Abstract: Described are methods and devices relating to anastomosis procedures, including those that reconnect the urethra and bladder after a radical prostatectomy, wherein the devices incorporate tissue approximating structure to maintain contact between tissues for healing the tissues together.

Abstract: Method and device for cutting a blood vessel using a cutting tool from within the blood vessel. A first cut portion of the blood vessel is fused to a second blood vessel to provide a flow channel therebetween.

Abstract: This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.

Abstract: Described are devices, methods, and systems for achieving occlusion of vascular vessels. Further described are certain reduced or low profile procedures and devices for the percutaneous occlusion of the saphenous vein, such as in the treatment of a varicose vein condition caused by venous reflux. Devices and procedures can involve an endoluminal delivery device having an atraumatic distal end, that is advancable through a vascular vessel, and an occlusion device received on the endoluminal delivery device. The endoluminal delivery device can have one or more adaptations for releasably receiving the occlusion device. The occlusion device can include a sponge form material. The occlusion device can include a remodelable material or a synthetic material. The occlusion device can include an anchor.

Abstract: A detachment actuator for use with an implantable medical device deployment system that guide and deploys the medical device at a target location within a body vessel. The detachment actuator includes a first portion that is connected the implantable medical device and a second portion that is attached to a control member the controls the release of the medical device, The second portion of the detachment actuator detaches and moves away from the first portion of the detachment actuator to move the control member and release the medical device.

Abstract: A vascular occluder includes first and second baffle members which are formed of an expansion device such as a stent across which extends an impermeable membrane. The baffle members are held at a given separation by spacer elements. The separation creates a chamber between the baffle members in which the blood is able to stagnate, thereby creating a second occlusion barrier. One of the baffle members may have an aperture within its membrane for receiving a delivery catheter for delivery of thrombogenic agent into the chamber. The occluder has a given length, thereby making it suitable for implantation in difficult vessel sections and is also able to avoid problems of recanalization of the vessel which can occur with prior art occluders.

Abstract: A device for at least partially occluding an aneurysm is disclosed. The device includes a first elongate member having a distal end. A bridge is positioned proximate the distal end and transformable between a delivery configuration and a deployed configuration. A second elongate member is movable relative to the first elongate member, the first and second elongate members being configured such that one can be moved relative to the other in order to transform the bridge between the delivery and deployed configurations.

Abstract: An interventional medical device connector and a method for using same. The interventional medical device connector comprises an implant (1) and a pusher (5). One end of the implant (1) is provided with at least one lock ring (9). The top end of the pusher (5) is provided with at least one locking hole (7). The pusher (5) is provided with at least one control wire (4). The control wire (4) slides along the axial direction of the pusher (5), and the top end of the control wire (4) can reach at least one of the locking holes (7). The control wire (4), the lock ring (9) and the locking hole (7) together form a connection means having a lock-pin structure. Use of this means of connection effectively overcomes the defects of existing threaded connections, reduces risks, and provides convenience of use.

Abstract: Disclosed are methods and devices for obtaining patent hemostasis of the radial artery by compressing the uninstrumented ulnar artery to increase radial artery flow. The device comprises a band having an inflatable bladder for applying blunt pressure to the ulnar artery. The method comprises applying a pressure to the homolateral ulnar artery and applying a pressure to the radial artery at the access site to obtain hemostasis at the access site.

Abstract: The instant invention describes a surgical tool for providing cavitations, or void spots, within the interior of body regions. The surgical tool is constructed and arranged to penetrate almost all interior body regions in which formation of a cavity or void space is necessary for diagnostic or treatment purposes. The surgical tool comprises an insertable member receiving structure sized and shaped to receive one or more insertable devices. The interior lumen of the insertable member receiving structure allows the insertable device to slide and/or rotate relative to the insertable member receiving structure and vice versa. At least one insertable member is a cavity forming device which has a plurality of cavity forming members constructed and arranged with spring-like characteristics for traversing between a cavity forming position and a non-cavity forming position. Upon traversal back to the cavity forming position, the displacement members retain their cavity forming structural configurations.

Abstract: A device for accurately positioning the acetabular cup in a minimally invasive total hip arthroplasty (THA), comprising the steps of (a) placing the cup in roughly the correct position in the acetabulum using a acetabular component placement tool, (b) taking a first abduction reading and a first anteversion reading using a gyroscopic positioning unit aligned with the acetabular component placement tool, (c) taking an image of at least a portion of the cup using a radiography unit, (d) using the image to determine the actual orientation of the cup and required position of the cup to properly orient the acetabular component, (e) incrementally altering the position of the cup by using a striking tool, (f) taking new abduction and anteversion readings using the gyroscopic unit to determine the relative movement of the cup caused by the tapping, and (g) repeating any of the steps as necessary.

Abstract: A tool and method for locating a proper position for a portal incision for hip arthroplasty, the tool having at least one generally straight body defining an axis, the generally straight body having a slot at one end, the slot being angled at an approximately 45 degree angle relative to the axis of the generally straight body, the slot configured to receive a cutting member or guide tool. A second generally straight body may be connected to the first generally straight body to form a right angle. If the lengths of the two generally straight bodies are substantially equivalent, then when the second generally straight body is inserted into the acetabulum, the first generally straight body positions the slot in the proper location such that sliding a guide tool or cutting member through the slot allows a portal incision to be created in the proper location. In some embodiments, the generally straight bodies may have adjustable lengths.

Abstract: A targeting device for targeting a cross bore in a bone nail has an arm member coupled to an end portion of the bone nail and an aiming portion forming part of the arm member extending parallel to a longitudinal axis of the bone nail. An adjustable aiming device is mounted on the aiming portion, the adjustable device having a guide bore alignable with the cross bore in the nail. The adjustable device is moveable with respect to the aiming portion in a direction perpendicular to a plane containing both the nail longitudinal axis and central axis of the cross bore. A target indicator is mounted on the adjustable aiming device. The target indicator has a radiolucent body including first and second spaced parallel planar portions each having a spaced radiopaque element therein.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: An instrument assembly for resecting a distal femur for receipt of a knee implant, comprising an intramedullary rod and resection instruments. A valgus portion of the intramedullary rod has series of engagement members positioned to provide a plurality of engagement positions for use in fixing the resection instruments on the valgus portion. The resection instruments are configured to selectively engage and selectively lock on the valgus rod at the engagement positions via the engagement members. The engagement members preferably comprise pairs of substantially vertical indents arranged in parallel along opposing sides of said valgus portions. The resection instruments preferably engages and locks to said engagement members via a sliding rod engagement member. The resection instruments preferably include a distal cut guide having a distal resection slot and a femoral resection block.

Abstract: A thrombus treatment device includes a support wire, a body frame portion that is disposed about an axis defined by the support wire, one or more tethers that each have a first end and a second end, and a filter element extending from the body frame portion. Each of the one or more tethers is attached at its first end to the body frame portion, and at its second end to a collar that couples the second end of each of the multiple tethers to the support wire. When the collar is positioned substantially within a region interior of the body frame portion, a rotational actuation of the support wire causes a swiveling motion of the one or more tethers.

Abstract: A surgical bag device is provided. The device includes a surgical bag with a pocket at the open top and elongate biasing member disposed in conjunction with the pocket and translatable between a first open position where the biasing member extends through a substantial portion of a circumference of the pocket, to a second closed position. An elongate push rod with a distal end portion is fixed to the biasing member and an opposite proximal end portion operatively engaged with a movable plunger within a housing. The push rod is translatable as urged by the plunger between a distal position extending the biasing member into the pocket and a proximal position withdrawing the biasing member from the pocket. The push rod comprises a plurality of longitudinally spaced teeth disposed thereon, which are meshingly engagable with a plurality of teeth from a corresponding first set of teeth of a pinion gear.

Abstract: An ultrasonic surgical device comprises a detachable transducer module, a handle, and a shaft assembly. The shaft assembly includes an end effector having a harmonic blade. The transducer module is removably coupled with the shaft assembly to form an active assembly. The active assembly is removably coupled with the handle. The handle may include a resilient wall structure that deflects outwardly to receive the active assembly in a snap fit. The handle may include a pivoting latch feature to selectively retain the active assembly relative to the handle.

Abstract: An endoscopic surgical rotary capture instrument is used in minimally invasive laparoscopic surgery for closing a gastric band having a buckle end a free end. The rotary capture instrument includes a pusher end that has a stationary jaw and a movable jaw. The movable jaw is actuated by rotary motion of an inner shaft. The jaws are used to gasp securely and push the tube end of the gastric band after it has been threaded through the buckle end of the band. A hook instrument is used to hold the buckle end securely while the rotary capture instrument is used to push the free end of the gastric band.

Abstract: A system and method for abdominal surgery is disclosed. The system can have one or more end effectors that can be attached to an introducer and/or tray and inserted into the abdomen through a large puncture through the patient's umbilicus. The end effector can have a surgical tool, such as a grasper. The system can have a manipulatable control arm that can be inserted into the abdomen through a small puncture through the patient's body wall. The end effector can be attached to the control arm and simultaneously or concurrently detached from the introducer or tray. The control arm can then manipulate the end effector to perform the surgery.

Abstract: An endoscopic forceps is provided. The endoscopic forceps includes a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough. The shaft has a first tube with a bent portion having a contour. A second tube is disposed within the first tube. An end effector assembly operatively connected to a distal end of the first tube has a pair of first and second jaw members. The first and second jaw members including respective cam slots defined therein with a cam pin movable therein. The shaft is translatable along the longitudinal axis to straighten the bent portion of the first tube to move the bent portion of the first tube from an articulated configuration to a non-articulated configuration. The second tube is translatable along the longitudinal axis to move the first and second jaw members from the open configuration to the clamping configuration.

Abstract: A surgical tool can include a main unit and a first rigid sheath. The main unit includes an inner tube that is received within an outer tube. The first rigid sheath removably receives the main unit and connects to the main unit via a coupling between a first connector portion of the main unit and a second connector portion of the rigid sheath. The first rigid sheath can be completely removed from the main unit when the first connector portion is decoupled from the second connector portion. A different rigid sheath having a different shape from the shape of the first rigid sheath can then be removably attached to the main unit instead of the first rigid sheath. A surgical tool kit includes a plurality of rigid sheaths having different shapes and having the ability to be removably attached to the main unit.

Abstract: A multifunction device for endoscopic surgery including a supply means for the supply of at least one fluid and forceps or a clamp which comprise forceps-shaped electrodes with jaw parts for high-frequency surgery. The supply means is formed to dissect tissue by means of a fluid jet at or in a jaw part of the forceps or clamp. The multifunction device is one for both water jet surgery and high-frequency coagulation and/or cutting that occupies no more space than a conventional high-frequency instrument or conventional forceps or clamps.

Abstract: Various embodiments of the present invention provide a conduit device including an attaching device configured for defining a helical pathway through a tissue wall and complementary ring in cooperation for securing the device within an aperture defined in the tissue wall. Some embodiments of the present invention further provide a system for implanting a conduit device in a tissue wall. More specifically, some embodiments provide a system including a coring device for defining an aperture in a tissue by removing and retaining a tissue core and securely implanting a conduit device therein so as to provide fluid communication between a first and second surface of the tissue wall via the conduit device.

Abstract: Devices, systems, and methods are employed to perform an atherectomy in an identified region to restore patency to arterial lesions. A bioactive material is introduced into the identified region before, after or during performing the atherectomy. The bioactive material can be introduced, e.g., on a balloon coated with the bioactive material, which is expanded in contact with the identified region to deliver the bioactive material. The bioactive material can be, e.g., at least one of a restenosis-inhibiting agent, a thrombus-inhibiting agent, and an anti-inflammatory agent.

Abstract: A biopsy device includes a lateral member; a gun mount configured to support a biopsy gun, the gun mount being connected to the lateral member and movable along a first axis with respect to the lateral member, and a sensor which detects a position of the gun mount along the first axis with respect to the lateral member and generates positional data which is provided to an interface module. The gun mount can also be reconfigured in orientations which are offset in a dimension which is orthogonal to the first axis, orientations rotationally offset about the first axis or an axis parallel to the first axis. The lateral member can be in right hand and left hand orientations. Various sensors detect these reconfigurations and provide corresponding data to the interface module for additional calculations and display.

Abstract: A micro-vitreoretinal (MVR) blade for incising tissue for a transvenous chorioretinotomy and similar procedures includes a shaft with a working tip having a chisel-type edge on its end or leading edge. Various embodiments of the inventive MVR blade have different chisel-type edge structures, such as a latitudinal chisel, an angled chisel, a chevron, a reverse chevron, a concave semi-lunar and a guarded or step-down working tip. The MVR blade may also include drug/chemical coatings, electrification or freezing to promote hemostasis or chorioretinal anastomosis formation.

Abstract: Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing a first intravascular device having a distal portion with a concave side, inserting the first device into the vascular lumen, positioning the distal portion in the vascular wall, and orienting the concave side of the distal portion toward the vascular lumen.

Abstract: A needle disclosed herein may include an elongate body extending between a proximal end and a distal end with a central longitudinal axis defined by the body, where the distal end includes a single sharp point along the central longitudinal axis and defining a distal end terminus three longitudinal fluted surfaces converging at the distal end terminus; and three longitudinal beveled cutting edges defining borders between the fluted surfaces and converging at the distal end terminus. Needle embodiments may include one or more ports open into and/or proximal of the fluted surfaces and communicating with one or more longitudinal needle lumens.

Abstract: A surgical access port that includes a cylindrical member having a proximal end and a distal end and defining a longitudinal axis; at least two lumen extending through the cylindrical member along the longitudinal axis; at least one cavity defined in the cylindrical member and positioned radially within the at least two lumen; and a source of inflation fluid coupled to the at least one cavity, the source of inflation configured to permit selectable inflation of the at least one cavity, whereby inflation of the at least one cavity increases the radial distance between the at least two lumen.

Abstract: Insertion devices and associated systems and methods for the percutaneous placement of patient leads are disclosed herein. A system in accordance with a particular embodiment includes a cannula having a lumen and a first dilator. The first dilator can be positioned within the lumen and the first dilator and the cannula can be used to create a percutaneous entry point. An additional dilator can be positioned over the first dilator and advanced into the percutaneous entry point to expand the percutaneous entry point. A final dilator can be inserted into the patient and two leads can be advanced into the patient through the final dilator.

Abstract: The present invention comprises systems, methods and devices for the delivery of compositions for occluding or of means for opening conduits. The implantable occlusive material may be delivered pre-formed or in situ cured and, may be a resorbable material that supports tissue ingrowth that eventually replaces the material leaving little or no original material in place. The delivery system is positioned to allow for placement of the occlusive material into the body conduit. Use of delivery systems, methods and devices for re-opening an occluded body conduit are also included.

Abstract: Systems, methods, and apparatuses for debriding a tissue site, such as a wound, involve using solid CO2 particles and reduced pressure to cut and remove undesired tissue in a controlled manner. The system may urge the undesired tissue into a treatment cavity and then cut the undesired tissue with impinging CO2 particles. The CO2 particles sublime into a gas and present little or no mess. Other systems, methods, and apparatuses are presented.

Abstract: In general, various embodiments of the present invention comprise an external fixation device, an internal fixation device, and a lower extremity stabilizer. The external fixation device is connected to the lower extremity stabilizer and the external fixation device is adjustably connected to the internal fixation device. The internal fixation device is capable of being attached to at least one bone in a patient's foot, ankle, and/or lower extremity.

Abstract: A distractor device (10) may include a tubular body (13) being internally threaded (19), a first foot plate (11) extending from the tubular body, and an internal post (14) in the tubular body. The internal post may include a first portion (16) having a first diameter being externally threaded (26) to cooperate with the internally threaded tubular body, and a second portion (17) coupled to the first portion, having a second diameter less than the first diameter, and also being externally threaded (18). The tubular body may include a longitudinal slot extending from adjacent the first foot plate. The distractor device may include a second foot plate (20) extending through the longitudinal slot and for threadingly coupling to the externally threaded second portion of the internal post. The second portion may include a tool interface (15) on a distal end thereof.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure.

Abstract: A polyaxial screw body includes a side wall defining a lumen having a first end and a second end. An opening disposed at the first end of the lumen, includes an interior surface disposed in the side wall thereabout. The interior surface is adapted to accommodate a head portion of a pedicle screw. A transverse channel extends from a first aperture through the side wall to a second aperture and is adapted to accommodate a portion of a fixation rod therebetween. A lateral connector extending integrally from the side wall.

Abstract: A bone clamping system includes a shaft (3), a first plate (1) integrally attached to the shaft and a second, movable plate (20), wherein a locking leaf (22, 23), penetrating into the shaft (3) or not, locks the second plate (20) on the shaft (3).

Abstract: Treatment of spinal irregularities, including, in one or more embodiments, derotation apparatus and systems that can be used to reduce the rotation of vertebral bodies. Derotation apparatus that may comprise a tube assembly comprising an inner sleeve and an outer sleeve disposed over the inner sleeve. The inner sleeve may have a distal end for attachment to an implant. The tube assembly may further comprise a handle assembly. The tube assembly may further comprise a ball joint assembly disposed between the tube assembly and the handle assembly. The ball joint assembly may comprise a ball joint configured for attachment to a coupling rod.

Abstract: An orthopedic device is provided. The orthopedic device can include an intramedullary implant defining a longitudinal bore along a longitudinal axis. The intramedullary implant can define at least one bore formed along an axis for receipt of a fastener. The orthopedic device can include a fixation device receivable within the longitudinal bore. The fixation device can have at least one guiding bore formed along a guiding axis transverse to the longitudinal axis. The orthopedic device can include at least one collet received within the at least one guiding bore for positioning and locking the fastener at a variable angle relative to the guiding axis of the fixation device and the axis of the intramedullary implant.

Abstract: The present invention relates to a device for fixation of bone fragments at bone fractures.

Abstract: Bone plates having an adjustable joint, and methods of using the bone plates to fix bones.

Abstract: A bone plate includes (a) a body having a first surface which, in an operative configuration, faces away from a bone on which the plate is to be mounted and a second surface, which in the operative configuration, faces the bone, the body including a first section extending along a first longitudinal axis and a second section extending along a second longitudinal axis angled with respect to the first longitudinal axis; (b) a first hole extending through the body from the first surface to the second surface and defining a first hole axis, the first hole being structured to lockingly engage a head of a first bone anchor inserted therein such that a shaft of the first bone anchor extends along the first hole axis; and (c) a second hole extending through the body and spaced apart from the first hole. The second hole defines a second hole axis and is structured to lockingly engage a head of a second bone anchor inserted therein such that a shaft of the second bone anchor extends along the second hole axis.

Abstract: A bone anchoring device for anchoring in a bone comprises a hollow shaft having an outer surface including a first portion and a threadless second portion, the second portion having a larger outer diameter and a shorter axial length than the first portion; and a barb carrier having at least two barb elements. The shaft and the barb carrier can be moved relative to each other in such a manner that in a first configuration the barb elements of the barb carrier project beyond an outer surface of the shaft by a distance d1, and in such a manner that in a second configuration the barb elements of the barb carrier project beyond the outer surface of the shaft along the second portion of the shaft by a distance of d2, wherein d2>d1.

Abstract: A portable assembly for treating desiccated and injured spinal discs includes a collapsible stretcher including a rectangular frame and a plurality of legs connected with the frame; a spinal stretching assembly connected with one end of the stretcher and an adjustable harness connected with the stretcher another end of the stretcher. The portable assembly operates to stretch and apply tension and decompression through the thoracic and lumbar regions of a patient lying on the stretcher. A method for treating desiccated and injured spinal discs includes the steps of administering at least one dietary supplement to the patient; administering at least one medication to the patient; hydrating the patient; positioning the patient on a stretcher in a prone position; stretching and applying tension and decompression through thoracic and lumbar regions of the patient via a spinal stretching assembly; and executing Chi breathing.

Abstract: An ankle fusion device has a proximal portion generally aligned with a first longitudinal axis. The proximal portion includes a proximal end and a first fastener hole. The proximal portion has an arcuate curve such that the proximal end is spaced a distance from the first longitudinal axis in a first direction. The first fastener hole is configured to receive a first fastener along a first fastener axis. A distal portion of the ankle fusion device extends to a distal end from the proximal portion along a second longitudinal axis. The second longitudinal axis is angled in second and third directions relative to the first longitudinal axis. The second direction is perpendicular to the first direction and the third direction being opposite the first direction. The distal portion includes a second fastener hole configured to receive a second fastener along a second fastener axis.

Abstract: The present invention provides systems, devices and related methods for applying electric fields for cancerous cell destruction and tissue ablation. A method can include advancing an ablation probe into a patient; deploying a guide from the delivery member along a guide tissue penetration path, deploying an electrode from the guide along an electrode tissue penetration path, and establishing current flow within the target tissue.

Abstract: Methods of treating a subject for a cardiac arrhythmia are provided. Aspects of the methods include thoracoscopically producing a cardiac Cox maze III set of lesions in cardiac tissue of the subject in a manner sufficient to treat the subject for the cardiac arrhythmia.

Abstract: A medical device includes an insertion shaft, having a longitudinal axis and having a distal end adapted for insertion into a body of a patient. A resilient end section is fixed to the distal end of the insertion shaft and is formed so as to define an arc oriented obliquely relative to the axis and having a center of curvature on the axis. One or more electrodes are disposed along the end section. An ultrasound transducer is fixed to the distal end and is configured to image a vicinity of the arc using ultrasound waves.

Abstract: Methods for using a surgical device integrating a suction mechanism with a coagulation mechanism for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source and a fluid source to passively transport fluid along the contacted soft tissue surface in order to push the maximum temperature deeper into tissue.