.

Abstract: An expandable intervertebral cage includes vertically opposed superior and inferior plates and longitudinally opposed distal and proximal wedges disposed between the plates. The wedges define ramps that engage complimentary ramps of the superior and inferior plates to increase a vertical distance between the plates. An actuator is located between the plates, defines a central, longitudinal axis, and is coupled to the wedges such that, as the actuator rotates about the axis, at least one of the wedges moves longitudinally relative to the other, thereby increasing the vertical separation distance. At least one locking component is insertable within a receptacle at least partially defined by the proximal wedge and is configured to transition from an unlocked configuration, where the actuator is rotatable relative to the proximal wedge, to a locked configuration, where the actuator is rotationally affixed relative to the proximal wedge.

Abstract: An intervertebral implant includes a first endplate member and a second endplate member, and a distal wedge member and a proximal wedge member that couple the first and second endplate members together. The distal wedge member is configured to move in an expansion direction that causes the fusion cage to move from a contracted position to an expanded position.

Abstract: An intervertebral fusion cage includes first and second endplate members, first and second ramp members, and an actuator. The first and second ramp members and first and second endplate members have complementary ramp surfaces that engage to expand the height of the fusion cage and to impart a lordotic profile to the fusion cage.

Abstract: A tissue resection apparatus is provided which includes an outer tube with a helical coil disposed on a distal end. The coil is provided with a first electrode. A central tube has a distal edge profile comprising one or more surface segments. One of the surface segments includes a second electrode. The central tube is slidably disposed within the outer tube and positioned such that second electrode opposes at least a portion of the first electrode. A cutting tube is slidably disposed within the central tube and includes a cutting edge.

Abstract: An intervertebral implant includes a first endplate member and a second endplate member, and a distal wedge member and a proximal wedge member that couple the first and second endplate members together. The distal wedge member is configured to move in an expansion direction that causes the fusion cage to move from a contracted position to an expanded position.

Abstract: An intervertebral implant includes a first endplate member and a second endplate member, and a distal wedge member and a proximal wedge member that couple the first and second endplate members together. The distal wedge member is configured to move in an expansion direction that causes the fusion cage to move from a contracted position to an expanded position.