Abstract: A tool centers an elongated drill bit within an elongated canal surrounded by bone tissue. A sleeve having an expandable diameter is internally threaded. The sleeve threadedly engages an externally-threaded cylindrical guide. A key includes a handle at one end of an elongated rod. The rod includes transversely-protruding buttons for engaging the guide so that rotation of the handle produces rotation of the guide to cause radial expansion of the sleeve. This results in symmetrical contacting of the interior surfaces of the bone tissue, thereby creating a vertical, centered channel with respect to the bone, that extends through the tool for guiding the drill bit.

Abstract: A surgical instrument including at least one tibial phantom generally corresponding to at least certain features of the tibial implant. The tibial phantom includes a top surface adapted to move freely against the prepared bottom end of the tibia. At least one talus phantom generally corresponding to at least certain features of the talus implant is engaged with the prepared top surface of the talus. At least one phantom skid is located between the tibial phantom and the talus phantom. The phantom skid is engaged with the tibial phantom such that dynamic engagement between the phantom skid and the talus phantom through at least extension and flexion of the ankle joint positions the tibial phantom on the prepared bottom end of the tibia. The phantom skid can either be a part of the tibial phantom or a separate component.

Abstract: An inserter for implanting an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the intervertebral spacer.

Abstract: The invention relates to an aiming, or targeting, device which is used to guide and place longitudinal bone fixing means in a predetermined direction with respect to a bone fixing device. The aiming device includes securing means, which can be detachably secured to a bone fixing device, a first centering part, which can be placed on the bone fixing device, and a second centering part, which is arranged at a distance from the first centering part. Both of the centering parts include at least one pair of guiding elements which are arranged in a coaxial manner in relation to each other.

Abstract: A device for introducing an anchor element into a bone, having a loop of thread extending laterally from said anchor element. The device has an elongate body having a distal end which can be inserted into the anchor element in a rotationally locked manner. A distal end portion of said elongate body has at least one cutting for inserting the loop protruding laterally from the anchor element. The cutting is designed in such a way that the loop when inserted into the cutting is prevented from falling laterally away. The elongate body further has a longitudainlly extending recess in an area of the cutting. The recess is designed as an opening extending right through the elongate body, such that the loop inserted into the cutting can be gripped from the outside.

Abstract: An IOL injector comprising a distal body portion comprising a tip through which an IOL is injected into an eye, a tip protector, and a proximal body portion configured to connect to the distal body portion. The distal body portion and the tip protector being are configured to lockingly connect together, and the tip protector and proximal body portion are configured to interact with one another such that, when the tip protector and the distal body portion are in a connected state, the tip protector is unlocked from the distal body portion as the proximal body portion is being connected to the distal body portion.

Abstract: A disposable neonatal circumcision device that secures the foreskin of the penis in a precise location, applies radially circumferential clamping, and delivers a longitudinal circumferential cutting device along the path precisely controlled by the device itself, not the operator, ensuring the incision to the clamped foreskin is made in the precise location, independent of the operator.

Abstract: A robotic medical system comprises a catheter having an elongated shaft with a plurality of flexible segments spaced apart along the catheter, and a drive unit coupled to the catheter. The catheter may have a plurality of cables respectively terminating at the flexible segments, in which case, the drive unit will be coupled to the plurality of cables. The robotic medical system further comprises a user interface remote from the drive unit and configured for generating at least one command, and an electric controller configured, in response to the command(s), for directing the drive unit to independently bend the flexible segments (e.g., three flexible segments).

Abstract: An insertion apparatus for an endoscope comprises a tubular body which is inserted into a surgical tool insertion channel of the endoscope, and a wire member which is inserted into an inside cavity of the tubular body. The tubular body includes a distal end coil which is provided in the distal end side of the tubular body, a proximal end coil which is provided at the proximal end of the distal end coil, and has an inside diameter smaller than an inside diameter of the distal end coil, and an inside diameter changed member which is provided between the proximal end of the distal end coil and the distal end of the proximal end coil, and changed in the inside diameter to connect the proximal end of the distal end coil and the distal end of the proximal end coil.

Abstract: A method of forming and deploying an improved absorbable anchor for hernia mesh fixation is disclosed. The absorbable anchor of the present invention functions to securely fasten tough, non macro-porous, and relative inelastic mesh to soft tissue. The anchor is formed from co-polymers of lactide and glycolide.

Abstract: Methods and devices for fastening tissue are provided. In one exemplary embodiment, a tissue fastener is provided and includes a male fastening member having a base plate with at least one post extending therefrom and having a tissue-piercing tip. A protective member is coupled to the male fastening member and is movable between an open position in which the tissue-piercing tip is enclosed within the protective member such that the tissue-piercing tip is prevented from penetrating tissue, and a compressed position in which the tissue-piercing tip is exposed to penetrate tissue. A female fastening member is configured to mate to the male fastening member and to engage tissue therebetween.

Abstract: A surgical fastener apparatus, for securing a surgical mesh material to body tissue including a pair of anchors each having a retaining structure formed on an outer surface thereof; and a suture tether interconnecting the pair of anchors to one another. The pair of anchors have a substantially cylindrical body having a conically tapered distal end and a planar proximal end. The retaining structure includes a series of semi-circular angled projections having a planar proximal surface and a tapered distal end, wherein a center of each of the angled projections is spaced a distance from a longitudinal central axis of the body portion. The surgical fastener is made from a bioabsorbable material which reabsorbs into body tissue at an appropriate rate, such as for example, polyglycolic acid and polylactic acid.

Abstract: A temporary hemostatic plug apparatus for use in a patient includes a plug structure configured to be placed within a patient's tubular body structure. The plug structure may be configured to be placed in an incision to create a bloodless operating field for a surgeon to operate, for example to perform an anastomosis. This may be done by deploying the plug structure out from within the lumen to create a hemostatic seal around the incision. Once the surgeon has completed the operation, the plug apparatus may be removed from the lumen through the incision, or through any other point of access in the lumen.

Abstract: A scalpel blade protector comprises an inner housing attached to a scalpel handle, an outer housing and a blade guard slidably mounted between the inner and outer housings for movement between positions exposing and shielding the scalpel blade. The blade protector is attached to conventional scalpel handles. A first embodiment shows a blade protector for a flat scalpel handle. A second embodiment shows a blade protector for a round or hexagonal scalpel handle.

Abstract: An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

Abstract: Abstract An instrument for cutting tissue to controlled dimensions for removal of tissue specimens from remote sites in the body of a patient. The instrument has a housing and a substantially flexible shaft extending from the housing to a distal end. Suction can be municated along the shaft to the distal end for distribution across a cavity utilizing a nifold to pull tissue into the cavity against a tissue engaging of the manifold. One or more needles are extendable into the cavity to enable infusion of fluid into the tissue. A blade in the distal end is extendable over the manifold to cui the tissue held by suction in the cavity. The shape and depth of the tissue removed by the cut is in accordance with the contour of the tissue engaging surface and the size and shape of the cavity at the distal end.

Abstract: Catheter for aspiration, fragmentation and removal of removable material from hollow bodies, in particular of thrombi and emboli from human blood vessels, comprising a working head, a flexible transport screw, a flexible tube, and a cutting tool. The working head is independently displaceable along a guide wire, is arranged at the distal end of the catheter, and has at least one lateral opening. The flexible transport screw can be rotated at a distance by means of a rotary drive of a drive unit. The flexible tube surrounds the transport screw, is connected to the working head, and is intended for removing the detached thrombi and emboli fragments. The transport screw forms a shearing cutting tool in cooperation with the lateral opening of the working head, in order to comminute the detached thrombi and emboli between peripheral borders of the transport screw and borders of the lateral opening.

Abstract: A laparoscopic scissor with a shaft for use through an access port, such as a trocar cannula, with one or more parabolic, cubic, quadratic or higher order cutting blades extending from the shaft is provided.

Abstract: A lancing apparatus that moves a lancing element in a lancing direction from a wait position to a lancing position thereby lancing an intended portion with the lancing element. The lancing apparatus has a first member which moves reciprocally in the lancing direction and in the retreating direction. A second member moves with the lancing element and performs reciprocal movement in the lancing and retreating directions in accordance with the movement of the first member.

Abstract: A single-use skin pricking device (7) comprising a housing (8), a lancet (1) disposed (5) within the housing (8), biasing means (11) coupled between the housing (8) and the lancet (1), and a trigger (12) mounted to the housing (8) for relative movement therewith. The trigger (8) is releasably coupled to the lancet (1) such that movement of the trigger (8) in a first direction moves the lancet (1) in a direction to compress the biasing means (11), and then causes release of the lancet (1) from (10) the trigger (8) whereby the biasing means (11) drives the lancet (1) in a second direction substantially opposite to said first direction.

Abstract: A transseptal needle includes an elongate needle body having a distal end and a proximal end and a cannular needle tip located proximate the distal end of the needle body. The needle tip has a distal segment, a proximal segment, and a longitudinal axis. An inner surface of the needle tip defines a passageway spanning at least a portion of the needle tip, and an outer surface of the needle tip defines a wall with the inner surface. The distal segment of the needle tip also includes a wedge surface and a dome-shaped region. The wedge surface forms a wedge angle of other than 90 degrees relative to the longitudinal axis. The dome-shaped region, which intersects the wedge surface, includes at least two bevels that intersect the wedge surface and that intersect each other at one or more points on the needle tip.

Abstract: Laparoscopic instruments and trocars are provided for performing laparoscopic procedures entirely through the umbilicus. A generally C-shaped trocar provides increased work space between the hands of the surgeon as well as S-shaped laparoscopic instruments placed through the trocar when laparoscopic instrument-trocar units are placed through the umbilicus. In order to facilitate retraction of intra-abdominal structures during a laparoscopic procedure, an angulated needle and thread with either one- or two sharp ends is provided. Alternatively, an inflatable unit having at least one generally C-shaped trocar incorporated within the unit's walls can be placed through the umbilicus following a single incision. Generally S-shaped laparoscopic instruments may be placed through the generally C-shaped trocars to facilitate access to intra-abdominal structures.

Abstract: A stylet locking mechanism for preventing axial movement of a stylet relative to a needle of a medical delivery device is disclosed. The locking mechanism comprises first and second ends that may be removably attached to the device, and a hinge for allowing the locking mechanism to be disengaged from a locking position without being completely disconnected from the delivery device.

Abstract: A suctioning and irrigating sinus balloon catheter is provided for treating a patient's paranasal sinus system, including dilating prepared openings, and natural ostia and ducts and excising sinus cavities and choana. The catheter has a number of fluid carrying conduits to provide irrigation, suction and inflation/deflation to the distally mounted balloon. The catheters have sufficient stiffness and column strength that the balloon carrying distal segment of the catheter can be pushed into the prepared opening, natural ostium or duct, choana or sinus to be excised. Some catheters can be hand bendable by the surgeon. Some catheters provide the capability of threading an endoscope through one of the conduits. The methods use the balloon catheters to dilate prepared openings to selected parts of the sinus system, to dilate natural ostia and ducts of the sinus system, choana, and/or to dilate sinus cavities to remove them.

Abstract: The embolic protection device (10) has an expandable tubular structure supporting a filter mesh material (12). The embolic protection device is compressed to a small diameter for insertion into a patient's aorta, then expanded within the aorta with the filter mesh material positioned to allow blood to enter sidebranch vessels connected to the aorta and to prevent embolic material from entering the sidebranch vessels. The filter mesh material may be configured with waves or undulations (26) for increased surface area and/or with two layers of mesh material to provide additional protection against embolization and to prevent inadvertent occlusion of the sidebranch vessels.

Abstract: A support 103 for an embolic protection device comprises round wires 116 which may form one or more support hoops for a filter body. The circumferential hoop formed by the wires 116 ensures that in the expanded position, the filter body 102 will be supported by the support frame 103 in circumferential apposition with the interior wall of the vasculature. The wires 116 may have a strain distributing linkage element in the form of a loop 120. The loop 120 acts as a diameter or circumference adjuster allowing an embolic protection device to adapt to different Bessel contours and sizes whilst maintaining apposition with the vessel wall. The strain relieving geometry of the loops enhances the compliance of the bend points without creating a weakened hinge point, thus ensuring that there is no discontinuity in the circumferential seal against the vessel wall.

Abstract: The present invention discloses an introduction catheter set for a collapsible self-expandable implant into a blood vessel of a patient. The invention discloses in particular the introduction of collapsible self-expandable stents or filters of the type comprising a number of diverging legs to secure correct positioning of the implant when arranged in the blood vessel.

Abstract: A device for applying compression treatment to a part of a wearer's body has an inner face for being placed adjacent to the part of the wearer's body in use and an outer face opposite the inner face. The device includes a pressure applicator to apply compression to the wearer's body part when the device is placed on the wearer's body part. First and second fastener elements are mounted on the device. The second fastener element is adapted for releasably connecting to the first fastener element for use in holding the device on the wearer's body part. A visual indicator associated with the second fastener element is adapted to show where to engage the first fastener element with the second fastener element. The visual indicator is adapted to wear upon repeated connection and disconnection of the first and second fastener elements so that the visual indicator fades over time.

Abstract: A medical instrument has an instrument insert and an instrument handle, which are detachably connected to one another. An actuation rod of the instrument insert is releasably connectable to a movable grip of the instrument handle via a locking connection. A blocking element is provided which blocks the movable grip when the actuation rod has been released.

Abstract: A surgical grasping device is disclosed. The surgical grasping device may comprise a clevis; a first jaw member pivotably coupled to the clevis; a second jaw member pivotably coupled to the clevis; and an actuating mechanism coupled to the clevis, the first jaw member and the second jaw member and a translating member coupled to and extending proximally from the actuating mechanism. The actuating mechanism may be configured to cause the first jaw member and the second jaw member to close in response to a first proximally directed force received via the translating member. The actuating mechanism may also be configured to cause the first jaw member and the second jaw member to open in response to a subsequent proximally directed force received via the translating member.

Abstract: A surgical instrument can include tips and an actuation rod having a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut.

Abstract: A surgical instrument having a tissue vitality comparator is provided to view images of tissue relative to the surgical instrument and compare the images with predetermined reference images. The surgical instrument includes a pair of jaws for capturing tissue and one or more light sources 14 illuminating the captured tissue. The surgical instrument additionally includes a light pipe with fiber optic imaging bundle having a first end for viewing the tissue between the jaws and a second end on a handle portion of the surgical instrument for observing the tissue. A tissue comparison chart having a plurality of reference images is provided on the handle of the surgical instrument for comparison with the image observed through the second end of the light pipe with fiber optic imaging bundle.

Abstract: A forceps is provided. The forceps includes a housing having a shaft that extends therefrom. The bipolar forceps also includes a hydraulic mechanism that includes a fluid line and a plunger operatively coupled to the fluid line. The plunger is translatable within at least a portion of the shaft from a proximal position to a distal position. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of first and second jaw members biased in an open configuration. Each of the first and second jaw members configured to receive at least a portion of the plunger when a fluid is caused to flow within the fluid line such that the first and second jaw members move from an open position for positioning to a closed position for grasping tissue.

Abstract: Methods and apparatus are provided that gather a patient's body tissue and then secure the gathered tissue in a reduced area utilizing a securing structure. The securing structure mainly resides on one side of the tissue to minimize or eliminate both foreign material and the amount of manipulation or activity on the other side of the tissue. The securing device is matched to the desired amount of tissue manipulation to minimize the structure. The gathered and secured tissue can surround a septal defect to obstruct or close the defect itself.

Abstract: Surgical bolts are useful for solid visceral wound hemostasis. The devices utilize flexible, variable depth transfixing bolts that penetrate the viscera. These bolts bring the tissue into apposition and hold said tissue in apposition while the wound heals. These bolts, or soft tissue rivets, overcome the limitations of sutures that are currently used for the same purposes. The devices are flexible, bendable, and conformable in their wet or dry state. The bolts include pressure plates that are capable of exerting compressive pressure over broad areas of visceral wounds without causing tearing of the friable parenchyma. The bolts are placed and removed by open surgery or laparoscopic access. The bolts can be placed into tissue where both sides of the bolt are exposed, or they can be placed blindly into tissue where the bolt does not protrude out of the tissue at its distal end.

Abstract: Apparatus is provided for sealing a puncture within a vessel or tissue to provide hemostasis, comprising a first disk coupled to either a second disk or a spring, and sealingly engaged to the vessel or tissue surrounding the puncture. At least the first disk is preferably configured to substantially conform to the profile of the vessel or tissue when deployed. In one embodiment, the disks may be released from engagement with the vessel or tissue to reposition the disks after deployment.

Abstract: A modular, reduced-pressure, wound-closure system for generating a closing force on a surface wound on a patient includes a sealed contracting member, a plurality of attachment base members, and a plurality of connecting members. The combination of the plurality of attachment base members and plurality of connecting members forms a circumferential wall around the surface wound. The sealed contracting member is operable to be disposed within an interior space defined by the circumferential wall and coupled to at least of portion of the circumferential wall. When reduced pressure is provided to the sealed contracting member, the sealed contracting member contracts and the circumferential wall delivers a closing force. Other systems and methods are presented.

Abstract: Bone anchors are provided having three suture attachment sites disposed within a bore. The bone anchors are suitable for use in rotator cuff repair procedures. The bone anchors comprise an anchor body having a bore that opens at a proximal end of the anchor body. At least three attachment sites are positioned within the bore. Each attachment site is capable of slidably receiving a respective suture thereon. The three attachment sites are spaced apart and configured such that the portions of the respective sutures that are in contact with the three attachment sites are maintained separated during use. In one embodiment, the three suture attachment sites are provided by two transverse pins placed within the bore. In another embodiment, the bore opens at a distal end and a longitudinal pin is inserted into the opening at the distal end. The at least three attachment sites are provided by the longitudinal pin disposed within the bore.

Abstract: Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

Abstract: Apparatus and methods for repairing damaged tendons or ligaments. Various repair apparatus include an elongate tensile member and a pair of anchor assemblies connected for movement along the tensile member on either side of a repair site, such as a tear or laceration. The anchor assemblies or structures may take many forms, and may include barbed, helical, and crimp-type anchors. In the preferred embodiments, at least one anchor structure is movable along the elongate tensile member to assist with adjusting a tendon segment to an appropriate repair position and the anchor structure or structures are then lockable onto the elongate tensile member to assist with affixing the tendon at the repair position. Tendon and/or ligament-to-bone repair apparatus and methods employ similar concepts.

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: Medical devices and related methods for the treatment of spinal conditions are described herein. In one embodiment, an apparatus includes a support member configured to be implanted at least partially in a space between adjacent spinous processes and an actuator coupled to the support member. The apparatus also includes an elongate retention member having a first end coupled to the actuator and a second end coupled to either the support member or the actuator. The actuator is configured to be rotated such that the first end moves from a first location at a first distance from the second end, to a second location at a second distance from the second end. At least a portion of the elongate retention member is disposed at a non-zero distance from an outer surface of the support member when the first end of the elongate retention member is at its second location.

Abstract: Medical devices for the treatment of spinal conditions are described herein. The medical device includes a pair of superior plates with spikes adapted to be embedded in a superior spinous process and a pair of inferior plates with spikes adapted to be embedded in an adjacent inferior spinous process. The superior plates and inferior plates are connected to each other in such a way as to allow relative motion therebetween. A spacer may be disposed between the adjacent spinous processes.

Abstract: A multi-axis spinal fixation device which can use a fixed head spinal or pedicle screw in combination with a multi-axial rod assembly to achieve anatomically correct fixation of vertebrae. The orthopedic fixation can be controlled by a different combination of rod elements to provide a varied range of motion between adjacent vertebrae as well as specific flexibility between the adjacent vertebrae or levels. The surgeon can make intra-operative adjustments from rigid fixation to dynamic stabilization and where desired also provide ‘soft-stabilization’ or ‘micro motion’. The unique combination of elements can provide fixed stabilization for the purpose of fusion or dynamic stabilization without fusion.

Abstract: A dynamic spinal stabilization linkage for use in stabilizing of the spine. The linkage connects adjacent vertebrae to provide load-sharing and stabilization while allowing natural kinematics. The linkage comprises three rigid bodies joined in series with 3-degree-of-freedom spherical joint between each body. The joints have range-of-motion constraints which limit undesirable intervertebral motion.

Abstract: An apparatus includes a surgical cable, a coupling member and an adjustment mechanism. The surgical cable has a first end portion and a second end portion. The coupling member is coupled to the first end portion of the surgical cable, and defines an opening therethrough. The adjustment mechanism includes a housing and an elongate member. The housing defines a first opening and a second opening. A portion of a side wall of the housing defines a threaded portion within the second opening. The elongate member has an end portion and a threaded portion. The end portion of the elongate member is coupled to the second end portion of the surgical cable. The threaded portion of the elongate member is disposed within the second opening of the housing such that the threaded portion of the elongate member is engaged with the threaded portion of the second opening.

Abstract: An implant assembly for stabilizing a spinal motion segment includes a spacer which is at least partially flexible and positionable between adjacent spinous processes. The spacer member includes upper and lower surfaces structured to receive a respective adjacent one of the upper and lower spinous processes of the spinal motion segment and a body having flexibly distinctive first and second sections relative to one another configured to modify the manner of movement at the spinal motion segment.

Abstract: Implants (7) for forming a positive connection with human or animal parts include a material, such as thermoplastics and thixotropic materials, that can be liquefied by means of mechanical energy. The implants (7) are brought into contact with the tissue part, are subjected to the action of ultrasonic energy while being pressed against the tissue part. The liquefiable material liquefies and is pressed into openings or surface asperities of the tissue part so that, once solidified, the implant is positively joined thereto. The implantation involves the use of an implantation device that includes a generator (2), an oscillating element, and a resonator (6). The generator (2) causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator (6). The resonator (6) is used to press the implant (7) against the tissue part to transmit oscillations to the implant (7).

Abstract: Template systems and methods of use are disclosed herein for use in conjunction with corresponding spinal fusion plates. Preferred templates are slotted to allow for use with distractor pins and a distractor. Additionally preferred templates include windows to allow the operating surgeon to have more visibility of the intervertebral area, including the graft. After the appropriate sized template has been placed against the targeted vertebrae, holding pins can be placed into the vertebral bodies to help guide the fusion plate and to compress the intervertebral space.

Abstract: A plate (1) includes blocking elements (4b, 5, 6) including: at least one slot (5) comprising a first portion opening into the hole (2) and a second portion extending over a section of this hole (2), at a distance from the edge defining this hole (2), this slot (5) thereby isolating a portion of material (6); this portion (6) has a first part (6a) with a radially increased thickness and a second part (6b) having a radially reduced thickness; this part (6b) has a thickness such that the portion (6) may be radially mobile between a withdrawn position and an active position; a pad (4b) engaged in the slot (5), able to be moved in such a way as to bring the portion of material (6) from its withdrawn position to its active position.