Abstract: Electrosurgical systems, apparatus, and methods for the controlled removal and treatment of a target tissue. An instrument of the invention includes a rotating member housed longitudinally within a shaft, a tissue removal port disposed at the shaft distal end portion, and an active electrode disposed at the instrument distal end. The active electrode is adapted to electrosurgically remove at least a portion of the target tissue as the rotating member rotates within the shaft. According to alternative embodiments, the active electrode may be disposed on the rotating member or on the shaft.

Abstract: Forceps include a body, a surgical device, and a pair of handles. The surgical device is removably disposed within the body. The handles are pivotally attached to the handle body for articulating jaws on the surgical device, or grasping the forceps. The forceps accept monopolar, bipolar, or both monopolar and bipolar surgical devices. Wires are disposed within the surgical device for performing various types of electro-surgery. Additional wires are provided within the surgical device for providing the user with the ability to monitor various aspects of the surgical procedure. Spring contacts touch rings surrounding the surgical device for maintaining electrical contact with the surgical device while allowing the surgical device to rotate within the body.

Abstract: A method and apparatus configured to strengthen and support a portion of a bone, such as the femoral head of the proximal femur, for example. The apparatus may include a housing or base member and a movable support member connected to the housing and configured to move between a first, undeployed position in which the support member is disposed proximate the housing or base such that the apparatus may be inserted into bone, and a second, deployed position in which the support member extends away from the housing or base for supporting the femoral head. The support member may be a rod, one or more wires, a leaf spring, a bladder, or an expandable mesh material, for example.

Abstract: The invention relates to an intersomatic cage for intervertebral inclusion and fixing of said vertebrae, provided on its side face with at least one orifice or recess allowing it to be held by the holding clamp; this clamp is provided with hinged arms that can slide relative to one another, their sliding motion being controlled from their rear. The clamp body includes a copying device that reproduces at all times the position of the intersomatic cage as it is held by the clamp, always showing its intervertebral location. The invention is completed by the procedure for placing the intersomatic cages between the vertebrae.

Abstract: An internal bone fixation sizing device and methods for using this device during a procedure for repairing a weakened or fractured bone are disclosed herein. A medical device for determining a depth and a diameter of a medullary cavity of a bone includes an outer shaft having a proximal end engaging an activation mechanism, a distal end having a first opening at an upper surface and a second opening at a lower surface, and a longitudinal axis between the proximal end and the distal end, wherein the longitudinal axis of the outer shaft includes a plurality of markers; and an inner shaft having a proximal end engaging the activation mechanism, a distal end terminating in two sizing arms, and a longitudinal axis therebetween, wherein the two sizing arms are able to move from a retracted position to an extended position extending beyond the outer shaft.

Abstract: A device for fragmenting substances comprises a probe having an elongate probe shaft on the distal end of which a probe head is arranged, said probe head comprising an electro-hydraulic converter with which electrical energy, delivered via the probe shaft from the proximal direction, is converted in shock-like manner into mechanical kinetic energy, said converter comprising a housing which accommodates a liquid chamber and a shock-transmitting element which is designed as a piston and which can be moved in the longitudinal direction of the housing from a proximal end position to a distal end position, the distal end position being defined by an abutment on the housing, which abutment is struck by a counter-abutment arranged on the shock-transmitting element.

Abstract: The present invention makes a grid array, for use in the transplantation of materials into the brain, in the shape of a predetermined structure, such as the putamen, based on anatomic analysis the structure. Alternatively, a smaller grid array is used which only includes the putamen target and not the caudate target, and also has two windows within the grid array. Because of the smaller size of this grid array as well as the two cutouts in the middle, it is possible for the first time to observe the brain as the needle enters the brain through the grid array. The previous solid and larger grid array made the passage of the needle into the brain a blind maneuver. Therefore if there was cortical bleeding at the time of needle insertion, it would not be known until after the transplant was done.

Abstract: The invention is directed to a system and method for releasably holding a surgical instrument (14), such as an endoscopic instrument configured for delivery through a small percutaneous penetration in a patient. The instrument comprises an elongate shaft (100) with a pair of mounting pins (116) laterally extending from the shaft between its proximal and distal ends. An instrument holder comprises a support having a central bore (202) and an axially extending slot (204) for receiving the instrument shaft and the mounting pins. A pair of locking slots (206) are cut into the support transversely to and in communication with the axial slot so that the mounting pins can be rotated within the locking slots. The instrument support further includes a latch assembly for automatically locking the mounting pins within the locking slots to releasably couple the instrument to the instrument holder.

Abstract: There is disclosed suture manipulating instrumentation having measuring structure to determine the length of suture during a given point in a surgery. The instrument is preferably a surgical suturing instrument capable of manipulating a suture carrying needle at the distal end. The measuring structure in the form of a scale is provided on the suturing instrument at a location remote from the distal end. The length of suture can easily be determined with the use of the scale at any point during a surgery. There is also disclosed a kit for providing the suture measuring structure on other suture manipulating instruments, as well as, methods of using suture manipulating instrumentation having the disclosed measuring structure.

Abstract: The present invention concerns a surgical ring, configured to be implanted around a biological organ having a pouch or a duct shape. A surgical ring according to the present invention forms a closed loop around the organ, altering its diameter. Variations in ring diameter are reversibly controlled by a system that, in one embodiment, includes a flexible filiform element slidably disposed within the body of the ring and coupled to a first extremity of the ring and also to an actuator disposed near a second extremity of the ring.

Abstract: A method for occluding a blood vessel at a compression site is provided. Suction is applied to stabilize a surgical location adjacent the compression site. A first compressor is positioned proximal the surgical location and adjacent the blood vessel. The blood vessel is occluded with the first compressor in response to the positioning. Systems and apparatuses for using the method are also provided.

Abstract: An auger is axially fixed to and positioned within a cutter. The auger and cutter advance at the same time relative to a contact structure placed against a vessel, penetrating the wall of the vessel and cutting a tissue plug. When the auger and the cutter are retracted from the vessel wall, the tissue plug is retained by the auger and cutter and removed from the vessel wall. The auger and the cutter thus create an opening in the vessel wall, without the need for a prior incision in that wall.

Abstract: A removable sleeve is provided, which comprises a shaft portion configured to engage at least a portion of a percutaneous device. The shaft portion may be substantially fitted to the external dimensions of a percutaneous device. The removable sleeve also comprises a handle portion at a proximal end of the shaft portion. The handle portion is positioned such that upon proper introduction of the percutaneous device, the shaft portion may easily be moved proximally to expose an operative region of the percutaneous device.

Abstract: A unique laparoscopy instrument tip and method which allows simultaneous gasping, cauterization, dissection, containment, enclosure and removal of body tissue. Mechanisms for grasping, holding, manipulating, cauterizing, dissecting, encasement in an enclosed cavity and removing the tissue are provided in one implement allowing easy, safe and quick performance of the procedure.

Abstract: A method and apparatus for closing a vascular wound includes an apparatus that can be threaded over a guidewire into place at or adjacent the wound. The apparatus includes a chamber that encloses a hemostatic material therein. When the apparatus is positioned adjacent the wound as desired, the hemostatic material is deployed from the chamber. Blood contacts the hemostatic material, and blood clotting preferably is facilitated by a hemostatic agent within the material. Thus, the vascular puncture wound is sealed by blood clot formation.

Abstract: Devices and methods for accessing and closing vascular sites are disclosed. Self-sealing closure devices and methods are disclosed. A device that can make a steep and controlled access path into a vascular lumen is disclosed. Methods for using the device are also disclosed.

Abstract: A disposable wound-healing device is disclosed that incorporates a housing having a fluid-impermeable material having a cavity and a perimeter that can be sealed in an air-tight manner over a wound region of a patient. The device is capable of producing a negative pressure over the wound region by either removing oxygen from within the cavity, or absorbing fluid into the cavity and then removing the fluid from the cavity. The oxygen may be removed via chemical absorption, by an electrochemical cell or by a chemical reaction that cannibalizes oxygen from the cavity. The fluid may be removed through the use of osmotic or electro-osmotic cells, or through a one-way valve. The negative partial pressure over the wound region promotes healing.

Abstract: A method and device for controlling the compression of tissue include clamping tissue between a first clamping member and a second clamping member by driving at least one of the clamping members with an electric motor toward a predetermined tissue gap between the clamping members and, during the clamping, monitoring a parameter of the electric motor indicative of a clamping force exerted to the tissue by the clamping members. The method and device include, during the clamping, controlling the electric motor, based on the monitored parameter, to limit the clamping force to a predetermined maximum limit.

Abstract: A high strength abrasion resistant surgical suture material with improved tie down characteristics and tissue compliance includes poly(p-phenylene-2,6-benzobisoxazole) (PBO). The suture features a multifilament jacket formed of braided strands of PBO, optionally with fibers of polyester, silk, nylon or aramid strands as an enhancer. In one embodiment, the braided jacket surrounds a core formed of twisted strands of PBO. The suture has exceptional strength, is ideally suited for most orthopedic procedures, and can be attached to a suture anchor or a curved needle.

Abstract: A high strength abrasion resistant surgical suture material with improved tie down characteristics is color coded for visualization and identification purposes. The suture features a multifilament cover formed of strands of ultra high molecular weight long chain polyethylene braided with polyester, nylon or a bioabsorbable material. Selected nylon fibers in the cover are provided in a color contrasting with the other cover fibers to provide an identifiable trace. The cover surrounds a core formed of twisted strands of ultrahigh molecular weight polyethylene. The suture, provided in a #2 size, has the strength of #5 Ethibond, is ideally suited for most orthopedic procedures, and can be attached to a suture anchor or a curved needle.

Abstract: A surgical suture material with an antimicrobial surface is described, the surface exhibiting a coating containing a) at least one fatty acid, b) octenidine dichloride and/or dequalinium chloride and c) optionally oligomeric lactic acid esters. In addition, a process for coating surgical suture material is described which is characterized by the fact that the thread material is wetted with a homogeneous methanolic solution of octenidine dichloride and/or dequalinium chloride and subsequently the methanol is evaporated, a coating forming on the thread surface.

Abstract: A system and method for soft tissue to bone repair employing at least one suture anchor combined with at least one knotless fixation device. The method for soft tissue to bone fixation includes: (i) providing a first medial row constructed with a first plurality of fixation devices, at least one of the first plurality of fixation devices is an anchor; and (ii) providing a second lateral row constructed with a second plurality of fixation devices, at least one of the second plurality of fixation devices is a knotless fixation device, and suture or tape or allograft/biological component extending over the soft tissue and secured in place by the anchors in the first and second medial rows.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: An article including a spinal prosthesis having a unitary body with at least three attachment points attachable to spinal structure, the unitary body including a flexure assembly positioned between first and second attachment members, wherein flexure of the flexure assembly permits movement of the first attachment member relative to the second attachment member.

Abstract: A dynamic fixation medical implant for attachment to at least two bone anchors includes a longitudinal connecting member assembly having first and second rigid sections, at least one section having a convex or frusto-conical surface held in spaced relation with the other section by an elastic spacer. The spacer may be an over-mold that connects the first and second rigid sections. Some embodiments include an inner, tougher spacer and a separate over-molded spacer.

Abstract: A device for elastically stabilizing vertebral bodies includes at least two bone anchoring means, each having a central axis and a head segment. The device also includes elastic means that can be joined to the head segments of two adjacent bone anchoring means in such a manner that the longitudinal axis of the elastic means extends transversely to the central axes of the bone anchoring means. Under compressive loads, the elastic means has a progressive spring characteristic. The elastic means is manufactured from a metallic material and has a plurality of spring coils, of which at least two spring coils have a geometric dimension which is different from the other spring coils.

Abstract: Devices and methods for spinal stabilization include first and second anchor assemblies engageable to respective ones of first and second vertebrae and a connecting element engageable to the first and second anchor assemblies. The connecting element includes opposite first and second anchor engaging end portions and a length along a longitudinal axis between the first and second anchor engaging end portions sized for positioning between and engaging each of the first and second anchor assemblies when the first and second anchor assemblies are engaged to the respective vertebrae. The connecting element further includes a support portion between the first and second anchor engaging end portions. The support portion includes first and second support members spaced from one another on opposite sides of the longitudinal axis, and a stabilizing member extending between the support members in a transverse orientation to the longitudinal axis.

Abstract: A damping element includes: two spring elements which are coaxial with or parallel to a longitudinal axis and two axially end-side connectors, where the first spring element exhibits a spring rate F, the second spring element exhibits a spring rate f, and the spring rates F and f are different. A device stabilizing adjacent vertebrae, including N pedicle screws or hooks, where N is greater than or equal to 3 and where each pedicle screw or pedicle hook includes a receiving device receiving a longitudinal affixation device and where an element acting as a spring is inserted between two adjacent pedicle screws or pedicle hooks.

Abstract: A dynamic spine stabilization component suitable for use in stabilizing of the spine. The component is selectably attachable to a bone anchor for implantation in a bone of the spine. The dynamic spinal stabilization component includes a deflectable post connectable to a bone anchor. Deflection of the deflectable post is controlled by a compliant member. The force/deflection properties of the deflectable post may be adapted to the functional requirements and anatomy of the patient. The dynamic spinal stabilization component, when secured to a bone anchor, provides load sharing while preserving range of motion and reducing stress exerted upon the bone anchor and spinal anatomy.

Abstract: The invention relates to a connecting member for maintaining the spacing between at least two anchor members screwed into vertebrae. The connecting member comprises: a flexible part (10) divided into two branches (12, 14), the ends of said branches being interconnected in pairs and defining a first median plane (Pm), and two rigid rod-forming parts (20, 22) each having a fixing first portion (20?, 22?) and a second portion (20?, 22?), each of said second portions (20?, 22?) of said two rigid parts (20, 22) extending respective ends of said branches interconnected in pairs in opposite directions, so that said connecting member, whose fixing portions (20?, 22?) are fixed to respective anchor members, is able to bend elastically in a direction perpendicular to said median plane (Pm).

Abstract: A vertebral anchoring device includes connectors (2) linked to one another by connecting rods (3) and fixed on bone-anchoring screws (5) implanted in the vertebrae (4) of a vertebral column, each connector (2) being composed of a connection element (6) that includes receiving and fixing members to permit immobilization of the connecting rod (3) in translation and in rotation. Each connection element (6) includes, opposite the members for receiving and fixing the connecting rod (3), a seat (12) that cooperates with a connecting device (17) permitting assembly of the anchoring screw (5). The connecting device (17), before immobilization of the connecting rod (3) in the connection element (6), permits lateral and independent tilting movements of the connection element (6) and of the anchoring screw (5) relative to each other, and rotation of the anchoring screw (5) for fixing it in the body of the vertebra (4).

Abstract: A device pivotally connects two stabilizing parts to a bone. The device comprises at least one bone fixing element with a central axis, an anchor part designed to be fixed in or onto the bone, and a head part that can be attached to both stabilizing parts. The two stabilizing parts are located axially one below the other. Each stabilizing part has a cavity there through running coaxially to the central axis. A clamping element, which can be elastically deformed transversely to the central axis, is rotatably mounted in each cavity. The clamping element has a central bore running coaxially to the central axis for receiving the head part. The device comprises at least one wedge or cone that can be axially clamped in the central bores, enabling the head part of the bone fixing element to be removably fixed in at least one of the stabilizing parts.

Abstract: The pedicle screw system may be used for fixation of spinal segments and may be advantageous when minimally invasive surgery (MIS) techniques are employed. The pedicle screw system includes a tulip assembly comprising of a tulip body, a inner member, and an expansion member. Installation of the pedicle screw system into pedicles of the spine, for example, includes inserting the pedicle screw into a portion of the spine and then coupling the tulip assembly to the pedicle screw. The tulip assembly may be locked onto the pedicle screw before a rod is placed in the tulip assembly. After the rod is placed in the tulip assembly, the tulip body and the inner member can be rotated relative to one another to lock the rod into the tulip assembly. In addition, the relative rotation may also provide additional locking of the tulip assembly to the pedicle screw.

Abstract: A spinal stabilization system for surgical implantation in the spine having a bone fastener. The bone fastener is provided with a head portion and a shaft portion. A housing is also provided with a recess defined by sidewalls and an opening for receiving the head portion of the bone fastener. A seating element is disposed within the housing and positioned over the head portion of the bone fastener. An elongate rod is positioned on the seating element within the recess of the housing. The system also includes a cap capable of engaging with a top portion of the housing and capturing the elongate rod within the recess of the housing when the cap is rotated. The bone fastener articulates in a single plane with respect to the housing and the seat element.

Abstract: Techniques for spinal surgery include accessing at least one vertebral element of the spinal column. At least one loading member is engaged to the at least one vertebral element. The loading member is allowed to integrate with the bony structure of the vertebral element over time. The integrated loading member is accessed in a second surgical procedure, and can be loaded and/or attached to a construct.

Abstract: Systems and methods are provided that include a plate member engageable to the spinal column with an anchor assembly. The anchor assembly includes a coupling member having a post extending through at least one opening of the plate member and an anchor member pivotally captured in a receiver member of the coupling member below a lower surface of the plate member. A locking member secures the plate member to the coupling member. The coupling member includes an extended post with a proximal removable portion. The extended post facilitates placement of the plate member in position relative to the anchor assembly when engaged to the patient and be employed to reduce the plate member toward the anchor assembly when engaged to a vertebra.

Abstract: An optical-signal vestibular-nerve stimulation device and method that provides different nerve stimulation signals to a plurality of different vestibular nerves, including at least some of the three semicircular canal nerves and the two otolith organ nerves. In some embodiments, balance conditions of the person are sensed by the implanted device or external device, and based on the sensed balance conditions, varying laser nerve-stimulation signals are sent to a plurality of the different vestibular nerves.

Abstract: A device that treats chemically damaged hair by stimulating the circulation of blood and nutrients to the scalp while simultaneously promoting an environment that is not favorable for the propagation of bacteria. The device is composed of a blower that is attached to an air chiller. The blower houses a blue LED that irradiates a blue light outward from the mouth of blower. The device simultaneously blows cold air out of the mouth of the blower and irradiates the hair and scalp of the person being treated.

Abstract: A therapeutic pack provides effective therapeutic heating or cooling to an area of a body. The therapeutic pack comprises a fabric bag and a plurality of therapeutic modules within the bag. The bag consists of taffeta or a spandex such that the bag drapes. The therapeutic modules are capable of freely moving within the bag relative to one another. The therapeutic modules may include a material that repeatedly provides a prolonged cooling or heating, such as a phase change material.

Abstract: A catheter assembly comprises a catheter having a catheter shaft with a first rotatable sheath rotatably disposed thereabout. A first guidewire housing which defines a first guidewire lumen for passage of a first guidewire therethrough is engaged to the first rotatable sheath. A first stent, which when in the reduced stent state, is disposed about at least a portion of the first rotatable sheath. A second stent, which when in the reduced stent state, is positioned adjacent to the first stent.

Abstract: An introduction arrangement for a fenestrated or branched stent graft (13) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer (1) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator (11) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath (15) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter (22) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire (29) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.

Abstract: An endoluminal prosthesis including a first polymer member bonded to a second polymer member to selectively encapsulate a stent. Selective bonding between the first and second polymer members results in unbonded regions or pockets that accommodate movement of the stent, permitting compression of the prosthesis using minimal force and enabling collapse of the prosthesis to a low profile. The pockets are believed to encourage enhanced cellular penetration for rapid healing and may contain bioactive substances.

Abstract: A stent in a non-expanded state has a first column expansion strut pair. A plurality of the first column expansion strut pair form a first expansion column. A plurality of second column expansion strut pair form a second expansion column. A plurality of first serial connecting struts form a first connecting strut column that couples the first expansion column to the second expansion column. The first expansion column, the second expansion column, and the first connecting strut column form a plurality of geometric cells. At least a portion of the plurality are asymmetrical geometric cells.

Abstract: A radially expandable segmented stent, the stent including annular metallic stent segments and connectors interconnecting each segment, the interconnectors are formed from a biodegradable polymer material.

Abstract: A stent comprises a tubular member having openings therein and having a plurality of interconnected members and one or more frangible restraining members. The frangible restraining members break upon partial expansion of the stent. Thereafter, the stent self-expands.

Abstract: A venous valve with a frame and a cover on the frame for unidirectional flow of a liquid through the valve.

Abstract: An endolumenal device (1) for delivering and deploying an endolumenal expandable prosthesis (6) at a bifurcation provided with a main conduit and at least a secondary conduit, comprises an elongated body (2) having a proximal end portion (4) and a distal end portion (3); the distal end portion (3) comprising expansion means (5) having a longitudinally extended active portion removably engageable with the prosthesis (6). Said active portion of the expansion means is longitudinally associated to the body in order to expand said prosthesis eccentrically from one side with respect to the body, in order to leave free from said expanded active portion the other side of the body. The device further is provided with guidewire tracking means (11).

Abstract: The method for endovascular magnetic targeting drug delivery in a vascular wall and adjoining tissues, wherein an endovascular mesh stent with paramagnetic properties is preliminary implanted in the area of interest by a catheter, a polymeric magneto-responsive carrying agent in the form of particles, containing a drug, is injected, and a magnetic field is applied, characterized in that, at least, one temporary catheter is introduced in the right atrium, and/or in ventricles of heart, and/or in a coronary sinus and/or in a coronary vein, which distal end takes a position close to the implanted mesh stent, thereupon, a gradient permanent magnetic field is generated and adjusted by means of a permanent magnet and/or a solenoid with the core, connected to an electric power source, which magnet or solenoid are located at the distal end of each temporary catheter, where the maximal gradient of magnetic field is located in the implanted endovascular stent, principally on the stent mesh.

Abstract: A cardiovascular prosthetic valve comprises an inflatable body that has at least a first inflatable chamber and a second inflatable chamber that is not in fluid communication with the first inflatable chamber. The inflatable body is configured to form, at least in part, a generally annular ring. A valve is coupled to the inflatable body. The valve is configured to permit flow in a first axial direction and to inhibit flow in a second axial direction opposite to the first axial direction. A first inflation port is in communication with the first inflatable chamber. A second inflation port in communication with the second inflatable chamber.

Abstract: An active bodily ring having a housing adapted to be sutured to a bodily component and a loop disposed in the housing, the loop capable of actively expanding and compressing during the bodily components normal function. The housing defines a first chamber and a second chamber, the first chamber containing the loop and the second chamber providing a region capable of being sutured to the bodily component. In one embodiment, the housing can be a crimped-fabric housing. In another embodiment, the housing can be a woven-fabric housing having elastic properties. The housing can be made from polyester.