Abstract: A radiographic imaging apparatus includes: a radiographic image obtainer configured to acquire a first radiographic image of an object; and a processor configured to obtain attenuation information of the object based on the first radiographic image, determine candidate tube voltages and tube currents based on a quality of a second radiographic image to be obtained, and determine expected exposure doses corresponding to the determined candidate tube voltages and tube currents.

Abstract: Systems, devices, and methods are provided for capturing and outputting data regarding a bodily characteristic. In one embodiment, a hardware device can operate as a stethoscope with sensors to detect bodily characteristics such as heart sounds, lung sounds, abdominal sounds, and other bodily sounds and other characteristics such as temperature and ultrasound. The stethoscope can be configured to work independently with built solid state memory or SIM card. The stethoscope can be configured to pair via a wireless communication protocol with one or more electronic devices, and upon pairing with the electronic device(s), can be registered in a network resident in the cloud and can thereby create a network of users of like stethoscopes.

Abstract: The present invention presents a positioning assembly to guide an invasive device toward a tissue object of a living body under ultrasonographic visualization. The positioning assembly is a part of an apparatus that controllably introduces an invasive device into a tissue object. The positioning assembly of the present invention is configured to improve on ultrasonographic guidance and to reduce chances of contamination of the apparatus.

Abstract: A system and method for quickly detaching an implant and for locating the detachment zone of a detachable implant. A sensor determines a sudden change in the local environment as the sensor passes from within a microcatheter to being exposed to the vasculature. The sensor may be a temperature sensor, ultrasonic sensor, pressure sensor or the like. If the detachable implant assembly uses a heater coil to detach the implant, the heater coil may be used as a sensor. Additionally, the implant itself may be used as a sensor if a change in electrical resistance is detectable as the implant exits the microcatheter and changes shape.

Abstract: An ultrasonic data acquisition apparatus includes an inner layer, a guiding rail surrounding the inner layer and an ultrasonic probe positioned outside of the inner layer and connected to the guiding rail. The inner layer includes an inner surface and an outer surface. The inner layer is curved along a circumference direction. The ultrasonic probe includes a far end adjacent to the tissue and a near end opposite to the far end. When the ultrasonic data acquisition apparatus is in working, the ultrasonic probe is movable relative to the inner layer along the circumference direction while keeping the far end consistently abutting against the outer surface of the inner layer. Besides, a system for acquiring ultrasonic data and a control method of the ultrasonic data acquisition apparatus are also disclosed.

Abstract: A scan completeness auditing system for use with an ultrasound imaging console in screening a volume of tissue comprising a location tracking system comprising at least one position sensor adapted to couple to an imaging probe and at least one orientation sensor adapted to couple to the probe, the position and orientation sensors configured to provide data corresponding to the position and orientation of the imaging probe and a receiver comprising a controller configured to receive the position and orientation data from the location tracking system and to electronically receive and record a first scan sequence comprising a first set of scanned images representing cross-sections of the tissue from the imaging probe. The controller can be configured to assign a replay dwell time to each image in the scan sequence. The dwell time for each image can be based on a relative spacing for that image in the scan sequence.

Abstract: A beamforming apparatus configured to beamform ultrasound waves transmitted through an ultrasound transducer having a two-dimensional transducer array includes a transmitter configured to output transmission pulses configured to drive elements constituting the transducer array, and a transmission switch configured to select at least two elements among the elements to form an aperture such that the transmission pulses drive the elements forming the aperture.

Abstract: Techniques for imaging adjusting a cine-loop are described herein. A cine-loop may be generated, and it may be identified whether the cine-loop has a stitching artifact. The cine-loop may be played, and the length of the cine-loop may be adjusted while the cine-loop is playing until the stitching artifact is substantially removed.

Abstract: An ultrasound diagnosis apparatus which is connectable to a wireless probe that acquires first data by scanning an object is provided. The ultrasound diagnosis apparatus includes a controller which is configured to recognize an occurrence of a first event, to automatically terminate a first communication connection to the wireless probe via a first communication network, and to control an automatic start of a second communication connection to an external apparatus via the first communication network; and a communicator which is configured to exchange data with the wireless probe and/or with the external apparatus by using the first communication network under the control of the controller.

Abstract: A urine collection system comprised of a plastic liner that releasably mounts to the toilet bowl, rim, or seat with a basin in the center thereof for the collection of urine. The basin has a stopped port to drain the urine into a standard specimen container. The system may be sized to fit a toddler potty or may be sized for a full-sized toilet.

Abstract: A predicted menstruation start date calculation apparatus includes a date information acquisition unit that acquires a number of menstrual cycle days and a number of high temperature phase days over multiple menstrual cycles of a woman, a type classification unit that performs classification into a specific type indicating that the number of menstrual cycle days is unstable and the number of high temperature phase days is stable, and into one or more types other than the specific type, and a calculation unit that calculates the predicted menstruation start date based on the classification by the type classification unit.

Abstract: A vein harvesting device is disclosed. The vein harvesting device includes a handle assembly, at least one elongated portion, first and second end effectors, and a tip. Each end effector is disposed adjacent a distal portion of the at least one elongated portion. Each end effector includes a first jaw member and a second jaw member, and at least one jaw member is movable toward the other jaw member. The tip is disposed in mechanical cooperation with the elongated portion. A distal end of the tip extends distally beyond a distal-most end of the first end effector. The first end effector is movable independently of the tip, and the second end effector is movable independently of the tip.

Abstract: A vein harvesting device is disclosed. The vein harvesting device includes a handle assembly, an elongated portion extending distally from the handle assembly and defining a longitudinal axis, an end effector, and a retractor. The end effector is disposed adjacent a distal portion of the elongated portion, and includes a first jaw member and a second jaw member. At least one jaw member is movable toward the other jaw member. The retractor is disposed in mechanical cooperation with the elongated portion, and includes a shaft and a pair of legs. The retractor is movable from a non-deployed position where the shaft is aligned with the longitudinal axis, to a deployed position where the shaft is disposed at an angle with respect to the longitudinal axis.

Abstract: A method may comprise creating a first passage across a wall with a sharpened member at a first angle relative to a lumen; advancing an anchor assembly through the first passage such that a distal portion of the anchor assembly is placed within the blood vessel; applying a force to the anchor assembly to position an adjacent portion of the blood vessel wall into a desired contact configuration relative to the anchor assembly; and while maintaining the desired contact configuration, advancing a needle through a portion of the anchor assembly and through a portion of the wall of the blood vessel to form an expandable tract between overlapping tissue portions of the vessel wall, wherein a portion of the anchor assembly comprises a saddle-shaped needle receiving structure configured to receive and support the needle after it has been advanced across the portion of the wall to create the expandable tract.

Abstract: A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position.

Abstract: Devices, instruments and associated methods for the subchondral treatment of osteoarthritis in small joints are provided. In addition, a method for treating joint pain in small joints is provided. These small joints may be ankle, elbow or wrist joints. The methods may target one of many different access points having trajectories with a common focal point at or near the small joint. The instruments may limit access to areas within or near the small joint by providing predefined entry paths that avoid damage to surrounding tissues.

Abstract: Apparatus for securing an object to bone, the apparatus comprising: an anchor assembly comprising an anchor and an actuation element extending from the anchor, wherein applying a force to the actuation element when the anchor is disposed in a hole formed in a bone secures the anchor to the bone; and an inserter for deploying the anchor assembly in a hole formed in a bone, the inserter comprising: a shaft for releasably engaging the anchor; and a force delivery mechanism mounted to the shaft and connected to the actuation element, the force delivery mechanism being constructed so as to receive an input force from an external source and to selectively apply an output force to the actuation element, with the force delivery mechanism being constructed so that the magnitude of the output force is limited regardless of the magnitude of the input force.

Abstract: The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member configured for arrangement within the anchor cavity. The insertion member includes a body having a proximal end portion and a flat distal end portion, and a head coupled to the proximal end portion of the body. A method of tissue repair and other anchor assemblies are also disclosed.

Abstract: An assembly for joining tissue portions is provided and includes an anvil assembly and a body portion juxtaposed with respect to one another along a shaft and arranged so as to be approximated with respect to one another; and an applicator disposed between the body portion and anvil assembly and configured for retaining a wound treatment material therein. The applicator has channels arranged for dispensing the wound treatment material therefrom onto an interface between the tissue portions. A method of joining the tissue portions is also provided and includes the steps of dispensing the wound treatment material from the applicator so as to distribute wound treatment material onto an interface between a first tissue portion and a second tissue portion; and approximating the anvil assembly and the body portion to one another so that the first and second tissue portions are in contact with one another.

Abstract: Devices, systems and/or methods for repairing soft tissue adjacent a repair site. In one embodiment, a repair device includes a plate member and an anchor. The plate member having a periphery, the plate member configured to be positioned along an outer surface of the soft tissue. The anchor includes a base and six legs extending from the base, the six legs extending from the base being moveable to a curled configuration such that the six legs wrap around separate portions of the periphery of the plate member with the soft tissue therebetween. In this manner, the repair device may be anchored to the soft tissue.

Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.

Abstract: A surgical stapling apparatus is disclosed which comprises a tissue stop configured to inhibit tissue from flowing out of the distal end of the stapling instrument as the tissue is being stapled and/or incised. Also disclosed is a surgical stapling apparatus comprising one or more interruptions, or absent staple cavities, in the rows of staple cavities defined therein. Also disclosed is a surgical stapling apparatus comprising a channel configured to receive tissue and/or another surgical instrument therein. In at least one instance, such a stapling apparatus could comprise staple cavities on one side of a longitudinal knife slot and no staple cavities on the other side of the knife slot. Further disclosed are methods for using the surgical stapling devices disclosed herein.

Abstract: A surgical instrument and a drive mechanism, the drive mechanism includes a motor, a planetary gear train, and a bidirectional ratchet mechanism; the input sun gear of the planetary gear train engages the output shaft of the motor; an output carrier of the planetary gear train engages an executing mechanism of the surgical instrument through a transmission mechanism; the bidirectional ratchet mechanism includes a ratchet, a bidirectional pawl assembly, and a stop; the ratchet is in rigid connection with an annular gear of the planetary gear train; the bidirectional pawl assembly includes a bidirectional pawl; the stop selectively drives a first end or a second end of the bidirectional pawl to lock the ratchet, so as to lock corresponding rotation of the ratchet when the motor drives the planetary gear train, and unlock corresponding rotation of the ratchet when the transmission mechanism drives the planetary gear train.

Abstract: A surgical system includes a handle having a controller and a motor, an adapter releasably coupled to the handle, and a loading unit releasably coupled to the adapter. The motor is coupled to a drive shaft of the handle. The adapter including an adapter identification device in communication with the controller, configured to store adapter data, and to communicate the adapter data to the controller. The loading unit configured to affect tissue in response to a force transmitted by the adapter from the drive shaft. The loading unit including a loading unit identification device in communication with the controller, configured to store loading unit data, and to communicate the loading unit data to the controller. The controller is configured to adjust output of a motor based on at least one of the adapter data or the loading unit data.

Abstract: Provided are methods, systems and devices for treating erectile dysfunction in a patient. A patient is selected that exhibits erectile dysfunction. A flow pathway is created between a first vascular location comprising a source of arterial blood and a second vascular location comprising a source of venous blood.

Abstract: A surgical instrument with a parallel gripping and clamping vascular clamp, which is equipped with coupling elements which makes possible a combination of a known detachable operating arrangement and of an actuating tool, in order to keep the access opening in the thorax free of intrusive instruments. With the parallel gripping and clamping operating means of the inventive vascular clamp, the known scissor-like means are dispensed with, and a parallel adjustment of the operating means takes place by means of a lever gear according to the invention. The lever gear is formed from a stationary lever, constructed as a body element, and from several movable levers, consisting of the tension- and pressure element, a push-pull rod, two toggle levers, two pivot arms and two movable branches.

Abstract: A system for delivering an implant device to a vascular site in a patient a delivery pusher apparatus, an implant device detachably connected to the delivery pusher apparatus by a tether having a distal end connected to a proximal end of the implant device, wherein the tether is substantially non-tensioned when connecting the implant device to the delivery pusher, and an electrical heating element configured coaxially around at least a portion of the tether, wherein heat generated by the heating element severs the tether at a point near the proximal end of the implant device.

Abstract: An apparatus for closure of an opening or isolation of a structure in the cardiovascular system. The apparatus generally includes an occluding segment, a delivery segment and a control segment. The occluding segment may be composed of one or more independently inflatable members which are detachably or permanently attached to a distal portion of the delivery segment. The occluding segment may contain a stem-like member, which constrains expansion of the inflatable member in one or more directions. The apparatus is intended to enable a combination of the following: inflation of the occluding segment, ‘over the wire’ advancement, detachment of a portion of the device, and steerability. Finally, the control segment may contain components such as ports, handles, and other mechanisms which enable safe and effective implantation of the device.

Abstract: A left atrial appendage occluder comprises an elastic closure disc, and a supporting structure connecting with the closure disc and being located on one side of the closure disc, with the supporting structure comprising a central end connecting with the closure disc and a plurality of interconnected and bent struts, wherein at least one anchoring thorn is set near the end of at least one strut with the anchoring thorn toward the closure disc. The left atrial appendage occluder has a stable structure, a good positioning and sealing effect on the cavity wall in the left atrial appendage, and it is easy to position repeatedly; it can also be recycled before separating from a conveyor. When in surgical operation, the left atrial appendage occluder can select the position area based on the actual shape and size of the patient's left atrial appendage, so the surgical risk is lowered.

Abstract: An orthopedic device includes a monolithic patient-specific guide. The patient-specific guide includes a three-dimensional contact surface preoperatively configured from medical scans of a specific patient as a negative surface of a medial portion of a proximal femoral bone of the patient according to a preoperative surgical plan for the patient. The guide also includes a proximal planar surface configured for guiding a resection of a femoral neck of the patient, and a scale formed on the planar surface. The scale is configured for indicating a preoperatively planned femoral version of a femoral stem implant and deviations therefrom.

Abstract: A surgical blade (180) designed for use with an acetabular cup remover (30). The blade includes a body (182) from which teeth (190) extend distally forward. The body and teeth are disposed around the section of a sphere. On each side of the longitudinal axis of the blade body there is an outer tooth and at least two inner teeth. The teeth are further shaped so that one each side of the longitudinal axis through the blade body there are at least two adjacent inner teeth that have rake surfaces located along axes that, extending from the outer surface of the blade body to the inner surface of the blade body, do not intersect.

Abstract: A system for repairing a cartilage defect. The system includes a riser block having a bone-engaging side that is a patient-specific negative of a patient's bone anatomy proximate to the cartilage defect. A drill guide-engaging side of the riser block is opposite to the bone-engaging side. A superior riser block guide hole is defined by the riser block and extends from the drill guide-engaging side to the bone-engaging side. An inferior riser block guide hole is defined by the riser block and extends from the drill guide-engaging side to the bone-engaging side.

Abstract: An auxiliary jig for a trapeziometacarpal joint arthroplasty is disclosed. The jig has a body, two grip portions, and a positioning portion. The positioning portion has a plurality of positioning holes so that pins can be fixed on the first metacarpal bone through the positioning holes. The jig can provide accurate positioning operations for cutting and drilling during a trapeziometacarpal joint arthroplasty.

Abstract: Methods for restoring blood flow in occluded blood vessels using an apparatus having a self-expandable distal segment that is pre-formed to assume a superimposed structure in an unconstrained condition but can be made to take on a volume-reduced form making it possible to introduce it with a microcatheter and a push wire arranged at the proximal end, with the distal segment in its superimposed structure assuming the form of a longitudinally open tube and having a mesh structure of interconnected strings or filaments or struts. In a preferred embodiment, the distal segment has a tapering structure at its proximal end where the strings or filaments or struts converge at a connection point.

Abstract: Provided is a tongue cleaner comprising: a head 1 forming a main body of said tongue cleaner; and a plurality of linear materials 31, 41, 51, 61 protruding from said head 1 and comprised of a loop pile; wherein said plurality of linear materials make up a plurality of linear material groups 65 to 69 comprised of at least two of said linear materials 31, 41, 51, 61 protruding from a pair of common loop-starting points 71, and a loop shape of said linear material 31, 41, 51, 61 differs from one another in each linear material group 65 to 69.

Abstract: A push-to-close actuated, dual-action, spaced pivot, assembly for jaws, blades, and forceps devices. The assembly is structured for use with a push rod, cable, or solid wire forceps actuator surgical instrument. A jaw receiving body of the assembly is adapted to receive a wide variety of types of jaws performing different surgical functions. Two separate moving jaws each pivot about a separate spaced pivot pin, on opposite sides of the jaw body centerline. A handle with a pushing actuating rod provides a pushing motion to a drive rod, cable, or solid wire within a cable sheath to push a connected yoke in the assembly to push against the jaws to close the jaws together.

Abstract: Systems and devices are described which include a tissue cutting device including a central rotatable shaft having a first end and a second end; a motor operably coupled to the first end of the central rotatable shaft, the motor including circuitry configured to rotate the central rotatable shaft; a moveable component configured to move along at least a portion of the length of the central rotatable shaft; and an elongated flexible cutting component having a first end and a second end, the first end of the elongated flexible cutting component secured to the moveable component and the second end of the elongated flexible cutting component secured to the central rotatable shaft in proximity to the second end of the central rotatable shaft; wherein movement of the moveable component along the at least a portion of the length of the central rotatable shaft changes a shape formed by the elongated flexible cutting component.

Abstract: Systems and devices are described which include a tissue cutting device including a tethering component; an elongated flexible cutting component having a first end and a second end, the first and the second end of the elongated flexible cutting component secured to the tethering component; at least one tether having a first end and a second end, the first end of the at least one tether attached to the elongated flexible cutting component, the second end of the at least one tether operably coupled to the tethering component, the tethering component configured to at least one of extend and retract the at least one tether; and a motor operably coupled to the tethering component, the motor including circuitry configured to rotate the tethering component and the secured elongated flexible cutting component; wherein extension and retraction of the at least one tether by the tethering component changes a shape formed by the elongated flexible cutting component.

Abstract: Systems and devices are described which include a tissue cutting device including a central rotatable shaft having a first end and a second end; a motor operably coupled to the first end of the central rotatable shaft, the motor including circuitry configured to rotate the central rotatable shaft; a tethering component; and an elongated flexible cutting component having a first end and a second end, the first end of the elongated flexible cutting component secured to the central rotatable shaft at a position between the first end and the second end central rotatable shaft, the second end of the elongated flexible cutting component operably coupled to the tethering component, the tethering component configured to at least one of extend and retract the elongated flexible cutting component; wherein extension and retraction of the elongated flexible cutting component by the tethering component changes a shape formed by the elongated flexible cutting component.

Abstract: Over-the-wire self-sizing, self-centering valvulotomes sufficiently designed to cut valves through a wide range of vein diameters and adjust to the internal diameter of a vein as the valvulotome is being drawn through the vessel, and methods of use thereof during certain medical procedures that involve splitting valves, are disclosed herein. In an embodiment, an over-the-wire valvulotome includes a catheter having a proximal end, a distal end, and a longitudinal axis therebetween, wherein a first portion of a plurality of cutting tools engage the catheter at the distal end, and wherein an actuation mechanism engages the catheter at the proximal end; a retainer for temporarily shielding a second portion of the plurality of cutting tools, wherein the second portion includes cutting blades; and a sheath slidably moveable over the plurality of cutting blades, wherein the catheter and the retainer have internal diameters configured for passing over a guidewire.

Abstract: A trocar sleeve has a hollow shaft having a distal end and a proximal end, the shaft having a rectilinear shaft axis, an external thread rising from an outer surface of the shaft, wherein a first external thread having a shape of a helix has a height, measured from the outer surface up to a vertex of the helix, the height of the helix, seen along the rectilinear shaft axis from distal to proximal increases, and wherein a pitch of the helix, seen along the rectilinear shaft axis from distal to proximal decreases.

Abstract: Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.

Abstract: A telescoping access cannula comprising: an outer tube; an inner tube carried by the outer tube, the inner tube being coaxial with the outer tube and longitudinally movable relative to the outer tube; and a rotatable member carried by the outer tube and connected to the inner tube, wherein rotation of the rotatable member causes longitudinal movement of the inner tube relative to the outer tube.

Abstract: Apparatus and methods are described, including a catheter shaped to define a catheter lumen. A wall of the catheter comprises a braided portion, and is shaped to define first and second longitudinally-running channels therethrough. A distal portion of the catheter is shaped to define first and second lateral openings, which are approximately equidistant from the distal end of the catheter. A flexible longitudinal member passes (a) from a proximal portion of the catheter to the distal portion of the catheter via the first channel, (b) out of the first channel via the first lateral opening, (b) into the second channel via the second lateral opening, and (c) from the distal portion of the catheter to the proximal portion of the catheter via the second channel. Other applications are also described.

Abstract: An endoluminal needle or punch is describes wherein the distal end of the endoluminal needle is able to articulate laterally out of the longitudinal axis of the steerable endoluminal needle. The endoluminal needle further comprise a blunted distal end configuration that is minimally traumatic. Under control by the user, at the proximal end of the endoluminal needle, a sharp stylet can be advanced to punch tissue and then be retracted to maximize safety. The endoluminal needle is configured for use within an introducer.

Abstract: A uterine manipulator includes a shaft configured to be inserted into a cervix and a colpotomizer assembly configured to move along the shaft. The shaft includes multiple ruler markings printed along a portion of the shaft. The colpotomizer assembly includes a sleeve that includes a rotatable locking member configured to compress the shaft in a manner that locks the colpotomizer assembly in position along the shaft when the rotatable locking member is depressed against the shaft. The rotatable locking member includes a cam roller configured to compress the shaft when the rotatable locking member is depressed towards the shaft.

Abstract: A uterine manipulator includes an arcuate shaft configured to be inserted into a cervix and a colpotomizer assembly configured to move along the arcuate shaft. The colpotomizer assembly includes a cup configured to receive the cervix. The cup defines a cup face disposed substantially perpendicular to an axial centerline of the cup and having a centerpoint disposed along the axial centerline of the cup, and an opening spaced apart from the cup face and sized to allow passage of the arcuate shaft. The opening is configured such that, when the arcuate shaft is positioned within the opening, an arcuate centerline of the arcuate shaft is aligned with the centerpoint of the cup face, and the arcuate centerline of the arcuate shaft is offset from the axial centerline of the cup at the opening.

Abstract: A distraction system includes a distraction rod having one end configured for affixation to at a first location on patient. The system further includes an adjustable portion configured for placement in the patient at a second location, the adjustable portion comprising a housing containing a magnetic assembly comprising a magnet, the magnetic assembly secured to a threaded element that interfaces with an opposing end of the distraction rod. The system includes a magnetically permeable member in proximity to the magnetic assembly and covering an arc of less that 360° of the adjustable portion.

Abstract: A method of positioning an external adjustment device relative to a patient includes placing a magnetic viewing sheet adjacent to a patient and identifying the location of an implanted magnetic assembly using the magnetic viewing sheet by visualizing a magnetic image of the implanted magnetic assembly in the magnetic viewing sheet. The external adjustment device is placed on the patient adjacent to the location where the magnetic image was located.

Abstract: An interspinous process spacer for implantation in an interspinous space between a superior spinous process and an inferior spinous process includes a balloon-like body, a first deployable protrusion and a second deployable protrusion. The body has a distal end, a proximal end and a longitudinal axis extending between the proximal and distal ends. The spacer is arrangeable in an unexpanded configuration and an expanded configuration. The first deployable protrusion is mounted proximate the proximal end and the second deployable protrusion is mounted proximate the distal end. The first and second deployable protrusions are oriented generally parallel to the longitudinal axis in the unexpanded configuration and generally perpendicular to the longitudinal axis in the expanded configuration.