Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type heed and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.

Abstract: A femur fixation device including an elongated nail configured for insertion into the medullary canal of the femur and a buttress element extending from the elongated nail. The buttress element is configured to reinforce the lesser trochanter region of the femur and assist in stabilizing the head portion of the femur.

Abstract: A fastener, for example a bone screw, is sized to pass into an aperture of an implant, for example, a bone plate, the fastener having an anchor portion engageable with body tissue, and a head portion formed by an assembly of an insert and an anchor extension. The insert and anchor extension cooperate to form a reduced dimension passable into the aperture, and an expanded dimension not passable out of the aperture. The size of the assembly may be configurable, for example, by tabs, ramped surfaces, or an expanding diameter of a threadable insert.

Abstract: A laser device having a proximal end and a distal end spaced from the proximal end, the distal end configured to receive a fixation member to be affixed to a target surgical site. The laser device includes a laser source supported by the laser device body and capable of emitting a laser beam to the distal end, wherein the laser source is responsive to at least one input so as to selectively switch between an inactive configuration whereby the laser source does not emit the laser beam, and an active configuration whereby the laser source emits the laser beam.

Abstract: The present disclosure provides various embodiments that may comprise an implant, to an instrument for implantation of the latter and to a method for manufacturing this implant which includes an elongated body between a free end and a head along a longitudinal axis on the one hand and turns of at least one threading on at least one portion of said body in proximity to the free end, along the longitudinal axis on the other hand, characterized in that the body includes a longitudinal internal conduit in at least one portion along the longitudinal axis, obtained by at least one first central machining operation parallel to the longitudinal axis and at least one second machining operation in a so-called transverse plane, not parallel to the longitudinal axis and crossing the wall of the body as far as the longitudinal internal conduit by making windows communicating between said longitudinal internal conduit and the outside of the body while preserving at least one portion of said turns and the wall of the body b

Abstract: An anchoring device and method for attaching an object to a bone comprises an anchoring member having proximal and distal ends, with the proximal end being adapted to hold the object to the bone while the distal end is in the bone, and a locking member having proximal and distal ends, with the proximal end adapted to secure the anchoring member into the bone and oppose its pull-out or loosening by stopping its backing or preventing its unscrewing while the distal end is in the bone. Also provided are first and second fasteners, with the first fastener adapted to fit to the proximal end of the anchoring member, and the second fastener adapted to fit to the proximal end of the locking member. The end of the second fastener can have an angle that matches an angle of the locking member.

Abstract: Orthopedic device holder systems including a quick connect between an orthopedic device holder and an orthopedic tool are disclosed. The orthopedic device holder can include a shaft having a shaft connection end including at least three shaft engaging surfaces. The orthopedic tool can have a tool connection end including at least three tool engaging surfaces configured to couple with the three shaft engaging surfaces of the orthopedic device holder.

Abstract: A method for guiding a bone removal device to form a socket in the human spine and for inserting a cortical bone implant into the socket. The method includes placing a guard against the posterior aspect of the spine, the guard having a passage therethrough, inserting the bone removal device into the passage, removing a portion of a facet joint with the bone removal device to create the socket having a maximum height, and inserting the cortical bone implant into the socket. The cortical bone implant has a leading end, a trailing end, a mid-longitudinal axis through the ends, and a height transverse to the mid-longitudinal axis, the height of the cortical bone implant being greater than the maximum height of the socket.

Abstract: A device includes a first member extending along an axis. The first member includes a first portion connected to a second portion by a hinge. Inner surface of the first and second portions define a cavity having a pivoting member is movably disposed therein. The pivoting member includes an inner surface defining a passageway having a second member disposed therein. A cap has an inner surface that engages an outer surface of the pivoting member. The pivoting member is movable between a first orientation such that the second portion is spaced apart from the pivoting member and the pivoting member is rotatable to a selected trajectory relative to the longitudinal axis and a second orientation such that the second portion engages the pivoting member to fix the second member in the selected trajectory. Methods of use are disclosed.

Abstract: A device to prepare and administer a two-component mixture, including a first chamber in which a container is housed that is hermetically closed for a liquid component, a second chamber containing a powdered component, an opening of the container of the liquid component, a mixing member placed in the second chamber for preparing the mixture and a piston able to move in the second chamber to dispense the mixture. The mixing member includes a stem, passing through an opening for dispensing the mixture in the second chamber, having an outer end equipped with a handle and an inner end provided with a mixing blade connected to the inner end with a releasable connection.

Abstract: This invention relates to a screw holder to hold tiny screws for application on bone & cranium during neurosurgery comprising of a handle integrally connected with an expandable tip for holding screw, wherein the tip comprising of a slit and a hole. It is associated with the following advantageous features: Simple is construction Efficient Cost effective Facilitates holding, accurate placement of screw and tightening.

Abstract: A bone fixation system is provided. The bone fixation system may include a plate, one or more fasteners configured to attach the plate to a target anatomical location such as bone, and a surgical device that facilitates the attachment of the plate and the fasteners.

Abstract: A flexible catheter has an ablation electrode disposed in its distal segment. The ablation electrode a cavity formed in its external surface, a microelectrode configured to fit into the cavity, a conductive wire lead connecting the microelectrode to receiving circuitry, and an electrical shield surrounding the wire lead. A power generator is connected to the ablation electrode and the electrical shield in a generator circuit. A back patch electrode adapted to contact with the subject is connected in the generator circuit. The microelectrodes can be active while energizing the ablation electrode.

Abstract: A computer-implemented system for delivering energy to tissue having a necrotic threshold may generally comprise an electrode array comprising a plurality of electrodes, a central electrode positioned intermediate the plurality of electrodes, and a controller configured to not only apply a first sequence of electrical pulses to the electrode array to induce thermal heating in the tissue and reduce the necrotic threshold of the tissue but also apply a second sequence of electrical pulses to the central electrode to induce cell necrosis in the tissue by irreversible electroporation. Electrical ablation devices and methods of using the same are also described herein.

Abstract: A coaptive surgical sealing tool may be similar to an ordinary hemostat with long (50, 60, 70 or 80 mm) thin jaws for sliding into the liver parenchyma, without tearing the larger blood vessels. The jaws are spring loaded and are designed for uniform compression, and to avoid closing too quickly. The jaws are capable of sealing a 50, 60, 70 or 80 mm sealing length, in a single bite, although it can also seal shorter lengths as well. The tool can.be used with existing ablative therapy microwave generators. The tool may be provided with irrigation and/or suction.

Abstract: A method for manufacturing an end effector assembly includes providing first and second jaw members moveable relative to one another about a pivot between a first, spaced-apart position and a second, approximated position. One of the first and second jaw members includes a cavity defined therein and the other of the first and second jaw members includes a stop member configured to be inserted into the cavity. A gap-setting gauge is grasped between the first and second jaw members to define a gap-distance between the jaw members equivalent to a thickness of the gap-setting gauge. The first and second jaw members are set such that the jaw members are prevented from approximation beyond the gap-distance.

Abstract: Electrosurgical instruments and associated methods are disclosed herein. Embodiments of the electrosurgical instruments can include an elongate shaft that can articulate an end effector relative to the elongate shaft, with the end effector including opposed jaws and positioned at a distal end of the elongate shaft. In addition, electrosurgical instruments are provided that include a cutting feature or knife that is coupled to the end effector and can axially translate relative to the elongate shaft. Furthermore, the knife can be rotated relative to the elongate shaft, which can cause simultaneous rotation of the end effector. Electrosurgical instruments are also provided that include an end effector including opposed jaws that are configured to rotate relative to the elongate shaft and grasp objects (i.e., via opening and closing the opposed jaws). Electrical energy can also be passed through the electrosurgical instrument for performing electrosurgical procedures.

Abstract: Methods and apparatus are provided for renal neuromodulation using a pulsed electric field to effectuate electroporation or electrofusion. It is expected that renal neuromodulation (e.g., denervation) may, among other things, reduce expansion of an acute myocardial infarction, reduce or prevent the onset of morphological changes that are affiliated with congestive heart failure, and/or be efficacious in the treatment of end stage renal disease. Embodiments of the present invention are configured for extravascular delivery of pulsed electric fields to achieve such neuromodulation.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example electrophysiology medical device may include a catheter shaft including a distal end portion and a sensing assembly having three or more terminals. The sensing assembly includes one or more current-carrying electrodes and one or more sensing electrodes. The one or more current-carrying electrodes, the one or more sensing electrodes, or both includes a mini-electrode. The mini-electrode is disposed on one of the other electrodes. The medical device may also include a controller coupled to the sensing assembly.

Abstract: A catheter and method for the treatment of a patient having atrial flutter or other arrhythmia comprises an elongated catheter body having an outer wall, proximal and distal ends, and at least one lumen extending therethrough. Further it has a distal tip section comprising a flexible tubing having a proximal end and a distal end and a plurality of lumens extending therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The tip section further comprises a nitinol tube having slots formed therein which causes the distal tip section to deflect using the same puller-wire action used to cause the deflectable catheter to deflect at a point proximal to the distal tip section.

Abstract: An apparatus has a pump module providing pump energy, a resonator and a controller. The resonator includes a gain medium receiving the pump energy from the pump module and producing light; reflective surfaces reflecting light produced by the gain medium back toward the gain medium; and a variable light attenuator receiving light produced by the gain medium. The controller controls the amount of light attenuated by the variable light attenuator such that the apparatus emits windows of pulses of laser light at spaced time intervals, each window containing a plurality of pulses of laser light and each interval between windows being larger than an interval between pulses within a window. The emitted windows of pulses of laser light heat tissue to a temperature that causes coagulation without vaporization.

Abstract: A housing structure for covering electronic device comprises a housing. The housing comprises a first housing portion and a second housing portion. The first housing portion and the second housing portion are sealed together, and the material of the first housing portion and the second housing portion is polyether ether ketone.

Abstract: The disclosed technology relates to a furniture cabinet capable of storing a breast pump. The furniture cabinet can include a storage section having a door and a slidable platform. The storage section can further include mounts located on an interior of the door. In use, the slidable platform is capable of holding a breast pump motor and the mounts are capable of holding a horn of the breast pump in a standby position when the door is in a closed position.

Abstract: Described herein are pharmaceutical packaging systems which prevent oxidative degradation of oxygen-sensitive drugs, such systems including a primary packaging container with an oxygen permeable component, a secondary packaging with very low permeability to oxygen and an oxygen absorber.

Abstract: An organizer for holding surgical instruments includes a tray that has instrument wells extending from the top surface of the tray. The shape of each instrument well corresponds to particular surgical instrument's shapes. Each well's depth corresponds to the height of a particular stack of surgical instruments. Pivoting locking bars extend over each instrument well to a locked position and prevent adding or removing any instruments. When the bar extends over the instrument well, it rests against the top-most instrument if the well is full. If any instruments are missing from their well, part of the locking bar projects above the tray's surface. Thus, one can notice quickly whether all instrument wells are full. The locking bar also may pivot over the instruments. The tray may have a plunger that projects about the tray's top surface if any surgical tools have not been returned to the tray.

Abstract: An organizer for holding surgical instruments includes a tray that has instrument wells extending from the top surface of the tray. The instrument wells may be open to allow high-pressure steam to reach the instruments in the wells. The organizer has two sections. The first section contains sterile instruments to be used during surgery, and the second section contains empty instrument wells, each of which has a shape and depth corresponding to the shape and depth of an instrument well in the first section. After instruments are removed from the first section and used during surgery, they are returned to the corresponding instrument well in the second section. After surgery, an instrument is missing unless all the instrument wells in the second section are full. Structure may be associated with the instrument wells to indicate that an instrument well is not full.

Abstract: A surgical drape for interventional cardiology, the surgical drape comprising: a substantially rectangular impervious layer, wherein the substantially rectangular impervious layer is configured to be draped over a patient; one or more absorbent layers attached on one side of the substantially rectangular impervious layer, wherein the one or more absorbent layers cover substantially the substantially rectangular impervious layer; one or more pedal access regions through the substantially rectangular impervious layer and the one or more absorbent layers; one or more femoral access regions through the substantially rectangular impervious layer and the one or more absorbent layers; and one or more radial access regions through the substantially rectangular impervious layer and the one or more absorbent layers. Other embodiments are described and claimed.

Abstract: A sealing system that includes a switchable drape is presented. The drape provides enhanced sealing by using a high-strength adhesive. In one instance, the switchable drape has a plurality of perforations through which a switching solution may be delivered to the high-strength adhesive. The switching solution causes the high-strength adhesive to become less adhesive so that the switchable drape may be removed more easily. Other systems, methods, and drapes are presented.

Abstract: A system and method for intracranial access is disclosed. In particular, a drill stop is shown providing a way to control the penetration of a drill bit as an access hole into the brain is being formed. Access to a desired location is achieved using a catheter guide device. Also disclosed is a mechanism by which multiple diagnostic and treatment devices can be placed at a desired location in brain tissue without the need for more than one access hole. A drainage catheter is disclosed with a mechanism to allow both drainage and to allow intracranial pressure measurement.

Abstract: Surgical devices such as a device guide for a trajectory frame for image-guided procedures, is configured with first and second elongate and cooperating semi-circular members that together define a longitudinally extending open channel and that can separate along longitudinally extending split lines into discrete first and second elongate semicircular members. The surgical devices with the first and second semi-circular members can include a device guide and dock and lock inserts that are detachably held by dock and lock members to a guide support column that also concurrently holds the device guide during at least part of an image guided procedure.

Abstract: Described herein are systems and methods for aligning an elongate member with an access site. An alignment system for controlling an alignment of a robotically controlled elongate member at an access site on a patient may include a longitudinal support rail and support arms coupled with and extending from the longitudinal support rail to form an alignment joint. One or more of the support arms may be configured to maintain the alignment of the elongate member with the access site during a surgical procedure. A method of aligning an elongate member with an access site may include determining a position of a stabilizer of an alignment joint and the access site on a patient, coupling the stabilizer to the access site on the patient, and automatically aligning the instrument driver with the stabilizer on the patient.

Abstract: The present invention teaches minimally invasive apparatuses and methods for stabilizing and/or guiding medical instruments used in a variety of medical procedures, including (a) introducing one or more substances into a subject's body, (b) removing one or more substances from a subject's body, (c) manipulating a region of a subject's body, or (d) combinations thereof. Among the many advantages of the inventive apparatuses are their simplicity and adaptability to attach to a variety of retractors.

Abstract: A medical manipulator is disclosed, which includes a multiple-degree freedom arm which can be mounted with a medical instrument, an insertion port position which indicates a spatial position of an insertion port for inserting the medical instrument mounted in the multiple-degree freedom arm into a human body is retained, and the multiple-degree freedom arm is controlled so as to insert the medical instrument into the human body from the retained insertion port position. The multiple-degree freedom arm is driven under operational restriction in which movement of the medical instrument is restricted by the insertion port position after the medical instrument is inserted from the insertion port position. The multiple-degree freedom arm is driven so as to move a predetermined portion of the medical instrument to spatial coordinates instructed by a user while maintaining a state where the medical instrument passes through the insertion port position under the operational restriction.

Abstract: A medical manipulator is disclosed, which includes a multiple-degree freedom arm which can be mounted with a medical instrument, an insertion port position which indicates a spatial position of an insertion port for inserting the medical instrument mounted in the multiple-degree freedom arm into a human body is retained. An insertion posture of the medical instrument is determined so as to cause an extended line of a major axis of the medical instrument to pass through the spatial position indicated by the retained insertion port position, outside the human body. The multiple-degree freedom arm is controlled so as to realize the determined insertion posture.

Abstract: A robotic apparatus has eight actuators (M0-M7) and a linkage (LINK 0-LINK 5) that actuates an end effector. Three serial macro freedoms have large ranges of motion and inertias. Four serial micro freedoms have small ranges of motion and inertias. Translation of the end effector in an y direction is actuated by at least one micro joint and at least one macro joint. The apparatus can be part of a master and slave combination, providing force feedback without any explicit force sensors. The slave is controlled with an Inverse Jacobian controller, and the mater with a Jacobian Transpose controller. A slave having more degrees of freedom (DOFs) than the master can be controlled. A removable effector unit actuates its DOFs with cables. Beating heart surgery can be accomplished by commanding the slave to move with a beating heart and cancelling out any such motion in the motions perceived by the master.

Abstract: An assembly for expansion of tissue according to an example of the present disclosure includes, among other things, a body extending between proximal and distal ends. The body includes a head portion at the proximal end, and at least two arm portions extending between the head portion and the distal end to define an actuation cavity. Each of the at least two arm portions are configured to abut tissue. An actuation member is received in the actuation cavity. The actuation member is moveable to vary a distance between the at least two arm portions at the distal end.

Abstract: Methods and devices are provided for preventing surgical devices used in laparoscopic procedures including opposed jaws and an overload mechanism from overloading the opposed jaws of the device. In one embodiment a surgical device, includes a handle and an elongate shaft extending distally therefrom with opposed jaws coupled to a distal end thereof. The surgical device can include a trigger pivotally movable about a first pivot axis during a first range of motion from an open position toward a closed position, to cause the opposed jaws of the end effector to move from an open position to a partially closed position. The trigger can further be pivotally movable about a second pivot axis during a second range of motion from the partially closed position to the fully closed position, without causing corresponding movement of the opposed jaws from the open position to the closed position.

Abstract: A method and tool for cleaning a surgical device and storing bone and tissue. The tool may include a housing including one or more entry openings and one or more brush assembly chambers, each brush assembly chamber in communication with an entry opening, a brush assembly disposed within each brush assembly chamber, a storage container in communication with each brush assembly chamber, and a ramp face that defines the one or more entry opening. The method may include inserting a distal end of a surgical device with biological material into an entry opening of a collection tool, rotating a brush assembly within a brush assembly chamber, the brush assembly and brush assembly chamber being disposed within the collection tool, the brush assembly chamber being in communication with the entry opening, and removing biological material from the distal end of the surgical device with the rotating brush assembly.

Abstract: A system and method for cleaning instruments, which provides removal and collection of material from one or more surgical instruments. The cleaning apparatus may be a dry cleaning process or offered in conjunction with one or more fluids. In one embodiment, the cleaning apparatus continuously purges blood, bone and other debris quickly and may comprise a system for removing reusable material from the cleaning process for reuse.

Abstract: A method for intraoperatively measuring joint contact mechanics of a patient's joint is provided. The method includes inserting a sensor between first and second bones of a joint. Then a predetermined force is applied to one of the first and second bones. Afterwards, contact mechanics such as, contact stresses, contact areas and/or forces are measured between the first and second bones in response to the applied predetermined force.

Abstract: A surgical tool system according to an embodiment of the current invention includes a surgical tool, and an interferometry system optically coupled to the surgical tool. The surgical tool includes a body section, a sensor section at least one of attached to or integral with the body section, and a surgical section at least one of attached to or integral with the sensor section at an opposing end of the sensor section from the body section. The sensor section comprises an interferometric optical sensor defining a reference distance that changes in response to at least one of a force or a torque when applied to the surgical section of the surgical tool.

Abstract: A method for designing a patient specific orthopaedic device intended for an osteoarticular structure of a patient, based on at least two two-dimensional radiographic images of the osteoarticular structure taken respectively in two offset image-taking directions, comprising the following steps: b) locating anatomical points on the radiographic images; c) determining at least one three-dimensional geometrical feature of the patient by matching the anatomical points b) located at step b); d) determining at least one three-dimensional size parameter of the orthopaedic device based on the geometrical feature of the patient determined at step c).

Abstract: A surgical device includes a plurality of cameras integrated therein. The view of each of the plurality of cameras can be integrated together to provide a composite image. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the composite image generated by the plurality of cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as transparent on the composite image. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

Abstract: A system and method that acquire (i) at least a reference image including one of a preoperative image of a surgical site with skeletal and articulating bones and a contralateral image on an opposite side of the patient from the surgical site, and (ii) at least an intraoperative image of the site after an implant has been affixed to the articulating bone. The system preferably generates at least one reference stationary point on at least the skeletal bone in the reference image and at least one intraoperative stationary point on at least the skeletal bone in the intraoperative image. The location of the implant is identified in the intraoperative image, preferably including the position of first and second centers of rotation, which are digitally represented and copied into the reference image to analyze at least one of offset and length differential.

Abstract: An implantable tissue marker incorporates a contrast agent sealed within a chamber in a container formed from a solid material. The contrast agent is selected to produce a change, such as an increase, in signal intensity under magnetic resonance imaging (MRI). An additional contrast agent may also be sealed within the chamber to provide visibility under another imaging modality, such as computed tomographic (CT) imaging or ultrasound imaging.

Abstract: A medical procedure localization aid produces reference marks on both the patient and the medical imaging scan. The aid is defined by a substrate sheet having indicia on one side that is opaque to medical imaging radiation and indicia on a second side that is transferable to a patient. The indicia on the first side is displayed on the scan image and the indicia on the second side is imprinted on the patient. By visualizing the location of a target on the scan image relative to the indicia on the scan image and comparing that with indicia on the patient, a medical professional may reliably locate where a medical procedure should be performed.

Abstract: Devices, methods, inserts, and systems useful in endodontic treatments, involving, for example, a shaped regenerative endodontic insert that contains platelet-fibrin matrix; certain shaped insert embodiments are formed by molding in a cavity mold, optionally as part of a mold assembly.

Abstract: An oral shield system for protecting an area in a patient's mouth, the system including an oral shield device having a molded body that forms a contoured surface and a pair of wings that extend from the body, and an elongate handle attached to the oral shield device.

Abstract: A dental repositioning device is disclosed which comprises a support plate having a first rod embedded therein and a second rod embedded therein, a first anterior mechanism having a top opening for receiving a set screw and a rear opening, a second anterior mechanism having a top opening for receiving a set screw and a rear opening, a first rod connected between the first anterior mechanism and a first rear mechanism and a spring inserted over the first rod between the first anterior mechanism and the first rear mechanism, a second rod connected between the second anterior mechanism and a second rear mechanism and a spring inserted over the second rod between the second anterior mechanism and the second rear mechanism, a first Z-clip for insertion into the first rear mechanism and a first buccal tube, and a second Z-clip for insertion into the second rear mechanism and a second buccal tube.

Abstract: A mandibular repositioning device is disclosed which comprises a lower assembly having a buccal tube having a slot opening formed therein with the tube being connected to a molar bracket that fits over a molar, a lower wedge having a head portion having an inner contact surface, an outer rounded surface, and an extension portion with the extension portion being adapted for insertion into the slot opening for adjustment purposes, the tube further having a side opening through which is inserted a set screw that is adapted for contacting the extension portion for holding the lower wedge in place, and an upper assembly having a buccal tube having a slot opening formed therein with the tube being connected to a molar bracket that fits over a molar, an upper wedge having a head portion having an outer rounded contact surface, an inner surface, and an extension portion, the extension portion being adapted for insertion into the slot opening for adjustment purposes, the tube further having a side opening through whic