Abstract: An intraluminal device may be used at a bifurcation to anchor in an afferent vessel, allow perfusion to efferent vessels, and act as scaffolding to inhibit herniation of objects out of a neck of a bifurcation aneurysm. An intraluminal device may include a first side; a second side opposite the first side across a longitudinal axis of the intraluminal device; a proximal section configured to anchor in an afferent vessel; a distal section comprising a first wing and a second wing wherein, in an expanded state, the first wing extends from the first side to the second side and the second wing extends from the second side, through an opening of the first wing, and to the first side.

Abstract: A balloon assembly (200) that can be attached to a band assembly (300) to form a hemostasis band (100) used to perform hemostasis on a puncture site (89) of a human being (90). The balloon assembly (200) can include a balloon (210) that provides for being inflated to apply pressure to the puncture site (89), one or more openings (220) that provides for the insertion of the band assembly (300), and an inlet (230) for inflating the balloon (210).

Abstract: A glow-in-the-dark tourniquet system for providing a tourniquet that remains visible in low-light conditions. The glow-in-the-dark tourniquet system generally includes an elongated member having a first surface and a second surface opposite of the first surface adapted to be used as a tourniquet. The elongated member includes a phosphorescent material to visibly glow in low light conditions to prevent the elongated member from being forgotten on a patient. The elongated member also may include one or more indicia on the first surface to provide additional visual information to medical personnel in low light conditions.

Abstract: A surgical cutting tool including a first jaw and a second jaw operably associate with the first jaw such that the first jaw and the second jaw are movable relative to one another between an opened position and a closed position. A cutting member is movably attached to the first jaw so that the cutting member extends from the first jaw towards the second jaw, and an actuating mechanism is operably associated with the cutting member so as to cause the cutting member to move relative to the first jaw.

Abstract: The present invention in some embodiments thereof, relates to bone material removal devices (2100), for example, devices which change effective diameter. In some embodiments, a bone removal device comprises an expandable portion. In some embodiments, the expandable portion comprises one or more bone removing elements such as cutting teeth (2106). In some embodiments, a cutting tooth is movable between an open position, in which it is configured to widen a bore in a bone, and a closed position. In some embodiments, a cutting tooth of the bone removal device is formed with a curved, such as convex, cutting face (2114).

Abstract: Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.

Abstract: A tibia cutting jig mechanism (TCJM) is provided having a number N1 of spaced apart TCJM contact points that correspond to a number N1 of spaced apart knee contact points on at least one of a tibia plateau surface and a tibia shaft surface. The TCJM contact points are positioned in contact with the tibia contact points, and a cut bar guide is positioned in contact with the TCJM to provide a location and an angular orientation of a cut bar plane that is to be used to resection and remove a selected portion of the patient's tibia. The TCJM is removed from the patient's knee, and a selected portion of the patent's tibia is resectioned and removed. The number N1 is at most about seven in some embodiments.

Abstract: An orthopedic device for correcting a femoral bone abnormality includes a patient-specific three-dimensional shell and a patient-specific guiding feature. The shell has an outer surface and an inner bone engagement surface customized in a pre-operating planning stage by computer imaging to closely mate and conform to and substantially cover a femoral head of a patient in only one position. The guiding feature is pre-operatively planned relative to the shell such that when the shell is fitted over the femoral head, the guiding feature can guide a removal tool for removing an abnormality portion of the proximal femur of the patient.

Abstract: Disclosed herein are systems, devices, and methods for orthopedic surgical guides adapted to the anatomy of a patient and configured to align a bone shaping device or acetabular implant in a predetermined orientation. Certain embodiments constitute alignment guides for conducting hip surgery on a specific patient. Such guides include a first or inner surface structured to fit in a predetermined configuration relative to a portion of a patient's anatomy based on topography data of the patient's anatomy, a receiving surface configured to receive or constrain a bone shaping device or acetabular implant, and a reference surface with an alignment site that directs placement of the orthopedic device in a predetermined orientation relative to the patient's anatomy when the first surface is in the predetermined configuration.

Abstract: Methods and devices are provided for forming bone tunnels. In general, the methods and devices allow multiple converging tunnels to be formed in bone, such as in an arthroscopic surgical procedure, e.g., a rotator cuff repair surgical procedure. One or more sutures can be advanced through the converging tunnels, and the suture(s) can be coupled to tissue. The suture(s) with the tissue coupled thereto can be tensioned, thereby helping to maximize an amount of the tissue in contact with the bone. In an exemplary embodiment, a guide device is provided that can be configured to allow a first tunnel to be formed in bone and to allow a plurality of additional tunnels to be formed in the bone at predetermined angular positions relative to the first tunnel such that each of the additional tunnels can extend transverse to the first tunnel and intersect the first tunnel.

Abstract: A thrombectomy catheter deployment for operation of a thrombectomy catheter may include a stand alone drive unit and a disposable pump/catheter assembly which is manually placed into a carriage assembly in the drive unit. The pump/catheter assembly may have a plurality of preconnected components including a tubular structure and a thrombectomy catheter connected thereto. A barcode reader may sense specific operational data pertaining to an individual pump and may provide an interface for operation of the reciprocating linear actuator.

Abstract: A method and systems for treating chronic total occlusions, particularly those that are difficult to treat, is disclosed. In this approach, recanalizing the CTO is achieved using a combined antegrade and retrograde approach. The proximal end of the occlusion is penetrated using an antegrade wire, using a traditional approach. Using collateral vessels, the distal end of the occlusion is crossed in a retrograde fashion and by appropriately maneuvering each member, a continuous channel is created. Additional elements such as capture devices, dilators and injection catheters are also disclosed.

Abstract: A lithotripter includes a motor operable to produce a rotational motion, a first cam with a first set of teeth, and a second cam with a second set of teeth configured to selectively engage with the first set of teeth. The first cam is coupled to the motor so that the rotational motion produced by the motor produces rotational motion of the first cam, and the selective engagement between the first set of teeth and the second set of teeth converts the rotational motion of the first cam to a linear waveform that is transmitted through the second cam. The motor, the first cam, and the second cam are disposed in a driver housing, and a wave guide shaft is coupled to the second cam. The wave guide shaft transmits the linear waveform to at least one urinary tract stone to break up the at least one urinary tract stone into fragments.

Abstract: A therapy system includes a therapy source (2) emitting radiation or waves, an ultrasound probe (14), a patient rest as well as a multi-axis positioning system (X, Y, Z) with several drives, by way of which the patient rest and the therapy source (2) can be moved to one another in all three spatial directions. A control device (26) is coupled to the ultrasound probe (14) and configured such that in at least one operating mode, the control device (26) simultaneously activates the drives of the multi-axis positioning system (X, Y, Z) such that the patient rest is moved relative to the therapy source along a selectable movement path (B) which lies within the plane of an ultrasound picture (20) which is currently recorded by the ultrasound probe (14). A method for positioning a patient rest relative to a therapy source is also provided.

Abstract: A tool for implanting an inflatable penile prosthetic cylinder includes a barrel and a clasp. The barrel extends from a proximal end to a distal end and has a solid central portion bounded by a curved exterior perimeter of the barrel. The clasp has a proximal end that is attached to the tool and a distal end that is free to move away from and towards the barrel. The clasp has an interior surface located adjacent to the curved exterior perimeter of the barrel and an exposed exterior surface opposite of the interior surface. The interior surface of the clasp is spaced a distance away from the barrel at locations between the proximal end and the distal end of the clasp. The interior surface of the clasp touches the barrel at the distal end of the clasp.

Abstract: A method of manufacturing a forceps includes forming an integral member in a single-shot. The integral member is formed to include a body portion, first and second handles integrally formed with the body portion via living hinges, and a connector member integrally formed between the first and second handles. The connector member includes a first leg coupled to the first handle via a living hinge, a second leg coupled to the second handle via a living hinge, and a hub coupled between the first and second legs via living hinges.

Abstract: A surgical instrument includes a pair of jaw members moveable between a spaced-apart and an approximated position. A drive bar is translatable between a distal and a proximal position for moving the jaw members between the spaced-apart and approximated positions. A lever is moveable between an initial position and an actuated position for translating the drive bar between the distal and proximal positions. A sleeve disposed about the drive bar includes an annular track having a substantially radial segment(s) and a substantially longitudinal segment(s). A collar interdisposed between the sleeve and the drive bar includes a stop member(s) extending radially outwardly therefrom. The stop member(s) is engaged within the track and is translatable from a first position, wherein the stop member is positioned within the longitudinal segment, to a second position, wherein the stop member is engaged within the radial segment, to lock the lever in the actuated position.

Abstract: A retractor suction catheter used during surgery is provided. The suction catheter may include a tube having an open end and a closed end. The open end may include a fitting. The tube may further include a plurality of openings in between the open end and the closed end. The tube may fit through a subject's oral cavity and out of the mouth. The tube may retract the soft palate so that the surgeon may perform the proper surgery. Further, a vacuum may be attached to the fitting, and therefore fumes and debris may be removed through the apertures.

Abstract: An epidural space is cleared of fat and scar tissue in preparation for implantation of a medical lead by utilizing a clearing tool. The clearing tool has multiple links that allow the creation of a deflection angle. A wire passes through the links and once the links are positioned with the desired deflection angle, tension is placed on the wire to lock the links into the current position. The clearing tool is inserted through a window into the epidural space, and once the tension is applied to the wire, the clearing tool becomes rigid to allow advancement of the clearing tool within the epidural space. The clearing tool is then removed from the epidural space, and the medical lead is inserted through the window and cleared epidural space until reaching the target site.

Abstract: A system for tissue dissection and retraction is disclosed herein. A tissue dissection assembly generally comprises an elongate body shaft, an actuation member movable relative to the elongate body shaft, and at least one dissector arm member having at least a first end attached to the elongate body shaft, wherein the at least one dissector arm member is adapted to reconfigure within a plane from a low profile to an expanded profile when urged via the actuation member, and wherein the at least one dissector arm is further adapted to dissect tissue within the plane. In use, the assembly dissects tissue within the plane typically by advancing the elongate body shaft into the tissue region where the dissector arm member or members are then reconfigured within the plane from its low profile to its expanded profile to thereby dissect the tissue region along the plane.

Abstract: A tissue snare comprises an elongated member having a distal end and a loop formed of a shape memory material, the loop including a tissue receiving interior opening and being connected to the distal end of the elongated member, properties of the shape memory material being selected so that, when a temperature of the loop exceeds a critical temperature thereof, the loop constricts from an expanded state to a constricted state.

Abstract: A device suitable for use in a body lumen and comprises an elongated control member having a distal and a proximal end, and a radially expansible member disposed at or near the distal end and adapted for collection and/or shearing of matter (i.e. thrombus) from a wall of the body lumen (i.e. a vein or an artery). The radially expansible member has a proximal end and a distal end and is adjustable between a contracted orientation and an expanded orientation. The elongated control member comprising a proximal arm connected at or adjacent to the proximal end of the radially expansible member and a distal arm connected at or adjacent to the distal end of the radially expansible member such that movement of one arm relative to the other arm effects adjustment of the diameter or radial strength of the radially expansible member. The device comprises a control mechanism operatively connected to both arms and adapted to provide resistance to the movement of one arm relative to the other.

Abstract: A catheter for performing a procedure at a treatment site in the lumen of a blood vessel. The catheter includes an elongate tubular shaft having a proximal bend, a distal bend and a hinge element. A distal portion of the shaft includes a window extending through the sidewall of the shaft between the hinge element and the distal end of the elongate tubular shaft. A working element is disposed within the lumen of the elongate tubular shaft and is configured for performing the procedure through the window at the treatment site. The bends and hinge element are configured to urge the window against a wall of the vessel at the treatment site.

Abstract: A grip for removably supporting a needle holder includes a base portion that has a longitudinal channel sized for accepting a needle holder. The grip has a lever pivotally attached to the base portion. The lever has a lobe that interferes with the longitudinal channel when the lever is in a closed position and the lobe is positioned away from the channel when the lever is rotated into an open position. The lobe holds the needle holder within the longitudinal channel while the lever is in the closed position and the needle holder is released while the lever is in the open position.

Abstract: A safety neural injection system includes at least a partially hollow cannula having an inside diameter, an outside diameter, a first length, a side port located coaxially along the hollow cannula for fluid communication between the inside and the outside of the hollow cannula, and an open distal end. The safety neural injection system also includes a flexible stylet with a shaped tip. The flexible stylet is capable of being releasably locked in a position within the hollow cannula and extends at least the first length of the hollow cannula. The hollow cannula proximate to the distal end includes a rigid bend so as to facilitate placement of the distal end at the treatment site.

Abstract: A cannula assembly includes a cannula and an obturator. The cannula includes an elongated shaft dimensioned to access tissue. The elongated shaft has a lumen extending therethrough. The elongated shaft includes a first shaft segment having a first pre-determined configuration and a second shaft segment having a second pre-determined configuration different from the first pre-determined configuration. The obturator includes an elongated body adapted for insertion through the lumen of the elongated shaft. The elongated body includes a first body segment having a configuration in general accordance with the first pre-determined configuration of the first shaft segment and a second body segment selectively adaptable to conform to the second pre-determined configuration of the second shaft segment upon insertion through the lumen of the elongated shaft.

Abstract: According to an aspect, a medical device may include a needle member, and a handle coupled to the needle member. The handle may define a track portion. The medical device may also include a pusher member having a sheath disposed around a portion of the needle member, and an extension member being movably coupled to the track portion of the handle such that the pusher member is configured to move from a first position to a second position during a surgical procedure. The pusher member may be removable from the handle. The sheath may define a slot, and the pusher member may be removable from the needle member through the slot.

Abstract: A medical applicator and a manipulation unit for use in connection with specific variants of the medical applicator are disclosed. In general, the medical applicator has an insertion needle (108; 308) configured for puncturing a part of a human or animal body (B), a sensor assembly (110; 310) configured to be at least partially inserted into a human or animal body (B) when the body is punctured by said insertion needle (108; 308) and a lifting means (102; 301, 302) for lifting up a surface adjacent portion of the human or animal body (B) towards the insertion needle (108; 308).

Abstract: A tunneling tool for implanting a medical device into body tissue is described. The tunneling tool comprises a first leg and a second leg. An intermediate portion of the second leg is shaped to nest a medical device therein. A hub connects the first and second distal leg ends together. A sheath providing a lumen extends from the hub to an open end distal of the first and second legs. The first and second legs are manipulatable to separate the hub and the sheath into two portions, a first split portion connected to the first leg and a second split portion connected to the second leg. When a medical device is nested in the tunneling tool, breaking the tunneling tool apart enables the first and second split portions to be removed from body tissue, leaving the implanted medical device behind.

Abstract: A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed to be coupled to a pedicle screw and then to have opposed arms of the retractor spread apart to open the wound proximally. The retractor is removed by pulling it out of the wound whereby the retractor is deformed to pass over the pedicle screw head. The retractor is intended to be made of a stiff plastic material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

Abstract: According to some embodiments, a method of treating a skin surface of a subject comprises heating a skin surface, abrading native skin tissue of a subject using a microdermabrasion device, wherein using the microdermabrasion device comprises moving the microdermabrasion device relative to the skin surface while simultaneously delivering at least one treatment fluid to the skin surface being treated and cooling the abraded skin surface.

Abstract: External fixation systems, and methods for immobilizing joints or fractured bones. An external fixation system may include one or more clamp assemblies connected to one or more rod assemblies at polyaxial joints. Each rod assembly may be length adjustable, and may include a one-way locking mechanism to provisionally lock the length of the rod assembly, and additional locking mechanisms to permanently lock the length of the rod assembly. The system may be deployed pre-assembled as a unit to immobilize a joint or fracture. Another external fixation system further includes a spanning member extending transverse to the rod assemblies. Two or more external fixation systems may be deployed in a stacked configuration on one set of bone pins to immobilize two joints and/or fractures. The systems may be provided in kits including guiding instrumentation, bone pins and pin clamping assemblies for connecting the bone pins to the external fixation systems.

Abstract: An electrical insulator is applied to a bone anchor, for instance of a bone implant, such as an external fixation frame, so as to prevent undesirable temperature increases in the bone anchor and surrounding anatomical tissue when subjected magnetic resonance imaging.

Abstract: A device for fixation of bone tissue and methods of using same are provided. The device includes a first anchor positionable within a first bone region, a second anchor positionable within a second bone region and a wire interconnecting the first and second anchors. The wire is attached to the first anchor via an elastically deformable element having a force constant (K) of 20-80 N/mm along a longitudinal axis of the first anchor.

Abstract: A woven retention device for interfacing with a bone surface includes interwoven filaments forming a tubular lattice with protuberances distributed on interior and exterior surfaces of the lattice at a predetermined spatial relationship. The protuberances are formed by intersecting interwoven filaments. The retention device receives and surrounds a fastener. In a first, relaxed state, the retention device has multiple combinations of filament cross-section geometries at the intersection points, and the multiple combinations of filament cross-section geometries form multiple protuberance thicknesses. In a second state when surrounding at least a portion of the fastener, the retention device distributes pressure from the fastener to multiple points of contact on the exterior surface of the retention device such that a spatial relationship of the protuberances changes as a function of bone density of the bone surface and as a function of an interfacing surface shape of the fastener.

Abstract: Open implant closure structures include a helically wound guide and advancement flange form having splay control surfaces. Multi-start closures and closures with inner set screws have splay control contours for interlocking with cooperating flange forms of bone anchor receivers. Flange form heights, thicknesses and other geometry, such as splay control ramp angle may be varied.

Abstract: A collar for extenders and an extender assembly including a collar is disclosed. The collar is configured to receive extenders and maintain the extenders in a parallel orientation so as to prevent splaying and premature beak-off of the extenders from the spine. Methods of use are disclosed.

Abstract: A medical device includes a first elongate member defining an interior region and configured to be coupled to a first anatomical structure within a body and a second elongate member configured to be coupled to a second anatomical structure within the body. A portion of the second elongate member is configured to be disposed within the interior region. The first and second elongate members collectively have a first configuration in which they collectively have a first length when the portion of the second elongate member is disposed within the interior region of the first elongate member. When coupled to the first and second anatomical structures, the first and second elongate members can be moved to a second configuration in which they collectively have a second length different than the first length.

Abstract: A growing spinal rod system is configured to grow in response to the growth of a patient. The growing spinal rod system includes a housing, a spacer, and a sliding spinal rod. The housing includes a stepped passage therethrough. The spacer is disposed within the stepped passage and defines a through hole. The spacer includes a plurality of ribs biased inwards and into the through hole. The sliding spinal rod is slidably inserted through the through hole of the spacer. The sliding spinal rod moves the plurality of ribs outwards. The plurality of ribs permits the sliding spinal rod to extend from the housing and inhibit the sliding spinal rod from retracting into the housing.

Abstract: A bone fastener includes a receiver defining a longitudinal axis and extending between a proximal end and a distal end, the proximal end including a first wall and a second wall that define an implant cavity, each wall having a proximal face. At least one of the first wall and the second wall include an extension extending proximally from the proximal face along the longitudinal axis, the extension having a distal end integral with the proximal face and a proximal end including a first locking part configured for fixation with a second locking part of an instrument. A bone penetrating member has a proximal end and a distal end, the proximal end of the bone penetrating member being connected with the distal end of the receiver.

Abstract: A polyaxial bone anchoring device includes a bone anchoring element having a shank and a head, a head receiving part having a first end, an open second end, and a hollow interior portion in communication with the open second end for receiving the head therein, the head receiving part being flexible for clamping the head, a locking ring configured to be mounted around the head receiving part and having a rod receiving portion, a cap configured to be connected to the head receiving part, and a locking element configured to extend from the cap to engage an inserted rod, wherein the head is pivotable in and the cap and the locking ring are rotatable relative to the head receiving part, and wherein when the locking element is tightened, an inserted rod and an angular position of the bone anchoring element are locked relative to the head receiving part.

Abstract: A tensioning tool and method for tensioning a conformable ligature of a bone fixing system are disclosed. The ends of a conformable ligature can be passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop. Another portion of the conformable ligature can be coupled to a tensioning tool. The tensioning tool can include a first portion and a second portion in threaded engagement with each other. Rotation of one portion relative to the other can cause tensioning of the conformable ligature through translation of a tensioning member.

Abstract: A system for mounting a retractor tube to a spine without a guidewire is disclosed. The system includes an awl, a first dilator configured to be advanced over the awl, a retractor tube configured to be advanced over the first dilator, wherein an outer surface of the retractor tube defines a plurality of channels, and a plurality of pins adapted to be received within the plurality of channels, wherein the plurality of pins secure the retractor tube to the at least one vertebral body of the spine. A method for selectively mounting a retractor tube to a spine without a guidewire is also disclosed.

Abstract: Rod delivery tools, methods for delivering a connecting rod of a pedicle screw system into seating slots of at least first and second long arm screw towers of a pedicle screw system, and a rod reduction tool and related methods for urging a distal leading end of a connecting rod and an opening of a long arm screw tower into alignment with one another, where the two are initially misaligned.

Abstract: An articulating rod inserter is configured for use in delivering a fixation rod to an orthopedic fixation system through a cannula or tower. The articulating rod inserter is releasably coupled to a rod and can move the rod from a generally aligned configuration, wherein the longitudinal axes of the rod and rod inserter are generally aligned, to an angled configuration, wherein the longitudinal axis of the rod is at an angle to the longitudinal axis of the rod inserter. The rod is inserted into the patient through a first tower and then articulated to a second tower such that the rod extends between two or more fixation devices.

Abstract: A mandibular bone plate (10) can include a body (40) that defines a bone facing surface (44), an outer surface (48) that is opposite the bone facing surface, and a plurality of bone anchor holes (52) that extend through the body from the bone facing surface to the outer surface. The body can include a chin portion (56) and first (60) and second (64) extension portions that extend from the chin portion such that the bone facing surface of the chin portion faces the inferior surface of the mandible when the mandibular bone plate is attached to the mandible and the bone facing surfaces of the first and second extension portions at least partially face the lingual surface of the mandible when the mandibular bone plate is attached to the mandible.

Abstract: Various embodiments of a cable plug and a cable wire attachment plate are disclosed herein. Each plug or plate has a cable retaining portion and a fastening portion disposed from the cable retaining portion about a longitudinal axis of the plug or plate. Each cable retaining portion preferably has an aperture or channel for receiving a cable wire therein, while each fastening portion is adapted to engage a portion of a bone plate, such as a hole in the bone plate or an exterior surface of the bone plate. Related methods, systems, and kits are also disclosed.

Abstract: A surgical instrument for fixing bone fragments is provided. The surgical instrument comprises a positioning member with two pad holding portions, two pad members each having a bone contacting surface and each configured to be releasably held at one of the pad holding portions of the positioning member so that the bone contacting surfaces of the two pad members face each other, and two guiding channels configured to receive a flexible elongated member, each guiding channel being formed in a region between the bone contacting surface of one of the pad members and the associated pad holding portion.

Abstract: A flexible screw comprising a first end and a second end coupled by a flexible mesh is disclosed. The first end comprises a threaded section. The second end comprises a head. The flexible mesh defines a hollow cylinder. A first driver engagement channel is defined by the head and extends from a proximal end of the head to the flexible mesh. A second driver engagement channel is defined by the threaded section and extends from the flexible mesh to a first depth within the threaded section. The first driver engagement channel and the second driver engagement channel are configured to receive a driver therein.

Abstract: A screw-shaped anchoring fixture for anchoring a prosthesis in the skull bone. The anchoring fixture comprises a main body configured to be implanted into the bone and a flange configured to function as a stop to prevent the main body from completely penetrating through the bone. The main body comprises a distal tapered apical portion, a first portion, and a second portion. The inner diameter of the second portion is greater than the inner diameter of the first portion. The method for inserting the anchoring fixture includes providing the anchoring fixture, drilling a hole, and inserting the anchoring fixture into the hole until the flange contacts the skull bone, wherein the hole has a diameter that is greater than the inner diameter of the first portion and less than the outer diameter of the second portion.