Abstract: Some systems and methods for operating a vessel occlusion catheter may include a control and inflation device to control the filling of the balloon in such a manner that the vessel wall will not be overstressed while the safe occlusion of the blood vessel is achieved.

Abstract: The present invention relates to a left atrial appendage occluder (10), comprising a sealing disc (100) and a fixing bracket (200) which is connected to the sealing disc (100) and located at one side of the sealing disc (100); the fixing bracket (200) comprising a connecting portion (210) connected to the sealing disc (100), and a plurality of supports (220); after radiating out distally from the connecting portion (210) and coordinating to form a recessed area (221), the plurality of supports (220) are bent to extend proximally to form a plurality of spaced suspended supporting segments (222), the supporting segment (222) being provided with at least one anchoring barb (223) facing the sealing disc (100). The left atrial appendage occluder (10) further comprises a thin film (300), all the supports (220) being connected in series through the thin film (300).

Abstract: A venous tourniquet having a constricting strap which can be placed around a body part, which strap is elastic in the direction of circumference or is provided with at least one elastic portion, and having a closing device by which the constricting strap can be locked into a tightening loop when the strap is positioned around a body part in the tightened state. One embodiment is advantageous if both structure and use is obtained by designing the closing device as a hook-and-loop fastener having two lockingly engaging closing parts.

Abstract: In a first aspect of the invention relates to a medical guide device for working on a bone. This guide device includes a holding arrangement, which is holdable firmly against a bone, for holding the guide device firmly against the bone and a saw template with a guide slot for a saw blade. In an adjustment position, the holding arrangement and the saw template engage with one another and are arranged to be movable in relation to one another. The holding arrangement and the saw template are movable from the adjustment position into a sawing position in which they are held firmly and immovably in relation to one another. Said guide device includes a coupling arrangement for coupling the holding arrangement and the saw template in the adjustment position and in the sawing position.

Abstract: A discectomy tool comprising: a) a cannula having an outer surface having a longitudinal bore therein, a proximal end and a distal end; b) a steering wire disposed in the longitudinal bore; c) a flexible, hollow transmission shaft disposed in the cannula, the shaft having a throughbore, a proximal end portion, a distal end portion and an outer surface having a thread extending therefrom; d) an irrigation source fluidly connected to the throughbore; e) a cutting tip attached to the distal end portion of the transmission shaft.

Abstract: A single cell power unit for a motorized surgical power tool includes a single cell power unit enclosure. A high temperature battery cell is mechanically supported within and disposed at about a center of the single cell power unit enclosure. An electrical connector having a plurality of connector pins is configured to couple to a mating electrical connector of a tool part having a motor. A motorized surgical handpiece tool which prevents the motor from operating when the power unit is removed, a method to start a multi-phase brushless sensorless motor of a surgical hand piece tool in a controlled manner, a power unit for a motorized surgical power tool with a battery insulated by a flexible circuit boards, and a safety switch system for a motorized surgical power tool with a lever magnet motor speed control are also described.

Abstract: The present disclosure provides systems and methods for repairing a defect on a portion of an articular surface of a human body, particularly of the glenoid. More particularly, the present disclosure provides systems and methods for repairing both a glenoid cavity and a glenoid rim of the glenoid using a single implant.

Abstract: A surgical bur including primary flutes and auxiliary flutes. The primary flutes include (i) first clearance surfaces, and (ii) first rake surfaces with first cutting edges. The primary flutes extend from a proximal end of the surgical bur to a distal end of the surgical bur. The auxiliary flutes are localized in central regions or distal regions of the surgical bur. The auxiliary flutes include (i) second clearance surfaces, and (ii) second rake surfaces with second cutting edges. At least one of the auxiliary flutes is located between a pair of adjacent ones of the primary flutes.

Abstract: Patient-matched surgical instruments and associated methods having an anatomy facing side including several discrete, physically separate anatomy contacting portions configured to match the anatomy of a particular patient and including one or more of non-uniform in distribution, non-uniform in shape and non-uniform in surface area.

Abstract: A patellar clamp and associated system and method for using the clamp are provided. A patellar clamp includes a pair of handles movably coupled together, a patella support portion connected to the pair of handles and configured to engage a first side of a patella, and a reamer guide configured to engage a second side of the patella. The patella support portion and the reamer guide each include a first pair of flanges configured to engage a first and second tendon associated with the patella. The reamer guide is configured to allow reaming and resurfacing the entire desired posterior articular surface of the patella in a single operation without readjusting the position of the reamer guide.

Abstract: The present invention provides an aortic valvuloplasty catheter which, in one preferred embodiment, has a tapered distal balloon segment that anchors within the left ventricle outflow track of the patient's heart and a rounded proximal segment which conforms to the aortic sinuses forcing the valve leaflets open. In addition, this embodiment of the valvuloplasty catheter includes a fiber-based balloon membrane, a distal pigtail end hole catheter tip, and a catheter sheath.

Abstract: A method involves introducing a gathering part into a lumen in an ureteral access sheath in which is located calculus, wherein at least a part of the ureteral access sheath is located in an ureter in a living body. The gathering part is moved along the lumen in the ureteral access sheath in a forward direction toward the calculus, and then movement of the gathering part in the forward direction is stopped to position the gathering part adjacent the calculus so that the calculus is positioned between the distal end of the ureteral access sheath and the gathering part. The gathering part is expanded while the gathering part is positioned adjacent the calculus, and the calculus is then introduced into the gathering part.

Abstract: A method involves introducing a raking part into a lumen in an ureteral access sheath in which is located calculus, wherein the raking part is introduced into the ureteral access sheath while at least a part of the ureteral access sheath is located in a living body. The raking part is moved in the ureteral access sheath toward the calculus and is positioned beyond the calculus. The lumen in the ureteral access sheath is at least partially occluded by way of the raking part. After at least partially occluding the lumen in the ureteral access sheath by way of the raking part, the raking part is moved along the lumen in the ureteral access sheath in a direction opposite the first direction so that the raking part rakes out the calculus.

Abstract: A method involves positioning a housing in an ureteral access sheath that is positioned in a lumen in a living body, moving the housing toward calculus located in the ureteral access sheath, positioning the housing in the ureteral access sheath adjacent the calculus in the ureteral access sheath, drawing the calculus in the ureteral access sheath through the inlet and into the housing by suction in the interior of the housing, and removing the housing from the ureteral access sheath while the calculus remains in the housing.

Abstract: A method of moving a device toward a target site in a living body involves introducing an endoscope into the living body, wherein the endoscope has an instrument channel, with the device located at the distal end of the endoscope, and an elongated shaft connected to the device and positioned in the instrument channel. The method includes moving the endoscope and the device within the living body toward the target site, changing the shape of the elongated shaft while moving the device in the living body, and moving the device within the living body while the device is in the second orientation to position the device in the second orientation at the target site.

Abstract: A method of expanding a narrowed region inside a living body involves positioning a liquid introducer in the narrowed region in the living body and introducing liquid into the narrowed region by way of the liquid introducer. The liquid applies an outwardly directed force on the narrowed region to expand the narrowed region. The narrowed region includes the renal pelvis, the entrance to the lower calix, the ureter, etc.

Abstract: A device and method for intravascular treatment of an embolism, and particularly a pulmonary embolism, is disclosed herein. One aspect of the present technology, for example, is directed toward a clot treatment device that includes a support member having a plurality of first clot engagement members and second clot engagement members positioned about the circumference of a distal portion of the support member. In an undeployed state, individual first clot engagement members can be linear and have a first length, and individual second clot engagement members can be linear and have a second length that is less than the first length. The clot engagement members can be configured to penetrate clot material along an arcuate path and hold clot material to the clot treatment device.

Abstract: An apparatus includes a transmission member having a proximal end portion and a distal end portion. The transmission member is configured to be inserted into a bodily lumen, and is configured to transfer ultrasonic energy from the proximal end portion to the distal end portion. The transmission member defines a lumen along a longitudinal center line of the transmission member. The distal end portion of the transmission member includes a concave engagement surface and a distal end surface. The distal end surface defines a plane that intersects the longitudinal center line of the transmission member at an angle of between about 75 degrees and about 105 degrees. The engagement surface is configured to engage a target tissue within the bodily lumen to limit movement of the target tissue along the longitudinal center line. The engagement surface defines an opening in fluid communication with the lumen.

Abstract: Catheter systems of the invention involve guided and informed dissolution of occlusions in blood vessels. According to certain aspects, a catheter system of the invention includes an elongate body defining a first lumen and comprising a distal portion, an inner member configured for insertion into the first lumen, the inner member comprising an energy source configured to deliver therapeutic energy to a treatment site, and an imaging assembly located at the distal portion of the elongate body. In some embodiments, the catheter system includes a functional flow sensor in addition to or as an alternative to the imaging assembly.

Abstract: The disclosed technology includes improved microsurgical tools providing multiple degrees of freedom at the wrist level, including roll, pitch, and grasp DOFs, a tight articulation bending radius, low radial offset, and improved stiffness. Some implementations include an end effector platform moveable along a fixed trajectory on a fictional axle so as not to interfere with a central-axis aligned working channel; a crossed-arm mechanical linkage for articulating an end-effector platform throughout a pitch DOF with an amplified pitch angle; and a partial pulley system to articulate the arms while maximizing pulley radius to shaft diameter, and permitting a constant transmission efficiency to the arms throughout the range of articulation. In some implementations, a tool shaft outer diameter may be smaller than 3 mm; a pitch DOF range may be ±90°, a roll DOF range may be ±180°, and a grasp DOF range may be 30°.

Abstract: The present invention has been made with the aim to provide a surgical instrument, which can be put into a space between a peritoneum and muscle via a tunnel formed at the peritoneum easily and can be pulled strongly in a direction to peel the peritoneum from the muscle in hernia repair surgery or the like. A peritoneal peeling surgical instrument, which is put between muscle and a peritoneum via a tunnel formed at the peritoneum to peel the peritoneum from the muscle, includes: an operation part to be grasped and operated by the user; a shaft part connected with the operation part; a hinge part disposed at the tip of the shaft part; and a hook part connected with the shaft part via the hinge part. In response to operation to the operation part, the hook part is bent at the hinge part with respect to the shaft part and the bending state is fixed in one or more steps.

Abstract: Systems, instruments, and methods are described in which a scalpet device comprises a housing configured to include a scalpet assembly. The scalpet assembly includes a scalpet array and one or more guide plates. The scalpet array includes a set of scalpets, and in embodiments the set of scalpets include multiple scalpets. The guide plate maintains a configuration of the set of scalpets. The set of scalpets is configured to be deployed from and retracted into the housing, and is configured to generate incised skin pixels at a target site when deployed. The incised skin pixels are harvested.

Abstract: A single-handed meniscal biter instrument for probing and resecting meniscal tissue. The instrument includes a main body configured to be held by one hand and a cutting mechanism coupled to the main body and configured to be operable by the same hand while held. The instrument also includes an extendable probe coupled to the main body, wherein the probe is configured to the independently operable by the same hand while being held.

Abstract: A device for intra-vascular embolic-thrombolic protection, as well as embolectomy/thrombectomy and atherectomy interventional procedures and methods. At least a portion of the working end of the device may be formed monolithically from a single hypodermic tube, or may be formed of monolithic inner and outer tubes with fixed or movable guide wire elements and imaging modalities. The device may comprise structures enabling coring, expansion within a vascular structure and vascular wall shaving, as well as filtration, stabilization and capturing of thrombotic or embolitic material during an intervention procedure.

Abstract: Medical devices and methods for using medical devices are disclosed. A rotational atherectomy device may include an elongate shaft having a proximal end region, a distal end region and a lumen extending therein. The medical device may also include a cutting member positioned adjacent the distal end region of the elongate shaft. The cutting member may be radially expandable. The medical device may also include a sizing member positioned adjacent the cutting member. The sizing member may be radially expandable, and the radial expansion of the cutting member may be limited by radial expansion of the sizing member.

Abstract: A rotational device for removing a stenotic lesion from within a vessel of a patient is disclosed. The device comprises a flexible hollow drive shaft having a distal end insertable into the vessel and an abrasive element located on the drive shaft proximal to the distal end of the drive shaft to abrade a stenotic lesion when the drive shaft rotates. The hollow drive shaft defines a lumen for fluid supplied into the drive shaft to flow in an antegrade direction along the lumen and into the vessel from the drive shaft distal to the abrasive element so that the fluid entering the vessel flows in a retrograde direction over the abrasive element and the drive shaft to entrain debris abraded by the abrasive element for removal of said debris from the patient.

Abstract: A urethral-insertion device configured to be inserted into a urethra is disclosed, which includes an elongated main body; a bladder suction port adapted to attract a bladder by suction, the bladder suction port located on the main body; and a urethra suction port adapted to attract a urethra wall by suction, the urethra suction port located on a distal side of the bladder suction port.

Abstract: A system for delivering a lead into a body cavity of a patient comprises an imagining device comprising a proximal end, an expandable distal end, at least one lumen extending between the proximal and distal ends, and an imaging assembly for imaging through the expandable distal end while the distal end is in a fully expanded configuration and manipulated relative to a tissue wall. The system also includes an elongate rail comprising a proximal end, a distal end sized for introduction through the at least one lumen of the imaging device. The elongate rail comprises a fixation element on the distal end for securing the distal end to a delivery location on the tissue wall. The system also comprises a lead comprising a proximal end, a distal end sized for introduction through the at least one lumen of the imaging device, and one or more electrodes on the distal end.

Abstract: A method is described for brightening tattoos or pigmented images formed below the epidermis of an individual. A skin treating device having a treatment tip with a crystalline abrasive material permanently bonded thereto is moved across the skin surface covering the tattoo. The procedure results in the bonded crystalline abrasive material removing a portion of the surface of the epidermis of the skin area over said tattoos or pigmented images, resulting in a brightening of colored or black line tattoos and a sharpening of the lines in the image. Simultaneously applying a vacuum to the skin surface during the procedure and the application of skin serum during or after the procedure enhances the results.

Abstract: Articulated device (1) for the wrist comprising: a proximal connector (2) for housing a proximal attachment system for pins;—a distal connector (3) for housing a distal attachment system for pins; an articulator joint (4) to provide a controlled movement between the proximal connector (2) and the distal connector (3), characterized in that said articulator joint (3) comprises an arched element (5) that is rotatably mounted on a support element (6) in order to enable rotation around an axis of rotation (X) corresponding to the axis of rotation by flexion and extension of the wrist, said arched element (5) being directly connected to the distal connector (3), blocking means (51) to block the rotation of the arched element (5) and rotation-limiting means (53) to limit the rotation of the arched element (5) for a pre-established portion of a circumferential arc are both directly mounted on said support element (6), and in that said support element (6) is mounted by means of a simple cardan joint (40) on the proxi

Abstract: A clamping assembly for an external fixation system, comprising a clamp body having an opening for receiving a bone fixation member; a pivotably rotatable locking arm associated with the clamp body, the locking arm being configured to provisionally hold the bone fixation member inside the opening of the clamp body; and a can arm coupled to the locking arm, the cam arm being pivotably rotatable towards the clamp body to definitively hold the bone fixation member inside the opening of the clamp body.

Abstract: An orthopedic implant system is disclosed for use in correcting or reducing the progression of scoliosis. The orthopedic implant system can be inserted laterally or posteriorly and comprises an elongated flexible member secured to a user's spinal column via a plurality of vertebral body screws. Typically, the height of the elongated flexible member is significantly greater than the width, creating a flattened cross-sectional aspect. The vertebral body screws comprise a screw base and a screw head with a slot sized to accept an insert. Typically, the elongated flexible member is positioned within the slot via the insert, and is allowed to slide within the screw head as needed, as the user moves. However, at the apex of the user's scoliosis curve, the elongated flexible member is fixed within a vertebral body screw head.

Abstract: Pedicle screws that can include a pedicle screw body, housing, plurality of clamps, rod, and set screw are disclosed herein. The clamps may be positioned side by side inside the lower portion of the housing. When the rod and set screw are provided in the housing, the set screw applies a force on the rod and the rod engages the plurality of clamps, causing the clamps to frictionally engage a head of the pedicle screw between the clamps.

Abstract: A pedicle screw assembly including a pedicle screw, a tulip head, a set screw, and a washer; a packaging assembly for a pedicle screw; a pedicle screw screwdriver assembly; and a set packaging assembly are disclosed.

Abstract: A posterior spinal implant system configured to immobilize and stabilize spinal segments as an adjunct to fusion in the thoracic, lumbar, and/or sacral spine. The implant system includes a pedicle screw, a spinal rod; a connector connecting the pedicle screw to the spinal rod. The connector includes a connector body, a polyaxial screw receiver positioned on the connector body and configured to receive the pedicle screw and permit polyaxial orientation of the connector relative to the pedicle screw, a polyaxial rod receiver positioned in the connector body and configured to receive the spinal rod and permit polyaxial orientation of the spinal rod relative to the connector, and a lock installed in the polyaxial rod receiver. The lock is operable to lock the connector relative the pedicle screw, lock the polyaxial rod receiver relative to the connector, and lock the spinal rod relative to the polyaxial rod receiver.

Abstract: A spinal rod locking holder includes an outer body, a handle assembly at a proximal end of the outer body, a locking assembly within a distal portion of the outer body, and a sprocket assembly at the distal end of the outer body. The handle assembly includes a moveable handle operatively associated with the sprocket assembly to selectively engage and release an end of a spinal rod. The locking assembly including a bearing operatively associated with a pawl such that when the moveable handle is compressed the bearing extends the pawl into contact with an outer surface of the sprocket assembly. The sprocket assembly including sprocket sections configured to compress against the end of the spinal rod when the pawl engages the outer surface of the sprocket assembly.

Abstract: Bone fixation systems and methods are provided herein. A system may include a plate, having at least one face configured to be affixed to a bone surface, and an adhesive for affixing the plate to a bone surface. In some examples, the plate may include at least on indentation on its face, such as a dimple. The system may also include an application device for dispensing adhesive onto a plate or bone surface, which may include a chamber for containing the adhesive, a heating element in communication with the chamber, a nozzle for dispensing the adhesive, a piston slidably disposed within the chamber for advancing the adhesive towards the nozzle, and a control mechanism for controlling release of adhesive from the nozzle.

Abstract: A bone plate system for repair of a proximal humeral head fracture, which includes a fixation plate having a main body and a depending alignment flange, a plurality of elongated compression screws to extend through the intact humeral head into the cortical bone of the fractured portion and a cover plate. With the fixation plate in place, fastened to the humerus, the cover plate is in turn fastened to the fixation plate and provides a defined amount of clearance in a region adjacent the heads of the compression screws to allow measured back-out of the screws upon settling of the fractured bone portion at the fracture site.

Abstract: The present inventions relates to an osteotomy implant for bridging an osteotomy opening or resection in a target bone in a substantially countersunk manner. The osteotomy implant comprises a proximal portion with at least one aperture for receiving at least one bone fixation element and a distal portion with at least one aperture for receiving at least one bone fixation element. At least one middle strut portion connects said proximal portion with said distal portion. Said at least one middle strut portion has a width which is equal to or smaller than a thickness of said at least one middle strut portion.

Abstract: A bone fixation device and method for compressing bone or bone fragments temporarily or permanently using a tension strip to surround the exterior surface of the bone or bone fragments and applying a force to the tension strip wherein the bone or bone fragments are compressed together. Bone or bone fragments are able to heal more quickly when compressed under super natural pressure. The temporary tension strips may be made of bioresorbable polymer and a radiopaque dopent so that the tension strip is visible under fluoroscopic observation.

Abstract: A method and device to correct hammertoes. The device is a bone implant that includes an elongated body having a first threaded portion with a first thread pitch and a second threaded portion with a second thread pitch. When the implant is implanted into a joint and rotated about its longitudinal axis when mated with a driver bit, a target joint may be compressed using the pitch differential between the first and second threads. The first and second threads may also be disposed at opposing angles, to help prevent pistoning of the compressed bones. The implant can have one or two driving heads, to accommodate the different methods of insertion.

Abstract: Bone compression screws are characterized by a two-piece compression screw assembly comprising a screw component and a sleeve component. The screw component has external male bone screw threading at a distal end, external male machine screw threading on a proximal end, and a smooth shank between the threaded distal and proximal ends. The screw component may be solid, cannulated, slotted, fenestrated, fluted, helically fluted, or any combination thereof. The sleeve component has external male bone screw threading with a pitch that can be equal to, smaller than, or greater than the thread pitch of the screw component, an internal bore extending from a proximal end of the sleeve component to the distal end of the sleeve component and sized for reception over the proximal end of the screw component. Internal female machine screw threading is configured to mate with the external male machine screw threading of the screw component.

Abstract: Apparatus and methods are provided for the approximation of two bones, the apparatus including a first anchor that is rotationally driven into a first bone by a second bone anchor, which receives driving torque from a driver tool. After the first anchor is secured in the first bone, the second anchor is disengaged from the first anchor but remains connected to the first anchor by a flexible link of a designed length. The second bone anchor is secured in the second bone and has provisions to be lengthened or shortened to adjust the overall length of the implant, thereby adjusting the approximation between the two bones.

Abstract: A vertebral augmentation system and methods for vertebral augmentation and/or fusion using same are provided. In certain embodiments, a pre-curved stylet or needle with an overlying delivery tube may be used to target a site within a bone structure, facilitating direction thereto of an expandable member useful for creating a cavity that may receive curable material to restore bone height, to reinforce the bone structure, and/or to fuse two, three, or more adjacent vertebrae. An expandable member such as, for example, a balloon can be used to create a plurality of voids by displacing bone material, where the voids can be filled with curable material to augment the vertebrae and intervening space can be filled to fuse those adjacent vertebrae.

Abstract: Methods and devices are provided for anchoring graft to bone. In one exemplary embodiment, a bone cavity is created in bone, a graft is partially advanced into the bone cavity, and a hardenable filler material is inserted into the cavity. The hardenable filler material can change from a viscous first state to a harder second state, compressing the graft against the walls of the bone cavity and thereby anchoring the graft within the cavity. The hardenable filler material can be inserted in an open sac, a closed sac, other carriers or housings, or directly into the bone cavity.

Abstract: Methods and apparatus for treating bones, including, in one or more embodiments, a device for delivering a bone filler material comprising: a housing having a throughbore; a plunger comprising a shaft having external threads, wherein the plunger is configured for advancement through the throughbore of the housing; and a threaded receiving member configured to releasably engage the plunger. Methods for removing an instrument from a vertebral body comprising applying ultrasonic energy to the instrument, wherein a distal end of the instrument is disposed in a cavity in the vertebral body, wherein the cavity contains a filler material; and removing the instrument from the vertebral body.

Abstract: A surgical instrument system and method of use is disclosed. The system includes a bone fixation pin and a surgical instrument configured for use with the bone fixation pin. The surgical instrument includes a sheath extending over the distal end of an elongated shaft and a locking mechanism operable to permit selectively movement of the elongated shaft along the longitudinal axis relative to the sheath.

Abstract: A medical device may include a stimulation member configured to apply a stimulus to a nerve that is configured to control a contraction of an airway distal to the nerve, and a measurement member configured to measure an effect of the stimulus on the airway. The medical device also may include an energy delivery element configured to deliver energy to tissue defining the airway to reduce an effect of the stimulus on the airway. The energy delivery element may be disposed at or distally of the stimulation member.

Abstract: A variable length interstitial probe apparatus includes: a probe for effecting thermal therapy and/or cryotherapy to a tissue; a flexible umbilical sheath permanently affixed to the probe, including at least one interface for supplying energy, cooling fluid, cooling gas, heating fluid, and/or heating gas to the probe; and an adjustable depth stop configured to slide along a length of a shaft region of the probe, and lock to the shaft region at a selected position. The adjustable depth stop is configured to engage a probe driver and/or a skull mount apparatus to stabilize positioning of the probe and to control a depth of entry of the probe into a patient. The probe may be configured to effect temperature modulation therapy, where processing circuitry activates a modulation pattern of thermal therapy emission and cryogenic therapy emission for applying a thermal dose to the tissue.

Abstract: A device for cryotherapy treatment of gastrointestinal lesions includes a cooling member that may be attached to a first tube for pressurizing cryogenic fluid through the tube and into the cooling member through nozzles located at the distal end of the first tube. A second tube may be attached to the cooling member for evacuating the cryogenic fluid from within the cooling member, following the fluid's expansion once it exits the first tube. The cryotherapy device may be attached to an endoscope such that the first tube may be passed through the endoscope's working channel, while the second tube may be passed along the endoscope's circumference. The cryotherapy device may further comprise securing means attached to the first tube, for securing the first tube to the endoscope's working channel, thus preventing free rotation of the cryotherapy device within the endoscope, relative to the rotation of the endoscope.