Abstract: The present invention relates to a negative pressure wound closure system and methods for using such a system. Preferred embodiments of the invention facilitate closure of the wound by preferentially contracting to provide for movement of the tissue. Preferred embodiments can utilize tissue grasping elements to apply a wound closing force to the tissue.

Abstract: A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material is configured to removably secure the buttress body to the deck of the staple cartridge or the underside of the anvil. The adhesive material comprises a malleable bioabsorbable polymer.

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer has glass transition temperature (Tg) at or below 0° C.

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The buttress body defines a plurality of cells. The adhesive material comprises a polymer. The polymer is bioabsorbable. A first portion of the adhesive material is located within cells of the plurality of cells. A second portion of the adhesive material is located on the buttress body outside the plurality of cells.

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material comprises a polymer. The polymer is bioabsorbable. The polymer comprises a gel.

Abstract: Surgical stapling apparatus are disclosed including an anvil having a working surface with a shaped topography; and a staple cartridge, in juxtaposition with the anvil. The staple cartridge includes a working surface with shaped topography which is complementary to the shaped topography of the working surface of the shaped anvil. When the anvil and the staple cartridge are approximated with or toward one another, at least a portion of the working surface of the anvil cooperates with at least a portion of the working surface of the staple cartridge to enhance alignment of the staple cartridge and the anvil in at least one of a transverse and longitudinal direction.

Abstract: A medical apparatus for joining body lumens in a living body includes a puncture member having a lumen, a distal opening portion and a needle tip at the distal end of the lumen. The needle tip can puncture a tube wall of the body lumen to form a puncture site. The medical apparatus includes a tubular member in the lumen of the puncture member that expands radially outward and contracts radially inward and a plunger movable relative to the puncture member to release the tubular member from the distal opening portion of the puncture member. The tubular member expands to be fixed to the puncture site when the tubular member is released from the distal opening portion of the puncture member.

Abstract: Surgical and percutaneous devices for closing tissue, for example, the left atrial appendage, may have an elongate body with a stiffened proximal portion, a flexible middle portion, a distal portion, a closure element with a loop having a continuous aperture therethrough, and a suture loop. The closure devices may have a malleable member attached to the elongate body that may be configured to retain a curve after a force is applied to the malleable member. System and methods for closing the left atrial appendage may utilize a closure device and a curved guide device, and the closure device and curved guide device may be self-orienting.

Abstract: The present disclosure relates to the field of embolic coil delivery. In particular, the present disclosure provides a delivery system that allows an embolic coil, retained on a delivery tube outside of the microcatheter, to be positioned within a target occlusion area of a patient prior to being controllably deployed, or retracted into the microcatheter for repositioning. The delivery system is particularly useful for minimizing embolic coil kickback.

Abstract: Lead extraction is the removal of one or more leads from inside the heart utilizing a lead removal catheter having a tubular sheath that is placed in the blood vessel, either subclavian or femoral. The sheath of the lead removal catheter may accidentally tear or perforate the blood vessel as it is advanced over the lead toward the heart. Such an occurrence must be dealt with quickly to prevent harm to the patient or subject. An expandable member, such as a balloon, attached to the exterior of the sheath of a lead removal catheter can be deployed temporarily adjacent the perforation in the vessel wall. Inflation of the balloon not only stops (or substantially stops) the bleeding, but, upon inflation, the balloon may include one or more channels that allow blood to continue to flow through the channel(s) until the blood vessel perforation can be repaired.

Abstract: Devices, methods and systems are provided for occluding an opening within the tissue of a body, such as a left atrial appendage. In one embodiment, a medical device includes an anchor portion and an occluder portion. The anchor portion includes frame segments, each anchor frame segment extending between a first end and a second end such that the second end of each anchor frame segment is coupled to an anchor hub. The occluder portion includes a hub that defines an axis. The occluder portion includes multiple occluder frame segments that extend between a proximal end and a distal end such that the proximal end of the occluder frame segments are pivotably coupled to the hub and the distal end of the occluder frame segments are pivotably coupled to the first end of the anchor frame segments.

Abstract: The present disclosure provides occlusion devices which comprise (a) an elongated core portion having a longitudinal axis and (b) a biologic layer comprising a hydrophilic natural polymer that expands upon contact with bodily fluid disposed on the elongated core portion. Also provided are assemblies and kits that contain such occlusion devices, and methods of delivering such occlusion devices to a patient.

Abstract: A dispenser comprising a tubular housing, an adjustable base configured to move from one end of the tubular housing to a second end of the tubular housing and bone wax disposed within the tubular housing.

Abstract: A dynamic trialing method generally allows a surgeon to perform a preliminary bone resection on the distal femur according to a curved or planar resection profile. With the curved resection profile, the distal-posterior femoral condyles may act as a femoral trial component after the preliminary bone resection. This may eliminate the need for a separate femoral trial component, reducing the cost and complexity of surgery. With the planar resection profile, shims or skid-like inserts that correlate to the distal-posterior condyles of the final insert may be attached to the distal femur after the preliminary bone resection to facilitate intraoperative trialing. The method and related components may also provide the ability of a surgeon to perform iterative intraoperative kinematic analysis and gap balancing, providing the surgeon the ability to perform necessary ligament and/or other soft tissue releases and fine tune the final implant positions based on data acquired during the surgery.

Abstract: A surgical cutting tool adapted to be rotatably driven by a motor. The surgical cutting tool includes an elongated shaft defining intermediate and coupling portions. A shape of the intermediate portion defines a primary central axis of the shaft. The coupling portion includes a tang having a tapered cylindrical shape that defines a drive axis. The drive axis is slanted with respect to the primary central axis. When coupled to the motor of a powered handpiece, the tang transmits an input or drive force from the motor to the intermediate portion as a torque about the primary central axis. In some embodiments, the drive axis extends through a centroid of first and second spaced apart cross-sectional planes of the tang, the first and second planes each being perpendicular to the primary central axis.

Abstract: The present invention relates to a multi-tool or multi-purpose device comprising a counter sink and a depth gauge. In one aspect, the invention provides a method of determining the necessary length of a screw to be implanted into bone. Also provided herein are sterile kits comprising single-use instrumentation for use in orthopedic procedures.

Abstract: Bone harvesting tools and methods of use thereof are disclosed. In an embodiment, the tool comprises a chamber having a first aperture, a second aperture, an internal cavity, and a suction source fluidly connected with the chamber. The suction source is effective to generate negative pressure within the internal cavity of the chamber. The tool also has a reamer having a reaming portion, the reamer being sized to extend through the first and second apertures of the chamber, wherein the reamer is movable relative to the chamber. Additionally, the tool includes a storage container fluidly connected to the internal cavity of the chamber and effective to receive bone and/or cellular material extracted from the patient, the bone and/or cellular material being extracted during reaming a bone of the patient with the reamer.

Abstract: System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a distal opening at the distal end of the trocar. The system includes a curved cannula sized to be received in the central channel, the curved cannula comprising a curved distal end configured to be extended outward from the distal opening to generate a curved path extending away from the trocar. The curved cannula has a central passageway having a diameter configured to allow a treatment device to be delivered through the central passageway to a location beyond the curved path.

Abstract: An orthopedic bone cutter for cutting bone and tissue is described. The cutting device comprises a plurality of radially extending struts that form a frame to which a base is connected thereto. Each of the struts that form the frame comprise sidewalls having left and right sidewall portions that are positioned at an angular relationship with respect to a primary strut sidewall portion. A plurality of cutting teeth reside along each of the struts have a tissue cutting surface that is raised above the exterior strut surface. The base of the orthopedic bone cutter may comprise a cross bar or bar and boss interface which secure bone cutter to a drive shaft.

Abstract: A device for a patient-specific acetabular and/or femoral guide. The guides can be used in a selected resection of at least one of a femur and an acetabulum to increase a range of motion of the femur relative to the acetabulum. Generally, a natural acetabulum and femoral head are maintained.

Abstract: An orthopaedic surgical instrument system includes a compression socket configured for coupling with a selected one of a number of compressible bases. Each compressible base is shaped to conform with a posterior surface of either a dome patella implant component or an anatomical patella implant component.

Abstract: A method of retrieving calculus in a living body and relocating the calculus to a different location in the living body involves positioning an elongated member in the living body in which the calculus is located, drawing the calculus in the living body toward the elongated member while the elongated member is positioned in the living body so that the calculus is retained by the elongated member; moving the elongated member so that the elongated member is located at a position in the living body that is different from the position of the elongated member in the living body during the drawing of the calculus toward the elongated member; and releasing the calculus from the elongated member so that the calculus is at a position in the living body different from a location of the calculus in the living body while the calculus is being drawn toward the elongated member.

Abstract: A guidewire retrieval system generally comprises a guidewire capture device. The guidewire capture device includes a hoop member defining a hoop passage for receiving the guidewire therein, and a hook member extending inwardly from the hoop member toward the axis of the guidewire capture device. The hook member is configured to capture the guidewire received in the hoop passage as the guidewire capture device is rotated about its axis.

Abstract: According to one aspect, a retrieval device may include a sheath having a distal end. The retrieval device may also include an end effector movable relative to the distal end of the sheath. The end effector may include first and second arms. The first arm may include a first opening at a distal portion of the first arm. The second arm may include a second opening at a distal portion of the second arm. The end effector may also include a third arm. The third arm may be slidably received in the first and second openings. A distal portion of the third arm may form at least part of a loop. The loop may extend through the first and second openings.

Abstract: An endoscopic stone-extraction device is provided comprising a support filament comprising an end portion, a sheath comprising a lumen, wherein the support filament is disposed in the lumen such that the sheath is slideable with respect to the support filament, and a handle comprising an actuator. Movement of the actuator in a first direction retracts the sheath and causes a shape to expand outside the lumen. Movement of the actuator in a second direction advances the sheath and causes the shape to at least partially collapse inside the lumen. Other embodiments are provided, and any of these embodiments can be used alone or in combination.

Abstract: Briefly, in accordance with one embodiment, a tool for use with an endoscopic procedure comprises a thermoplastic polyurethane expandable vessel.

Abstract: To provide a treatment tool for endoscopic surgery which has, in an insertion part, two or more bending parts that can be independently operated to bend, and which has distal forceps pieces that can be opened and closed, and rotated.

Abstract: The present subject matter is directed to an endoscopic grasping device for capturing objects within a human subject. The device includes a fork; and two jaws pivotally mounted about a pivot point to the fork, and movable between a predetermined closed position and a predetermined open position. Each jaw comprises front teeth near a distal end of the jaw. The front teeth of both jaws are configured to substantially mesh with each other when the jaws are in the closed position. The substantially meshed front teeth of both jaws in the closed position form a substantially hemisphere-shaped distal tip.

Abstract: A surgical cutting tool includes an elongated shaft and a cutting head. The shaft defines a coupling portion terminating at a proximal end of the shaft, a stem portion, and a distal portion. The stem portion defines a central axis. The coupling portion optionally defines a deflection surface positioned oblique with respect to the central axis and connected with a first driven surface and a second driven surface. Upon insertion into a drive chuck, the deflection surface promotes self-alignment of the cutting tool and the drive chuck.

Abstract: A surgical system and a method of providing and enabling a surgical system. The surgical system having a console and a first component configured to be directly or indirectly detachably attached to the console. The surgical system having a sensor circuit arranged to the console, and a first target state identifying circuit arranged to the first component. The sensor circuit outputs a feedback signal indicative of a state of electrical connection of the first target state identifying circuit to the sensor circuit. A controller arranged in the console is configured to control a therapy signal generator based on the feedback signal.

Abstract: A treatment device includes a support section having conductivity, for which a separate position separated from the probe is switched to a support position at which the support section abuts the probe to support the probe when bent in a direction off of the central axis in accordance with a load which is applied to the probe, and subserviently moved with the vibration of the probe. The support section absorbs the vibration transmitted in the probe when the support section is at the support position.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device for cutting substances inside a body lumen including a rotatable tubular drive shaft; an expanding part connected to a distal side of the drive shaft; a cutting part covering the expanding part; and an elongated tube extending through the drive shaft and connected to the expanding part, wherein a distal end of the expanding part is placed distal to a distal end of the cutting part.

Abstract: For variable use and simple construction of an instrument guide, particularly for inserting a puncture needle into patients, wherein the instrument guide (1) has a main body (2), which is mounted pivotably in a plurality of axes preferably on two adjusting arms (3, 4), according to the invention the instrument guide (1) has two or more guide cheeks (5), which are centrally adjustable and coupled to one another. This ensures that, when changing between instruments or needles of different thicknesses, the centre of the needle channel remains precisely on the target or central axis (6a).

Abstract: A hollow celiac minimally invasive surgery endoscopic channel may include an extracorporeal combined platform and an intracorporeal expandable shell body. The combined platform and the intracorporeal expandable shell body may be engagingly combined into a detachable structure. The intracorporeal expandable shell body may be in a triangular frustum shape. A portion of the intracorporeal expandable shell body that is located below the triangular frustum surface may be a two-layer structure body. Partition stiffeners that are distributed horizontally may be provided between an inner and outer layers at each face of the shell body. An inflation port may be disposed at the inner layer.

Abstract: An apparatus and method for inserting prosthesis implants into a patient pocket. The apparatus has three openings including a prosthesis opening, a large proximal opening, and a small proximal opening. The apparatus prevents infection; eases insertion and placement; and reduces complications. In use, the bellow is placed through the patient incision while allowing the bellow to be manipulated to force the prosthesis into a surgical pocket of a patient. Then the bellow is rotated so the distal end becomes the proximal end and inserted into the second incision while allowing the bellow to be manipulated to force the prosthesis into the second pocket.

Abstract: A puncture needle for an ultrasound endoscope is provided in which: a needle tube has a side hole configured in such a manner that, among a tube wall of the needle tube at a side more distal than a curved shape part, a part of a tube wall is cut off, the tube wall crossing a plane including a central line of the curved shape part, the tube wall being positioned on the inside of a curve of the curved shape part, and a wire being capable of being delivered from the side hole; and at least a part of the wire is positioned at the curved shape part in a state that the wire is stretched and loaded into the needle tube.

Abstract: This invention relates generally to a medical device, and more specifically, to a vaginal surgical apparatus. In one embodiment, an apparatus includes, but is not limited to, an elongated handle portion; a vaginal manipulator probe that is at least partly insertable into a vagina, the vaginal manipulator probe extending from the elongated handle portion and including an arcuate end portion, the arcuate end portion including an aperture for accommodating a cervix; and a disk that is movable along at least a portion of a length of the vaginal manipulator probe, the disk including a locking mechanism to releasably secure the disk in position to limit vaginal insertion depth of the vaginal manipulator probe.

Abstract: A hand held device for removing ticks that are fixed to the skin of an animal or human host and comprises a housing oriented along a longitudinal axis, a tick encapsulation zone at the front end of the housing employing an openable and closable lid section capable of closing around the tick while the tick is attached to the skin of the host. A piezoelectric voltage generation device is located within the housing and activated by a striker to send a high voltage through two lead wires having their distal ends mounted within the tick encapsulation zone in gapped relationship. A trigger is mounted along an axis tangential to the longitudinal axis for triggering the piezoelectric device to send a high voltage across the electrode gap to electrocute the tick. The electrocuted tick automatically becomes detached from the host's skin and falls into the closed encapsulation zone of the device.

Abstract: An external bone fixation system may include a first semi-circular external fixation member, a second semi-circular external fixation member, four ball collet assemblies attached to the second external fixation member, and four shafts. Each shaft may include a first end attached to the first external fixation member and a second end with a stop member, and each of the four shafts extends slidably through an opening in a ball of one of the four ball collet assemblies. The stop member of each second end prevents each second end from passing through the opening in its respective ball. Each shaft also includes a hinge located closer to the first end than to the second end.

Abstract: An external fixation assembly for bone fusion or separation is disclosed. The assembly includes a fracture fusion tube, with a bracket slidably engaged thereon. The assembly further includes a collet clamp connected to the bracket, with a ball collet rotatably seated within the clamp, the ball collet having an aperture for receiving a bone bin therethrough and perforations for a compression engagement with a bone pin. The assembly uses a single screw for threadably engaging the ball collet, the clamp and the bracket such that the position of the bone pin, ball collet and bracket are all fixed.

Abstract: Systems, devices, and associated methods for correcting spinal column deformities that help minimize a number of attachment anchors utilized for correction, facilitate use of straight or contoured rods, and/or help promote a more natural, physiologic motion of the spinal column.

Abstract: A spinal implant assembly comprising an intervertebral device configured to be installed in a spinal disc space, the intervertebral device having a head component and a body component, the spinal implant assembly further comprising a coupling body for coupling the head component of the intervertebral device and an elongate member, the coupling body and head component each having a longitudinal axis, wherein the head component can be received by the coupling body with its longitudinal axis at a selected angle within a predetermined range of angles relative to the longitudinal axis of the coupling body.

Abstract: A spinal implant with at least one flexible elongated extension element is provided. The spinal implant has a profile that is lower than standard spinal implants. The spinal implant includes a bone anchor with a head portion and a shaft extending along a longitudinal axis of the bone anchor. A head plate is coupled to the bone anchor. The head plate includes a first elongated extension element and a second elongated extension element. The first elongated extension element and the second elongated extension element may be formed as a single monolithic element that is attached to the head plate by passing through a pair of openings provided on the head plate. At least one of the first elongated extension element and the second elongated extension element is flexible.

Abstract: A connection assembly configured to securely connect a spinal implant to a bone anchor. In particular, a variable angle connection assembly that is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. Furthermore, a connection assembly that will not inadvertently lock the components of the connection assembly preventing the relative movement of the components.

Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant, a sacroiliac joint screw or rod and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant, a sacroiliac joint screw or rod and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: An interspinous implant comprises a first member and a second member. The members define a pathway. A third member is movable along the pathway relative to the first member and the second member. Systems and methods are disclosed.

Abstract: Embodiments herein are generally directed to derotation systems, apparatuses, and components thereof that can be used in spinal derotation procedures, as well as methods of installation. The derotation systems may include a plurality of derotation towers and clamp members.

Abstract: A surgical injection device comprises a longitudinal element. A first member is disposed with the longitudinal element and includes a mating surface. A second member is disposed with the longitudinal element and includes a mating surface engageable with the mating surface of the first member. A valve is disposed with the members and axially translatable relative to the members between a vent position and a seal position. Systems and methods are disclosed.