Abstract: Systems and method for fixation to a spinal column are described. A system includes a plate having an anterior surface, a posterior surface, a longitudinal axis, a transverse axis and a through hole passing through the anterior and posterior surfaces; and a dynamic fixator interface member configured and dimensioned to connect to the plate within the through hole and to axially slide relative to the plate in directions of the longitudinal axis, and additionally, to rotate relative to the plate in directions about the transverse axis.

Abstract: Systems for lower extremity fusion and arthroplasty include fusion spacers, bone plates, and articular prostheses fixed to bone by blade anchors. Examples are shown for anterior, lateral, and medial approaches.

Abstract: A volar fixation system includes a plate intended to be positioned against the volar side of the radial bone. The plate includes holes having a predefined axis along which fasteners can be received and locked relative to the plate. A guide is provided that seats on the plate to guide a drill in axial alignment with the holes in plate.

Abstract: Disclosed is a clamping element for setting a bone fracture. The element comprises a closed contoured body which has a substantially hollow cross-section and is enclosed by a peripheral wall. The contoured body has two opposite receiving portions at the end faces thereof, the receiving portions being intended to receive fixing elements which can be pushed through the body, and has two lateral flanks having angled portions. The peripheral wall of the contoured body is resiliently deformable at least in sections, in particular in the region of the receiving portions on the end faces of same and in the region of the lateral angled portions. A defined resilient behavior of the clamping element can be impressed via the angled portions in such a way that a predetermined tension can be generated between the receiving portions. Also disclosed are a method for producing the clamping element and a setting device for using said clamping element.

Abstract: A device for treating a bone includes (a) an elongate body sized and shaped for insertion into a bone and extending longitudinally from a proximal end to a distal end, the elongate body including a channel extending therethrough and a coating along an outer surface thereof, the coating adapted to absorb a selected frequency of light such that, when the selected frequency of light is applied thereto, portions of the coating melt to form a mass; and (b) a first anchor member slidably mountable over the elongate body and movable therealong from a first position at the proximal end of the elongate body to a second position adjacent a bone into which the elongate body has been inserted to cooperate with the mass to fix the elongate body to the bone.

Abstract: A device and method for stabilizing a broken bone while it heals is disclosed. The device is preferably a metal rod that has a threaded portion. The device is positioned into a bone, such as a metacarpal bone, by forming an opening in the bone suitable for receiving the device, and inserting it into the opening wherein the threaded portion retains the device in position.

Abstract: Embodiments of the invention provide a bone screw device including a bone screw with a temporary encasement. In some embodiments, the temporary encasement comprises a biocompatible material that may be an osteoinductive, a hemostatic and or a bacteriocide. Some embodiments include a temporary encasement including a therapeutic. In some embodiments, the temporary encasement comprises a wax. In some embodiments, the screw head is substantially U-shaped. In some embodiments, the screw includes an extension tip extending from the screw shaft. Some embodiments of the invention include a system for percutaneous implantation of a bone screw including a screwdriver shaft rotatably coupled to a screw that includes a temporary encasement. In some embodiments, the screw shaft can be at least partially rotated by the screwdriver shaft. Some further embodiments further include a retractable sleeve at least partially surrounding the screwdriver shaft and the bone screw.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A down-loadable compression insert, a down-loadable friction fit split retaining ring having inner and outer tangs and an up-loadable shank upper portion cooperate to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled.

Abstract: Instruments for use with a bone anchoring assembly having plug member are disclosed that allow introduction of the plug member and bone cement or other liquid or pasty material into the bone anchor. The bone anchor includes a shaft having a first end and a second end, a channel extending from the first end to the second end, and a plug member which is insertable into the channel and guidable through the channel for closing the channel at the second end. The bone anchor is suitable for minimally invasive surgery in such a way a guide wire can be guided through the bone anchor and after the bone anchor has been anchored in the bone the plug member is inserted to close the open end of the bone anchor.

Abstract: An assembly for performing a gradual lateral spinal alignment of a spine. The assembly includes an inflatable bone anchor that includes an inflatable balloon, a hollow tube attached to the balloon and attached to an external support, such as a brace. The inflatable balloon extends into or through a vertebra of the misaligned spine and deployed. The inflatable balloon is pulled using the vertebra and attached to the brace to pull the spine into alignment. The device allows the spine to be gradually placed into alignment helping to avoid trauma on the spine and surrounding tissue.

Abstract: A surgical instrument includes a lock including an inner surface defining a cavity and a locking surface. A holding element is positioned within the cavity and includes an inner surface defining a passageway. A longitudinal element is positioned within the passageway and the cavity. The surgical instrument includes a first orientation in which a distal end of the holding element is spaced apart from the locking surface and the longitudinal element is translatable relative to the holding element and a second orientation in which the distal end of the holding element engages the locking surface and the longitudinal element is fixed relative to the holding element. Systems and methods are disclosed.

Abstract: A mapping catheter includes an elongated body for inserting into patient vasculature. A distal end of the elongated body includes a distal portion that includes a plurality of electrodes, a proximal portion disposed proximal to the distal portion, and a reduced-dimension portion disposed between the proximal and distal portions. The distal end is formed, at least in part, from a memory shape material that bends into a preformed shape upon release from a confined space. The preformed shape includes a first loop formed, at least in part, by the distal portion. The first loop is transverse to a longitudinal axis of the proximal portion. The reduced-dimension portion is configured and arranged to bend such that the reduced-dimension section advances distally through the first loop when the first loop is held in a fixed position and a force is applied distally along the longitudinal axis of the proximal portion.

Abstract: A surgical instrument is provided and includes a housing having a shaft. An end effector assembly is operatively connected to a distal end of the shaft and has a pair of first and second jaw members that are movable relative to one another. A drive assembly operably couples to a handle assembly associated with the housing and is configured to impart movement of a respective jaw member when the handle assembly is actuated. A spring component operably associated with each of the jaw members is configured to provide a sealing force at the jaw members.

Abstract: The systems and methods of the present disclosure calibrate impedance loss model parameters associated with an electrosurgical system and compensate for impedance losses in an electrosurgical system using the calibrated impedance loss model parameters. A computer system stores voltage and current sensor data for different test loads and calculates impedance values for each test load. The computer system predicts a phase value for each test load using a respective load impedance value. The computer system back calculates impedance loss model parameters based upon the voltage and current sensor data, the predicted phase values, and the impedance values of the test loads. During operation, the electrosurgical device senses a voltage and a current, predicts a phase value based upon the sensed voltage and current, and calculates metrics at the tissue site based upon the sensed voltage and current, the predicted phase value, and the impedance loss model parameters.

Abstract: An apparatus and method for treatment of a tubular anatomical structure is disclosed. The method includes using an electrical energy to destroy elongated cells on the tubular anatomical structure. The apparatus may include one or more electrodes for creating an electric field, and a cooling system for carrying heat away from the electrode. The elongated cells can include nerve cells on the tubular anatomical structure.

Abstract: A medical device system is disclosed including a high-density arrangement of transducers, which may be configured to ablate, stimulate, or sense characteristics of tissue inside a bodily cavity, such as an intra-cardiac cavity. High-density arrangements of transducers may be achieved, at least in part, by overlapping elongate members on which the transducers are located, and varying sizes, shapes, or both of the transducers, especially in view of the overlapping of the elongate members. Also, the high-density arrangements of transducers may be achieved, at least in part, by including one or more recessed portions in an elongate member in order to expose one or more transducers on an underlying elongate member in a region adjacent an elongate-member-overlap region.

Abstract: A coaptive surgical sealing tool may be similar to an ordinary hemostat with long (50, 60, 70 or 80 mm) thin jaws for sliding into the liver parenchyma, without tearing the larger blood vessels. The jaws are spring loaded and are designed for uniform compression, and to avoid closing too quickly. The jaws are capable of sealing a 50, 60, 70 or 80 mm sealing length, in a single bite, although it can also seal shorter lengths as well. The tool can be used with existing ablative therapy microwave generators. The tool may be provided with irrigation and/or suction.

Abstract: A surgical ablation system employing an ablation probe having a deployable ground plane is disclosed. The disclosed system includes a source of ablation energy and a source of electrosurgical energy, and a switching assembly configured to select between ablation and electrosurgical modes. The probe includes a cannula having a shaft slidably disposed therein. The shaft includes a deployable ground plane electrode assembly and a needle electrode disposed at distal end of the shaft. As the shaft is extended distally from the cannula, the ground plane electrode unfolds, and the needle electrode is exposed. Electrosurgical energy is applied to tissue via the needle electrode to facilitate the insertion thereof into tissue. Ablation energy is applied to tissue via the needle electrode to achieve the desired surgical outcome. The shaft, ground plane electrode and needle electrode are retracted into the cannula, and withdrawn from the surgical site.

Abstract: Devices and methods for cooling microwave antennas are disclosed herein. The cooling systems can be used with various types of microwave antennas. One variation generally comprises a handle portion with an elongate outer jacket extending from the handle portion. A microwave antenna is positioned within the handle and outer jacket such that cooling fluid pumped into the handle comes into contact directly along a portion of the length, or a majority of the length, or the entire length of the antenna to allow for direct convective cooling. Other variations include cooling sheaths which form defined cooling channels around a portion of the antenna. Yet another variation includes passively-cooled systems which utilize expandable balloons to urge tissue away from the surface of the microwave antenna as well as cooling sheaths which are cooled through endothermic chemical reactions. Furthermore, the microwave antennas themselves can have cooling lumens integrated directly therethrough.

Abstract: An aesthetic treatment device including: a multi illumination system having at least one source in the visible region, disposed around a periphery of a predetermined area of skin; an imaging device, sensitive to the illumination system, to discern features on or in the skin within the predetermined area of skin to be treated; multiple treatment light sources mounted on an optical bench and aimed and focused to a point of treatment within the predetermined area of skin; a mechanical guidance system to guide the multiple treatment light sources; and a pulse generator to control power output of the multiple treatment light sources based upon the treatment to be applied to the predetermined area of skin.

Abstract: A container into which used sharps can be deposited immediately following their use and carried to a second container into which the used sharps can be dumped for subsequent disposal without having to directly handle the sharps following their use. A top wall is normally latched closed and is opened to deposit used sharps into the container. A normally closed end wall is opened so that the used sharps can be dumped from the container. The container has a pistol-type grip for carrying it, and in a first embodiment a rearwardly biased pusher is slidably mounted in the container and moved forwardly by depressing a trigger on the grip. In a second embodiment, the pusher is biased forwardly and is latched in a rearward position. The trigger is connected with the latch to release it so the pusher can move forwardly.

Abstract: The present invention relates to an active positioning device for a surgical instrument arranged on a robot arm, comprising a carrier plate (3, 33), which can be connected with a robot arm (1, 31), a port mechanism (4, 34), which is arranged on carrier plate (3, 33) and intended as entry point into the interior of a body, at least one guide device (6, 36, 59) for insertion of a surgical instrument (8, 38, 61) into the body, whereby the shaft of surgical (8, 38, 61) instrument extends through guide device (6, 36, 59) and whereby guide device (6, 36, 59) is variably connected to port mechanism (4, 34) via a compensating element (5, 35) and an adjustment device (9, 10, 11, 12, 13, 14, 39, 40, 41, 42, 43, 44, 62, 63, 64, 65, 66, 67) for guide device (6, 36, 59) opposite port mechanism (4, 34), which is arranged on carrier plate (3, 33) and/or port mechanism (4, 34) on the one hand and guide device (6, 36, 59) on the other hand, in such a way that the shaft of surgical instrument (8, 38, 61) is movable both in x-d

Abstract: A manipulator, such as for use in medical procedures, is provided. The manipulator includes a body and a first actuator system connected to the body at a first attachment point and capable of moving the first attachment point with at least three degrees of freedom. A second actuator system is connected to the body at a second attachment point and capable of moving the second attachment point with at least three degrees of freedom. A third actuator system is integrated with the body and is capable of moving at least a portion of the body with at least one degree of freedom.

Abstract: A telescopic insertion axis, a robotic surgical system including the telescopic insertion axis, and a method of instrument insertion are provided. In one embodiment, a telescopic insertion axis includes a base link operably coupled to a distal end of a manipulator arm, and a carriage link movably coupled to the base link along a lengthwise axis, the carriage link including an instrument interface.

Abstract: A navigation system for use with a surgical manipulator operable in manual or semi-autonomous modes and a method for removing a volume of tissue from a patient. The navigation system includes a tracker for attaching to the patient and a localizer to receive signals from the tracker or transmit signals to the tracker. The navigation system includes a navigation processor that runs a plurality of software modules.

Abstract: Systems, methods, and other embodiments associated with tracking an ablative device and monitoring an ablation produced by the ablative device are described. One example method includes acquiring a magnetic resonance (MR) image of an ablative device inserted in a body and selectively controlling positioning of the ablative device based, at least in part on the MR image. The MR image may be continuously provided in real-time by an interventional MR imaging apparatus programmed to image using a tri-orthogonal plane sequence. The method may also include acquiring an MR image of an ablation performed by the ablative device, and selectively controlling the ablative device based, at least in part, on the MR image. The MR image may also be provided by the IMRI apparatus operating according to a tri-orthogonal plane sequence. In one example, the ablation may treat hypopharyngeal obstructive sleep apnea by reducing tongue base volume.

Abstract: A surgery assistance device includes an operation input section, a motion section which is formed with a channel into which a surgical instrument is insertable and is capable of moving through the channel, a movement amount detection means detecting a treatment section movement amount, a motion section information calculation means calculating motion section information, and a motion control unit controlling motion in the motion section based on a manipulation order.

Abstract: A device for cleaning the interior wall of a catheter has a cleaning lumen and a non-inflatable removal element comprising a sliding collar that has a first location as the cleaning lumen advances and a second location as the cleaning lumen retracts within the catheter. A sliding collar has a first position when unconstrained and a second position when within the catheter. The removal element self-positions the device concentrically within the catheter. Suction is desirably applied to the cleaning lumen during use.

Abstract: The present invention is directed to a dental treating apparatus including: a hand piece; a power source (micro motor); a driving unit (motor driver); and a controller. The driving unit drives the cutting tool so as to be switchable between first driving in which the cutting tool is driven clockwise and second driving in which the cutting tool is driven counterclockwise. When a rotation direction in which the cutting tool cuts an object to be cut is defined as normal rotation and a rotation direction opposite to the normal rotation is defined as reverse rotation, the controller sets the first driving as driving for the normal rotation when a first cutting tool rotated clockwise is held on the head unit, and sets the second driving as the driving for the normal rotation when a second cutting tool rotated counterclockwise is held on the head unit.

Abstract: A viewing system includes a detector of electromagnetic radiation (EMR); and a control system connected to receive signals from the detector, and configured to identify an image locator, disposed within a field of view of the detector in use, and select for detection by the detector the image locator or an image located by the image locator. A viewing method includes detecting electromagnetic radiation from an image locator disposed within a field of view of a detector; identifying the image locator with a control system; and displaying the image locator or an image located by the image locator on one or more displays.

Abstract: Dental assemblies and related methods of making are provided. The dental assemblies include a dental article with a bonding surface an adhesive having both a compressible material and at least one hardenable dental composition extending across the bonding surface. The compressible material is coupled to the dental article by a first quantity of hardened dental composition extending at least partially through the compressible material and contacting the bonding surface. The hardened dental composition extends over less than the entire bonding surface. Adjacent portions of the compressible material contain a second quantity of unhardened dental composition, preserving flexibility of the compressible material. Advantageously, this configuration was found to enhance bond reliability and facilitate manufacturing.

Abstract: The present invention employs a self-ligating orthodontic bracket comprising a body having a pair of laterally spaced gingival tie wings and a pair of laterally spaced occlusal tie wings, the gingival and occlusal tie wings projecting from a labial surface of the body; an arch wire slot extending mesially-distally across the body and between the gingival and occlusal tie wings to accommodate an arch wire; a free-sliding, controlled-locking, or pivoting clip wherein the clip allows placement and removal of the arch wire when in the open position and prevents the displacement of the arch wire from the bracket member when in the closed position.

Abstract: A jig for bite alignment in dentistry enables to achieve precise bite registration without using the wax rim, and a bite registration method and a manufacture method of dentures using the jig for bite alignment. Using the jig for bite alignment in dentistry provided with the bite material fixing portion in which the bite material is arranged for recording the occlusal position of teeth and with the implant connecting portion for attaching and detaching the implant arranged in oral cavity, the implant connecting portion is mounted on the implant buried in the alveolar bones of an oral cavity to record the occlusal position of teeth through the bite material arranged in the bite material fixing portion.

Abstract: The spray assembly of a dispensing device is arranged together with a mixing assembly inside a mixing and spray head, the mixing assembly being arranged before the swirl chamber of the spray assembly, and the mixing and spray head, which forms a unit, being removably attached to a multicomponent dispensing appliance. The result is a more homogeneous spray action, on one hand, and an easy replacement of the head, on the other hand.

Abstract: The invention relates to a dental furnace comprising a firing hood equipped with a heating device that is movably supported for the opening and closing of the dental furnace relative to a base intended for receiving a dental restoration part, and further comprising a heat detection device that is directed towards an area above the base, in particular towards one or more dental restoration parts, and further comprising a control or regulating device for the dental furnace that is coupled to the heat detection device, wherein the heat detection device is configured as a thermal imaging camera (30) which is directed towards the area above the base while the firing hood (12) is partially or completely opened, and which feeds an at least two-dimensional image in the form of a matrix of the one or more inserted dental restoration parts (60) to the control or regulating device and/or to a muffle (26) that is intended for the generation of the dental restoration parts (60).

Abstract: Using a sling that includes a central portion and at least two arms extending from the central portion, a method of treating anal incontinence may include positioning the central portion posteriorly to the rectum and/or anus of a subject, and extending each arm of the sling to a respective obturator region. Using a sling having the same or similar structure, a method of treating pelvic organ prolapse may include positioning the central portion beneath the ano-rectum of a subject, and extending each arm of the sling to a respective thigh incision near the obturator region.

Abstract: The invention describes embodiments of apparatuses and methods of using a hysteropexy mesh.

Abstract: A reinforcement device for reinforcing tissues having one or more structural deficiencies includes a longitudinally-extending reinforcing layer for treating the structural deficiency, a plurality of spiked naps distributed across the reinforcing layer and projecting therefrom for adhering to the tissue, and a dissolvable matrix layer covering at least a portion of the reinforcing layer and a portion of the plurality of spiked naps. The matrix layer increases the time before the spiked naps substantially adhere to the tissue, thereby allowing the practitioner additional time to position the reinforcement device.

Abstract: There is disclosed a porous emboli deflector for preventing cerebral emboli while maintaining cerebral blood flow during an endovascular or open surgical procedure. The device prevents the entrance of emboli of a size able to cause stroke (greater than 100 microns in the preferred embodiment) from entering either the right or left carotid arteries by deflecting emboli downstream in the blood flow. The device can be placed prior to any manipulation of the heart or aorta allowing maximal protection of the brain during the index procedure. The device has a low profile within the aorta which allows sheaths, catheters, or wires used in the index procedure to pass. Also disclosed are methods for insertion and removal of the device.

Abstract: Embodiments of the present invention encompass anti-adhesion wound dressings including patches made from amnion tissue obtained from human birth tissue. Exemplary amnion patches can be fabricated by folding a section of amnion over on itself with the epithelial layer on the outside of the folded patch and the fibroblast layer on the inside of the folded patch. Optionally, individual amnion tissue pieces can be sandwiched together to provide a multi-layer patch. Sufficient pressure is applied to the layered amnion to cause adherence between opposing faces of the fibroblast layers. The pressed fibroblast layers provide mechanical strength to hold the amnion patch together with the epithelial layers on the outsides of the amnion patch.

Abstract: A highly elastic stent is made of an alloy that exhibits superelasticity at body temperature. At least a part of the highly elastic stent has such a property that load increases with displacement without exhibiting a distinct yield on a load-displacement curve obtained by a compression test and a bending test.

Abstract: An implantable tissue connector comprises a conduit and at least one bulge extending outwardly from the conduit's outer surface in a circumferential direction. At least one blocking ring loosely fitting over the outer surface with a clearance between the outer surface and the blocking ring is provided for mounting tubular living tissue within the clearance. The blocking ring has an inner diameter which is sized relative to an outer diameter of the bulge to prevent the blocking ring from slipping over the bulge when living tissue is mounted within the clearance. During implantation, the conduit is inserted into the tubular part of living tissue and over the bulge. Then, the blocking ring is pushed over the free end of the living tissue against the bulge. The living tissue is secured to the conduit with a self-enhancing effect when the tissue tends to be pulled off of the conduit.

Abstract: A removable apparatus is provided for temporary implantation in a pulmonary vein for ablating atrial tissue surrounding the antrum of the pulmonary vein to treat atrial fibrillation in a subject. The apparatus comprises an electrically-insulated expandable support member and a retrieval mechanism. The support member has oppositely disposed proximal and distal end portions and a main body portion extending between the end portions. The proximal end portion includes at least one annularly disposed wing member, and has a free end defined by oppositely disposed first and second major surfaces. The at least one wing member includes at least one ablation element located at the free end thereof. The retrieval mechanism is for removing the support member and for energizing the at least one ablation element. The retrieval mechanism includes at least one electrically-conductive wire, which is separately connected to the at least one wing member.

Abstract: Methods of manufacturing a medical article that include radial deformation of a polymer tube are disclosed. A medical article, such as an implantable medical device or an inflatable member, may be fabricated from a deformed tube.

Abstract: A method for marking a surgically formed cavity in a patient includes providing an implant comprising a matrix material and a marking material, the matrix material configured to be elastically compressible; modifying the shape and size of the implant to fit the shape and size of the surgically formed cavity in the patient, the implant being configured to fill the surgically formed cavity and support tissue surrounding the surgically formed cavity and to allow in-growth of fibrous tissue into and replace at least a portion of the matrix material; and inserting the implant into the surgically formed cavity.

Abstract: An IOL injection device comprises a tubular housing with a plunger longitudinally disposed within the tubular housing. The device is configured so that when the plunger is translated towards the front of the device, its tip engages an intraocular lens insertion cartridge mounted at or near the front end of the housing. The IOL injection device further comprises a control circuit. The control circuit is configured to perform the steps of advancing the plunger to a critical point at which an axial compressive force on the lens suddenly increases, retracting the plunger from the critical point to a sufficient distance for material of the intraocular lens to relax, pausing to allow the material of the intraocular lens to relax, advancing the plunger to the critical point a second time, and continuing to advance the plunger beyond the critical point to implant the intraocular lens.

Abstract: A prosthetic heart valve for functionally replacing a previously implanted prosthetic heart valve is disclosed. The prosthetic heart valve includes a collapsible support structure with leaflets and anchors mounted to the support structure. The support structure also includes an inflow end and an outflow end. The anchors include a radially outwardly extending first anchor proximate to the inflow end and a radially outwardly extending second anchor proximate to the outflow end. The first anchor includes a first configuration and the second anchor includes a second configuration where the first configuration is different than the second configuration. The previously implanted prosthetic heart valve serves as a platform for securement of the prosthetic heart valve to the patient's native tissue.

Abstract: A prosthetic valve including a wire frame having a generally tubular body portion, an interior area, a longitudinal axis, a first end comprising a plurality of crowns, and a second end comprising a greater number of crowns than the first end. The wire frame includes a plurality of adjacent rows of modified diamond-shaped structures extending between the first and second ends. The prosthetic valve further includes a valve structure that includes a plurality of leaflets and that is attached within the interior area of the wire frame.

Abstract: A transcatheter valve having an expandable frame and a collapsible multi-portion skirt within the frame are provided with seams between the portions of the skirt that are located to cooperate with features of the frame and thereby reduce the exposure of the seams.

Abstract: This invention relates to the design and function of a compressible valve replacement prosthesis, collared or uncollared, which can be deployed into a beating heart without extracorporeal circulation using a transcatheter delivery system. The design as discussed focuses on the deployment of a device via a minimally invasive fashion and by way of example considers a minimally invasive surgical procedure preferably utilizing the intercostal or subxyphoid space for valve introduction. In order to accomplish this, the valve is formed in such a manner that it can be compressed to fit within a delivery system and secondarily ejected from the delivery system into the annulus of a target valve such as a mitral valve or tricuspid valve.