Abstract: Described are devices, methods, and systems for achieving occlusion of vascular vessels. Further described are certain reduced or low profile procedures and devices for the percutaneous occlusion of the saphenous vein, such as in the treatment of a varicose vein condition caused by venous reflux.

Abstract: A surgical clip applier is provided including a housing, at least one handle pivotably connected to the housing, an outer support channel extending distally from the housing, a drive channel sliadably disposed within the outer support channel, a jaw assembly including a first and second pair of jaws extending from an end of the outer support channel in a parallel configuration, and an integrated cutting mechanism disposed within a gap defined between the first and second pair of jaws. The jaw assembly is capable of effectuating formation of a pair of clips disposed within a respective first and second pair of jaws in response to movement of the at least one handle and the cutting mechanism is independently operable of the at least one handle. At least one jaw member of each of the pair or jaws includes a curved distal end. A method of operating same is also provided.

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

Abstract: The present invention provides systems and methods for accurately delivering embolic coils within a body lumen of a patient, as well as recapturing deployed embolic coils for removal or repositioning.

Abstract: Some aspects of the present disclosure pertain to spherical devices that comprise a wire having a memorized shape comprising a spherical outer wire layer and a spherical inner wire layer disposed within the spherical outer wire layer. Other aspects of the disclosure pertain to methods of forming such devices, mandrels for forming such devices, and methods of using such devices.

Abstract: The present disclosure provides for specific shapes and combinations of the compression members amenable to the safest, yet most effective compression of the carotid and vertebral arteries aimed at prevention of embolic stroke. An associated method of achieving an optimal compression of said arteries for the purpose of stroke prevention is provided.

Abstract: A bone resection guide positioning apparatus includes: a fixing part including a medullary rod configured to be inserted into a femur, a base configured to be disposed in proximity to a distal end of the femur, and a supporting pillar detachably connected to the base; a measuring part including a first connection portion connected to the supporting pillar and an indicator coupled to the first connection portion, the indicator being configured to indicate a valgus angle formed by a femoral functional axis and a femoral anatomical axis based on a positional relationship between the indicator and a femoral head center, the femoral functional axis connecting the femoral head center and a knee joint center; and a guide support including a second connection portion connected to the base and a support body connected to the second connection portion, to which support body a bone resection guide is detachably mounted.

Abstract: Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures.

Abstract: Methods and devices for performing an osteotomy are presented. Examples include forming a fusion osteotomy at a metatarsocuneiform joint of the first ray of a human foot.

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: This disclosure is directed to systems and methods for re-entering the true lumen of a vessel. The re-entry catheters employ deflectable struts to stabilize and support the distal tip in a subintimal location while a passageway back into the true lumen is formed. Re-entry to the true lumen can be effected with a cutting element or with a conventional guidewire.

Abstract: Medical devices performing diagnostic and/or treatment procedures, such as retrieving autogenous materials and/or foreign materials from a patient are disclosed. The medical device may comprise a handle, a shaft coupled to the handle, and a retrieval device movably disposed within a working channel of the shaft. The handle may include a steering mechanism for deflecting a deflect a distal end of the shaft and a control mechanism for translating the retrieval device within the working channel. The retrieval device may be integrated into the medical device.

Abstract: A minimally invasive endovascular device for treating a blocked or obstructed biological lumen, such as a blood vessel fully or partially obstructed by deposits of biological matters in or non-biological matters. Certain embodiments of the present invention comprise two capture members that are configured to be placed on either side of the obstruction and enclose around the obstruction for removal. Embodiments of the present invention also provide methods for implementing an endovascular device according to aspects of the present invention.

Abstract: A gripping tool for extracting a pin during a surgical procedure, the gripping tool including: two lever arms, each arm having a nose end and a handle end, the two lever arms joined together proximate to but spaced apart from the nose end by a bridging portion, the bridging portion including a central fulcrum region; the nose ends of each the lever arms having one or more teeth adapted to interlock with the one or more teeth of the other lever arm; each nose end having a longitudinal aperture therein extending through the interlocking teeth adapted, in use, to align and receive the pin; such that in use, urging together the handle ends of the lever arms causes the nose ends to move relative to each other such that the interlocking teeth misalign and grip the pin.

Abstract: A medical device including an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may further include an end-effector disposed at the distal end of the elongate member. The end-effector may include a plurality of arms pivotally connected to one another, wherein each arm includes a tissue-contacting surface, a first portion of the tissue-contacting surface including a plurality of ridges configured to grasp tissue. Further, the tissue-contacting surface may include a channel oriented substantially parallel to a longitudinal axis of the medical device.

Abstract: Systems, instruments, and methods are described in which an apparatus comprises a housing including a scalpet device. The scalpet device includes a scalpet array that includes scalpets arranged in a pattern. The scalpets are deployable from the housing to generate incised skin pixels at a target site. The housing is positioned and the scalpet array is deployed into tissue at the target site. Incised skin pixels are generated when the target site is a donor site, and skin defects are generated when the target site is a recipient site. The incised skin pixels are harvested.

Abstract: Systems, instruments, and methods are described in which an apparatus comprises a housing including a scalpet device. The scalpet device includes a scalpet array that includes scalpets arranged in a pattern. The scalpets are deployable from the housing to generate incised skin pixels at a target site. The housing is positioned and the scalpet array is deployed into tissue at the target site. Incised skin pixels are generated when the target site is a donor site, and skin defects are generated when the target site is a recipient site. The incised skin pixels are harvested.

Abstract: In some embodiments, a method of ameliorating diastolic dysfunction may include positioning at least a distal end of a system for cutting a trabeculae carneae in a left ventricle of a human heart. The system may include an elongated member, a grip, an engaging portion, and a cutting device. A second end of the engaging portion may turn in upon the engaging portion towards a first end of the engaging portion while still allowing trabeculae carneae to enter through an opening between the first and second ends. The cutting device may be positioned within an inner diameter of the engaging portion. The method may include positioning at least one trabeculae carneae in the inner diameter of the engaging portion. The method may include severing the at least one trabeculae carneae. The method may include increasing left ventricular compliance of the human heart.

Abstract: The present invention relates to a device for supplying power to a surgical instrument for amputating a surgical site or stopping bleeding by using ultrasonic waves, comprising a control unit for controlling the intensity of current flowing into a vibrator, which is provided at the surgical instrument to control the intensity of ultrasonic waves oscillated at the surgical instrument, wherein the current control unit controls the intensity of current flowing into the vibrator such that weakening the intensity of current, flowing into the vibrator, for a predetermined time period can be periodically repeated.

Abstract: A material for use in a medical device includes a blend of a non-melt polymer such as Polyamideimide, a meltable carrier polymer such as Polyetherketoneketone and lubricants/rheology modifiers such that the final polymer material can be extruded, pelletized and used to injection mold components for the medical device. The ratios of the Polyamideimide, Polyetherketoneketone and the lubricants are selected to provide sufficient lubricity and glass transition temperature to the material to make it appropriate for use in high temperature applications and additive manufacturing processes.

Abstract: The present invention generally relates to catheters including an auger insert and to methods of using such devices. In certain embodiments, the auger includes an auger blade that is movable between a first position totally within the catheter lumen and a second position extending out of the distal end of the catheter.

Abstract: A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having an open distal end. The drive shaft comprising a fluid impermeable wall, an abrasive element mounted to the drive shaft proximal to and spaced away from its distal end, the fluid impermeable wall being formed from a torque transmitting coil and at least one fluid impermeable membrane which define a lumen for the antegrade flow of pressurized fluid through the drive shaft and into a distal fluid inflatable support element to inflate said fluid inflatable support element. The distal fluid inflatable support element is located at the distal end of the drive shaft and has an outer wall comprising an outflow opening.

Abstract: An ultrasound needle guide apparatus to aid guidance of a puncturing needle to locate blood vessel positions of a living body and perform puncturing operation includes an ultrasound detection device, a display element connected to the ultrasound detection device in a rotatable manner and a needle positioning aid element fastened to the ultrasound detection device. The display element obtains ultrasonic signals from the ultrasound detection device and displays the blood vessel positions of the living body in an image fashion. The ultrasound needle guide apparatus is directly in contact with the intended ultrasound probing position so that users can directly and intuitively observe the blood vessel position through the display element, and swivel the display element according to operating position to control adjustment of display angle, and perform blood vessel puncturing operation via the needle positioning aid element to meet use requirement.

Abstract: An expanding needle is provided that includes a tubular body having a proximal end, a needle-tipped distal end, and a lumen extending therebetween. The expanding needle also includes a longitudinal seam formed on the tubular body. The tubular body is configured to uncurl radially, along the longitudinal seam, thereby transitioning the tubular body from a contracted state to an expanded state to increase an inner diameter of the lumen. In certain embodiments, the tubular body is formed by, for example, a continuous flexible sheet rolled in a lengthwise direction. In that case, the longitudinal seam is defined by a portion of a side of the flexible sheet overlapping an opposing side of the flexible sheet. An expanding needle device, including an expanding needle seated to a needle hub, and a method of increasing an inner diameter of an expanding needle are also provided herein.

Abstract: Provided is a hair transplanter having high precision in hair transplantation which may finely adjust the length of a hair transplantation needle unit, into which a hair root is inserted, according to thicknesses of skin tissue layers within the scalps of individuals during hair transplantation. The hair transplanter includes a central rod including a guide hole, a hair transplantation needle unit inserted into the guide hole of the central rod, a central case body including a conical cover and a waist part having a small diameter, formed at the front end thereof, and a fixing cover and a tuning cover, formed at the rear end thereof, a core shaft configured to push a hair to be transplanted, which is inserted into the hair transplantation needle unit, and a pressing button including an adjustment lever to fix the core shaft and a lock nut to fix the adjustment lever.

Abstract: An obstetric device has a head piece having a flexible peripheral rim and a floor spaced from the flexible peripheral rim defining a cavity. One or more support lugs extend upwardly from the floor of the cavity; and an air communication aperture is provided in the floor of the cavity. Typically the device is formed a distal end piece having an orientation mark; and a tube interconnecting the head piece and the distal end piece.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

Abstract: In one general aspect, a vertebral attachment device can include an attachment member having a curved shape defining a concave surface, a flex structure included in the attachment member, and an anchor member coupled to the attachment member and protruding from the concave surface.

Abstract: A spinal fixation device is provided, comprising a body member having a first side and an opposite second side, and an elongate flexible strap having a first section and a second section. The first section of the strap is attached or attachable to attachment means of the body member arranged at a first location thereof. The second section of the strap is sized and shaped to pass through a passageway arranged at a second location of the body member. The strap has a series of teeth and the passageway of the body member has a latch configured for engaging one of the teeth. The teeth and the latch are configured to allow a movement of the second section of the strap through the passageway in a tightening direction from the first side to the second side of the body member, and to prevent a movement of the second section in the opposite direction.

Abstract: A vertebral plate includes a top and bottom surface, a plurality of orifices defined through at least one of the top and bottom surfaces, and a plurality of bone screw openings defined through the top and bottom surfaces. The plurality of orifices defined through the top surface includes a different cross-section than a plurality of orifices defined through the bottom surface. A vertebral plate system and a method of use are also provided.

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. At least one of the two openings is configured as an elongated slot to allow the screw to translate in the slot. It may be desirable to include a set screw to help prevent backout.

Abstract: An improved anterior cervical plating system and methods of cervical fusion using such a system are provided. The cervical plating system includes an interlocking mechanism that integrated into each of the plates such that any two plates may cooperatively engage through the interlocking mechanism such that a new cervical plate can be interconnected with a pre-existing plate during revision surgery without removal of the pre-existing plate.

Abstract: An interspinous process implant is disclosed that includes a body defining a longitudinal axis, an interior cavity and opposed proximal and distal end portions, a pair of anchor wings operatively associated with the distal end portion of the body and mounted for pivotal movement relative to the longitudinal axis of the body between a first position housed within the interior cavity of the body and a second position extending radially outwardly from the body, an anchor collar operatively associated with the proximal portion of the body and mounted for axial movement relative to the longitudinal axis of the body between a first position spaced apart from the anchor wings and a second position approximated with the anchor wings, a pair of anchor blades operatively associated with the anchor collar and mounted for movement between a first position housed at least partially within the interior cavity of the body and a second position extending radially outwardly from the anchor collar.

Abstract: An orthopedic device can include an intramedullary nail with a longitudinal bore, first and second bone fasteners with sleeves and a cannulated movable member received within the longitudinal bore. The movable member defines first and second guiding bores for receiving respectively the first and second fasteners. Each of the first and second guiding bores includes a pair of opposing deformable elongated strips. Each pair of strips can engage the sleeve of a corresponding bone fastener.

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 clement 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 method of forming and deploying an improved absorbable fastener for hernia mesh fixation is disclosed. The absorbable fastener of the present invention functions to securely fasten tough, non macro-porous, and relative inelastic mesh to soft tissue. The fastener is formed from co-polymers of lactide and glycolide.

Abstract: A compression screw comprising: a shaft capable of being stretched, the shaft having a proximal end and a distal end, the proximal end of the shaft comprising a bone-engaging feature and the distal end of the shaft comprising a distal screw thread, and the proximal end of the shaft comprising a drive feature for turning the shaft; wherein inserting the compression screw into bone across a fracture line generates a force, and wherein the force generates a stress in the shaft that causes the shaft to stretch to less than its elastic limit; and wherein, after the shaft is inserted into a bone, the shaft attempts to foreshorten to its original un-stretched condition, thereby generating and maintaining compression across the fracture line.

Abstract: An exemplary bone screw includes a proximal section including a first outer thread, a center section including a second outer thread, an unthreaded distal section on an opposite side of the center section from the proximal section, a channel extending from the proximal section to a distal opening of the unthreaded distal section, and at least one side opening extending from the channel to an outer surface of the unthreaded distal section. In some embodiments, the at least one side opening includes a cutting edge configured to cut a material as the bone screw is rotated in a direction for removing the bone screw. In other embodiments, the side opening is formed in at least one of the center section and the unthreaded distal section and includes a diameter that increases in a direction from the channel toward an outer surface of the center section or the unthread distal section. The exemplary bone screws may be used to treat bone fractures with or without a bone plate.

Abstract: A battery pack for a use with a powered surgical tool. The battery pack may include a housing with an outer wall and opposing first and second ends. The housing may include an elongated shape that extends between the first and second ends. A first member may extend across the first end of the housing and include a first aperture, and a second end member may extend across the second end of the housing and may include a second aperture. A passage may extend through the housing with a first end that aligns with the first aperture and a second end that aligns with the second aperture. The housing may be sized for a plurality of storage locations positioned between the first and second members and around the passage, and each of the storage locations may be configured to store a power cell.

Abstract: Methods and surgical tools for treating back pain use a spinal facet debridement tool with cautery and denuding action and minimally invasive protocol that can denude and cauterize soft tissue associated with a synovial capsule of the spinal facet joint.

Abstract: Disclosed is a high-frequency surgical appliance for cutting and/or coagulating biological tissue, having a high-frequency generator designed to produce a high-frequency alternating current during operation, and also a method for operating a high-frequency surgical appliance that involves a high-frequency alternating current produced by means of a high-frequency generator for of cutting and/or coagulating biological tissue. The high-frequency surgical appliance according to the invention has a power setting device that is arranged and designed to set or limit an output power of the high-frequency surgical appliance to a power value selected by a user. In addition, the high-frequency surgical appliance according to the invention has a spark control device that is arranged and designed to set or limit a spark voltage to a setpoint spark value, the spark control device also being designed to ascertain the setpoint spark value on the basis of the power value selected by a user.

Abstract: A device for obliterating tissue with a bipolar probe, which has a distal end part with two electrodes electrically insulated against one another by an insulating web which is electrically insulating. To make such a device with a bipolar probe safer, the electrodes have depressions located opposite each other, which are filled by electrically insulating insulating material.

Abstract: Systems, instruments, and methods are described in which an apparatus comprises a housing including a scalpet device. The scalpet device includes a scalpet array that includes scalpets arranged in a pattern. The scalpets are deployable from the housing to generate incised skin pixels at a target site. The housing is positioned and the scalpet array is deployed into tissue at the target site. Incised skin pixels are generated when the target site is a donor site, and skin defects are generated when the target site is a recipient site. The incised skin pixels are harvested.

Abstract: Systems, instruments, and methods are described in which an apparatus comprises a housing including a scalpet device. The scalpet device includes a scalpet array that includes scalpets arranged in a pattern. The scalpets are deployable from the housing to generate incised skin pixels at a target site. The housing is positioned and the scalpet array is deployed into tissue at the target site. Incised skin pixels are generated when the target site is a donor site, and skin defects are generated when the target site is a recipient site. The incised skin pixels are harvested.

Abstract: Systems, instruments, and methods are described in which an apparatus comprises a housing including a scalpet device. The scalpet device includes a scalpet array that includes scalpets arranged in a pattern. The scalpets are deployable from the housing to generate incised skin pixels at a target site. The housing is positioned and the scalpet array is deployed into tissue at the target site. Incised skin pixels are generated when the target site is a donor site, and skin defects are generated when the target site is a recipient site. The incised skin pixels are harvested.

Abstract: A bipolar electrosurgical instrument includes a housing and an elongated shaft. An end effector is coupled to a distal end of the elongated shaft. A handle assembly includes a movable handle movable relative to a fixed handle for effecting movement of the jaw members from a first position to a second position. Each jaw member is configured to connect to a source of electrosurgical energy. A switch is disposed on the fixed handle and configured to be depressed between a first position and at least one subsequent position upon biasing engagement with a switch engaging surface disposed on the movable handle. The first position of the switch causes the relay of information to the user corresponding to a desired pressure on tissue grasped between the jaw members and the at least one subsequent position is configured to activate the source of electrosurgical energy.

Abstract: An electrosurgical tool or pencil for use in performing surgery includes an elongate, non-conductive housing having an elongate passage extending from a front end. An elongate electrode is mounted in the passage and slidable therein and has an operating forward section, an insulated central section, and an non-insulated rear section. The electrode can be adjusted in its longitudinal direction by a user. A conducting member is mounted on the rear section of the electrode and an elongate conducting strip is fixedly mounted in the elongate passage adjacent one side of the electrode and parallel thereto. The strip is supported by the housing so as to be in electrical contact with the conducting member which is slidable relative to the conducting strip. A circuit board for controlling the tool's operation is mounted in the housing and connected to the conducting strip.

Abstract: The present invention relates to steerable access sheath assembly including at least one electrode. Moreover, the present invention relates to a steerable sheath access device for use in cardiovascular procedures. Embodiments of the present invention including steerable access sheaths or introducers may provide cardiovascular access for various ablation tools and devices for the performance of various ablation procedures or procedures involving alternate energy sources.

Abstract: Devices and methods are provided for performing procedure on tissue with flow monitoring using flow sensors. The devices include an elongated member, and at least one flow sensor disposed on the elongated member. The flow sensor includes at least one temperature sensor and at least one heating element having a cavity. At least a portion of the at least one temperature sensor is housed in the cavity. A temperature measurement of the temperature sensor provides an indication of the flow rate of a fluid proximate to the flow sensor.

Abstract: A conduit assembly for transmitting energy between an electrosurgical energy generator and an energy delivering device comprises a first cable sub-assembly including a cable having a flexibility and an energy attenuation; a second cable sub-assembly including a cable having a flexibility and an energy attenuation; wherein the flexibility of the cable of the first cable sub-assembly is less than the flexibility of the cable of the second cable sub-assembly; and wherein the energy attenuation of the cable of the first cable sub-assembly is less than the energy attenuation of the cable of the second cable sub-assembly.