Abstract: A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either within the brain. Once positioned at a desired location, the obturator is removed, leaving a distal end of the outer sheath adjacent an area of interest, and creating a working corridor. Interventional devices may be introduced to the area of interest, as well as a variety of treatments. A subsequent treatment process may also be employed.

Abstract: A clamping device for an external fixation system includes a clamp body and a locking assembly. The clamp body includes a first and second jaw that define a slot in communication with a first channel. The first channel can accommodate a first fixation element along a longitudinal axis of the first channel. The first jaw defines a first opening and the second jaw defines a second opening that are sized to receive a portion of the locking assembly. The locking assembly includes a first fastening element to pass through the first and second openings, and define a second channel to accommodate a bone pin. The locking assembly includes a second fastening element configured to engage with the first fastening element. The locking assembly is configured to restrict movement of the first fixation element and the bone pin relative to the clamp body in response to tightening of the locking assembly.

Abstract: A system includes a first fixation component, a second fixation component, and a first fastener. The first fixation component includes a first pivot structure including a first engagement surface and a first engagement feature, and can support one or more first clamping devices that secure bone pins inserted within a first bone. The second fixation component includes a second pivot structure including a second engagement surface configured to engage the first engagement surface, and is configured to support one or more second clamping devices that secure bone pins inserted within a second bone. The first fastener is configured to couple the first pivot structure to the second pivot structure and includes a first fastening element including a second engagement feature configured to engage the first engagement feature to maintain a first angle between a first axis of the first fixation element and a second axis of the second fixation element.

Abstract: An external fixator system includes a proximal frame configured to restrict motion in a lower extremity of a subject, and a frame connector assembly. The proximal frame includes a first, second, and third component. The first component can support a first clamp to secure a first pin inserted within a bone extending between a foot and a knee of the lower extremity. The third component extends from a second end of the second component. The first, second and third components have longitudinal axes that are substantially coplanar. The third component includes an extension to extend over a dorsal portion of the foot of the subject and to support a second clamp to secure a second pin inserted within a bone of the foot. The frame connector assembly extends from the second component to support a third clamp to secure a third pin inserted within a third bone of the foot.

Abstract: A method for treating a spine includes disposing a body including vertebrae in a lateral orientation relative to a surgical fixed surface configured for supporting the body; delivering a plurality of first implants adjacent the vertebrae such that the plurality of first implants are disposed along a sagittal plane of the body; attaching at least one surgical instrument to the plurality of first implants; creating an incision in tissue of the body; spacing the tissue adjacent the incision to define a surgical pathway to the vertebrae along a lateral surgical approach; delivering a second implant along the surgical pathway in a first orientation such that the second implant is aligned with the surgical pathway; and rotating the second implant to a second orientation such that the second implant is aligned with the sagittal plane. Systems and implants are disclosed.

Abstract: A method of conducting a surgical procedure including implanting an anchor into a bone, wherein the anchor comprises a receiving portion and a screw, the screw including a screw head contained within the receiving portion and pivotally engageable with a surface of the receiving portion, and wherein the receiving portion and the screw comprising a different material. The method further includes selecting a rod from a group of rod types and coupling the rod with the receiving portion to stabilize a position of a portion of the spine.

Abstract: A system to stabilize and guide the growth of the spinal column includes an elongated support member having a width and a length and a guiding connector having a bone connecting portion and a guiding portion. The bone connecting portion secures the guiding connector to a vertebrae and the guiding portion has a bearing element with a passageway adapted to receive the elongated support member. The bearing element permits relative sliding movement of the elongated support element in the passageway of the bearing element. The system may further include a bone fixation element has an elongated support member receiving channel, a locking mechanism and a bone anchoring portion. The bone anchoring portion secures the bone fixation element to bone. The locking mechanism secures the elongated support member in the channel. The guiding connector is moveable along the elongated support member to permit and control the growth of the spinal column along a predetermined path.

Abstract: A spinal correction system comprises a first member configured for attachment to a first portion of vertebral tissue and a second member is configured for attachment to a second portion of the vertebral tissue spaced from the first portion. A third member has a non-flexible configuration relative to the first and second members and is configured for attachment to an apical portion of the vertebral tissue and along at least a portion of at least two vertebrae. The third member extends between a first end connected to the first member at a first transition configured for attachment to the first vertebral tissue and a second end connected to the second member at a second transition configured for attachment to the vertebral tissue. Methods of use are disclosed.

Abstract: Devices and methods for aligning the components of polyaxial screws are described herein. In one embodiment, an alignment instrument includes an elongate frame having a longitudinal axis and a plurality of connection caps slidably disposed along the elongate frame. Each connection cap can removably couple to a polyaxial screw extension tube and selectively lock relative to the elongate frame such that a distance between the plurality of connection caps and an angular orientation of each connection cap relative to the elongate frame is maintained. The instrument can also include a transverse angle indicator to indicate an angular orientation of the elongate frame in a plane transverse to the longitudinal axis of the elongate frame. The device can, for example, capture the orientation of a plurality of polyaxial screws during spinal surgery such that the screws can be returned to the same orientation after manipulation to correct a spinal deformity, etc.

Abstract: Embodiments herein are generally directed to spinal implants for use in orthopedic stabilization assemblies. In some embodiments, these implants may be used in conjunction with laminoplasty or laminectomy procedures.

Abstract: A bone plate system for use in an “open door” laminoplasty procedure, including a bone plate, a first fixation element, and at least one second fixation element. The bone plate is elongated and has a generally curved shape such that the plate has an associated radius of curvature. The plate is sized and dimensioned to span a gap between a pair of bony segments, for example a pair of bony segments constituting a divided lamina. The first and second fixation elements are each configured to securely attach the bone plate to the bony segments. The bone plate has a first end including a generally U-shaped slot extending therein such that the open end of the slot comprises a first terminal end of the plate.

Abstract: An osteotomy instrument includes a handle, a first arm assembly, a second arm assembly, a displacement mechanism, and a tuning mechanism. The first arm assembly is pivotably mounted to the handle. The first arm assembly includes a first fastener support configured to hold a fastener. The second arm assembly is pivotably mounted to the handle. The second arm assembly includes a second fastener support configured to hold a fastener. The displacing mechanism includes a dial disposed on the handle. The displacing mechanism is configured to laterally displace a distal end of the first arm assembly and second arm assembly away and towards each other. The dial actuates the displacing mechanism. The tuning mechanism is configured to change an angular position of the first fastener support with respect to the second fastener support.

Abstract: A locking sleeve for receiving and locking the legs of a pedicle screw includes a stop ring provided on an inner side of a locking sleeve and resting on an upper edge of the legs, limiting the accommodation depth of the legs in the locking sleeve, and a plurality of groove blocks on the inner side of the locking sleeve which can be inserted between the legs of the pedicle screw for defining a fixed distance between the legs.

Abstract: A fixation system includes an elongate plate and an extension plate. The elongate plate includes an inner wall and has a longitudinal axis. The extension plate has first and second attachment portions offset from one another. An engagement portion extends outwardly from the first attachment portion. The engagement portion is couplable to the inner wall of the elongate plate. The second attachment portion defines an aperture for receiving a fastener. The second attachment portion is revolvable about the longitudinal axis of the inner wall when the engagement portion is coupled to and movable about the inner wall. A fastener is received into the first attachment portion to attach the extension plate to the elongate plate. Another fastener is received into the second attachment portion and into a bone part.

Abstract: A cervical plate includes a body defining one or more bone screw openings sized and configured to receive the shank of a bone screw therethrough with the head of the bone screw seated within the opening. A locking post extends from the body adjacent one or more of the bone screw openings with a locking element rotatably mounted thereon. The locking element includes a wing corresponding to each of the bone screw openings, with each wing sized to overlap a portion of the bone screw opening when the locking element is in a locking orientation and the head of a bone screw is seated within the bone screw opening. A swaged interface between the locking post and the locking element retain the locking element on the body while permitting the locking element to be rotated from a locking orientation to an orientation in which the bone screw openings are unimpeded to permit introduction of a bone screw.

Abstract: An orthopedic screw having a shaft and a thread ribbon is provided. The shaft includes a proximal driving end and a distal end. The thread ribbon extends around the shaft and including a base portion that is rigidly attached to the shaft and a flange portion that is resilient. The flange portion extends away from the shaft at a preset angle to form a preset outer thread diameter in a preset configuration. The flange portion extends away from the shaft at a second angle greater than the preset angle to form a second outer thread diameter greater than the preset outer thread diameter when the orthopedic screw is subjected to a pull out force.

Abstract: A washer for use with a bone screw having a shank and a head defining a maximum diameter, includes a body having a bottom face for engaging the surface of a bone and an opening therethrough sized to receive the shank of a bone screw extending therethrough. The washer includes a cavity in communication with the opening at the bottom face and configured to receive the head of the bone screw when the shank extends through the opening at said bottom face. The washer includes a plurality of flaps distributed around the opening of the cavity that are bendable from a first configuration in which the flaps define an opening sized to receive the head of the bone screw, to a second configuration in which the flaps define an opening smaller than the maximum diameter of the head of the bone screw.

Abstract: A cement-directing structure for use in cement-injection bone therapy includes a collapsible, self-restoring braided structure with regions of differential permeability to the bone cement. The regions of differential permeability may be provided by areas where the braided mesh density is greater or lesser than surrounding areas and/or by means of a baffle. After the structure is placed in a void within a bony structure, cement is injected into the interior of the structure then oozes out in preferred directions according to the locations of the regions of differential permeability.

Abstract: A torque limiting tool is described. The tool comprises a torque limiting mechanism that drives a shank about a rotational axis. The torque limiting mechanism comprises a plurality of opposed first and second gears having a plurality of outwardly extending first and second gear prongs. The plurality of first and second gear prongs extends outwardly at an inclined angle along an intermediate prong portion from a prong proximal end positioned along the disc sidewall surface to a prong distal portion. Each of the prong distal portions comprises a plateau portion that extends about parallel with the disc sidewall surface and resides at a distance away from the sidewall surface of the respective first and second discs. The mechanism is constructed such that toque is transferred therebetween when the respective intermediate portions of the opposed first and second prongs are in physical contact.

Abstract: A system and method for assessing a degree of coupling between an electrode and tissue in a body is provided. Values for first and second components of a complex impedance (e.g., resistance and reactance or impedance magnitude and phase angle) between the electrode and the tissue are obtained. These values are used together with a standardization value indicative of a deviation from a reference standard by a parameter associated with at least one of the body, the electrode and another component of the system to calculate a coupling index that is indicative of a degree of coupling between the electrode and the tissue. The coupling index may be displayed to a clinician in a variety of ways to indicate the degree of coupling to the clinician. The system and method find particular application in ablation of tissue by permitting a clinician to create lesions in the tissue more effectively and safely.

Abstract: A cryogenic needle probe having a proximal and distal region. A cooling supply tube provides pressurized cooling fluid within the needle. The proximal region is more conductive that the distal region. The proximal region is conductively coupled to a heat source.

Abstract: An attachment for an electrosurgical hand piece. The attachment comprises a probe assembly having an elongated tube having a proximal end and a distal end, and an electrode. The electrode has at a proximal end a conductive connector, which has a proximal end, a distal end and a channel extending through the conductive connector. The conductive connector may be comprised of a nickel plated brass alloy. The electrode further has a conductive wire extending from said distal end of said conductive connector, said conductive wire being connected to said distal end of said conductive connector adjacent to said channel in said conductive connector. The conductive wire extends substantially along the length of the elongated tube and may or may not extend out of the end of the tube.

Abstract: An electrosurgical apparatus includes a generator system configured to generate a radio-frequency electric signal, and a handpiece to be gripped by an operator and having an end fitted with an active electrode electrically connected to the generator system. The signal is capable of polarizing the active electrode so as to generate a glow plasma discharge in the atmosphere when the active electrode is in the proximity of the tissue mass, without propagation of electric current through the patient's body (B).

Abstract: An end-effector assembly includes first and second jaw members, a first outer housing associated with the first jaw member, and a second outer housing associated with the second jaw member. Each of the first and second jaw members includes a sealing plate. One or both of the first and second jaw members is movable from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the sealing plates cooperate to grasp tissue therebetween. One or more longitudinal-firing optical fibers are associated with either one or both of the first and second outer housings. One or more transverse-firing optical fibers are associated with either one or both of the first and second jaw members.

Abstract: A margin extension device and method are disclosed herein. The margin extension device can be used for ablating one or several cancer cells and can include a contact member and a plurality of electrodes. The contact member can be electrically conductive, and can electrically connect the electrodes. The margin extension device can further include one or several leads that connect the electrodes of the margin extension device to a treatment controller. The treatment controller can include a pulse generator that can generate one or several electrical pulses that generate one or several electrical fields in tissue proximate to the margin extension device.

Abstract: An endometrial tissue treatment device includes an elongate positioning member and an energy applicator coupled to a distal end of the positioning member, the energy applicator including a tissue contacting member and an expandable-collapsible support structure underlying the tissue contacting member, the expandable-collapsible support structure comprising a substantially non-compliant elongate balloon disposed within the tissue contacting member that, when inflated, has a length oriented substantially transverse to the positioning member, including a first closed end that positions a corresponding first corner portion of the tissue contacting member in a first cornu of a uterine cavity, and a second closed end that positions a corresponding second corner portion of the tissue contacting member in a second cornu of a uterine cavity, with a lengthwise portion of the balloon positioning a distal facing portion of the tissue contacting member for contacting a fundal wall of a uterus.

Abstract: A vaginal wall incision instrument includes a main body portion that is capable of being inserted into a vaginal canal; an incision portion that protrudes from a distal portion of the main body portion in a direction intersecting a center line of the vaginal canal and is formed by a conductive material; and an operating portion, wherein the main body portion includes an exterior portion and an interior portion, wherein the interior portion includes a contact portion, wherein a guide hole is configured on the interior portion, wherein the guide hole is capable of guiding the conductive member in a direction toward a boundary between the uterine cervix and the vaginal canal, and wherein the incision portion separates the vaginal canal along a circumference whose center is the center line of rotation by rotating the interior portion about the center line of rotation with respect to the exterior portion.

Abstract: An ablation catheter includes a control handle and a catheter sheath removably connectable to the control handle, the catheter sheath defining a fluid lumen and having a plurality of perforations proximal the distal end of the catheter sheath. The ablation catheter further includes a shape-imparting element inserted into the fluid lumen of the catheter sheath and removably connectable to the control handle. The shape-imparting element is connectable to an RF energy source so that, in use, the shape-imparting elements act as an electrode charging fluid into the fluid lumen to be expelled through the plurality of perforations on the catheter sheath.

Abstract: A system and method for assessing effective delivery of ablation therapy to a tissue in a body is provided. A three-dimensional anatomical map of the tissue is generated and displayed with the map defining a corresponding volume. An index is generated corresponding to a location within the volume with the index indicative of a state of ablation therapy at the location. The index may be derived from one or more factors such as the duration an ablation electrode is present at the location, the amount of energy provided, the degree of electrical coupling between an ablation electrode and the tissue at the location and temperature. A visual characteristic (e.g., color intensity) of a portion of the anatomical map corresponding to the location is then altered responsive to the index.

Abstract: Devices and methods are provided for performing an ablation procedure on tissue with flow monitoring using flow sensors. The devices include a catheter, and at least one flow sensor disposed on the catheter, and a component for applying the ablation procedure. An assessment module provides an indication of the efficacy of the ablation procedure based on the flow measurement from the flow sensor.

Abstract: A method and device for determining the transmurality and/or continuity of an isolation line formed by a plurality of point contact ablations. In one embodiment, a method for determining the size of a lesion (width, depth and/or volume) is disclosed, based on contact force of the ablation head with the target tissue, and an energization parameter that quantifies the energy delivered to the target tissue during the duration time of the lesion formation. In another embodiment, the sequential nature (sequence in time and space) of the ablation line formation is tracked and quantified in a quantity herein referred to as the “jump index,” and used in conjunction with the lesion size information to determine the probability of a gap later forming in the isolation line.

Abstract: Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver an energy delivery element to a renal artery via an intravascular path. Thermal or electrical renal neuromodulation may be achieved via direct and/or via indirect application of thermal and/or electrical energy to heat or cool, or otherwise electrically modulate, neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.

Abstract: Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver an energy delivery element to a renal artery via an intravascular path. Thermal or electrical renal neuromodulation may be achieved via direct and/or via indirect application of thermal and/or electrical energy to heat or cool, or otherwise electrically modulate, neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.

Abstract: A catheter device provides a balloon structure and a side-firing laser lumen within the balloon to create lesions in the pulmonary vein (PV) in the treatment of atrial fibrillation. Mounted on the balloon so as to contact the PV when the balloon is inflated are one or more electrodes which may be used in a measurement mode, a treatment mode, or both.

Abstract: Microwave applicators are disclosed which include a first transmission line segment, a second transmission line segment, and a third transmission line segment. The first transmission line segment includes a first inner conductor, a first dielectric disposed on the first inner conductor, and a first outer conductor disposed on the first dielectric. The second transmission line segment includes a second inner conductor, a second dielectric disposed on the second inner conductor, and a second outer conductor disposed on the second dielectric. The third transmission line segment includes a third inner conductor disposed on the third inner conductor, a third outer conductor disposed on the proximal end of the third dielectric. The impedance looking into the second transmission line segment from the first transmission line segment can be adjusted by adjusting the length of the third transmission line segment.

Abstract: An energy-based surgical system includes a light beam source and a probe defining a channel about a longitudinal axis thereof and a side opening near a distal end thereof. Methods of nerve detection using the system include positioning the probe adjacent targeted tissue, transmitting a beam of light from the light beam source through the channel of the probe and the side opening of the probe to the targeted tissue, measuring a response to determine the presence of a nerve within the targeted tissue, and delivering energy to the targeted tissue with the probe to treat tissue.

Abstract: Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver an energy delivery element to a renal artery via an intravascular path. Thermal or electrical renal neuromodulation may be achieved via direct and/or via indirect application of thermal and/or electrical energy to heat or cool, or otherwise electrically modulate, neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.

Abstract: The present invention generally relates to the field of laser treatment of tissue, and particularly, to a system and method for creating microablated channels in skin. The present invention is more particularly directed to treating subsurface tissue through the created channels.

Abstract: In an embodiment, an apparatus and method are described for ablating tissue in response to determining a fluorescence condition. An excitation light source may produce excitation light at a excitation wavelength of a fluorophore. A beam scanner may direct the excitation light towards a tissue location. A fluorophore may produce emission light in response to absorbing the excitation light. A camera may capture an image of the tissue location. In response to the image indicating emission light at the tissue location, an ablation light source may produce ablation light. The beam scanner may direct the ablation light towards the tissue location. Additionally or alternatively, a topography map may be generated and certain aspects of the apparatus and/or the method may be adjusted based on the topography map.

Abstract: An energy-based surgical system includes a light beam source and a probe. The light beam source is configured to selectively provide a beam of light. The probe defines a channel about a longitudinal axis thereof and a side opening near a distal end thereof. The channel is operatively connected to the light beam source and is configured to transmit the beam of light from the side opening. The beam of light is configured to detect the presence of a nerve within targeted tissue. The probe may further be configured apply treatment energy to tissue to treat tissue.

Abstract: The invention relates to an assembly comprising a transparent “outer” packaging element (1) defining a chamber, and an “inner” packaging element (2) received in said chamber of the outer packaging element (1). Said inner packaging element (2) comprises at least first and second packaging portions (21, 22) that are transparent, each of which has at least one cavity (41, 42) for receiving an article, and a sealing sheet that is at least partially opacifying, and that comprises two portions applied over the two packaging portions (21, 22) in such a manner as to close said cavities (41, 42). The two packaging portions (21, 22) of the inner packaging element (2) are folded over towards each other towards a configuration in which the two portions of said sealing sheet applied over the two packaging portions (21, 22) of the inner packaging element (2) face each other.

Abstract: A surgical system that includes a surgical glove configured to be removably attached to a human hand is disclosed. The surgical glove can include a first surgical instrument attached to the surgical glove, where the first surgical instrument is nonremoveably, integrally attached to the surgical glove during the formation of the surgical glove, and where the first surgical instrument is coupled to a finger of the surgical glove; a first switch attached to the surgical glove for controlling the first surgical support system; and a first actuating element attached to a thumb of the surgical glove. The first actuating element can be a discrete element. The first switch can be actuated when the first actuating element is placed in close proximity to the first switch, and a thumb of said surgical glove can be free of surgical support systems.

Abstract: The present specification discloses a combined drape and carrying bag unit used in medical and surgical settings with an indicator attached to a drawstring of the unit. Conversion of the unit from a drape or mat configuration involves pulling on exposed drawstring sections and results in deployment of the identifying indicator. The indicator includes preprinted information, a barcode for scanning, and/or space for the inscription of information by medical personnel. The inclusion of an integrated indicator with the combined drape and carrying bag unit informs medical personnel of the contents of the unit when in the bag configuration and obviates the need for opening the bag and discovering its contents, thereby reducing exposure of medical personnel to biohazard waste.

Abstract: With the objects of sufficiently reducing the size of a scope while still allowing three-dimensional images to be obtained from two directions, preventing hindering of a surgical procedure or viewing a monitor, and reducing the burden on a surgeon, a surgical observation system includes a first image-acquisition optical system that obtains, from a first observation direction, a pair of optical images, having parallax, of a subject via a pair of apertures disposed side-by-side; and a second image-acquisition optical system that obtains, from a second observation direction in which an angle about an optical axis differs from that of the first observation direction, another pair of optical images, having parallax, of a subject via another pair of apertures disposed side-by-side, wherein the areas of the apertures of the first image-acquisition optical system are larger than the areas of the apertures of the second image-acquisition optical system, and the first image-acquisition optical system and the second ima

Abstract: A matrix band for use in dentistry has a silicone-based, polymer coating applied to a polyester surface, which reduces or eliminates capillary action between a tooth and the matrix band. The matrix band may include at least one aperture to assist with removal of the matrix band from the tooth.

Abstract: Embodiments are provided for using an individualized orthodontic treatment index. One method embodiment includes receiving an initial virtual dental model from a first scan of a patient's dentition, modifying the initial virtual dental model to create a target virtual dental model according to a treatment goal, assigning a number of dental references to the target virtual dental model, receiving a treatment outcome virtual dental model from a second scan of the patient's dentition, mapping the number of dental references from the target virtual dental model to a treatment outcome virtual dental model, and calculating an individualized treatment index score for the treatment outcome virtual dental model according to one or more differences between the target virtual dental model and the treatment outcome virtual dental model based on the number of dental references.

Abstract: A metal base member and a thin layer of an orthodontic adhesive is used to rigidly secure said base member directly to a tooth; a layer of lead-free heat softenable material for joining two metal surfaces rigidly together and an orthodontic bracket having a face to fit within a surface area of the base member and an engagement receiver for an archwire by which forces are developed in a patient's mouth. In addition, the base member overlaps the base of the bracket by up to about 1.0 mm surrounding the base so that the bracket can be adjusted by an amount of up to about 1.0 mm in all directions around the base member without overlapping the periphery of the base member.

Abstract: In a preferred embodiment of the invention, tooth attachment placement (TAP) device or for assisting a user in placing one or more appliances or attachments on one or more teeth is disclosed. The TAP device comprises single tooth jigs connected through splines. The geometry of the device is automatically designed in the treatment planning unified workstation, thereby generating a digital STL file. Then the device is created from a non-flexible biocompatible material by a 3D printer in accordance with the digital STL file. Appliance, for example, may be a bracket or a bracket shim; and the attachment may be an aligner attachment or a pad. Different embodiments of the TAP device are disclosed. Methods for verifying the accuracy of the placements of the brackets on the teeth using the TAP device are disclosed.

Abstract: A metal base member and a thin layer of an orthodontic adhesive is used to rigidly secure said base member directly to a tooth; a layer of lead-free heat softenable material for joining two metal surfaces rigidly together and an orthodontic bracket having a face to fit within a surface area of the base member and an engagement receiver for an archwire by which forces are developed in a patient's mouth. In addition, the base member overlaps the base of the bracket by up to about 1.0 mm surrounding the base so that the bracket can be adjusted by an amount of up to about 1.0 mm in all directions around the base member without overlapping the periphery of the base member.

Abstract: An adjustable orthodontic bracket includes a metal base adapted to be rigidly secured directly to a tooth by a relatively thin layer of an orthodontic adhesive. This relatively thin layer of heat softening material fastens an orthodontic bracket directly to a tooth and subsequently heats the orthodontic material with a digital laser that allows the polymer material to reproduce a liquidous surface for adjusting the position of the bracket so that the bracket can be adjusted in all directions around the base member without overlapping the periphery of the base member.