Abstract: An endoscopic surgical apparatus and endoscopic surgery methods comprise an anchoring means for anchoring a living tissue, and a piercing means for piercing the living tissue, each means being driven by an independent driving means. The anchoring means and the piercing means are able to move along parallel axes that extend outside a distal end of a catheter, allowing piercing a living tissue on a short length without having to fold the living tissue.

Abstract: A spinal construct comprises at least one spinal implant connected with vertebrae and a member extending between a first end including, at least one part configured for connection to tissue of a rib cage and a second end configured for connection with the at least one spinal implant. Systems and methods are disclosed.

Abstract: An orthopaedic stabilisation device is described. The orthopaedic stabilisation device comprises a stabilisation member and at least two legs coupled to the stabilisation member. Each leg is arranged for positioning in a respective bore hole in bone, and for receiving an element within the leg such that the element can facilitate fastening the leg within the bore hole in bone. The stabilisation member may be arranged such that a length of the stabilisation member is alterable by a predefined amount, the predefined amount being adjustable.

Abstract: A cervical polyaxial bone anchor includes a longitudinal connecting member receiver structure and a cooperating shank. The shank has a body and an integral head with first and second spherical surfaces of different radii and a plurality of spaced curvate apertures for receiving portions of the longitudinal connecting member to result in a greater angle of inclination of the shank with respect to the receiver. The receiver has an upper channel and a lower cavity that further includes an expansion area and an operational seat for a split retainer ring that captures and fixes the shank head within the receiver.

Abstract: Systems for securely connecting a spinal implant to a bone anchor by using an offset connection assembly. The variable angle connection assembly is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. The connection assembly will not inadvertently lock the components of the connection assembly preventing the relative movement of the components.

Abstract: A spinal construct comprises a longitudinal element including at least one part configured for connecting to tissue of a rib cage. A member is connected with the longitudinal element and configured for connection with a spinal implant fixed with vertebrae. Systems and methods are disclosed.

Abstract: A transverse rod connector includes an elongate member having first and second ends and first and second connection members. The first and second connection members are connected with first and second ends, respectively. The first and second connection members are configured for multidirectional positioning with respect to the elongate member. The first and second connection members are each dimensioned to be selectively and releasably secured to a bone anchor.

Abstract: The present disclosure generally relates to a fixation device for positioning and immobilizing at least two adjacent vertebrae. In particular, in one or more embodiments, the present disclosure relates to an anterior clivus plate that immobilizes at least two adjacent vertebrae.

Abstract: A spine implant includes an insert positioned between facets of a zygapophyseal joint. In various embodiments, the insert is configured to exert a distraction force on one or more facets of the zygapophyseal joint. The insert may comprise one or more members having one or more opposing facet interfacing portions. A securing member is configured to interface with the insert to secure the facets.

Abstract: A polyaxial screwdriver for inserting a bone screw in a vertebra. A polyaxial bone screw assembly includes a coupling element. When a screw engaging end of the polyaxial screwdriver is lowered on the head of the bone screw, the complimentary surfaces of the screw engaging end of the screwdriver and the head of the screw self-align. A ratchet mechanism formed in the screwdriver provides progressive and automatic locking of the polyaxial screwdriver to the coupling element and prevents the accidental unthreading from the coupling element. In another embodiment of the polyaxial screwdriver, a collet slides over the outside surface of the upper end of the coupling element and locks on to the coupling element. In yet another embodiment of a polyaxial screwdriver, the outer sleeve of the polyaxial screwdriver has a split end that securely engages the coupling element.

Abstract: A device for guiding a surgical instrument having one end for coupling to the head of a bone anchor element and a longitudinal channel, the head of the bone anchor element having a tapped longitudinal recess intended for receiving a screw cap, said longitudinal recess leading into a transverse channel capable of receiving a link rod, characterised in that said guiding device includes a rod for guiding the surgical instrument, with a longitudinal axis A, having one end comprising two semi-tubular tabs in which the outer section matches the inner section of said longitudinal recess and in which the inner section is at least equal to the diameter of the link rod, the cross-section of the guiding device being always smaller than the section of the longitudinal channel of the surgical instrument in order to allow the insertion and the removal of said device in the distal direction.

Abstract: A bone screw retention system is provided for a plate which defines a plurality of transversely extending bores that are configured to receive a bone screw for engaging the plate to the cervical spine. One or more retention members, having an elliptical, arcuate, straight, u-shaped, or other shape, can be positioned therein a cavity of the plate such that portions of the retention member(s) extend into a portion of an upper region of each bore to retain a bone screw therein. A bone screw removal device is provided, having at least one tongue member configured to selectively displace the one or more retention members to allow the bone screw to be removed from the respective bore.

Abstract: A bone fixation element includes a threaded head and a shaft extending along a longitudinal axis from a proximal end to a distal end, an outer surface of the head being one of carburized and nitrided and including a first groove extending into an outer surface of the head along a path interrupting the threading and extending along an angle counter to an angle of the threading.

Abstract: A pedicle screw with reverse spiral cut that allows for increased loading on a bone and increased osteointegration through automatic and self-managed expansion after the bone screw is inserted into the bone. The bone screw may be a fixation device comprising an elongated body having proximal and distal ends, said elongated body including an outer surface adapted to penetrate and anchor within a bone, and a head affixed to the distal end of the elongated body and adapted to receive a drive component, wherein the outer surface of the elongated body comprises threads extending from the outer surface in a first direction, and further wherein at least a portion of the outer surface of the elongated body comprises a reverse spiral cut into the outer surface in a second direction.

Abstract: A bone screw for pelvic bone fixation, the bone screw comprising an elongate body having a first end which is threaded for engaging at least one bone in the pelvic region, a second end comprising a screw head, and at least one opening across the length of the elongate body for adjustably receiving a fastening means to limit movement of the bone screw away from the engaged bone in use, wherein the at least one opening is shaped such that the position of the fastening means relative to the elongate body of the bone screw can be adjusted. A system for bone fixation in the pelvic region includes the bone screw and the fastening means.

Abstract: A method of operating a medical system, including coupling a medical system to an outlet of a fluid distribution network having a plurality of fluid outlets in a patient treatment center; delivering fluid from the outlet to the medical system; compressing the delivered fluid with the medical system; decreasing the moisture content of the delivered fluid with the medical system; cooling the fluid with the medical system; delivering the fluid from the medical system to a medical device; and removing the fluid from medical device with the medical system.

Abstract: Various embodiments are directed surgical devices and systems and methods for use with a surgical device to harvest energy from a surgical generator. The surgical device may comprise an energy storage device. The energy storage device may be in electrical communication with a surgical generator connection to provide energy from a surgical generator to charge the energy storage device and in electrical communication with at least one load component to be powered by the energy storage device. The surgical device may also comprise an end effector at least one energy element for treating tissue. The at least one energy element may be in electrical communication with the surgical generator connection to provide a therapeutic drive signal to the energy element.

Abstract: A medical device including an energy generator, a proximal end, and a distal end. The proximal end may include a handle and one or more connectors coupled to the energy generator. The distal end may include a number of movable branch members connected to one or more movable filaments at the distal end to form at least one expandable snare. At least one of the one or more movable filaments may be coupled to the one or more connectors to transfer energy to the at least one of the one or more movable filaments. A portion of the at least one of the one or more movable filaments forming the at least one expandable snare may be insulated.

Abstract: Devices and methods for sealing and cutting tissue are provided. In one exemplary embodiment, a surgical device includes a pair of opposed, pivoting jaws, a cutting blade assembly slidably coupled to the jaws, and a biasing member disposed in a portion of the cutting blade assembly and configured to be received by a track formed between proximal ends of the jaws. The cutting blade assembly can be operative to open and close the jaws, and the biasing member can be configured to be disposed at a location in the track that applies a spring bias to a proximal end of at least one of the jaws. The spring bias in turn increases a compressive force applied by distal ends of the jaws, which in turn can maintain or increase a force applied to tissue disposed between the jaws. Other devices and methods for sealing and cutting tissue are also provided.

Abstract: An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at its distal end. The end effector assembly includes two jaw members for grasping tissue therebetween. The jaw members are adapted to connect to an electrosurgical energy source which enable them to conduct energy through the tissue to create a tissue seal. A drive assembly is disposed within the housing which moves the jaw members. A switch is disposed within the housing which activates the electrosurgical energy. A knife assembly is included which is advanceable to cut tissue held between the jaw members. A movable handle is connected to the housing. Continual actuation of the movable handle engages the drive assembly to move the jaw members, engages the switch to activate the electrosurgical energy source to seal the tissue, and advances the knife assembly the cut the tissue disposed between the jaw members.

Abstract: A system and method can be used to denervate at least a portion of a bronchial tree. An energy emitter of an instrument is percutaneously delivered to a treatment site and outputs energy to damage nerve tissue of the bronchial tree. The denervation procedure can be performed without damaging non-targeted tissue. Minimally invasive methods can be used to open airways to improve lung function in subjects with COPD, asthma, or the like. Different sections of the bronchial tree can be denervated while leaving airways intact to reduce recovery times.

Abstract: Medical devices for sympathetic nerve modulation are disclosed. An example medical device for sympathetic nerve modulation may include a catheter shaft having a distal region. A compliant balloon may be coupled to the distal region. A flexible circuit assembly may be coupled to the compliant balloon. The flexible circuit assembly may include one or more electrodes. An expansion-limiting member may be coupled to the compliant balloon.

Abstract: A medical device for sympathetic nerve ablation may include a catheter shaft, an expandable member disposed on or coupled to the catheter shaft, and a plurality of elongate electrode assemblies each constructed as a flexible circuit having a plurality of layers. The expandable member may be configured to shift between an unexpanded configuration and an expanded configuration. The plurality of electrode assemblies may be disposed on an outer surface of the expandable member. Each of the plurality of electrode assemblies may include enhanced tear resistance properties such as through the inclusion of a reinforcement structure with one or more of the layers of the electrode assemblies.

Abstract: An electrophysiologic catheter with an improved control handle is provided. The catheter includes a heat transfer assembly to better dissipate heat in the control handle. The heat transfer assembly includes a pump, a reservoir containing a coolant, a heat transfer member, and a coolant transport network transporting coolant between at least the reservoir and the heat transfer member. In one embodiment, the heat transfer member is located within the control handle as a heat exchanger on the circuit board to receive the coolant for transferring heat from the integrated circuits to the coolant. In another embodiment, the heat transfer member is located on the circuit board directly surrounding the integrated circuits to internally cool the integrated circuit within the control handle. A second heat transfer member is located outside of the control handle as a heat exchanger.

Abstract: According to one aspect of the present disclosure, a microwave antenna assembly is disclosed. The antenna assembly includes a feedline having an inner conductor, an outer conductor and an inner insulator disposed therebetween and a radiating portion including a dipole antenna having a proximal portion and a distal portion. The antenna assembly also comprises a sheath disposed over the feedline and the radiating portion defining a chamber around the feedline and the radiating portion. The chamber is adapted to circulate coolant fluid therethrough. The antenna assembly further includes a connection hub having cable connector coupled to the feedline, an inlet fluid port and an outlet fluid port. The connection hub includes a bypass tube configured to provide for flow of the coolant fluid from the cable connector directly to the outlet fluid port.

Abstract: An ostomy disposal device for the disposal of an used ostomy appliance comprising: a first wall and a second wall defining a compartment for holding a used ostomy collecting bag, an proximal end having an opening for providing fluid communication to the compartment, a distal end that is closed, a first closing means arranged distal from the opening of the proximal end for sealing fluid communication between the compartment and the opening, where the proximal end comprises an attachment means for attaching the bag to a user and where the attachment means is adapted to provide a liquid and air tight seal between the skin surface of the user and the opening.

Abstract: A receptacle for consistently orienting a sterilized surgical instrument for natural grasping by a physician without removing his or her vision from the operational field, wherein the receptacle may also comprise a reservoir and desiccant for maintaining sanitized or sterilized instruments.

Abstract: It is disclosed an apparatus for restoring voluntary control of locomotion in a subject suffering from a neuromotor impairment comprising a multidirectional trunk support system and a device for epidural electrical stimulation. The robotic interface is capable of evaluating, enabling and training motor pattern generation and balance across a variety of natural walking behaviors in subjects with neuromotor impairments. Optionally, pharmacological cocktails can be administered to enhance rehabilitation results. It is also disclosed a method for the evaluation, enablement and training of a subject suffering from neuromotor impairments by combining robotically assisted evaluation tools with sophisticated neurobiomechanical and statistical analyses. A method for the rehabilitation (by this term also comprising restoring voluntary control of locomotion) of a subject suffering from a neuromotor impairment in particular partial or total paralysis of limbs, is also disclosed.

Abstract: A robotic catheter system includes an arch-shaped suspension system comprising a first and second vertical span, a horizontal span between the pair of vertical spans, and at least one robotic catheter head coupled to the horizontal span. The arch-shaped suspension system can include a pair of linear guide blocks that can be attached to a patient bed and in some embodiments the linear guide blocks can be configured to slidably move along a rail. The arch-shaped suspension system can be moved to allow for proper placement of the arch-shaped suspension system for use on a patient or for placing the system away from a patient or for storage. In some embodiments the robotic catheter system can include a suspension system cart for storing and moving the arch-shaped suspension system.

Abstract: A device for simultaneously identifying a plurality of surgical instruments or instrument groups includes a first detecting device having a first detection technology for detecting instruments and, if applicable, related instrument-specific information. The device also includes a second detecting device having a second different detection technology for detecting instruments and instrument information. Moreover, the device includes a comparing device for comparing the detection results of the two detecting devices. The comparing device outputs a positive evaluation regarding the correctness of the detected instruments if the two detection results are matching.

Abstract: The present invention relates to a surgical grasper for measuring force, the surgical grasper having a first gripping part and a second gripping part, the first gripping part being provided with a first recess portion recessed inwardly from an outer surface of the first gripping part, the surgical grasper including: a first elastic dielectric body having one surface surface-contacting the first recess portion; an electrode part including a pair of electrodes opposed to each other on opposite surfaces of the first elastic dielectric body and having a distance between the electrodes, varied by external force applied thereto; and a first finishing part surface-contacting the other surface of the first elastic dielectric body and formed to correspond to the first recess portion to thereby be inserted into the first recess portion.

Abstract: An image acquisition system includes a first imaging modality device (102) configured to acquire images from a subject from a position. A second imaging modality device (124) is configured to acquire images of the subject from a plurality of poses selected based upon the position of the first imaging modality device and in accordance with criteria to provide a best pose or poses. A planning module (115) is stored in memory and is configured to determine at least one trajectory that permits the best pose or poses of the second imaging modality device to be achieved to acquire, in cooperation with the first imaging modality device, an image or images of the subject.

Abstract: A method and system for generating imaging data during a medical intervention are provided. An external optical sensor is attached on the patient's body, and includes at least one external orientation fiber core configured to measure an orientation of the external optical sensor relative to a point of reference. The external optical sensor is interrogated to generate external sensor orientation information during the medical intervention. That information is used to estimate an orientation of the external optical sensor, which is then displayed during the medical intervention.

Abstract: A system for visualizing and guiding a surgical device having a first imaging device of a first type and has a first image output. The first imaging device is positioned to image an area being subject to surgery. A second imaging device of a second type has a second image output. The second imaging device is positioned to image an area being subject to surgery. A computer is coupled to receive the first and second image outputs and a computer software program, resident in the computer receives and displays information received from the surgical device and/or for guiding the operation of the surgical device and for generating a graphic user interface including selectable menu and submenu items. The surgical device is coupled to the computer.

Abstract: To improve the overall navigation process for minimally invasive repair of heart valve leaflets, an augmented reality technique capable of providing a robust three-dimensional context for transesophogeal echocardiography data has been developed. In the context of various embodiment of the invention, augmented reality essentially refers to a system in which the primary environment is virtual but the environment is augmented by real elements. In this real-time environment, the surgeon can easily and intuitively identify the tool, surgical targets, and high risk areas, and view tool trajectories and orientations.

Abstract: According to various embodiments, a system may include a user interface configured to detect a first gesture that identifies a specific user. The system may also include a patient monitoring system coupled to user interface that is configured to monitor at least one physiological parameter of a patient. The patient monitoring system may be configured to retrieve and to display one or more event markers for the specific user in response to the detected first gesture. The one or more event markers represent steps of a procedure performed on the patient, and each event marker of the one or more event markers is associated with a respective reimbursement code. The system may convey user identification information associated with the specific user and selected event markers for automatic billing and reimbursement for approved medical procedures.

Abstract: The present invention is a surgical guide for guiding the insertion of a dental implant into a desired location in a patient's mouth. The implant includes a non-rotational structure. The surgical guide includes a structure and a master tube. The structure has a negative impression surface to be fitted on and placed over gingival tissue, bone, and/or teeth in the patient's mouth. The structure includes an opening through which the dental implant is placed. The master tube is located at the opening. The master tube includes indicia for alignment with the non-rotational structure on the implant such that the non-rotational structure of the implant is at a known angular orientation with respect to the master tube. The present invention includes kits of various components used with the surgical guide and with the dental surgery using the surgical guide.

Abstract: An apparatus and method for heating an endodontic instrument by infrared radiation includes a housing defining a chamber. An infrared heating element is positioned within the chamber. The housing includes an aperture and an adjacent holder for holding the endodontic instrument, such as an obturator. The endodontic instrument held by the holder extends through the aperture and into the chamber. The infrared heating element directs infrared radiation toward the endodontic instrument, which heats the endodontic instrument.

Abstract: The invention relates to an oral protection device including a dental wedge (2) that is to be positioned between the dental arches of one side of the mouth, and a protection blade (3) comprising a first portion (3A) pushing against the tongue, and a second portion (3B) engaging with the other side of the mouth within the vestibule, said device being characterized in that the second portion of the blade is extended by a turned-back section (3C) so as to form a hook that is positioned at the labial commissure of the mouth.

Abstract: The present invention relates to systems and methods of developing and tracking delivery and patient progression through an orthodontic treatment plan. One method includes identifying deviations from an orthodontic treatment plan, including receiving a digital representation of an actual arrangement of a patient's teeth after an orthodontic treatment plan has begun for the patient and prior to completion of the orthodontic treatment plan. The method further includes comparing the actual arrangement to a pre-determined planned arrangement to determine if the actual arrangement substantially deviates from the planned arrangement, the comparing comprising matching teeth from a previously segmented model to a surface of an unsegmented representation of the actual arrangement; and calculating one or more positional differences between the actual and planned arrangements of at least some of the corresponding teeth.

Abstract: An orthodontic self-locking bracket includes a bracket body having an arch wire bracket slot and a bracket cover matched with the bracket body. Two sides of the arch wire bracket slot are provided with work wings. A bracket opening is arranged at the intersection of the arch wire bracket slot on the bracket body, and the bracket cover is inserted into the bracket opening and is in sliding fit with the bracket body. Left side of the arch wire bracket slot is provided with a pin shaft penetrating through the bracket opening, and the pin shaft is in clamping fit with the lower part of the bracket cover, so that the arch wire bracket slot can be closed and opened by the bracket cover. The bracket is locked and unlocked only by sliding rather than overturning the bracket cover. Complex operation for ligaturing the steel wire is eliminated.

Abstract: A group of dental implants for the two-step implantation in the alveolar process is presented aiming to protect reliably the implantation area from ingress of the infection from the oral cavity due to the tight connection of the precervical side of the implant with the periodontal tissue. The set aim is achieved in the dental implant with the support to fix the dental prosthesis and the screw part for installation in the bone tissue, as well as with the ring head located between the dental prosthesis support and the screw part, made from the porous three-dimensional structure of the polymeric material and intended for ingrowth of the gum tissues, by means of the fact that the mentioned ring head is equipped with the reinforcing element made as a hollow body of revolution with apertures and located over the ring head.

Abstract: A method of manufacturing a sintered ceramic implant fixture that includes a first portion configured to be buried in tissue of a living organism and a second portion configured to serve as a mount for a superstructure. The method includes fabricating a master model, subjecting the master model to blasting to roughen a surface of the master model, fabricating a mold having a cavity that is defined by the master model having the roughened surface, pouring a slurry containing ceramic powder into the cavity of the mold to obtain a hardened but not-yet-sintered ceramic implant fixture, and sintering the hardened but not-yet-sintered ceramic implant fixture to obtain the sintered ceramic implant fixture.

Abstract: A full denture base manufacturing method is provided that can easily manufacture a full denture base, using a set of maxillary impression tray and a mandibular impression tray for taking an impression from a patient including an edentulous patient.

Abstract: A dental hygiene item such as an interdental brush (10) and a floss item (30). The items (10 and 30) are intended to be used with a handle (50) to aid in manipulating the item. Each of the items has a second end portion such as a second end portion (40) that is received within the handle (50).

Abstract: A toothbrush that includes a brushing attachment and a handle. The brushing attachment includes a main body portion with a hollow neck having an attachment opening and a head with a cleaning member opening, a drive shaft positioned in the neck, a cleaning member drive mechanism matingly engaged with gearing on the drive shaft, and a cleaning member extending through the cleaning member opening in the head and operatively associated with the cleaning member drive mechanism. The drive shaft includes a spline drive on one end and gearing on the opposite end. The handle includes a main body portion with a brushing attachment connection receiver that is at least partially received in the attachment opening. The brushing attachment connection receiver includes a recess defined therein that receives a drive hub with a grooved recess defined therein that receives the spline drive.

Abstract: A diaphragm assist device (DAD) for assistance with diaphragm contraction to facilitate breathing. The device assists with respiration of patients having diaphragmatic dysfunction including those awaiting lung transplants, and those in need of weaning from mechanical ventilation, as well as those who can benefit from an implantable ventilator.

Abstract: A stent comprised of a valve and a scaffolding structure having components configured to allow at least a portion of the stent to decrease in diameter in response to an axial force applied to the stent. Further, the components and elements of the stent may be configured to balance transverse forces applied to the stent, thus reducing the incidence of infolding.

Abstract: A system and method are provided for treating an aneurysm or other vessel disease or defect. The present disclosure includes an expandable device for placement in a vessel, where the mechanically expandable device includes a membrane. Also disclosed is a delivery device constructed and arranged to position the expandable device such that the exterior surface of the expandable device engages with the inner surface of the vessel and maintains a fluid pathway through said vessel.

Abstract: Degradable/polymeric fiber-based, three-dimensional braided scaffolds for use as graft materials in ligament and tendon repair, reconstruction and replacement are provided. Also provided are methods for preparing these scaffolds.