Abstract: The invention comprises an intramedullary fixation implant and a method for joining bones and translating compression between the bones for treating various digital deformities. The intramedullary fixation implant comprises a first fixation portion and a second fixation portion connected to the first fixation portion, wherein the second fixation portion comprises a first projection and a second projection separated by a slot, and wherein the first projection and the second projection comprise a plurality of barbs shaped and arranged along the first and second projections such that they cooperatively form a thread along the second fixation portion.

Abstract: A single use bone cutter comprised of two concentric cylinders and a series of insert blades or cutter disc is described. The cutter blades or cutter disc is preferably positioned at the distal end of the cutter. The bone cutter also comprises a guide rod that aids in the line of sight when using the cutter device.

Abstract: Flexible shavers and curved access ports that reduce access and trajectory problems associated with conventional lateral approaches to the lower spine. These devices and methods allow for preparing a disc space in the lower spine at an angle that is parallel to the disc space. Consequently, these devices and methods allow for preparing with less endplate damage.

Abstract: A system and method for manipulating intervertebral tissue in one embodiment includes a conduit, a segmented expansion media configured to pass through the conduit, and an expandable node comprising a plurality of abrading strands and operably connected to the intervertebral tissue removal system conduit so as to receive the segmented expansion media therein, the expandable node expandable from a first condition whereat the plurality of abrading strands define at least one opening having a first maximum diameter, to an expanded condition whereat the at least one opening has a second maximum diameter larger than the first maximum diameter, wherein the second maximum diameter is less than a minimum diameter of the segmented expansion media, such that insertion of the segmented expansion media through the intervertebral tissue removal system conduit and into the expandable node causes the expandable node to expand from the first condition to the expanded condition.

Abstract: A number of orthopaedic surgical instruments for use in a surgical procedure to prepare a patient's femur to receive an orthopedic prosthesis are disclosed. The tools include guide tools, cutting tools, surgical blocks, and other orthopaedic surgical instruments configured to plan and guide the preparation of the patient's femur. A method of using the orthopaedic surgical instruments is also disclosed.

Abstract: A surgical milling cutter bracket includes a retaining base having a through hole. The upper part of the retaining base is provided with a finger guide having an L-shaped support frame on the top of the finger guide. A downward protrusion is provided at the end of the short side of the L-shaped support frame. The lowest point of the protrusion is lower than the lowest point of the cylindrical head of the milling cutter during normal operation of the milling cutter. A bolt having a through hole at the center is fixed within the cavity of the finger guide. A depressor is provided on the upper part of the retaining base. The bolt passes through a hole of the depressor and is connected to a nut. The protrusion is able to prevent an object from contacting the cylindrical head, thus avoiding cutting the object unevenly.

Abstract: A guide device having a guide body including a bearing surface designed to bear in a glenoidal cavity of a scapula that has been prepared beforehand, the guide body including at least one through orifice emerging in the bearing surface, a reference member mounted on the guide body and including a bearing portion designed to bear on the anterior cortex of the scapula, and adjustment means arranged to adjust the position of the reference member with respect to the guide body so as to adjust the distance between the bearing portion and an axis of the through orifice.

Abstract: An ultrasound system has a catheter including an elongate flexible catheter body having at least one lumen extending longitudinally therethrough. An ultrasound transmission wire extends longitudinally through the lumen of the catheter body, and has a proximal region, a distal region, and an intermediate region between the proximal region and the distal region. A sonic connector is connected to the proximal region of the ultrasound transmission wire, and a distal head is positioned at the distal end of the catheter body and coupled to the distal region of the ultrasound transmission wire. The proximal region of the ultrasound transmission wire has a larger diameter than the intermediate region, the intermediate region is continuously tapered with a progressively decreasing diameter from its proximal end to its distal end, and the distal region has a greater diameter than the distal end of the intermediate region.

Abstract: Medical apparatus includes an endoscope, which includes a distal end configured for insertion into a body cavity and which includes an imaging assembly, configured to capture and output an image of a region of the body cavity in proximity to the distal end. An energy source is configured to emit pulses of energy through an energy guide. A control unit is configured to process the image so as to identify a target mass in the body cavity and to verify that an aiming beam directed through the energy guide is incident on the target mass and, responsively to so verifying, to actuate the energy source to direct a pulse of the energy via the energy guide onto the target mass.

Abstract: A method of treating a sinus cavity of a subject includes advancing a distal portion of a light source through a drainage pathway of a sinus cavity and into the sinus cavity and visually observing a transdermal light emitted from the light source. A distal portion of a substantially rigid inner guide member of a balloon dilation catheter is advanced into the drainage pathway, the balloon dilation catheter including a movable shaft including a balloon that is slidably mounted on the substantially rigid inner guide member. The movable shaft and balloon are advanced distally over the substantially rigid inner guide member to place a portion of the balloon in the drainage pathway whereby the balloon is inflated.

Abstract: An oral care implement for cleaning soft oral tissue. In one aspect, the invention can be an oral care implement comprising: a handle extending along a longitudinal axis; first and second prong members extending from a distal end of the handle; a pad for engaging soft tissue, the pad having a first major surface and a second major surface, the pad positioned between and coupled to the first and second prong members.

Abstract: A device includes an outer member extending along a longitudinal axis between a first end and a second end. The first end includes an opening. The outer member includes an inner surface defining a first passageway that is in communication with the opening. An inner member is movably disposed in the first passageway. The inner member includes an inner surface defining a second passageway. The inner member further includes a first end including a cutting tip. The inner member is movable between a first orientation in which the cutting tip is disposed within the first passageway and the inner member has a linear configuration and a second orientation in which the cutting tip extends through the opening and the inner member has an arcuate configuration. Methods of use are provided.

Abstract: A surgical system that is able to sense the onset of an occlusion or other surgical event as well as the instant an occlusion breaks. To help avoid overheating of the tip, the system determines an approximate temperature of the eye using an irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power to the tip to compensate for increased loads on the tip.

Abstract: A treatment device includes a first grip member having an elongated shape, and a second grip member which is displaced with respect to the first grip member to grip the biological tissue between the first grip member and the second grip member. The second grip member includes a grip section that comes into contact with a biological tissue as a gripping target. I/A2 of the grip section is maximum at the proximal end, and/or Z/A3/2 of the grip section is maximum at the proximal end, where I is a second moment of area, Z is a section modulus, and A is a cross-sectional area calculated based on an axis perpendicular to a straight line passing through a center of gravity of the first grip member and a center of gravity of the second grip member in a cross section perpendicular to a longitudinal axis of the grip section.

Abstract: A device for treating a lesion in a body lumen to enlarge a passageway in the body lumen having at least one cutting member and a tracking member. The at least one cutting member has a cutting surface and a separate material associated therewith. The cutting member and tracking member are connected at a distal portion and insertable into the body lumen as a unit, the cutting member configured for movement in a direction transverse to a longitudinal axis of the tracking member to widen a gap between the cutting member and tracking member at least at a distal region and to apply the separate material to an interior of the lesion.

Abstract: A rotational thrombectomy wire for breaking up vascular thrombus or other obstructive material having a core having a proximal region and a distal region and being rotatable by a motor. The distal region has a smaller diameter than the proximal region. A cable is coupled to the distal region of the core and extends distally thereof. A torque tube is positioned over the cable and a coil is positioned over a distal portion of the cable. A distal portion of the cable has a non-linear configuration. A first covering material is positioned over the coil.

Abstract: The present invention is a Distally Assembled Steerable Cannula (DASC), a robotically-manipulated device that can be deployed and extended within a patient's body by growing from its distal end, or can be used in non-medical applications. In one embodiment, growth occurs by sequentially assembling segments that interlock to form a rigid tube with a complex 3-D shape. The segments are individually transported through the growing cannula, and then assembled at the distal end. A segment can be wedge-shaped in profile, allowing adjustment of the local radius of curvature and direction of the cannula to be controlled by relative segment orientation.

Abstract: An insertion sheath and related methods include a tube member and a shape memory feature. The tube member defines an insertion lumen. The shape memory feature is positioned at a distal end portion of the tube member. The shape memory feature provides a monofold shape in the tube member when in a first state, and a radially expanded shape in the tube member in a second state upon application of an expansion force. The shape memory feature returns the monofold shape after removal of the expansion force. The insertion sheath may function as an access to closure sheath that is suitable for use as a procedural insertion sheath when treating the patient and a closure insertion sheath when sealing closed the vascular puncture.

Abstract: Among other things, uterine lavage is performed to withdraw at least 50% of in vivo fertilized preimplantation embryos produced after superovulation of a woman and artificial insemination using sperm of her sexual partner. After genetic diagnosis or sex determination or gene therapy, or any combination of any two or more of them, of the recovered embryos and selection of at least one of the embryos to be implanted, the selected embryos are returned to the woman for implantation in her uterus.

Abstract: Implantable assemblies/devices and methods for manipulating energy transferred by members defining an anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first member of the anatomical joint, a second component configured to be attached to a second member of the anatomical joint; and a hydraulic member joining the first and second components. The hydraulic member is placed under compression to absorb energy transferred by the members when the first component is attached to the first member and the second component is attached to the second member and a distance between locations of attachment of the first and second components becomes smaller then a predefined distance between the locations.

Abstract: A growing rod for mounting between attachment mechanisms that are secured to anatomical structures of a patient having scoliosis. The growing rod includes a base rod having an attachment end, an extendable rod that is translatable relative to the base rod along a longitudinal axis and a housing enclosing at least a portion of the extendable rod therein. A magnet is rotatably mounted within the housing and is enclosed by a top magnet cover and a bottom magnet cover. The magnet includes a first pole and a second pole. A gear reduction mechanism is associated with the magnet and the extendable rod. The gear reduction mechanism reduces an output rotation to the extendable rod relative to an input rotation from the magnet.

Abstract: The present invention is directed an anchor assembly for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The anchor assembly preferably includes a bone anchor (10), a body (20) with a rod-receiving channel, an insert member (40) (preferably a bushing), and a locking cap with a saddle (70). The anchor assembly preferably enables in-situ assembly where the bone anchor may be secured to the patient's vertebra prior to being received within the body of the bone anchor assembly. Accordingly, the anchor assembly enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body may be snapped onto the bone anchor and a spinal rod may be inserted into the rod-receiving channel.

Abstract: An anchoring element for a stabilization device for bones or vertebrae, with which a bone or vertebra can be connected to a rod-shaped element is described. By providing for at least one degree of rotational freedom between the rod and an anchoring element that is firmly connected to the bone or vertebra, the transfer of torque (M) onto the anchoring element and can be prevented as well as loosening or even separation of the bone anchoring element from the bone or vertebra. Moreover, the invention provides a stabilization device, in which such bone anchoring elements are used.

Abstract: A receiving part for receiving a rod for coupling the rod to a bone anchoring element includes a receiving part body including a first end and a second end, and having a substantially U-shaped recess at the first end forming a channel for receiving the rod, and an accommodation space for accommodating a head of the bone anchoring element, the accommodation space having an opening at the second end for introducing the head; and a pressure element arranged at least partially in the accommodation space, the pressure element including a first section having a second recess for receiving the rod, and a second section having a flexible portion to clamp the head, the first section and the second section being fixed relative to each other, wherein said pressure element is insertable from the opening.

Abstract: Systems, devices and methods related to spinal stabilization are provided. A system can comprise a plurality of cross-links. Each of the cross-links can include a central rod holder that extends substantially along a mid-line of the spine and a pair of extension members extending from the central rod holder. The extension members can be secured to a vertebral body via a fixation device, such as a spinal screw or a hook member having serrations and/or side-cuts. One or more rod members can be extended across the central rod holders of the cross-links, thereby forming a stable spinal stabilization system providing bilateral stress distribution across different levels of the spine.

Abstract: Orthopaedic devices including a connecting element suited for receiving at least part of a first rod, and a lock screw. The connecting element includes an anchor for securing the connecting element to a bone, in particular a vertebra, a first lateral opening, and a top opening with a first inner screw thread. The lock screw is received within the top opening and includes a proximal face presenting a screw drive, accessible from outside the connecting element, a distal end for locking the first rod within the connecting element, and wherein the lock screw is adapted to fit through the first lateral opening to be subsequently introduced into the top opening with the proximal face leading.

Abstract: Spinal implants and methods of extending pre-existing spinal implant constructs. An extension clamp may be connected to an original spinal implant including an elongated rod attached to a portion of the spine without removal of the original spinal implant. The extension clamp may include a yoke and an extension rod extending from the yoke. The yoke may include a first end and a second end, the first end having first and second rod engaging portions and a channel between the first and second rod engaging portions for encompassing a fastener, and the second end being spaced apart from the first end. The first and second rod engaging portions may be configured and dimensioned to secure the extension clamp to the elongated rod.

Abstract: The present disclosure relates, according to some embodiments, to orthopedic implantable device technology, and more specifically to implantable devices for use in stabilizing the occipitocervical junction and the cervical spine. For example, the disclosure relates to embodiments of an implantable orthopedic assembly generally comprising an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod at a nonzero distance from a plate surface. One or more rails may extend laterally from a plate to support a clamping assemblies.

Abstract: Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.

Abstract: A method for providing stabilization and compression of a bone fracture, the method comprising: providing an intramedullary prosthesis sized for insertion into the intramedullary canal of a bone and having a distal end, a proximal end and a porous structure therebetween, wherein (i) in a first state, the prosthesis is longitudinally expanded and radially contracted, and (ii) in a second state, the prosthesis is longitudinally contracted and radially expanded, conforms to the shape of the adjacent bone and exerts forces on the adjacent bone; and positioning the intramedullary prosthesis within the intramedullary canal of a bone so that the intramedullary prosthesis spans the bone fracture, whereby to provide stabilization and compression of the bone fracture.

Abstract: In one embodiment the present invention is an implant suitable for implantation in bone, comprising a median zone extending along a longitudinal axis between a first end and a second end, the first end having a face extending generally perpendicular to the axis to form an abutment having a width; and a first fixation zone extending from the first end and the abutment, the first fixation zone including a pair of tabs formed of shape-memory material extending from a base portion of the tabs adjacent the abutment such that the abutment extends further from the axis in a radial direction than the base portion of the tabs, wherein the pair of tabs are separable from one another by shape-memory action at body temperature.

Abstract: A bone plate and method for use thereof affords use of at least two surgical approaches to attach the bone plate to a fractured bone to facilitate reduction and repair thereof. The bone plate includes two domains extending in different directions from a transition zone. The directions in which each of the two domains extend are generally opposite, and the transition zone is configured to afford portions of the two domains to be substantially disposed in planes that are transverse to one another.

Abstract: A bendable polymer tissue fixation device suitable to be implanted into a living body, consisting of a highly porous body, made from a polymer, the porous body having a plurality of pores, such that the device is capable of being smoothly bent, wherein the bending collapses a portion of the pores to form a radius curve, and the polymer fixation device is rigid enough to protect a tissue from shifting. Preferably, the polymer fixation device may be capable of being gradually resorbed by said living body. In one embodiment, the polymer fixation device consists of a plurality of layers distinguishable by various characteristics, such as structural or chemical properties. In another embodiment, the polymer fixation device may feature additional materials which serve to reinforce or otherwise alter the structure or physical characteristics of the device, or alternatively the additional materials serve to deliver therapies to the living being.

Abstract: A bone fixation plate for fixation of fractures having a small terminal bone fragment, such as fractures of the distal radius. The plate includes an elongated body, and two hook members extending from a first end of the elongated body. A contoured region is configured to approximate the surface contour of the distal radius proximate the volar rim, the dorsal rim, or the radial arm. Each hook member is configured to provide subchondral support to a distal bone fragment, without causing shortening of the fragment into the metaphyseal bone, and without providing a bending torque directed to the base of the plate. The tooth members of the hook plate are preferably sharpened at their tips and edges to facilitate their impaction. A holder/impactor for gripping the radial hook plate, and for further facilitating impacting of the hook plate without the need to pre-drill pilot holes, is also provided.

Abstract: The invention relates to an implant in the form of a bone-connecting device with an implant carrier, having at least two structure carriers for stimulating bone growth, the structure carriers can move relative to one another so that, due to a loading of the implant, a relative movement of the structure carriers occurs, the structure carriers furthermore contain structure elements that are arranged so that they define a plurality of partially open intermediate spaces, wherein a volume defined by these intermediate spaces and an immediate environment is deformed by the implant load, and a strain in the intermediate spaces and its immediate environment resulting from the deformation lies in the physiological range for bone growth.

Abstract: A storage unit for storing and/or making available at least one carrier for at least one surgical item, in particular for at least one bone screw. The carrier can be brought to a holding position and to a release position, the carrier being held by the storage unit in the holding position and being released or releasable from the storage unit in the release position. The storage unit has at least one release part. The carrier can be brought from the holding position to the release position by actuation of the release part. The invention further relates to a set containing at least one such storage unit and at least one carrier for at least one surgical item, in particular for at least one bone screw. The invention moreover relates to a surgical container containing at least one storage unit and/or at least one set.

Abstract: A filling system for delivery of at least one substance to a covering is provided. The filling system comprises at least a funnel shaped container and a plunger. The funnel shaped container includes a scoop portion connected to a hollow barrel. The barrel is configured for insertion into the covering, the plunger adapted for pushing the at least one substance down the hollow barrel into the covering. The filling system can also include a spatula. A kit including a funnel shaped container, a plunger adapted to push a substance down the barrel of the funnel shaped container, a spatula, a retainer for keeping the kit elements in place and trays for protecting them from the environment are also provided. A method of use utilizing the filling system is also provided.

Abstract: A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

Abstract: The present invention generally is directed toward a spinal fixation system whereby a coupling element allows the physician to selectively lock or unlock either the connection between the coupling element and a fastener, such as to allow for repositioning of the coupling element, or the connection between the coupling element and an elongate rod. The locking or unlocking of these connections may be made independently and as desired by the physician.

Abstract: A method for treating a vertebral bone comprises providing a gaseous substance and providing a flowable and settable bone filling material. The method further comprises introducing the gaseous substance into the bone filling material to form a porous bone augmentation material and inserting a material delivery device into the vertebral bone. The method further comprises injecting the porous bone augmentation material from the material delivery device and into the vertebral bone.

Abstract: A shroud for protecting exterior portions of a prosthetic implant from adhesive and a method for utilizing the same. The shroud includes a hub, a rim, and at least one bridge connecting the hub and the rim. The rim of the shroud may be sized to cover substantially the same area as a guard of the implant. The method of utilizing the shroud involves securing the shroud to the prosthetic implant. A quantity of adhesive is provided, and the prosthetic implant is secured thereto. The shroud is removed from the implant, and then the guard is secured to the implant.

Abstract: The biodegradable kyphoplasty balloon system includes a biodegradable balloon catheter and a delivery system. The biodegradable balloon catheter includes an elastomeric tube and a biodegradable balloon. The elastomeric tube has opposed open and closed ends with a resealable slit being formed in a central portion thereof. The elastomeric tube is formed from an elastomer such that the resealable slit acts as a one-way inflation valve. The biodegradable balloon is mounted on the elastomeric tube such that the biodegradable balloon is sealed thereto about the resealable slit for selective inflation thereof. The delivery system includes a hollow push tube and an inflation tube. The hollow push tube has opposed first and second open ends. The inflation tube has opposed open and closed ends, with an aperture being formed through the inflation tube adjacent the closed end thereof. The hollow push tube slidably receives the inflation tube.

Abstract: The present invention relates generally to flexible guide wires, and, more particularly, to a flexible guide wire that can be attached to a surgical site and pulled taut to provide a guide for the introduction of instruments and implants to the surgical site, but cannot be pushed towards the surgical site without the wire bending so that there is no advancement of the tip of the flexible guide wire further into the surgical site or bony structure.

Abstract: A system for delivering a surgical tack in tissue includes a driver, including: a shaft having a slot and a channel; and a handle slidably connected to the shaft and having a driving mechanism, the driving mechanism having a driving pin for providing a downward force through the shaft; and a tack cartridge having a plurality of tacks and adapted to be received in the slot and further adapted to feed the tacks between the driving mechanism and the channel.

Abstract: There is provided a method of supplying cryoenergy to a plaque within a blood vessel. The method comprises expanding an expandable membrane of a catheter apparatus with a pressure of less than 5 ATM (507 kPa), the catheter apparatus having been placed in thermal contact with the plaque within the blood vessel. The method also comprises establishing a temperature of between +15° C. (288K) and ?35° C. (238K) at an interface of the expandable membrane and the blood vessel. A system and catheter apparatus are also provided.

Abstract: Methods and apparatus for the treatment of a body cavity or lumen are described where a heated fluid and/or gas may be introduced through a catheter and into treatment area within the body contained between one or more inflatable/expandable members. The catheter may also have optional pressure and temperature sensing elements which may allow for control of the pressure and temperature within the treatment zone and also prevent the pressure from exceeding a pressure of the inflatable/expandable members to thereby contain the treatment area between these inflatable/expandable members. Optionally, a chilled, room temperature, or warmed fluid such as water may then be used to rapidly terminate the treatment session.

Abstract: A disposable cautery device and related methods for making and disassembling a disposable cautery device are disclosed. In one embodiment, the disposable cautery device comprises a housing having a first end and a second end. A cautery tip extends from the housing first end, and the housing second end is configured to receive a removable power source. An actuator is provided to selectively complete an electrical connection between the cautery tip and the removable power source. The actuator is disposed within a recess formed in the housing, and the recess is at least partially circumscribed by a raised rim. A top surface of the actuator is flush with or lower than the rim to inhibit inadvertent actuation of the disposable cautery device. In some embodiments, an end cap is coupled with the second end of the housing to retain the removable power source in the housing, and removal of the end cap from the housing causes the coupling between the end cap and the housing to fracture.

Abstract: An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.

Abstract: An electrode catheter (14) and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter (14) comprises an electrode (20) adapted to apply electrical energy. A measurement circuit (42) is adapted to measure impedance between the electrode (20) and ground as the electrode approaches a target tissue (24). A processor (50) determines a contact and coupling condition for the target tissue (24) based at least in part on reactance of the impedance measured by the measurement circuit (42). In another exemplary embodiment, the electrode catheter (14) determines the contact and coupling condition based at least in part on a phase angle of the impedance.

Abstract: A medical instrument is disclosed. The medical instrument includes at least one electrical contact, a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, a battery discharge circuit coupled to the RF generation circuit, a processor coupled to the battery discharge circuit, and a memory coupled to the processor. The memory stores computer instructions that when executed cause the processor to monitor battery capacity and send a signal to the battery discharge circuit to discharge a battery coupled to the battery discharge circuit when the battery capacity falls below a predetermined threshold.