Abstract: A drill guide for guiding elements, especially drill bits and implants of an implantation kit during a surgical intervention, has a main body having a gripping portion. The drill guide has an upper and a lower central opening along its longitudinal axis with a through going cavity for receiving the element to be guided. A lower contact surface is positioned on an object, such as a bone, on or into which the element is to be guided. The diameter of the through going cavity can be varied by a.) radial positioning of three or four jaws inside the cavity through a groove-slide block system and/or b.) against the force of a spring at the lower free end of guiding extensions. The spring is provided on the back side of the extensions which bear against the inner wall of the drill guide sleeve.

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 apparatus for providing a reference indication to a patient tissue includes a primary locating block having a patient-specific primary mating surface contoured for mating contact with a portion of the patient tissue in a predetermined primary mating orientation custom-configured responsive to preoperative imaging of the patient tissue. At least one mounting feature is provided to the primary locating block. At least one secondary item is configured for selective engagement with the primary locating block. The secondary item is at least one of a noncustomized secondary item and a patient-specific secondary item. The secondary item provides a reference indication to at least a portion of the patient tissue. The mounting feature of the primary locating block is configured for engagement with at least one secondary item in a predetermined secondary mounting relationship. The secondary mounting relationship is custom-configured for the patient tissue responsive to preoperative imaging of the patient tissue.

Abstract: An arterial device, system and method are provided for use with a patient undergoing a cardiac procedure. The system is configured for enabling one or more arterial devices to be accommodated in the aorta of the patient in use of the system, and a perfusion lumen arrangement provides therethrough a target perfusion flow into the aorta having a target perfusion flow rate that is significantly greater than a nominal perfusion flow rate, by an excess perfusion flow rate. A suction lumen arrangement provides therethrough a suction flow out of the aorta at a suction flow rate. The target perfusion flow rate and the suction flow rate may be concurrently and selectively controlled to cause embolic debris that may be present in the aorta to be diverted to the suction inlet, while providing the nominal flow rate to the body circulation of the patient.

Abstract: Briefly, in accordance with one embodiment, a tool for use with an endoscopic procedure comprises an expandable thermoplastic polyurethane vessel. The expandable vessel may be fused to a shaft and may be configured to receive a fluid from the shaft. The shaft may comprise a distal port and a proximal port configured to dispense a dye material exterior to the expandable vessel.

Abstract: A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of approximately 2 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extend out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient.

Abstract: A connector for connecting an instrument tip with a laparoscopic tube end, the connector including a base forming a body of the connector, the base having a lumen configured to accommodate an instrument tip actuator therein, and a seal permanently bonded to an inner surface of a proximal end of the base and configured to deform upon connection of the connector with the tube end.

Abstract: There is provided in accordance with an exemplary embodiment of the invention an ultrasound transducer for intrabody medical therapy comprising; an element adapted to transmit ultrasound energy; at least two electrodes configured to apply a voltage across at least some volume of the element; and a gas bubble containment area adapted to retain the gas bubble when in blood.

Abstract: An energy treatment instrument includes an electrically conductive probe having a first electrode in a distal end portion and adapted to transmit high-frequency electric current and ultrasound vibration to the first electrode, an electrode member installed on both sides of a longitudinal axis of the first electrode separately from the electrically conductive probe and provided with a second electrode, and a movable member. The movable member is installed at a distal end of the sheath member and configured to be openable and closable with respect to the second electrode. The movable member is placed at a position facing the first electrode installed at the distal end of the probe and the second electrode and includes a third electrode provided with an electrode surface configured to be able to conduct high-frequency electric current between the third electrode and the first and second electrodes.

Abstract: A robotically controlled surgical tool including a lockout mechanism is provided. The surgical tool may comprise an instrument mounting portion. The instrument mounting portion includes a housing, a plate, a shaft assembly comprising an end effector, and a coupler to couple the shaft assembly to the instrument mounting portion. The end effector comprises a first jaw member and a second jaw member, the first and second jaw members defining a channel therebetween, and a blade slideably receivable within the channel to cut tissue located between the first and second jaw members. The surgical tool may include an actuation mechanism to actuate the end effector to provide reciprocating movement of the blade within the channel. A lockout mechanism is coupled to the actuation mechanism. The lockout mechanism may selectively enable reciprocating movement of the blade. An interface mechanically and electrically couples the instrument mounting portion to a robotic manipulator.

Abstract: Catheters and methods for removing material from (or “debulking”) a body lumen while imaging the region comprised of the material are provided. The catheters can be used in body lumens, including but not limited to intravascular lumens such as coronary or peripheral arteries. The catheters include housings or other structures to mount or protect an imaging transducer. Generally, debulking catheters include a proximal portion, a distal portion having an opening, a cutting element which may be exposed through the opening to contact material in a body lumen and an imaging transducer with associated circuitry and display. The catheter debulks a body lumen when it is moved while the cutting element is in contact with the material in the lumen and the region comprised of the material is imaged before, after, or during catheter movement.

Abstract: A system for providing access across a site of obstruction is provided. The system may include a sleeve, having a distal portion that can move from an inverted position to an everted position. A balloon situated within the sleeve can be extended so as to evert sleeve. A pathway can extend across a juncture between the distal portion and the remaining portion of the sleeve so as to provide access across the site of obstruction. A method for providing access across the site of obstruction is also provided.

Abstract: The distal portion of a shape-memory filament extends from a needle containing at least one filament gripping element. To implant the shape-memory filament in tissue, the needle is inserted into a cannula with a flexible and removable hook. During partial withdrawal of the needle, the hook holds the distal portion of the filament stationary to deposit a section of filament in the distal portion of the cannula. The needle is re-advanced, pushing the section of the shape-memory filament to coil or fold within the tissue. Rotation of the needle with the filament gripping element further tightens the coiled or folded filament. Partial withdrawal, re-advancement, rotation and pushing of the needle are repeated to fill, pack, strengthen, enlarge or augment the tissue with the shape-memory filament.

Abstract: A device includes a first end portion, a second end portion, an intermediate portion between the first end portion and the second end portion, and a graft material coupled to at least the intermediate portion. The first end portion has a first end diameter. The second end portion has a second end diameter larger than the first end diameter. The intermediate portion tapers between the first end portion and the second end portion. A method of diverting fluid flow from a first passage to a second passage comprising deploying the device in a third passage between the first passage and the second passage, expanding the first end portion against sidewalls of the first passage, and expanding the second end portion against sidewalls of the second passage.

Abstract: A pericardial needle that punctures a pericardial membrane to attain access into a pericardial space of a heart by advancing a sharp tip until the sharp tip is adjacent to or in contact with a parietal pericardium of the heart such that the puncturing does not damage the heart muscle. The pericardial needle punctures the parietal pericardium when the heart muscle moves towards the pericardial needle, away from the pericardial needle, is at rest and/or is in synchronization with the systolic contraction period of the cardiac cycle of the heart. The synchronization may be provided based on a surface electrocardiogram, an arterial pressure, or a sensing pressure at the tip of the pericardial needle when the pericardial needle is adjacent into the parietal pericardium of the heart.

Abstract: A rod-shaped implant element for the connection of bone anchoring elements includes at least one rigid section that is configured to be placed in a receiver member of a bone anchoring element and a flexible section that is adjacent to the rigid section. The flexible section and the rigid section are formed as a continuous one-piece element.

Abstract: An osseous anchorage implant comprising an attachment structure adapted to receive and be attached to at least one bar, that is suitably an element of an osteosynthesis. The implant is made up of an osseous anchor and an attachment head bearing the attachment means. The attachment head is suitably traversed by a channel that is adapted to receive the bar. The attachment head comprises a clamp that is adapted to clamp the bar against an inside support wall of the channel. The implant is further characterized by the attachment means and the support wall enabling the rotation of the bar about a first axis that is not parallel to the longitudinal axis of the bar. The clamp comprises a moving clamping face, that is adapted to contact the bar, and that is borne by a support head that is articulatable at the end of the clamp via a ball and socket connection. The channel is suitably an open channel having an aperture opening onto one of the lateral faces of the attachment head, wherein the aperture bears the clamp.

Abstract: A bone fixation assembly includes a plurality of bone fixation elements that each include a bone anchor configured to be implanted into underlying bone, such as a vertebra. Each bone anchor is received in an anchor seat, and the anchor seats are joined by a fixation rod so as to operatively couple and fix the position and orientation of the vertebrae relative to each other. The bone anchor is free to rotate relative to the anchor seat, and is also free to pivot in a desired direction relative to the anchor seat.

Abstract: The present invention relates to an interspinous implant, intended to be implanted between two adjacent dorsal spines, each including an upper edge, a lower edge and two opposed lateral faces, wherein the implant includes at least one body with dimensions arranged so as to maintain or restore a distance between the adjacent edges of the two spinous processes and including at least two wings extending so that at least a part of each wing lies along at least a part of one lateral face of one of the two spinous processes and, additionally, at least one retainer for the implant, designed to retain the body of the implant between the two spinous processes and to be inserted from the same lateral face as the body.

Abstract: Instruments and methods are provided for manipulating a bone anchor and a spinal fixation element. The instruments and methods disclosed herein are particularly suited to facilitate rotation of a bone anchor relative to another bone to correct the angular rotation of the vertebrae attached to the bone anchor. The instrument does not require the spinal fixation element to be inserted into the bone anchor prior to manipulation. The instrument further may be used in the insertion of the spinal fixation element into the bone anchor.

Abstract: Methods and apparatus for treating bones, including, in one or more embodiments, methods and apparatus for treatment of vertebral fractures that include a containment assembly for cement containment and/or a balloon assembly for maintaining vertebral height. A containment assembly comprising a containment jacket adapted to be deployed inside bone; and a dividing wall that separates the interior of the containment jacket into a proximal region and a distal region, the dividing wall having an opening for providing access to the distal region from the proximal region.

Abstract: A device for cement augmentation of bone implants that includes a hollow cylinder having an inner diameter, an outer diameter and a longitudinal axis. The hollow cylinder includes an inner cavity, a front end configured and adapted for insertion into a bone, a rear end having a bore hole in communication with the inner cavity, and a shell having at least one perforation. The device also includes a bone implant insertable into the hollow cylinder. The hollow cylinder is adapted and configured to receive unhardened bone cement through the bore hole into the inner cavity.

Abstract: A fenestrated bone screw and method of use is disclosed in which a bone cement injection tube may be readily and sealably connected to the head of the bone screw by means of a bayonet connector so that bone cement from a cement pump may be forced into a cannula of the bone screw and into the bone structure proximate the fenestrations of the bone screw. Upon completion of the injection of the bone cement, the cement tube may be readily disconnected from the bone screw in such manner that leakage of bone cement is minimized. A surgical method of injecting bone cement into bone structure using such a cannulated, fenestrated bone screw is also disclosed.

Abstract: An apparatus for reducing the profile of a bone fixation plate while preventing backing out of screws is disclosed. The plate has at least two openings though which two screws can pass through bony tissue. The apparatus includes at least one section of relief and sections of engagement. As the screw is tightened, it will begin to lag the plate to the bone. When the screw head interferes with the plate at the interference point, there is a slight resistance that insertion forces can overcome. When the screw is advanced further, it snaps into the sliding fit area and is allowed to move freely. The forces that cause the screw to back out from the plate are preferably not strong enough to pass the screw head back past the interference section.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A bone anchoring element comprising a shaft (2) for anchoring in a bone, with a plurality of barb elements (7) arranged in at least one helical line around the shaft axis (M) is described, wherein said barb elements are elastically movable relative to the shaft. The bone anchoring element (1) is easy to press into a core hole bore in a bone. The barb elements (7) act in a similar manner as do the threads on a conventional bone screw and thus provide for depth positioning. Moreover, the barb elements at the same time secure the bone anchoring element and prevent it from sliding-out.

Abstract: A dynamic bone anchor includes a longitudinal core member having a first end and a second end, and a longitudinal axis extending through the first end and the second end. The dynamic bone anchor further includes a plurality of tubular segments configured to be positioned around the core member, each of the tubular segments having a bone engagement structure on an outer surface thereof. In a first assembled configuration between the core member and the tubular segments, each of the tubular segments is individually movable on the core member along the longitudinal axis independent of the core member, itself, and the other tubular segments.

Abstract: A device for treating vertebral bone including a releasably closed, removable filling member which can be placed within a plane separating superior and inferior portions of a vertebral body and oriented to promote its stabilization and realignment upon expansion of the filling member along the plane via injection of filler material, while minimally compacting bone or creating unsupported voids within the interior of the vertebral body.

Abstract: An apparatus for leading a cerclage member along a desired path through a portion of bone, comprises a guide strip extending from a proximal end to a sharpened distal end, at least a portion of the guide strip being biased to assume a shape corresponding to a portion of a desired path along which the cerclage member is to pass through a portion of bone and a delivery cannula including a lumen sized to slidably receive the guide strip therein, the cannula maintaining the guide strip in a substantially straight configuration until the guide strip is extended distally out of the lumen.

Abstract: The system for providing computer guided ablation of tissue of a patient includes an ablative surgical computer system and a set of surgical devices. The ablative surgical computer system includes a guidance module for providing a treatment guidance plan to an operator; and, a treatment module for acquiring and processing surgical device output data, for optimally controlling treatment parameters and providing feedback information to the operator based on the treatment guidance plan. The set of surgical devices includes at least one ablative device for providing ablation of the treatment region based on the treatment parameters and operator input; and, at least one temperature sensing device for acquiring temperature data from the treatment region and providing a temperature sensing device output signal. The temperature sensing device output signal is a portion of the surgical device output data.

Abstract: An electrosurgical apparatus for coagulating tissue comprises an elongate tube (3) having a proximal end and a distal end, and having a distal end face (12). The tube comprises one or more first apertures (14) located at the distal end face (12) and one or more second apertures (13) located along the periphery of the tube between the proximal and distal ends. The tube provides a conduit though which ionizable gas can be supplied to the distal end of the tube, and includes at least one electrode (4) for ionizing the ionizable gas exiting either the first or second apertures.

Abstract: A multi-button electrosurgical apparatus includes a housing having a passage extending therethough, a distal end configured to support an electrode; at least four switches disposed on a surface of the housing configured to be selectively activated by a user; and three wires connected between the housing and a connector, the connector configured to be operatively coupled to an electrosurgical generator, a first wire being coupled to the electrode and configured to receive electrosurgical energy from the electrosurgical generator, a second wire being coupled to a first switch and configured to generate a first activation signal and a third wire being coupled to a second switch and configured to generate a second activation signal, wherein a third and fourth switch are coupled to the first wire and the second or third wire via a respective reactive switching element configured to generate third and fourth activation signals.

Abstract: A switching control device for a medical instrument such as an electrode used in high frequency (HF) surgery. The switching control device comprises a connection line, designed as a switching control module for controlling various electrical operating modes of the instrument with a three-dimensionally and pressure-tightly sealed housing that is resistant to sterilization temperatures, an actuating element and fixing means to be releasably mounted within or on a manipulating part of the instrument, and module contacting means for interacting with device- or instrument-contacting means that are connected to the connection line to perform a switching control function.

Abstract: A surgical instrument is provided and includes a housing including an elongated shaft. The housing includes a docking portion that includes one or more apertures defined therein and electrical circuitry disposed therein. An end effector is operably supported at a distal end of the elongated shaft. A battery assembly is selectively and pivotably engageable with the docking portion of the housing and configured to generate electrical energy. The battery assembly includes one or more protrusions that are configured to releasably engage the aperture(s) on the docking portion and a latch mechanism that is movable from an initial position for latching the battery assembly to the docking portion to a subsequent position for unlatching the battery assembly from the docking portion. The battery assembly is adapted to communicate with the electrical circuitry of the docking member upon insertion of the battery assembly into the at least one aperture.

Abstract: A method for ablating tissue in or around the heart to create an enhanced lesion is provided. The distal end of a catheter including a needle electrode at its distal end is introduced into the heart. The distal end of the needle electrode is introduced into the tissue. An electrically-conductive fluid is infused through the needle electrode and into the tissue. The tissue is ablated after and/or during introduction of the fluid into the tissue. The fluid conducts ablation energy within the tissue to create a larger lesion than would be created without the introduction of the fluid.

Abstract: Lesion size or volume prediction shortly after the onset of an ablation procedure can inform or control the ablation procedure. The prediction and/or control is made without regard to an actual detected temperature in the vicinity of the ablation electrodes. As a consequence, the system has utility with irrigated catheter constructions and other situations in which local irrigation in the vicinity of an ablation site would otherwise interfere with a prediction or control scheme that solely relies upon temperature measurements.

Abstract: A steerable catheter sheath for use in directing a catheter into a desired position is provided. The sheath includes an elongated member configured to receive the catheter therein. The distal end of the elongated member is steerable in two directions, each direction having a different bent configuration, e.g., a sharp curve in one direction and an open arching curve in the other direction. A resilient structure having different bending properties in each of its lateral sides is carried in the distal portion of the elongated member and causes the asymmetric bending. In one embodiment, the resilient structure includes a hypotube with a plurality of notches and slits in the sides. In another embodiment, the resilient structure is covered in an outer coating having different durometer portions. The sheath is particularly useful for accessing left and right pulmonary veins when a transeptal entry approach is used into the left atrium.

Abstract: Neuromodulation systems with nerve monitoring assemblies and associated devices, systems, and methods are disclosed herein. A neuromodulation system configured in accordance with some embodiments of the present technology can include, for example, a generator, a nerve monitoring assembly configured to detect electroneurogram (ENG) signals, and a neuromodulation catheter. The neuromodulation catheter can include an elongated shaft with a distal portion and a proximal portion. The distal portion of the shaft can include an array of electrodes configured to detect nerve activity from within a blood vessel of a human. The proximal portion of the shaft can include at least one connector that operably couples the electrodes to the generator and to the nerve monitoring assembly.

Abstract: Methods and apparatus are provided for treatment of heart arrhythmia via renal neuromodulation. Such neuromodulation may effectuate irreversible electroporation or electrofusion, ablation, necrosis and/or inducement of apoptosis, alteration of gene expression, action potential attenuation or blockade, changes in cytokine up-regulation and other conditions in target neural fibers. In some embodiments, such neuromodulation is achieved through application of an electric field. In some embodiments, such neuromodulation is achieved through application of neuromodulatory agents, of thermal energy and/or of high intensity focused ultrasound. In some embodiments, such neuromodulation is performed in a bilateral fashion.

Abstract: A catheter has a distal assembly with at least one loop, if not two, with ring electrodes. The distal assembly has an elongated support member covered by an extruded form having two lumens, one sized for nonslip tight fit with the support member. A single continuous puller wire for bidirectional deflection is pre-bent into two long portions and a U-shape bend therebetween. The U-shape bend is anchored at a distal end of a deflectable section which is reinforced by at least one washer having at least two holes, each hole axially aligned with a respective lumen in the deflectable section. Each hole is centered with a lumen so that each puller wire portion therethrough is straight and subjected to tensile force only. A proximal end of the support member is flattened and serrated to provide a better bonding to the distal end of the deflectable section.

Abstract: An ablation system which transmits radio frequency (RF) energy for the ablation of biological tissues has a transmission line and an RF antenna disposed at the distal portion of the transmission line. An RF signal generator supplies RF energy to the proximal end of the cable for transmission to the antenna, and an electrically tunable transformer is connected between the signal generator and the antenna. The transformer is tuned based on detection of the reflected power level from the antenna so as to reduce or minimize reflected power, thereby increasing RF energy coupling between the antenna and tissue.

Abstract: A therapeutic diathermy applicator is proposed which minimizes the common problem of burning of patients' skin. The heat distribution arising as a result of unwanted capacitive effects is modeled as a manifestation of ‘conservative’ energy. A specific spatial characteristic of RF stimulation is determined and incorporated into the design of the applicator in order to achieve these goals.

Abstract: A medical device assembly includes a tunneler having a proximal end and a distal end and a carrier element fixed to the distal end of the tunneler. In various embodiments the carrier element is configured to be slidably disposed within a lead connection lumen. In various embodiments the carrier element includes a plurality of recesses configured to engage a lead extension set screw. In various embodiments the carrier element can freely rotate relative to the rest of the tunneler.

Abstract: An instrument driver comprises a base and a jaw assembly coupled to the base. The jaw assembly includes a first jaw having a gripping surface and a second jaw having a gripping surface. The instrument driver further comprises a driver assembly operably coupled to the jaw assembly to advance an elongated member relative to the base by translating the first and second jaws toward each other, thereby closing the jaw assembly and gripping the member between the respective gripping surfaces of the first and second jaws, translating the jaw assembly in a first axial direction when the jaw assembly is closed, translating the first and second jaws away from each other, thereby opening the jaw assembly and releasing the member from between the respective gripping surfaces of the first and second jaws, and translating the jaw assembly in a second axial direction when the jaw assembly is opened.

Abstract: Telemetrical control of a robotic interventional device for minimally invasive surgical procedure is based on an operative interaction between a tracking sub-system, MRI sub-system, navigation sub-system and the robotic interventional device. The tracking sensor sub-system is integrated with the interventional device to produce tracking information corresponding to the robotic interventional device location in the operative site. The navigation sub-system integrates the tracking information with the real-time images of the operative site produced by the MRI sub-system, and displays the integrated information to a user, to enable the telemetrical control of the interventional device for performing an intended procedure (biopsy, tissue resection, etc.). The navigation sub-system, based on the integrated real-time tracking information and real-time images, calculates and dynamically updates coordinates of subsequent imaging slices.

Abstract: A surgical support device includes: a driving member which is moved to transmit a driving force to a target; a first position detection unit and a second position detection unit configured to detect a first and a second moving amounts of the driving member; a difference calculation portion configured to detect a difference in length between the first moving amount and the second moving amount, an operating force computing portion configured to compute a magnitude of a force transmitted to the target from the driving member based on the difference in length; and a breakdown detection portion configured to detect at least one of the first position detection unit and the second position detection unit which has broken down, by use of the first moving amount and the second moving amount.

Abstract: A patient mountable robot includes a four link mechanism, three actuators, and a first robot base. The mechanism includes four links that form a closed loop structure. The four links include a base link that includes a spherical joint. The mechanism provides two rotational degrees of freedom about the spherical joint for a needle that is configured to pass through the spherical joint. A first actuator is attached to the mechanism and moves the mechanism to provide the first of the two rotational degrees of freedom. A second actuator is attached to the mechanism and moves the mechanism to provide the second of the two rotational degrees of freedom. The base link of the mechanism passes through the first robot base. A third actuator is attached to the first robot base and linearly translates the base link so that a translational degree of freedom is provided for the needle.

Abstract: A gas pressure monitor system for a pneumatically-powered surgical machine includes a first transducer, a second transducer, and a controller. The first transducer is located upstream from a filter and is configured to read a first pressure of a gas before the gas enters the filter. The second transducer is located downstream from the Filter and is configured to read a second pressure of a gas after the gas exits the filter. The controller is configured to compute a difference between the first pressure and the second pressure. A state of the filter is determined from the difference between the first pressure and the second pressure.

Abstract: The present invention relates to medical devices, and more specifically, the present invention relates to a medical device that allows a surgeon to personally adjust the aperture of the light beam being projected from his or her surgical headlight during surgery, as often as necessary and without compromising the sterile field.

Abstract: A holder for dental workpieces that are associated in a one to one relationship with the canals of a tooth has receptacles for temporarily storing the workpieces while the workpieces are not in the tooth. The receptacles are sufficient in number to store the workpieces with a single workpiece in each receptacle. The receptacles are arranged in a pattern that corresponds to the canal pattern in the tooth.