Abstract: A biopsy device for acquiring a tissue sample is disclosed. The biopsy device comprises a partoff mechanism which can have at least a tab and an actuator. The actuator can be used to control the angle of the tab and thus partoff a tissue sample. The tab may be on a cutter tube, which may have a sharp distal end which may core the samples from the mass of tissue. Multiple tissue samples may be collected.

Abstract: A handheld device includes an electronic instrument and a capacitive power supply for storing and delivering power to the electronic instrument. The capacitive power supply includes at least one capacitor, and an electronic circuit operable to boost a voltage from the capacitor to a higher voltage for use by the electronic instrument. The capacitive power supply can be rapidly recharged. Some configurations include an accelerometer which permits the handheld device to detect movement and perform various operations responsive to detected movement. A dual charging station is also disclosed.

Abstract: A device for closing an opening in a tissue includes a closure body, a fastening element, and a capture strip coupleable to the closure body such that the capture strip is moveable from a first position to a second position relative to the closure body, the capture strip including a receptacle configured to receive the fastening element when the capture strip is in the first position such that movement of the capture strip from the first position to the second position causes the fastening element to urge the closure body toward the tissue.

Abstract: According to one embodiment, a protective device for use in congestive heart failure treatments, and other treatments, includes a control mechanism, an elongate shaft, and a protective plate. The control mechanism is coupled with a proximal end of the elongate shaft and the protective plate is pivotably coupled with a distal end of the elongate shaft. The elongate shaft enables the protective plate to be inserted within a body and navigated distally of a heart wall. The protective plate has a relatively wide and thin body portion and is pivotable relative to the elongate shaft by operation of the control mechanism. Pivoting and/or navigating of the protective plate within the body allows the protective plate to be positioned adjacent the heart wall to shield body organs or tissue surrounding the heart wall from being damaged by surgical instruments inserted through the heart wall.

Abstract: A telescoping retractor holder includes a length-adjustable support, the one end section of which can be supported on an operating table, and including a retractor lever, the one, distal end of which includes a retractor receptacle adapted to releasably grip a retractor, and the other, proximal end section of which can be operatively connected in a supporting manner to the other free end section of the telescoping support, preferably by way of a detachable connecting means, for the application of a lever force.

Abstract: A retractor assembly includes a base; a first side arm assembly coupled to a first side of the base and configured to translate relative to the base along a first direction; a second side arm assembly coupled to a second side of the base and configured to translate relative to the base along the first direction independent from the first side arm assembly; and a central arm assembly coupled to a center portion of the base and configured to translate relative to the base along a second direction different from the first direction.

Abstract: A retractor having an elongate body that provides access to a surgical location within a patient. The elongate body includes a plurality of segments that are connected to one another through a plurality of ratcheting mechanisms. The ratcheting mechanisms permit relative movement of the segments with respect to one another when expander dilators are inserted within the retractor. The segments are surrounded and retained by a resilient elastomeric sleeve or bands. The distal end surfaces of the segments include thin edges that are configured to mobilize, dissect, split and retract the terminal tissues in the surgical area. The retractor is used in conjunction with a resilient elastomeric pad that is affixed to the patient and firmly engages the outer surface of the elongate body to thereby anchor the retractor to the patient. A separate anchoring device can be used to connect the retractor to the pad.

Abstract: The pupil expander 1 of the present invention is used to maintain a pupil in an expanded state during ophthalmologic surgery such as, e.g., cataract surgery. The pupil expander 1 is equipped with four arm sections 10 arranged serially in a manner as to form a circular shape as a whole and joint sections 20 which connect end sections of adjacent arm sections in a movable manner. With this, since the end sections of adjacent arm sections 10 are connected in a movable manner and therefore the entire shape of the pupil expander 1 can be deformed in an eye via the joint section 20, the pupil expander can be arranged safely without damaging an iris I, which enables easy and assured maintenance of a sufficiently expanded state of a pupil.

Abstract: Devices and methods for anchoring surgical sutures are provided. In general, a device as described includes an anchor assembly formed of a plurality of rigid anchor segments including a proximal segment and a distal anchor segment comprising a force transferring element, and at least one segment having at least one interdigitation element configured to create an engagement force between the at least one segment and a tissue. The device further includes a flexible member linking the plurality of anchor segments and configured to transition the anchor from a first, flexible configuration when the flexible member is in a relaxed state to a second, substantially rigid configuration when the flexible member is in a taut state.

Abstract: A method for coupling tissue includes aligning a guide tool on an outer surface of a first tissue; forming a bore in the first tissue aligned with the guide tool; deploying a non-slip suture construct through the guide tool and into the bore; adjusting a saddle along a flexible member to a position adjacent to a soft anchor, wherein the saddle prevents the flexible member from slideably moving relative to the soft anchor; and threading the flexible member through a second tissue to secure the second tissue to the first tissue.

Abstract: A delivery system is described. The system includes an integrated shield which is used to selectively cover a needle end portion of the device.

Abstract: The present invention relates to a surgical needle, which can be used in a medical application for suturing wounds. The present invention more specifically relates to a surgical needle that is connected to a thread and has a tip body, which carries the needle tip, and a needle body, wherein the needle body is helical and has an inner hollow space, and the needle body has a first end, which faces towards the tip body, and the needle body has a second end, which is opposite the first end, and the tip body has a thread receptacle and the thread is guided from the thread receptacle from the first end of the needle body through the hollow space to the second end of the needle body, characterised in that the tip body is formed as a separate component, which is detachably connected to the needle body, and has a tip body, shank piece and connection piece and is rotationally symmetrical about an axis through the needle tip.

Abstract: A surgical delivery instrument for delivering a vascular hole closure device having first and second flexible members and a first and second engagement members extending from the respective flexible member. The delivery instrument includes a housing having first and second longitudinally extending openings and first and second projecting surfaces, the first projecting surface extending into the first opening for engagement by the first engagement member and the second projecting surface extending into the second opening for engagement by the second engagement member. The first engagement member is held by the first projecting surface until a predetermined force is applied to the first engagement member during placement of the closure device at a target site.

Abstract: A method of ankle syndesmosis repair according to an exemplary aspect of the present disclosure includes, among other things, drilling a hole through a fibula and a tibia of an ankle joint, pulling a first button device through the hole using a pull-through suture until the first button device exits on a medial side of the tibia, flipping the first button device so it rests against a medial cortex of the tibia, and positioning a second button device at a lateral side of the fibula.

Abstract: A suture anchor according to embodiments of the invention includes a body (102) having a proximal (121) and distal (125) ends and at least two suture paths open towards the proximal end and not open (e.g. looped around) towards the distal end and which are respectively capable of receiving a suture, and a proximal cavity (103) opening into a transverse cavity (104). The anchor may also include a transverse wall (105) arranged at least partially in the transverse cavity (104), and for each suture path, a distinct eyelet (112) for the passage of a suture through the transverse wall (105), so that a suture thread (162) in place in the anchor (100) forms a U with a first strand (162a) along the longitudinal axis (X-X), a second strand (162c) substantially parallel thereto, and an arc (162b) formed in the eyelet (112) and connecting the first and second strands.

Abstract: A system for treating tissue includes a first anchoring device including a first anchoring element at a distal end thereof for anchoring the first anchoring device in a first target portion of tissue extending about a periphery of a tissue defect to be treated and a first suture receiving feature at a proximal end thereof. The system also includes a second anchoring device including a second anchoring element at a distal end thereof for anchoring the second anchoring device in a second target portion of tissue about the periphery of the tissue defect and a second suture receiving feature at a proximal end thereof. Furthermore, the system includes a suture configured to be passed through the first and second suture receiving features such that a tension applied to the suture draws the first and second anchoring devices toward one another to close the tissue defect.

Abstract: An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.

Abstract: This disclosure includes needle holders and related methods. Some holders use or include an elongated handle having a proximal portion and a distal portion, a first jaw member coupled to the distal portion of the handle, a second jaw member pivotally coupled to the first jaw member, and a lever pivotally coupled to the handle and coupled to the second jaw member such that the lever can be actuated by a user's thumb to selectively open and close the jaw members. In some holders, the handle extends proximally beyond the lever such that the lever can be actuated by the user's thumb to selectively open and close the jaw members while the handle is grasped within the user's hand. In some holders, the handle is defined by an elongated housing defining an interior volume configured to receive at least a portion of the lever when the jaw members are closed.

Abstract: Methods for deploying a fastener to close an incision or wound involve exposing the inner surface of each opposing side of the incision and inserting down into the exposed inner surfaces from above the fastener.

Abstract: The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus), all or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device.

Abstract: A surgical stapling instrument. Various embodiments include an actuation system for selectively generating a plurality of control motions. A surgical end effector is operably coupled to the actuation system. The actuation system interfaces with an actuation member configured to operably engage rotatable camming members to fire staples within the end effector into forming contact with an anvil portion of the end effector.

Abstract: A clip for closing a puncture in a body lumen comprises a clip having a resiliently expandable circumference and a plurality of barbed prongs extending at least approximately in the same direction from one edge of the clip. A device for deploying such a clip is described. A method for deploying such a clip is also described.

Abstract: A surgical stapler is provided. The stapler employs circumferential channels through which staples are deployed along an arc pathway against an anvil surface. The curved channels allow staples with relatively longer legs to be used in the stapler having a smaller diameter at the jaws. Also, by utilizing a curved path, a much larger staple can be placed in the same diameter device. Specialized curved staples for use with the stapler of the present invention are also provided. To further enable the benefits of the stapler with circumferential channels and method of staple deployment, novel jaw reinforcement structures are provided in the present invention. The jaw reinforcement structures are located towards the center or bladeline of the device instead of around the circumference as in conventional staplers, thereby clearing the outer area near the circumference of the device to provide room for longer staples and staple firing components.

Abstract: A system for bringing two blood vessels into abutment includes two clamps Pc and a rod 260 connecting the two clamps together by being engaged in two through holes 250 made respectively in the two clamps, a portion of the rod lying between the two clamps possessing two moments of inertia Mi1, Mi2 of different values along two mutually orthogonal directions, one of which is perpendicular to the first plane P1, the smaller value moment of inertia Mi1 being that defined substantially along the direction that is perpendicular to the first plane P1. The system is applicable to bringing two blood vessels into abutment, in particular for the purpose of suturing them.

Abstract: A device for the approximation of tissue including a hollow tube housing an inner core. The inner core may be moved within the hollow tube between first and second positions. The inner core comprises a distal tip. When the inner core is placed into the first position, the distal tip extends away from or outside of the hollow tube such that the distal tip may become securely attached to a selected tissue at a desired location. Once secured to tissue, the distal tip is configured to approximate the torn tissue in a selected direction. Associated systems and methods are also disclosed.

Abstract: An obstruction device includes an obstruction disc mounted on a shaft. The disc includes a membrane attached to a peripheral frame. An anchoring member extends from a distal portion of the shaft. The shaft, anchoring member and peripheral frame together have a unitary construction made from a bent slender element.

Abstract: Embodiments disclosed herein are directed towards an endovascular clip comprising a proximal anchoring member and a distal self-expanding member. The proximal anchoring member and distal self-expanding member are configured to extend across opposite sides of a neck of an aneurysm.

Abstract: Systems, methods and kits relating to in-situ forming polymer foams for the treatment of aneurysms or fluid filled spaces are disclosed. The systems include an insertable medical device and an in-situ forming foam of lava like materials with a fast forming outer skin and a slower hardening interior that is formed from a one-, two- or multi-part formulation. When used to treat an aneurysm, the foam is placed into contact with at least a portion of an exterior surface of the medical device and/or the tissue surface of the aneurysm.

Abstract: Tools or other instruments can be used by a surgeon to complete an orthopedic procedure. One tool can include a resection tower and a valgus guide. The resection tower can include a cutting block and a dial coupled with the cutting block. The resection tower can be configured such that rotational movement of the dial, about an axis, effectuates movement of the cutting block along a plane substantially parallel with the axis. The dial, when rotated in a first direction, can move between a first position, which corresponds to a minimum cutting depth of the cutting block, and a second position, which corresponds to a maximum cutting depth of the cutting block. The valgus guide can be coupled with the resection tower and includes a rotatable member. The rotatable member can include an angular surface with one or more variable depth splines providing varus/valgus angle adjustment of the cutting block.

Abstract: An adjustable reaming device can include a proximal reamer and a positionable element. The positionable element removably attaches to the proximal reamer at one of a plurality of discrete longitudinal locations along the proximal reamer. A distal end of the positionable element forms a stop, which can contact a proximal end of a distal reamer and thereby limit distal motion of the proximal reamer with respect to the distal reamer. When the distal reamer is in contact with the positionable element, the distal reamer and proximal reamer are longitudinally offset by a one of a plurality of specified offsets. In some examples, the specified offsets correspond to a plurality of specified, discrete lengths for which implantable femoral stems are available.

Abstract: The present subject matter relates to a geared instrument. The geared instrument is configured to translate rotation about a first axis to rotation about a second axis. The geared instrument comprises a handle configured to rotate about the first axis. A translation gear is configured to couple to the handle. A stem is coupled to the translation gear and rotates in unison with the translation gear. The translation gear is configured to translate the rotation of the handle about the first axis to rotation of the stem about the second axis. The stem is configured to couple to a modular head.

Abstract: A tibia cutting block for performing precise cuts into a tibia comprises an approximately cuboid body with a tibia attachment side and opposing thereto a front side. The body has a cutting guide slot extending from a top side into the body, a blade holding slot extending from a right side or a left side into the body, a first anchoring pin hole which is close to the intersection of a first plane defined by the blade holding slot and a second plane defined by the a cutting guide slot, a second anchoring pin hole distant from the first anchoring pin hole and a reference pin guide. All are penetrating the body from the front side to the tibia attachment side.

Abstract: A single probe percutaneous surgical instrument for de-bulking/removing thrombus/clog/calculi has an actuator assembly (4), a probe set (13), an operating switch (10), and a generator (12). The actuator assembly (4) has a proximal end (4a) and a distal end (4b), a cable connector (1), a suction connector (2), and actuator switch (3) mounted with the proximal end (4a) and a horn (5) mounted at the distal end (4b). The probe set (13) is mounted to the horn (5) and includes at least one disturber (6), a spring (7), a 10 spring adjusting nut (8) and a fixed probe (9), the cable connector (1) connecting to the generator (12) through a cable, and the suction connector (2) connecting to a suction system. The actuator switch (3) controls a probe vibration mode through the generator (12), the actuator assembly (4) comprising at least two piezoelectric ceramic rings (18) assembled with a bolt (15), the horn (5) and a back plated (16).

Abstract: A balloon catheter includes an outer conduit having an outer surface, and an inner conduit having an outer surface. The inner conduit is suitable for passage over a guide wire, and the inner conduit is movably disposed within the lumen of the outer conduit. There is also a balloon having a proximal margin and a distal margin, such that the proximal margin of the balloon is attached to the outer surface of the distal tip of the outer conduit and the distal margin of the balloon is attached to the outer surface of the portion of the inner conduit that extends beyond the distal tip of the outer conduit. And there is a fluid port for introducing an expansion fluid into the annular space formed between the inner surface of the outer conduit and the outer surface of the inner conduit and into the lumen of the balloon, and for the removal of the expansion fluid.

Abstract: An ultrasonic tongue cleaner applying high intensity non-attenuated ultrasound pressure waves to the tongue concurrently with the mechanical scraping action is disclosed. The ultrasound component is operative to damage and deactivate odor causing bacterial chains on the surface and in the folds of the tongue. A silver based antimicrobial attachment further enhances the performance of the tongue cleaner. Various configurations are disclosed, including user removable and replaceable tongue cleaner heads with and without antimicrobial silver. A motorized version featuring sonic frequency orbital vibration of the tongue cleaner head is described.

Abstract: The disclosed subjects matter relates to a surgical instrument handle for a surgical instrument, that includes a first handle element, which can be rigidly connected to one of a shaft component and an actuating element of a surgical instrument, wherein an index-finger rest and a ball-of-the-thumb rest are formed on the first handle element, and a second handle element, which is articulated to the first handle element and can be coupled to the other of the shaft component and the actuating element of the surgical instrument, wherein at least one further finger rest is formed on the second handle element. A locking element is rotatably attached to the first handle element, wherein the locking element has an actuation segment and a first locking member. A second locking member is provided on the second handle element, and the first locking member is elastically preloaded toward the second locking member.

Abstract: A surgical forceps comprising: a first working arm and a second working arm configured to move towards and away from each other; and an electromagnetic latching system; wherein the electromagnetic latching system is configured to create a force that is in a direction aligned with closing of the forceps or opposite to the closing of the forceps when an electromagnetic activation button is depressed.

Abstract: According to an aspect, a device may include a shaft, a tool portion including a first arm and a second arm, and a split rolling joint including a first curved portion and a second curved portion. The second curved portion may be coupled to the shaft. The first curved portion may include a first split portion and a second split portion. The first split portion may be coupled to the first arm. The second split portion may be coupled to the second arm. At least one of the first split portion and the second split portion may be configured to roll with respect to the second curved portion such that at least one of the first arm and the second arm can move towards or away from each other.

Abstract: An electrosurgical device comprising: forceps including: (i) a first working arm and (ii) a second working arm; a blade; wherein the electrosurgical device is capable of being switched between: (A) a first mechanical configuration where the first working arm and second working arm are free to move in a direction towards each other to grasp tissue therebetween; (B) a second mechanical configuration where the first working arm and second working arm are secured together by an arm securing mechanism that prevents movement of the first working arm and the second working arm in a direction towards each other; and (C) a third mechanical configuration where the first working arm and second working arm are secured together so that the first working arm and the second working arm are prevented from moving in a direction towards each other, and the blade is substantially flush with or extend beyond a distal end of the first working arm and the second working arm; and wherein the electrosurgical device is configured to:

Abstract: A cutting instrument comprising: an outer tube comprising a distal end and a proximal end; an inner tube rotatably disposed within said outer tube, said inner tube comprising a distal end, a proximal end and a region intermediate said distal end and said proximal end, said region comprising a plurality of slits formed in said inner tube so as to render said region of said inner tube flexible; and a bellows disposed adjacent to said plurality of slits so as to render said region of said inner tube fluid-tight.

Abstract: Disclosed herein is a system for releasing a ligament. In one embodiment, the system includes a proximal handle, a tubular body, and a flexible body. The tubular body includes a proximal end and a distal end. The handle is coupled to the proximal end. The flexible body extends through the tubular body and includes a tissue cutting portion. The flexible body is longitudinally displaceable relative to the tubular body to move the tissue cutting portion between a non-deployed state and a deployed state.

Abstract: A surgical snare device for use in polypectomy procedures includes a snare loop capable of being deployed with a plurality of precise internal diameters. The device includes a handle with first and second handle assemblies and a collar. The first handle assembly has multiple numerical markings on a side. The second handle assembly is slidable along the first handle assembly to deploy the snare loop from an elongate tubular sheath attached to the distal end of the first handle assembly. When the second handle assembly is slid to a position such that it aligns with one of the numerical markings on the first handle assembly, the snare loop will be deployed with an internal diameter in millimeters that corresponds precisely to the numerical marking. For example, sliding the second handle assembly to a ‘10’ marking will deploy a snare loop having an internal diameter of 10 mm. The collar is positioned just distal to the second handle assembly and is also slidable along the first handle assembly.

Abstract: [Problem] Provided are: an ultrasound-guided puncture assist device that is capable of preventing occurrence of operational mistakes or the like when a nerve block or vascular puncture is performed under ultrasonography, an ultrasound-guided puncture method using the ultrasound-guided puncture assist device, and the like. [Solution] An ultrasound-guided puncture assist device with an object of preventing narrowing or the like of a puncture target site for a nerve block or vascular puncture under ultrasonography to thereby assist the puncture by comprising a pulling mechanism for pulling the surface of the puncture target site, such as skin. The use of the ultrasound-guided puncture assist device of the invention can increase the width of the target site tissue where a nerve block or vascular puncture is performed, and thus occurrence of mispuncture is preventable.

Abstract: A surgical device, an outer tube, an endoscope and a treatment tool that have a simple configuration and excellent operability are provided. The outer tube includes a slider in an outer tube body. When the endoscope and the treatment tool are inserted into the outer tube, the endoscope and treatment tool are held by an endoscope holding part and a treatment tool holding part each being provided in the slider, and are combined into a single unit. Consequently, when the treatment tool is moved in the axial direction, the endoscope is moved in the axial direction in interlock with the movement. The outer tube is configured such that the inner diameter of the opening type hermetic valve part for the endoscope that is provided at a valve member is smaller than the inner diameter of the elastic member that is provided for causing the endoscope holding part to hold the endoscope.

Abstract: A surgical access port for passage through body tissue to provide access to an underlying tissue site is provided. The access port has a working channel dimensioned for receiving a surgical instrument and a seal assembly for providing a substantial seal before, during and after insertion of a surgical instrument. The seal assembly includes an instrument seal and a zero seal. The instrument seal includes a proximal base that is interconnected to a distal instrument engaging portion by an elongate supporting portion. The engaging portion has a lateral dimension larger than the lateral dimension of the supporting portion forming a bulbous, mushroom-like head. The lateral dimension of the engaging portion decreases toward a distal opening of the instrument seal such that the distal end of the engaging portion is substantially perpendicular to the seal axis. The supporting portion closely conforms to an inserted instrument and serves to align the distal end of the seal.

Abstract: Method and system for treating a patient using a compressible, pressure-attenuating device. According to one embodiment, the system is used to treat urinary tract disorders and comprises an access device, a delivery device, a pressure-attenuating device, and a removal device. The access device may be used to create a passageway to an anatomical structure, such as the patient's bladder. The delivery device may be inserted through the passageway created by the access device and may be used to deliver the pressure-attenuating device to the anatomical structure. The removal device may be inserted through the passageway created by the access device and may be used to view the bladder and/or to capture, to deflate and to remove the pressure-attenuating device.

Abstract: The invention relates to an abrasive body (6) for a grinding tool with an abrasive layer (8), which has at least one binding agent (12) and abrasive grains (13), characterised in that thermochromic colouring agents are provided in the abrasive layer (8). The invention relates further to a grinding tool (1) with an abrasive body (6) according to the invention and elements (5) for connecting the grinding tool (1) to a driving device for rotatingly driving the abrasive body (6). The invention relates further to a use of the abrasive body (6) according to the invention or of the grinding tool (1) according to the invention for treating human body parts.

Abstract: A circumferential vertebral column fixation systems includes an elongated engagement bar including at least two spaced apart fastener holes configured to be positioned within a vertebral body or other spinal bony segment such that fasteners inserted into the vertebral body or spinal bony segment are provided with an anchor point to help prevent fastener pull out. The engagement bar can further include a locking bar disposed within the engagement bar which can lock the fasteners to the engagement bar. Methods of using the circumferential vertebral column fixation system are also disclosed.

Abstract: An interconnecting spinal rod with a flanged end permits the surgeon to specifically locate the superior end, screw/rod position thereby minimizing the connecting rod overhang. This minimal overhang reduces interference with the adjacent facet of a vertebra in a spinal interbody fusion surgical procedure.

Abstract: The present invention generally relates to methods and device for treatment of spinal deformity, wherein at least one tether is utilized to maintain the distance between the spine and the an ilium to (1) prevent increase in abnormal spinal curvature, (2) slow progression of abnormal curvature, and/or (3) impose at least one corrective displacement and/or rotation.