Abstract: Methods, systems and devices for evaluating the integrity of a uterine cavity. A method comprises introducing transcervically a probe into a patient's uterine cavity, providing a flow of a fluid (e.g., CO2) through the probe into the uterine cavity and monitoring the rate of the flow to characterize the uterine cavity as perforated or non-perforated based on a change in the flow rate.

Abstract: A wall of a uterus is ablated by expanding a structure in the uterus and applying energy across the wall of the structure into the uterine wall. An exterior surface of the structure conforms to an inner wall of the uterus, and the energy may cause vapor to collect between the wall and the structure. The vapor is released by providing a barrier to release which is inflated at a pressure above which the barrier at least partially collapses to allow the vapor to leave the uterus.

Abstract: The present invention provides a bipolar radiofrequency ablation catheter comprising a working catheter and a magnetic catheter. The magnetic catheter comprises a first tube; a magnet; a first electrode; and a first electrode connector, and the working catheter comprises a second tube; a metallic element; a second electrode; and a second electrode connector. According to the present invention, it is possible to create transmural lesions more completely and easily at a thick myocardial region such as left ventricle in which a transmural lesion could not be easily created by using conventional radiofrequency ablation catheters and thus it is expected to increase the treatment efficiency for tachycardia such as ventricular tachycardia and atrial fibrillation.

Abstract: A probe, including an insertion tube and an electrode mounted on a distal end of the insertion tube. A force sensor is mounted in the distal end of the insertion tube. The force sensor has a central opening and is configured to measure a force on the distal end. The probe also includes tubing, passing through the central opening, which is configured to supply irrigation fluid through apertures in the electrode.

Abstract: Medical devices and methods for making and using the same are disclosed. An example medical device may include an ablative catheter for nerve modulation through a wall of a blood vessel. The catheter may include a catheter sheath having a proximal end, a distal end, and a lumen extending from the proximal to the distal end. An elongate member may extend along a central elongate axis within the lumen of the catheter sheath. The elongate member having a proximal end and a distal end. An expandable ablative member may be coupled to the distal end of the elongate member having an insulative section connected to a bare electrode section. The ablative member may be configured to switch between a collapsed position and an expanded position.

Abstract: A method of surgically preparing a distal end of a femur for implantation of a femoral prosthetic component includes positioning a base cutting block and an intramedullary adaptor on the distal end of the femur such that a first end of the intramedullary adaptor is received in the medullary canal of the femur and the intramedullary adaptor is secured to the base cutting block, attaching a first modular cutting block to an anterior side of the base cutting block, resecting a first portion of the distal end of the femur using a cutting guide defined in the first modular cutting block, the cutting guide of the first modular cutting block, and resecting a second portion of the distal end of the femur using a base cutting guide defined in the base cutting block.

Abstract: A trackable medical instrument for use in a computer assisted image guided surgery system having a digitizer for tracking the position of the instrument in three dimensional space and a display providing an indication of the position of the instrument with respect to images of a body part taken preoperatively, wherein the instrument comprises a tracking array located distally of a rotatable, axially fixed drive handle.

Abstract: A cutting device includes a lower jaw extending between a proximal end and a distal end. The distal end terminates with a cavity and a blunt tip. An upper jaw extends between a proximal end and a distal end. The upper jaw is configured for translation along the lower jaw. The upper jaw includes a cutting tip configured to cut bone.

Abstract: A device (1) for connecting an instrument to a driver, the device comprising: a first connector (3) having at least two protrusions connectable, in use, to the instrument; a mechanism for moving the protrusions between a connected and a disconnected position; and a second connector (17) for connecting the device (1) to the driver, in use. Also disclosed is a method of connecting an instrument to a driver.

Abstract: The present invention relates to a fenestrated bone graft and a method of preparing cortical bone in thin strips then fully demineralizing it to give it formed flexibility and then creating fenestrations in the cortical bone in a fashion similar to but not identical to skin grafts.

Abstract: A tissue removal device for removing hard and/or soft tissue is disclosed. The device can have an elongated rigid shaft attached to an articulating broach. The device can be inserted through a transosseous delivery channel formed in a bone. The broach can articulate after passing through the transosseous delivery channel.

Abstract: A cartridge assembly to couple an electrosurgical device to treat tissue with an electrosurgical unit includes a cartridge member to operate with a power delivery apparatus of the electrosurgical unit and a fluid delivery apparatus of the electrosurgical unit. An electrosurgical unit includes a power delivery apparatus and a fluid delivery apparatus arranged to operate with a cartridge member to be located in a cartridge receptacle of the electrosurgical unit. An electrosurgical device includes a first electrode spaced alongside the second electrode, with each electrode having a blade shaped member. Each blade shaped member has opposing sides bounded by edges, with the edges having a medial edge and a lateral edge. At least one fluid outlet is adjacent each blade shaped member, and each fluid outlet is in fluid communication with a fluid passage.

Abstract: The invention relates to a surgical implant (10), and in particular, to a surgical implant for stabilizing a bone fracture (20). The surgical implant (10) comprising a plate (14) and an elongate member (16) projecting from the plate (14). The elongate member (16) is provided for insertion into a bone (32) and the plate (14) is provided for attachment to a surface of a bone (24). Each of the elongate member (16) and the plate (14) are provided with at least one fastening region for fastening the surgical implant (10) to the bone (24, 32).

Abstract: A surgical instrument (100) (e.g. scalpel) is disclosed which has an antenna arranged to emit a substantially uniform microwave radiation field (e.g. having a frequency of 5-100 GHz) at an edge of a cutting element (110) (e.g. blade). The emitted radiation can cauterize tissue e.g. broken blood vessels simultaneously with cutting. The antenna may be integral with the cutting element, e.g. a metallized piece of ceramic attachable at an end of a waveguide (120, 150) to receive radiation therefrom. The cutting element (110) can include a quarter wave transformer to couple power efficiently from the waveguide (120). The instrument can be used with impedance matching apparatus to control the energy delivered into the tissue. Also disclosed is an invasive ablation probe (e.g. insertable through a catheter) having a plurality of radiating elements whose emitted field combine to give a uniform effect at an insertion end of the probe.

Abstract: A method and device for stimulating human dermal tissue retraction and collagen and elastin production is provided. One or more lasers or other electromagnetic radiation devices produce at least two output beams (split or independent beams) that can be directed to deliver electromagnetic energy to a desired subsurface depth of dermal tissue, thereby disrupting the same, without causing excessive damage to the adjacent epidermis, subcutaneous fatty tissue, or blood vessels of the skin.

Abstract: An improvement in a method for providing localized cooling of tissue when thermally mediated by electromagnetic radiation including directing at least one spurt of a heat transferring substance onto a selected location on the tissue, and preventing ignition of the heat transferring substance by heating from the electromagnetic radiation. Preferably liquid carbon dioxide under pressure is supplied as the heat transferring substance, and adiabatically expanded to provide a solid carbon dioxide spray onto the selected location.

Abstract: A method and an apparatus according to an embodiment of the invention includes disposing a cover about a capillary used in a side-firing optical fiber. The cover can be used to protect the capillary when being inserted through an endoscope for medical treatment. In some embodiments, the cover can be a low-profile cover such as a coating made of a light-sensitive polymer or like material. At least a portion of the coating can be removed after insertion by exposing the light-sensitive material to laser energy transmitted from an optical-fiber-core end housed within the capillary. In other embodiments, the cover can be a slideable or moveable low-profile sleeve or metal cover. During insertion, the sleeve or metal cover is positioned over the capillary. After insertion, the sleeve or metal cover is retracted to expose the area to be treated to side-fired laser energy transmitted from the capillary.

Abstract: An apparatus, system, and method for setting, maintaining, and adjusting a cable tension in a telerobotic surgical system are provided. A cable tensioning apparatus includes, in one example, an arm, a pulley rotatably coupled to the arm, and a base operably coupled to the arm, the base including a translation mechanism for changing the position of the pulley to control a tension of a cable movable along the pulley. A termination block includes, in one example, a block including two cable pathways with each cable pathway having a retaining means for a ball fitting, and a support for moving a cable along the two cable pathways, the cable including a ball fitting in each of the cable pathways.

Abstract: In one implementation, a method is disclosed in which a lock sensing mode is entered for a robotic surgical instrument. In the lock sensing mode, the degrees of freedom of movement in the robotic surgical instrument are switchably reduced. Further in the lock sensing mode, one or more end effectors of the robotic surgical instrument are switchably clamped together in the robotic surgical instrument. An increased level of torque may also be applied to the end effectors to increase a gripping force applied by the one or more end effectors in response to the reduced degrees of freedom of movement in the robotic surgical instrument.

Abstract: A spool valve for controlling fluid communication among hydraulic cylinders operating control and slave portions of a surgical device. The spool valve may be used to disconnect the control and the slave portions from one another such that there is no fluid communication between the control and slave portions. The spool valve may be used to engage or allow fluid communication between the control and slave. The spool valve may also be used to allow fluid communication between the slave and control portion and a fluid reservoir, thus allowing the hydraulic system to replenish fluid lost to evaporation, leakage, or other escape. The spool valve includes a body portion having at least two ports and a spool having at least one passageway moveable to a position so as to communicate with the at least two ports.

Abstract: Pliers, in particular for surgical purposes, comprises a first plier half and a second plier half, wherein the plier halves are connected to each other via at least one joint, and wherein at least one of the plier halves is provided with at least one rinsing channel.

Abstract: A system for treating tissue includes a device including a first member and a second member arranged to move relative to the first member to treat tissue. The system also includes a processor configured to automatically control movement of the second member relative to the first member using position control methodology. A method of treating tissue includes providing a device having a first member and a second member arranged to move relative to the first member, moving the second member relative to the first member, and automatically controlling the movement of the second member using position control methodology.

Abstract: An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument.

Abstract: A surgical instrument having a transmission assembly, a transducer, and a handle assembly is configured for coupling the transmission assembly to the handle assembly using a locking mechanism. The locking mechanism is operable to restrict the rotational movement of an actuator coupling member and the transducer relative to the handle assembly. The locking mechanism may also be operable to lock a trigger of the handle assembly in a first position. An inner tubular actuating member of the transmission assembly may be threadably attachable to the actuator coupling member or the actuator coupling member may include a latching mechanism to couple to a flared portion of the inner tubular actuating member. A waveguide of the transmission assembly may also be threadably attachable to the transducer. In one alternative, the trigger may be configured to operate the locking mechanism, either in the first position or when pivoted distally to a third position.

Abstract: An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel.

Abstract: An atherectomy and thrombectomy system includes a catheter body extending between proximal and distal catheter portions. The catheter body includes an aspiration lumen extending therein. An atherectomy assembly is coupled with the distal catheter portion and includes a rotatable cutter. A thrombectomy assembly is coupled with the distal catheter portion. The thrombectomy assembly includes a jet body within the aspiration lumen, and inflow and outflow orifices extending through the catheter body and in communication with the aspiration lumen. In a thrombectomy configuration a cyclical flow is generated by the jet body through the outflow and inflow orifices to hydrodynamically abrade thrombus, the cyclical flow entrains thrombus and delivers thrombus into the aspiration lumen. In the atherectomy configuration the rotatable cutter cuts plaque into plaque particulate, and the cyclical flow of the thrombectomy assembly entrains the particulate and delivers the particulate into the aspiration lumen.

Abstract: Cannula inserter comprising a casing with a distal end, intended to be placed in proximity to the skin of a patient, and an opposite proximal end, a piston fixed at least temporarily by retaining means, drive means designed to exert a propulsion force of the piston in the direction counter to the trigger, and release means intended to release the piston; the inserter additionally comprising a needle fixed to a support; the piston being mounted in the casing in such a way that, once released, it reaches and remains temporarily in a first position, then a second position; the needle and its support also being arranged so as to be able to be driven by the piston in a direction corresponding to the main orientation of the casing, before the piston reaches said first position, and so as to be able to effect an automatic rotation about an axis perpendicular to said main orientation during the movement of the piston between said first position and said second position.

Abstract: A positioning device for providing access to a ventricle of a heart. In one embodiment, the device includes a cup positionable over an apex of the heart and at least a first access valve in the cup for accessing an entry point to the ventricle of the heart.

Abstract: A medical infusion device including a chamber characterized by an upper body joined to a lower body by a reversibly collapsible sidewall, affixed to the upper body is a downward extending needle, wherein the upper body having two channels, the first channel fluidly coupled to the needle and the second channel fluidly coupled to the interior of the chamber, further wherein each channel is configured to receive fluid from outside of the chamber, the lower body comprising a pierceable barrier that can be pierced by the needle; wherein the chamber has a collapsed state and an expanded state, the collapsed state characterized as the sidewall being collapsed and the needle piercing entirely through the pierceable barrier, the expanded state characterized as the needle less than entirely piercing through the pierceable barrier and the chamber capable of retaining a fluid.

Abstract: A fiber optic tracking system for tracking substantially rigid object(s) is described. The fiber optic tracking system includes a light source, an optical fiber having a sensing component configured to modify optical signals from the light source, the optical fiber being configured to attach to the substantially rigid object, a detection unit arranged to receive the modified optical signals from the sensing component, and a calculation unit configured to determine a pose of the substantially rigid object in six degrees of freedom based on the modified optical signals.

Abstract: The present application provides an apparatus and method for determining a position of a joint prosthesis using a computer assisted orthopedic surgery system in support of an arthroplasty surgery. The apparatus and method includes attaching a first locatable element to a first bone on one side of a joint, providing a sensor having a second locatable element and moving the sensor in proximity of the joint to locate a plurality of positions of the sensor relative to the first locatable element using a tracking device. The apparatus and method further includes selecting a generic model of a joint, determining the generic model in response to the plurality of positions located using the tracking device to generate a deformed model, determining a position for a joint prosthesis on the deformed model, and outputting on a display the determined position upon the deformed model.

Abstract: A distance between a surface of a treatment head and tip opening of a skin treatment hand piece is adjustable. In an implementation, the distance is adjusted by moving the tip opening relative to the treatment head surface. Different distances may be used to treat different skin types, problems, and conditions. In an implementation, the hand piece includes a fluid delivery and a vacuum or suction mechanism to provide various therapeutic benefits to the skin.

Abstract: The present disclosure relates to devices and methods for verifying compatibility between cooperating parts of a joint prosthesis. The compatibility between the cooperating parts is with respect to at least one articulation parameter.

Abstract: A fixation clamp, more particularly for use in an external fixation system for holding bone fragments adjacent to each other with the help of fixation elements, has at least one clamping assembly having at least one reception opening to accommodate a fixation element along the longitudinal axis of the reception opening. At least one locking element extends through the clamping assembly which locking element provides a clamping force to clamp the fixation element upon tensioning the locking element. The fixation clamp further comprises an actuation element which is in connection with the locking element such that the locking element is actuateable by the actuation element, and the actuation element is designed such that it is detachable from the locking element after use and that remounting onto the locking element is prevented after having detached the actuation element from the locking element.

Abstract: An external fixation assembly includes a plurality of hollow pins that are inserted into a patient's bone. Each pin has an interior bore and a plurality of apertures extending through the pin wall from the bore. The pin may be coupled to a source of vacuum pressure operable to create reduced pressure in the tissue surrounding the pin. A cover is placed around the pin and sealed to provide a fluid-tight enclosure that maintains reduced pressure around the pin. A method for applying external fixation using the fixator pins described above includes the steps of inserting each pin through a skin opening, positioning the pin apertures near selected tissue, covering the skin opening with a sealed enclosure, connecting the pins to a source of vacuum pressure, and activating the source of vacuum pressure to create reduced pressure in the patient's tissue at or near the bone.

Abstract: An interchangeable orthopedic blade that includes an internal portion and an external portion. The internal portion threads onto either a pre-installed K-wire or a pre-installed screw so as to more accurately place the interchangeable orthopedic blade in, without excessive damage to, the bone when repairing a fracture in the bone, and ultimately providing absolute stable fixation by the interchangeable orthopedic blade holding the fracture in its anatomic position and resisting applied forces while healing, to thereby provide a stable anatomic restoration and eliminate a need for revision surgery due to failure of fixation or malunion. The internal portion is received in the external portion, and rotates relative to the external portion, but has the external portion move non-rotatably axially with the internal portion into the bone as the internal portion threads onto either the pre-installed K-wire or the pre-installed screw.

Abstract: A vertebral rod connector includes a first portion configured to engage a fastener construct and define a first longitudinal axis. A second portion is configured to engage a vertebral rod and define a second longitudinal axis disposed transverse to the first longitudinal axis. A flexible linking portion is disposed for connecting the first portion with the second portion. The linking portion has a bifurcated configuration oriented transverse to the first longitudinal axis. Methods of use are disclosed.

Abstract: A tool set for implanting a rod in a human spine in conjunction with bone screws.

Abstract: A dynamic stabilization apparatus comprises elongated members mounted within the proximal end of anchoring devices that are placed in adjacent vertebral bodies. A flexible element having elastic properties within the applicable range of loading, for example loads that the spine experiences, is disposed between the proximal ends of the elongated members. At least one additional flexible element is mounted about the proximal ends of the elongated members adjacent the central flexible element. A housing encapsulates the proximal ends of the members such that the flexible element and the additional flexible elements are contained therein. As compressive, tensile, angular, shear and rotational forces are applied to the elongated members the central flexible element and the additional flexible elements interact with the elongated members and the housing to allow for motion of the elongated members.

Abstract: The present invention includes a pedicle screw made with a bone fastener and a rod coupling head, the rod coupling head comprising an upper rod coupling: the lower rod coupling having a lateral rod opening adapted to receive a permanent rod; an angled bore extends into the lateral rod opening; and a permanent rod fastener in the angled bore to engage a permanent rod in the lateral rod opening; and a upper rod coupling having an upper rod opening adapted to receive a temporary rod, wherein the upper rod opening is formed to receive a temporary rod fastener; wherein the upper rod coupling is detachable from the lower rod coupling at a transition and a temporary rod is temporarily affixed into the upper rod opening during a bone realignment and a permanent rod is positioned in the lateral rod opening and engaged by the permanent rod fastener upon final bone alignment.

Abstract: A device (1) for mutually fixing a longitudinal carrier (3) to a bone fixation element (4), wherein the device consists of a three-dimensional body (5) which has a channel (6) that is open on one side, wherein the axis of the channel (7) receives the longitudinal carrier (3), and a bore hole (8) that extends crosswise in relation to the axis of the channel (7) through the body (5) and that is provided with a wall (10). At least one part of the bore wall (10) disposed between the channel (6) and the bore hole (8) is embodied as an elastic element (11) which can be pressed into the region of the channel (6) by introducing the bone fixation element (4) into the bore hole (8), such that a longitudinal carrier (3) arranged in the channel can be firmly clamped in a rotational and longitudinal manner by said elastic element (11).

Abstract: An implant support comprises a first member including a first portion and a second portion configured to engage a bone fastener. The second portion extends in a transverse orientation from the first portion. The members define a longitudinal axis. The second member includes a first portion and a second portion configured to engage the bone fastener. The second portion of the second member extends in a transverse orientation from the first portion. At least one of the members is movable relative to the longitudinal axis between a first configuration and a second configuration such that the longitudinal axis is offset relative to an axis of the bone fastener. Systems and methods are disclosed.

Abstract: A system includes an implant with an articulation surface, a fixation member which may be anchored in a bone, and a base portion which may receive the fixation member. The base member may comprise a bone-engaging portion and an attachment portion. The base member may receive the fixation member such that a threaded portion of the fixation member and the bone-engaging portion of the base member may be seated in the bone. The implant may be attached to the attachment portion of the base member. The base member may be configured in a variety of shapes and may include fins, teeth, pegs or other anti-rotation features, and may include a bone ingrowth surface. The attachment portion may be tapered and attachable to the implant through a taper-lock.

Abstract: A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface and may include a crosslink extending across a vertebral sagittal plane. The inferior implant may comprise an inferior strut, and a polyaxially adjustable, lockable mechanism which may couple the inferior articular surface with a first end of the inferior strut, and couple the inferior articular surface with the crosslink. A second end of the inferior strut may be secured to a polyaxially adjustable, lockable fixation assembly securable in a vertebra. The superior implant may be secured to a polyaxially adjustable lockable fixation assembly securable in a vertebra. The positions of the inferior articular surface and the first end of the inferior strut are independently translatable along a medial-lateral axis of the vertebra prior to lockout by the lockable mechanism. The crosslink may be placed into the lockable mechanism from a posterior approach.

Abstract: Implants, instruments, and methods for performing surgical procedures on the spine, including one or more of creating an operative corridor to the spine, delivering implants to the spine, fusing one or more segments of the spine, and fixing one or more segments of the spine. A method for attaching a fixation system to the spine of a patient, the fixation system including at least two bone anchors and a spinal rod linking the at least two bone anchors.

Abstract: Methods and instruments are provided to allow access to a surgical site through a small incision while optimizing visualization of the patient anatomy. The instrumentation provide for the retraction of soft tissue, creation of a working envelope below the skin, and access to intervertebral discs and/or the surrounding bony structures for the purpose of performing various operative procedures including discectomy, laminectomy, and other spinal fixations. One set of disclosed instrumentation provides for the targeting of placement and trajectory of spinal fixation devices while reducing the number of instruments necessary needed to pass through the surgical incision. Another instrument disclosed herein allows for the compression of the intervertebral space through a very small incision. The instrument profile is minimized by using the same instrument that is used for tightening of the pedicle screws as one of the active components of the compression instrument.

Abstract: A tool set for implanting bone screws in a human spine, followed by the implantation of a rod into the bone screws includes end guide tools having flexible back wall flaps that receive opposite ends of the rod and intermediate guide tools that hold the rod in intermediate locations between the end guide tools. Both the end and intermediate guide tools include an attachment structure for operably connecting the guide tool to a bone screw. The attachment structure includes an undercut and/or recess so as to resist splaying and separation of the guide tool from an attached bone screw.

Abstract: A compression transmission collar apparatus (20) for implantation into a bone (22) with a hole (28) having a hole wall (32) comprising an intramedullary nail (34) defining a bore (40) and a threaded fastener (42) and a compression transmission collar (58) including an exterior face (64) and a top edge (60) and a bottom edge (62) and a first end (70) intersecting the top edge (60) at an acute angle and the bottom edge (62) at an obtuse angle and a second end (72) intersecting the top edge (60) at an obtuse angle and the bottom edge (62) at an acute angle and the first end (70) partially overlapping and opposing the second end (72) to define a slit (74) such that applying a compressional load to the top edge (60) causes the first end (70) to slide relative to and along the second end (72) causing the compression transmission collar (58) to compress axially and expand radially pressing the exterior face (64) against the hole wall (32).

Abstract: A trochanter attachment device can include a plate for attachment to an inner portion of a greater trochanter of a femur, a collar for attaching the plate to a hip implant, and a fastener for securing the collar to a hip implant. The trochanter attachment device can include a groove or other feature for receiving a reinforcing material, such as a wire or a cable, such as to reinforce an attachment of the device to the greater trochanter and/or the hip implant. The trochanter attachment device can include an insert attachable to the plate and configured to attach the plate to the greater trochanter. All or a portion of the plate and/or the insert can include a porous material, such as to promote bone ingrowth of the greater trochanter.

Abstract: A bone-fixation system is disclosed, the system comprising a bone plate having a section with a plurality of holes and a recessed area at least partially surrounding one or more of the holes, the recessed area defining a floor surface situated below a top surface of the plate, the floor surface extending at least partially between some or all of the plurality of holes, and an aiming device having a plurality of holes arranged to align with the plurality of holes in the plate and an extension, the extension being receivable within the recessed area and defining a bottom surface adapted to at least partially rest on the floor surface.