Abstract: A cannula assembly including a seal for an endoscopic internal magnetic camera tether. The seal may include stacked compliant membranes with an aperture in each membrane through which a camera tether may pass. The apertures may overlap. The at least one aperture may be arranged as a slit. Each of the apertures may comprise a wedge-shaped gap. The membranes may include engagement members that couple to engagement members on the cannula assembly. The cannula assembly may provide separate ports for the camera tethers and for a trocar or other endoscopic instrument passing through the cannula assembly. The cannula assembly also may include a rotating housing with two openings and a seal arranged in each opening. The cannula assembly may include a sleeve that encases a cannula tube. The sleeve may include a seal on its end and a channel on its periphery through which a camera tether may pass.

Abstract: An instrument guide device comprises an elongated guide shaft having proximal and distal ends and including an instrument lumen for receiving therethrough a manually operated instrument having an instrument shaft. A distal bendable member is disposed at the distal end of the guide shaft and a proximal bendable member is disposed at the proximal end of the guide shaft. Actuation means extends between the distal and proximal bendable members and provides a bending of the distal bendable member controlled from the proximal bendable member. The proximal bendable member is controlled from the manually operated instrument to cause a corresponding bending of said distal bendable member.

Abstract: A surgical access port for passage through body tissue to provide access to an underlying tissue site is provided. The access port has a working channel dimensioned for receiving a surgical instrument and a seal assembly for providing a substantial seal before, during and after insertion of a surgical instrument. The seal assembly includes an instrument seal and a zero seal. The instrument seal includes a proximal base that is interconnected to a distal instrument engaging portion by an elongate supporting portion. The engaging portion has a lateral dimension larger than the lateral dimension of the supporting portion forming a bulbous, mushroom-like head. The lateral dimension of the engaging portion decreases toward a distal opening of the instrument seal such that the distal end of the engaging portion is substantially perpendicular to the seal axis. The supporting portion closely conforms to an inserted instrument and serves to align the distal end of the seal.

Abstract: A total hip femoral prosthesis provides a shortened neck and more proximal coating level. Additionally, a means for strengthening the neck may be incorporated to increase stress transfer to the native bone. A method for reducing potential impingement that results from a high neck resection level includes instrumentation for cutting chamfered surfaces into the bone surrounding the proximal end of the implant. Instrumentation and methods of creating chamfered cuts are disclosed.

Abstract: A system includes a first fixation component, a second fixation component, and a first fastener. The first fixation component includes a first pivot structure including a first engagement surface and a first engagement feature, and can support one or more first clamping devices that secure bone pins inserted within a first bone. The second fixation component includes a second pivot structure including a second engagement surface configured to engage the first engagement surface, and is configured to support one or more second clamping devices that secure bone pins inserted within a second bone. The first fastener is configured to couple the first pivot structure to the second pivot structure and includes a first fastening element including a second engagement feature configured to engage the first engagement feature to maintain a first angle between a first axis of the first fixation element and a second axis of the second fixation element.

Abstract: A closed-head polyaxial screw for use in spinal instrumentation for spinal fusion, treatment of deformity, or the like. Polyaxial screws may have a two-part design, with the screw fitting into an aperture in the closed head. One or more clamps may secure the bone screw in the aperture. A closed-head polyaxial screw having a one part design is also disclosed. In addition, a one-part monaxial screw is described.

Abstract: A spinal correction apparatus comprises a body. A ratchet is disposed with the body. A longitudinal element is connected to the ratchet. A force is applied to at least a portion of the apparatus that causes dynamic incremental movement of the longitudinal element relative to the body in at least one direction. Methods of use are disclosed.

Abstract: Spine stabilization systems and integrated rods are disclosed. One spine stabilization system disclosed has at least four bone anchors and a stabilization member attached to the bone anchors. The stabilization member has first and second elongate portions interconnected by a connector portion. The first and second elongate members extend longitudinally and generally parallel to a central longitudinal axis and connector portion extends transverse to the central longitudinal axis from a first lateral end to a second lateral end. The connector portion is integrally connected to the first and second elongate portions such that there is no relative movement between the lateral ends and the respective elongate portion to which each end is attached.

Abstract: A device for fixing a bony structure to a support member. The device includes a main body with first and second members, the second member being movable in rotation with respect to the first member, around a first axis. A flexible member passes between the members and forms a loop around a bony structure. A clamping mechanism moves the first and second members into a clamping position. A support member and the flexible member are secured between the members in the clamping position. The first axis is movable in translation along a first direction and the second member is movable in translation along the first direction. The clamping mechanism cooperates with the first and second members to move the second member in translation in the first direction.

Abstract: An apparatus and method of performing a minimally invasive posterior spine fusion. More specifically an apparatus with a handle and a forked head on the distal end of the handle is used to grasp implant material and introduce the material to an implant site. The shaft of the apparatus is shaped so as to allow the affixation of a drill guide and drill while simultaneously holding the implant material in the implant site. After removal of the boring tools and assembly of the fusing element, the apparatus can be selectively removed from the implant site. A method of achieving facet joint fusion with near simultaneous fixation is also disclosed.

Abstract: A surgical guide comprises a member including an inner surface defining a cavity configured for disposal of at least one surgical instrument. The member further includes at least one locking element configured for mating engagement with a spinal implant such that the member is rotatable relative to the spinal implant to selectively orient the at least one surgical instrument. Systems and methods are disclosed.

Abstract: A bone fixation device includes an elongated body (a) having a first channel extending therethrough and configured for insertion into a bone, a first opening (b) formed on a first side wall of the body, the first side wall facing a lateral direction when implanted in a target orientation within the bone and a second opening (c) formed on a second side wall of the body opposite the first opening. A second channel (d) extends through the body from the first opening to the second opening and is dimensioned to permit insertion of an implant therethrough. A first bump (e) is positioned about a periphery of the first opening at a location at which a stress concentration would be a maximum if no such first bump were formed. The first bump is dimensioned to diffuse a concentration of stress about the periphery due to forces applied thereto by an implant extending through the second channel.

Abstract: A method for implanting a longitudinal intramedullary nail into the tibia comprises inserting the tibia nail along a plane of symmetry through the tuberositas tibiae. Thereby, the tuberositas tibiae can be used during nail insertion to correctly align the nail and the target arm to the symmetry plane of the bone. This means, that the whole construct, the nail attached to the target arm, has to be inserted in external rotation.

Abstract: A porous tantalum rod is provided, which is a medical implantation used for treating collapsed articular surface of the femoral head or necrosis of the femoral head in phase I or phase II. The implantation includes a fastening structure formed on one end of the porous tantalum rod used for connecting with the osseous tissues and a through hole formed on the center of the porous tantalum rod. The porous tantalum rod is made of the porous tantalum material, which is produced by foam impregnation and had a foam structure with three-dimensional interconnecting pores, wherein the foam structure has a foam skeleton, tantalum particles located on the foam skeleton, and multiple sintering neck structures formed between the tantalum particles.

Abstract: A screw is configured to be inserted into an aperture of a plate. The screw comprises a head, a neck that extends distally from the head and having a diameter, a shoulder that extends distally from the neck and has a diameter, and a shaft that extends distally from the shoulder and has a thread, a major diameter and a minor diameter. The diameter of shoulder is larger than the diameter of the neck and larger than the minor diameter of the shaft.

Abstract: The disclosure provides examples of an open architecture anchor for securing soft tissue to bone, for example, to repair a torn rotor cuff. The anchor includes a helical screw thread having a base and two sidewalls that are non-linear. The non-linear sidewalls extend from opposing ends of the base and meet at a peak. The non-linear sidewalls are circumscribed within a triangle defined by the peak and ends of the base. Compared to the standard triangle profile, the helical screw thread profile has a smaller cross-sectional surface area and, consequently, removes less bone. The helical screw thread having the reduced cross-sectional area preserves bone stock and enhances the holding strength of the anchor in bone.

Abstract: An improved medical device tube is disclosed for use in a percutaneous procedure. An improved medical procedure is also disclosed to insert a cannulated screw across a fracture of a human bone using the improved tube.

Abstract: A device including a first member extending along an axis. The first member includes an inner surface defining a cavity extending through a first surface and an opposite second surface and a side surface extending between the first and second surfaces. The inner surface defines an opening extending that is in communication with the cavity. A pivoting member is disposed in the cavity and includes an inner surface defining a passageway having a second member disposed therein. An engaging member is disposed in the opening. The pivoting member is movable between a first orientation such that the engaging member 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 engaging member engages the pivoting member and the second member is fixed in the selected trajectory. Methods of use are disclosed.

Abstract: A surgical balloon composed of an aseptically recovered umbilical cord vessel is provided. Methods of preparing a balloon and methods of using the same are also provided.

Abstract: A surgical cutting system has a rod cutting tool and a guide device. The rod cutting tool includes a housing containing a drive motor and a cutting element mounted on the housing connected with the drive motor. The guide device includes a guide body, an attachment mechanism for attaching the rod cutting tool to the guide body, an elongate body movably mounted on the guide body, a rod-clamping element operably mounted on the elongate body, to lockingly engage the rod during the spinal fusion surgery and position the cutting element adjacent the rod. The cutting system also includes an adjustment mechanism for moving the elongate body relative to the guide body thereby moving the cutting element to cut the rod.

Abstract: A bending instrument for a surgical element has two branches or arms which are pivotable relative to one another. A bending punch and two counter members are provided. The counter members interact with the bending punch to deform the surgical element. An actuator for the bending punch is adapted to convert an actuating movement of the branches or arms into a linear movement of the bending punch in a direction towards a region between the two counter members in order to bend the surgical element therebetween. First and second bending structures are provided for co-operatively bending the surgical element, wherein the bending instrument is configured to convert an actuating movement of the branches into a mating movement of the first and second bending structures towards one another.

Abstract: A pedicle screw system that includes a pedicle screw and a collar. The pedicle screw includes an insertion portion, a shaft portion that extends from the insertion portion, and a head portion that is attached to the shaft portion. The head portion has a diameter that is larger than the shaft portion. The collar includes a first aperture and a second aperture. The first aperture and the second aperture are both adapted to receive the head portion. The first aperture includes a first aperture section and a second aperture section. The first aperture section is larger than the head portion. The second aperture section is smaller than the head portion.

Abstract: Devices and methods are described for ablation of cardiac tissue for treating cardiac arrhythmias, such as atrial fibrillation. Devices may include a tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue and an ablation member for ablating the tissue. Suction apertures attach the contacting member to the epicardial surface with sufficient strength to stabilize the tissue with the device. The devices and methods can be used to ablate epicardial tissue in the vicinity of a pulmonary vein or to ablate cardiac tissues in other locations on a heart. A combined pacing and ablation probe is described for treating cardiac arrhythmia by: advancing the probe through an incision into the vicinity of the patient's heart, verifying at least one location of a cardiac parasympathetic ganglion, and applying ablation energy to the cardiac parasympathetic ganglion.

Abstract: An electrophysiology electrode having multiple power connections and electrophysiology devices including the same.

Abstract: A surgical tool arrangement a handpiece which is capable of accepting and operating a number of different surgical tools or instruments adapted for use with the handpiece, each having one or multiple functions. The handpiece incorporates a coupling arrangement located at a distal end thereof which serves to attach the desired surgical instrument to the hand-piece via a locking mechanism, and also provides an electrical contact arrangement to support the functioning of an electrosurgical probe as well as a combined mechanical cutting and electrosurgical tool. Additionally, the handpiece accepts a conventional cutter which only requires power for driving a movable cutting element.

Abstract: Herein disclosed are dual-mode electrosurgical devices designed to function in a first mode in which high-density RF energy is used to cut or vaporize tissue, and then a second mode in which lower-density RF energy desiccates tissue to produce hemostasis, as well as methods of performing electrosurgery using same. Devices formed in accordance with the principles of this invention may be used for any surgical procedure in which highly vascular tissue is cut electrosurgically in a dry or semi-dry field, examples of which include tonsillectomy, liver resection, and cosmetic procedures such as breast augmentation, breast reduction, breast mastopexy, and abdominoplasty.

Abstract: A catheter system can include an electrical adapter and a catheter. The electrical adapter includes a hollow adapter body having a longitudinally extending channel and an electrical terminal positioned within the channel. The electrical adapter can be configured to connect to an energy source. The catheter can include an elongated body having a proximal end portion and a distal end portion, and an electrical connector coupled to the proximal end portion. The electrical connector forms the outer periphery of the catheter along a portion of the longitudinal length of the catheter. The electrical terminal and the electrical connector contact each other when the electrical connector is advanced through the channel to an electrical contact position in the channel, and are isolated from each other when the electrical connector is proximal of the electrical contact position.

Abstract: A tunable ablation delivery device is disclosed. The tunable ablation delivery device includes a housing and a detection element on the housing for detecting a physiological indication. The tunable ablation delivery device further includes an ablation element disposed within the housing. An opening in the housing is positioned relative to the ablation element to facilitate a treatment using the ablation element modality.

Abstract: A renal denervation system includes an ablation catheter and an inflation balloon. The renal denervation catheter is insertable into a renal artery to perform a renal denervation procedure. The inflation balloon is inflatable within the renal artery, wherein one of a blood pressure condition in the renal artery resulting from operation of the inflation balloon and a performance characteristic of the inflation balloon indicates efficacy of the renal denervation procedure.

Abstract: An energy delivery probe and method of using the energy delivery probe to treat a patient is provided herein. The energy delivery probe has at least one probe body having a longitudinal axis and at least a first trocar and a second trocar. Each trocar comprises at least two electrodes that are electrically insulated from each other, and each electrode is independently selectively activatable. An insulative sleeve is positioned in a coaxially surrounding relationship to each of the first trocar and the second trocar. The probe also has a switching means for independently activating at least one electrode. The method involves independently and selectively activating the first and second electrodes to form an ablation zone, then repeating the ablation by delivering energy to a second set of electrodes, producing one or more overlapping ablation zone, and eliminating the need to reposition the ablation probes.

Abstract: Systems, methods and devices for creating an effect using microwave energy to specified tissue are disclosed. A system for the application of microwave energy to a tissue includes a signal generator adapted to generate a microwave signal having predetermined characteristics, an applicator connected to the generator and adapted to apply microwave energy to tissue. The applicator includes one or more microwave antennas and a tissue interface, a vacuum source connected to the tissue interface, a cooling source connected to the tissue interface, and a controller adapted to control the signal generator, the vacuum source, and the coolant source. The tissue includes a first layer and a second layer, the second layer below the first layer. The controller is configured so that the system delivers energy such that a peak power loss density profile is created in the second layer.

Abstract: A method, an imaging apparatus and a computer readable medium are enabled for automatically registering medical images. The imaging apparatus may be an amended C-arm. The image acquisition apparatus has a primary x-ray source and at least one auxiliary x-ray source, a detector for receiving radiation of the primary and auxiliary x-ray source, and an interface to a registration unit. The registration unit computes a 3D/2D registration of a provided 3D image and at least two acquired 2D images. An output interface is configured to provide an output and to display the registered images on a monitor.

Abstract: Multi-compartment interventional wire and catheter storage systems are disclosed. According to an aspect, a storage system includes a bottom wall and a side wall. The side wall includes an upper end and an opposing lower end attached to the bottom wall. The side wall defines multiple interior passageways between the upper and lower ends. Further, the side wall defines multiple openings at the upper end. Each opening extends to a respective one of the interior passageways for storage of elongated flexible members, such as catheters and guide wires.

Abstract: A disposable containment shield is operable to mount on an output housing of a surgical cutting instrument to keep spatter off of a surgeon's face shield enabling quick and complete restoration of visibility while cutting biological material. The containment shield includes a body that is substantially transparent and has a generally consistent thickness such that the body is pliable and resilient. The body is substantially planar and sterile when in the package. The containment shield forms into a three dimensional shape having a distal face and a proximal face, and a mounting hole of the containment shield engages onto the output housing of the surgical cutting instrument such that the distal face is at an acute angle with respect to a longitudinal axis through the mounting hole and faces toward a cutting device of the surgical cutting instrument.

Abstract: Disposable light sources are disclosed herein. A device for connecting a fiber to a light source includes a light source, light director to focus light from the light source, the light director surrounding at least a portion of the light source, a power source providing energy to the light source, and a connector communicating light from the light source to a catheter.

Abstract: A dispensing device for a dental substance is provided which has an outlet for the dental substance, and a valve for opening and closing the outlet. The device is switchable between a storage mode and an operative mode. In the storage mode a cannula is locked in the device and the valve opens the outlet, and in the storage mode the cannula can be released from the device and the valve closes the outlet. The device may facilitate handling and may be relatively inexpensive.

Abstract: An orthodontic appliance may include an archwire and multiple orthodontic brackets. The archwire may fit within a human mouth and contain multiple male connectors. Each orthodontic bracket may have a configuration that facilitates attaching the orthodontic bracket to a single tooth. Each orthodontic bracket may allow one of the male connectors to be locked into the orthodontic bracket with a snapping action. The male connector may be unable to slide with respect to the orthodontic bracket after being locked in the orthodontic bracket. A manual unlocking action may allow the male connector to disengage from the orthodontic bracket.

Abstract: The adjustable fixator for scanning dental casts includes upper and lower plates which are adapted for releasably securing a dental cast to be optically scanned therebetween. The upper and lower plates are selectively vertically adjustable with respect to one another, and a bottom surface of the lower plate is adapted for releasable mounting in an optical scanner. The upper plate is secured to a cylindrical shell which slidably receives a vertical support mounted to the lower plate, allowing the user to slidably adjust the height of the upper plate with respect to the lower plate. An engaging member mounted to the cylindrical support slides within a vertically extending slot formed through the cylindrical shell. The vertical position of the upper plate may be locked by sliding the engaging member into a selected one of a plurality of horizontally extending slots also formed through the cylindrical shell.

Abstract: A toothbrush that includes a brushing attachment and a handle is described. The brushing attachment includes a main body portion that includes a hollow neck and a head. The neck includes a skirt portion with an attachment opening and the head includes a cleaning member opening. The handle includes a main body portion that houses a motor, and a male attachment member extending upwardly from the main body portion that is at least partially received in the attachment opening in the brushing attachment. The male attachment member includes at least a first retention rib that is received in a first retention recess defined in the inner surface of the neck of the brushing attachment, and the inner surface of the neck includes a first retention lug extending outwardly therefrom that is positioned below the first retention rib.

Abstract: An electrical appliance with a resonant motor for driving a vibratory component is provided that has a control unit for driving the resonant motor with a predetermined driving frequency and for measuring the motion-induced voltage of the resonant motor and for determining whether the measured voltage value coincides with a predetermined target voltage value or whether the measured voltage value has crossed over the predetermined target value. The control unit measures the motion-induced voltage at a predetermined time of measurement (tm) within a driving cycle.

Abstract: An inflated implant, such as an attenuation device, previously implanted in a urinary bladder can later be removed according to a number of different methods. Preferably, removal is accomplished transurethrally. Removal can be accomplished by reducing the inflated implant from an enlarged profile to a reduced profile so that it may be withdrawn transurethrally by a removal system. The removal system can be configured differently depending upon whether reduction from the enlarged profile to the reduced profile is accomplished by deflation, compression, and/or other ways.

Abstract: Sling for urinary and fecal incontinence treatment comprises a mid-part 2, at least two fixing tails 3 provided with a anchoring means and comprising an elongated part 7, fixed to the mid-part 2, and an end part 4 fixed to the elongated part 7. The end part 4 includes a connection means 6 connectable to a tool. At least one fixing tail 3 is a autofixing tail including self-anchoring means 30, 31, 32, 33. The two elongated parts are flat and the end parts are axially disconnectable from the tool. The flat elongated part of the autofixing tail comprises flat self-anchoring means.

Abstract: According to an aspect of the present invention, implantable medical articles are provided, which comprise a surgical mesh that is at least partially covered with a coating that comprises a radiopaque material such as a metal or a metallic compound. The radiopaque material is present in the coating in an amount such that the coated portions of the mesh are visible using radiographic imaging techniques. Other aspects of the invention pertain to methods of making and using such medical articles.

Abstract: A textile implant, in particular for repairing hernias, the implant including a textile piece having a first face completely or partially covered in a bio-adhesive composition that is hydrosoluble and absorbable and that includes at least one bioadhesive polymer that is hydrosoluble and absorbable, with the adhesive function thereof being activatable in a moist or wet medium. The bio-adhesive composition includes less than 4% by weight of plasticizer.

Abstract: A filter device for implantation in a body lumen, comprising: a blocking section for filtering structures greater than a specified minimum size; and, an anchoring section for preventing unwanted movement of the filter device, wherein the filter device does not apply expansive radial force on a wall of the body lumen.

Abstract: A combined multi-lumen central access catheter and an embolic filter including ports proximal and distal the filter for fluid infusion and/or pressure sensing and infusion ports in the catheter to permit infusion of bioactive agents, flushing agents and/or contrast agents and managing the capture of the clot thereafter.

Abstract: An implant for use inside a human body including a biocompatible self-supporting base material, such as silicone, having surfaces exposed to aggressive body cells, when the implant is implanted in the human body. A cell barrier coating, such as Parylene® or a biocompatible metal, is coated on the surfaces of the base material to prevent body cells from breaking down the base material.

Abstract: A bifurcation stent system includes a pair of self-expanding stents. Each stent has a C-shaped body section having a generally semicircular cross-section along its length and an O-shaped body section having a circular cross-section along its length. The stents are deployed in vivo such that the edges of the C-shaped body sections abut each other to form a tubular scaffold in a Y-shaped formation that conforms to the bifurcation. In order to connect the stents in vivo, the C-shaped body sections are configured to include a ball and socket connection there between. The C-shaped body sections align and abut to form a tubular scaffold that extends in the main vessel of the bifurcation, while the O-shaped body sections are tubular scaffolds that extend into the respective branch legs of the bifurcation.

Abstract: A prosthesis and a method for making a prosthesis for controlling flow through a bodily lumen are provided. The prosthesis includes a body having a proximal portion, a distal portion and a lumen extending therethrough and further includes a valve operably connected to the body. The valve has a distal end including a first portion of a surface of the valve lumen and a second portion of the surface that contact each other and form a seal in a closed configuration. The distal end of the valve is formed such that the first portion and the second portion of the surface of the valve lumen contact each other and the distal end is configured to open in response to a pressure that is greater than atmospheric pressure.

Abstract: A medical device includes a multi-layered structure comprising an inner layer disposed within an outer layer, wherein each of the inner and outer layers has respective inner and outer surfaces. The multi-layered structure further comprises at least offset located between the inner and outer layers or formed in the inner and/or outer layers to define at least one gap therebetween such that a majority of the outer surface of the inner layer is spaced apart from the inner surface of the outer layer. The multi-layered structure is configured to be deployed within a lumen such that at least a portion of the outer layer is configured to engage the lumen and the at least one gap is configured to promote thrombosis between the inner and outer layers.