Abstract: An external fixation assembly includes a plurality of hollow pins that are inserted into a patient's bone. Each pin has an interior bore and a plurality of apertures extending through the pin wall from the bore. The pin may be coupled to a source of vacuum pressure operable to create reduced pressure in the tissue surrounding the pin. A cover is placed around the pin and sealed to provide a fluid-tight enclosure that maintains reduced pressure around the pin. A method for applying external fixation using the fixator pins described above includes the steps of inserting each pin through a skin opening, positioning the pin apertures near selected tissue, covering the skin opening with a sealed enclosure, connecting the pins to a source of vacuum pressure, and activating the source of vacuum pressure to create reduced pressure in the patient's tissue at or near the bone.

Abstract: Systems and methods of treating spinal deformity, including one or more intervertebral implants to be introduced laterally into respective intervertebral spaces, a plurality of bone screws introduced generally laterally into vertebral bodies adjacent to the intervertebral implants and/or the intervertebral implants themselves, and a cable dimensioned to be coupled to the bone screws and manipulated to adjust and/or correct the spinal deformity.

Abstract: A method for assembling a bone anchoring device includes inserting a bone anchoring element in a first holder of a tool and inserting a receiving part in a second holder of the tool, actuating the tool from a first configuration towards a second configuration to insert a head of the bone anchoring element into the receiving part; continuing actuation of the tool towards the second configuration to move a locking ring and a receiving part body of the receiving part relative to each other until the locking ring assumes a second position with respect to the receiving part body in which the locking ring is latched to the receiving part body in a position where the locking ring compresses a portion of the receiving part body to compress the head, such that the head is held in and cannot be removed from the receiving part body and the bone anchoring element is held adjustably at a first angular position relative to the receiving part, and removing the attached bone anchoring element and receiving part from the tool

Abstract: A cervical polyaxial bone anchor includes a shank having an integral spherical head and a receiver having an upper channel for receiving a rod and a lower seat near a lower opening for receiving a closed retainer that includes a compressible upper portion engaged with the receiver seat and an expandable lower portion capturing the shank head. An outer sleeve slidable with the receiver prohibits expansion of the retainer lower portion during operation. A compression insert engages the retainer upper portion and is in friction fit with the shank head prior to fixing of an angle of the shank with respect to the receiver.

Abstract: A bone screw having a screw member possessing a threaded section and a head and a receiving part at the head end for receiving a rod to be connected to the bone screw is provided. The receiving part has on open first bore and a substantially U-shaped cross-section having two free legs provided with a thread. Furthermore, the receiving part has a second bore on the end opposite to the first bore whose diameter is greater than that of the threaded section and smaller than that of the head. On the bottom of the first bore a seat for the head is provided. In order that the screw member can be pivoted to at least one side by an enlarged angle, the edge bounding the free end of the second bore viewed relative to the axis of the first bore is of asymmetric construction.

Abstract: Occipital plate systems are described. The occipital plate systems can include a novel occipital plate having an upper portion and lower portion. The lower portion can include an opening for receiving one or more lateral members therethrough. The lateral members include top and/or side apertures for receiving lateral connectors that are attached to polyaxial screw receiving members. The occipital plate systems can also include low-profile clamping arms that are operably attached to an occipital plate via an extension member and articulating joint member. The clamping arms, along with tension cables attached intermittently along its length, can be used in addition to or instead of screws and hooks to secure an occipital plate system to vertebrae.

Abstract: A sacroiliac (“SI”) joint fastener apparatus, systems, and methods of using the device is described. The SI joint fastener apparatus can include a distal segment, a proximal segment, and an expandable portion. The expandable portion can be expanded by reducing the distance between the distal and proximal segments. The SI joint fastener apparatus can be used to fuse two bone portions together. The method can include steps of coupling the fastener apparatus to two bone portions, reducing the distance between the two bone portions to place the portions in compression, and applying an outwardly directed force proximate the location to be fused.

Abstract: A metatarsal fixation device is provided for fixation of osteotomy or fracture of a distal metatarsal metaphysis bone of the human foot and for fixation of an associated capsule to the metatarsal head. The device includes a metallic bone plate with a series of screw holes along an elongated portion of the plate and a combination of a singular screw hole and a resilient clamp on an end of the elongated portion. The resilient clamp has two arched resilient arms extending laterally outward from an end of the elongated portion. Each arm has a plurality of spikes on an inner surface thereof providing points of contact that compress and attach a metatarsal phalangeal joint capsule portion to the medial and/or lateral aspect of the metatarsal head, thereby facilitating realignment of the metatarsophalangeal joint and respective digit. The resilient arms are biased to grasp lateral sides of a metatarsal head and any associated capsule portion.

Abstract: A hook plate assembly includes a bone plate extending along a longitudinal axis from a first end to a second end and including an upper surface facing away from a bone, a bone contacting surface, a plate hole extending therethrough from the upper surface to the bone contacting surface and a connection section arranged at the second end. The plate hole is sized and shaped to receive a bone fixation element therethrough in combination with a hook including a connecting portion configured to connect the hook to the connection section of the bone plate and a fastening element releasably coupling the hook to the bone plate.

Abstract: An assembly for rigid bone fixation includes a plate and a screw. The screw can be rotated freely within the plate in a non-locking configuration to secure the plate against the bone. A locking mechanism is engaged to prevent the screw from moving relative the plate. In one embodiment, the plate includes a threaded portion and a non-threaded portion. The screw head rotates within the non-threaded portion to tighten the screw and pull the plate against the bone. The locking mechanism can include a moveable nut that rotates within the threaded portion of the plate to lock the screw and plate in a locking mode. The assembly can be used for rigid fixation of bones that experience cyclic loads, such as the sternum and mandible. Methods of rigid bone fixation are also described.

Abstract: A pedicle anchor device is equipped for being used like a pedicle screw, i.e. for being implanted in the vertebra from dorsal direction (but generally at an angle to the sagittal plane, slightly inward towards the sagittal plane) through the pedicle so that a distal portion of the device protrudes into the vertebral body. The pedicle anchor device includes a pedicle anchor device body with a head portion, a shaft portion and a longitudinal bore that extends from a proximal end of the pedicle anchor device body and has a hole or a plurality of holes from the longitudinal bore outward, for example radially outward.

Abstract: Techniques for joint fusion are described, including a screw comprising a head having a partially flat surface and an opening for receiving a screwdriver tip, the head able to fit within a drill guide, a tip having another opening, a shaft extending from the head to the tip, the shaft having a plurality of holes and a thread on an external surface of the shaft, and a cannula within the shaft extending from the opening to the another opening.

Abstract: The invention relates to a method of creating a curvilinear cavity within a vertebral body or other body structure. The invention also relates to devices that may be used to perform the steps to create the curvilinear cavity. One such device is a curved drill including a spring assembly that controls the curvature of the drill. The spring assembly can cooperate with a feed screw to assist in curving the drill. The curved drill can be provided through a cannula.

Abstract: This invention relates to a discharge device of the dispenser gun type, which is suitable in particular for discharging semi-solid materials such as e.g. bone replacement materials. The discharge device comprises an adapter (400) which is removably attached to a main body (110) of the discharge device. A fastening structure for attachment of a container (300) is formed on the adapter substantially along a proximal direction (C) contrary to the feed direction (A). As a result various types of containers can be fastened to the machine without the need to change the mechanism of the device. The container can be provided on both ends with identical external threads and can be closed by closure caps in order to enable intuitive handling. In order to improve access to points which are difficult to reach, the container may be in the form of a curved pipe or may be formed flexibly. The piston rod (200) of the discharge device is then also formed flexibly.

Abstract: In a human or animal patient, two bone portions separated by a cut or fracture are stabilized in a desired position relative to each other by bringing the two bone portions into this desired position, by pulling them against each other, by providing an opening having a mouth on a bone surface and reaching across the cut or fracture and walls in both bone portions, by inserting an implant into the opening and anchoring the implant in the walls of the opening with the aid of a material having thermoplastic properties and energy transmitted into the implant for in situ liquefaction of at least part of the material having thermoplastic properties. One exemplary application of the stabilizing procedure concerns the two tibial bone portions separated by tibial plateau leveling osteotomy in a canine patient suffering from cranial cruciate ligament damage or rupture in a stifle joint.

Abstract: The invention relates to a reduction forceps comprising a first rod and a second rod, which are supported on a swivel joint defining an axis of rotation such that they are pivotable relative to one another, the first rod comprising on one side of the swivel joint a first jaw and the second rod comprising, on the same side of the swivel joint, a second jaw provided for cooperation with the first jaw, both said jaws having defined thereon contact points for contacting a bone or a bone plate, said contact points being movable in a common pivoting plane, which comprises the swivel joint and in which the axis of rotation extends perpendicularly, and at least one of the jaws being sectionwise displaced in the direction of a plane extending parallel to the pivoting plane.

Abstract: The invention is a multi-functional ablation device that encompasses the use of both heat energy and cryogenic energy as integrated into one medical device. In one embodiment, the medical device integrates a heat source such as RF or HIFU in combination with a source of cryogenic energy such that the multi-functional ablation device is a dual thermal ablation device capable of utilizing either energy source alone or in combination.

Abstract: A surgical apparatus includes: a treatment section treating a living tissue; an energy generation section providing high-frequency current to the treatment section; a liquid feeding conduit feeding a liquid to the living tissue; a suction conduit suctioning the liquid; an energy control section that outputs a high-frequency output control signal for controlling the energy generation section; a first pump drive section that feeds the liquid from the liquid feeding conduit while the high-frequency current is output, according to a command of the high-frequency output control signal, and stops feeding of the liquid, according to a command of the high-frequency output control signal; and a second pump drive section that suctions the liquid from the suction conduit for a predetermined period of time or in a predetermined amount, according to a command for stopping the high-frequency output control signal, and stops suction of the liquid after the suction.

Abstract: A method of ablating a tissue site includes at least two stages. A first stage involves conducting bipolar ablation between a first pair of electrodes situated in an opposing arrangement on opposing sides of the tissue site to form a pair of opposing first stage ablation regions extending from respective sides of the tissue towards the center. A second stage involves conducting bipolar ablation between a second pair of electrodes situated in a diametrical arrangement with respect to the first stage ablation regions, which forms a second stage ablation region intermediate the pair of first stage ablation regions. The second stage completes the ablation through the entire depth of the tissue site. Since the overall process can accommodate incomplete ablation during the first stage, lower power, reduced ablation times or both may be used during the first stage, avoiding overheating and with a decrease in ablated tissue volume.

Abstract: An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.

Abstract: A system includes an energy source and a surgical device. The energy source has a receptacle configured to delivery energy to the surgical device through a receptacle. The surgical device is configured to deliver the energy to tissue. The surgical device includes a plug selectively engagable to the receptacle to couple the surgical device to the energy source. The plug includes a prong configured to mechanically transition from a condition permitting engagement of the plug and the receptacle to another condition inhibiting engagement of the plug with the receptacle upon reaching a predetermined usage threshold.

Abstract: An apparatus for operating on tissue includes an end effector, an actuator, and a spring assembly. The end effector includes a first jaw and a second jaw that pivots relative to the first jaw from an open position to a closed position. The actuator is coupled with the second jaw to pivot the second jaw relative to the first jaw. The spring assembly is coupled with the actuator and is adjustable from a first position to a second position. The spring assembly compresses to resiliently bias the actuator to pivot the second jaw to the open position when the spring assembly is in the first position. The spring assembly compresses a smaller amount when the spring assembly is in the second position.

Abstract: A surgical instrument is provided including a handle assembly, a shaft electrically coupled to the handle assembly and extending therefrom, an electrode assembly electrically coupled to the shaft for transmitting energy to tissue to treat tissue, and a chamber defined in the shaft and positioned proximal a distal end thereof and configured to selectively expand. The expansion of the chamber anchors the surgical instrument to the tissue.

Abstract: One aspect of the present disclosure relates to a treatment probe comprising an elongated body member and a needle portion. The elongated body member can have a proximal end portion and a distal end portion. The needle portion can be connected to the distal end portion. The needle portion can include at least one electrode and at least one fluid port. The at least one electrode and the at least one fluid port can be configured to deliver electrical energy and a tumescent fluid, respectively, so that superficial tissue planes overlying a target nerve are protected from inadvertent heat damage as a result of application of electrical energy to a target nerve.

Abstract: Devices, systems and methods are disclosed for the ablation of tissue. Embodiments include an ablation catheter that has an array of ablation elements attached to a deployable carrier assembly. The carrier assembly can be constrained within the lumen of a catheter, and deployed to take on an expanded condition. The carrier assembly includes multiple electrodes that are configured to ablate tissue at low power. Additional embodiments include a system that includes an interface unit for delivering one or more forms of energy to the ablation catheter.

Abstract: Medical devices and methods for making and using the same are disclosed. An example medical device may include a catheter shaft. An expandable member may be coupled to the catheter shaft. A plurality of flexible electrode assemblies may be coupled to the expandable member. A control unit may be coupled to the electrode assemblies. The control unit may be configured to energize the electrode assemblies for approximately 10 seconds to less than approximately 1 minute.

Abstract: The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Abstract: Expandable laser catheters for utilizing laser energy to remove obstructions from body passages are described. In one embodiment, the laser catheter includes a shaftway having a distal end including a flexible portion configured in a series of radial folds. Multiple optical fibers, configured to transmit laser energy, extend along the shaftway and are attached to the flexible portion. An inflatable, ring-shaped balloon is attached to the catheter within the flexible portion. In use, the catheter is inserted into a body passage such as an artery, and advanced until the distal end is adjacent to an obstruction. The balloon is inflated to expand the flexible portion and to bring the optical fibers nearer the inner wall of the body passage. Laser energy is directed by the optical fibers toward targeted regions of the obstruction, As the catheter is advanced and the process repeated, a core is formed from the obstruction and contained within the flexible portion.

Abstract: A prophylactic kit apparatus configured to be used with only a single patient includes a plurality of sealed modules and a housing configured to contain those sealed modules such that only one of the plurality of sealed modules can be removed from the housing at a time. This kit may include a physically-discrete informational patient aid disposed within the housing and having information disposed thereon. By one approach these physically-discrete informational patient aids can have a bookmark form factor. So configured, a medical services provider can readily provide the physically-discrete informational patient aid to a patient to thereby facilitate the patient becoming informed regarding the corresponding prophylactic service with little or no burden on the service provider.

Abstract: Described is a needle assembly magazine comprising of a housing adapted to contain a plurality of needle assemblies and a slider movably disposed within the housing. The housing has a first opening providing access to an unused needle assembly and a second opening for receiving into the housing a used needle assembly. The slider separates the housing into a first region for unused needle assemblies and a second region for used needle assemblies. Movement of the slider advances the unused needle assemblies within the housing toward the first opening.

Abstract: A method of navigating a medical device through a body of a patient includes providing a topography of at least a portion of the body, accepting user input defining a navigation path, robotically navigating the medical device to a starting point on the path, and robotically navigating the medical device along the navigation path to an endpoint. Waypoints defining the navigation path may be input on a graphical representation of the topography using a user interface such as a pointing device or touchscreen. The navigation path may also be defined by tracing a substantially continuous path on the graphical representation. A therapy may be administered while robotically navigating the medical device along the navigation path, either forward or in reverse, or while navigating the medical device along a return path defined by a plurality of virtual breadcrumbs generated as the medical device traverses the navigation path.

Abstract: Navigation systems and methods used to track objects moving in space. One navigation system and method employs trackers having light emitters for indicating when line-of-sight between tracking elements on the trackers and sensors is obstructed or for other errors. Another navigation system and method instructs users on how to place a tracker with respect to an object to reduce line-of-sight issues during a surgical procedure.

Abstract: An end effector of a surgical robotic manipulator includes a removeable cutting accessory. The cutting accessory includes a cutting tip and a shaft extending along an axis. A drive member is configured to rotatably drive the shaft of the cutting accessory. An actuator is coupled to the drive member for rotatably driving the drive member. A clutch assembly is supported by and is selectively rotatable relative to the drive member and receives the shaft of the cutting accessory along the axis of the shaft for selectively locking the shaft to the drive member.

Abstract: A robotic system includes a surgical manipulator and a force/torque sensor. The surgical manipulator operates in a first operating mode in which a user applies forces and torques to the surgical instrument to cause movement of the energy applicator. The surgical manipulator also operates in a second operating mode in which the surgical manipulator moves the energy applicator along a tool path. A controller monitors the output of the force/torque sensor as the energy applicator is being moved along the tool path in the second operating mode and transitions from the second operating mode to the first operating mode in response to the output exceeding associated limits.

Abstract: A position monitoring system comprises a single composite fiducial reference comprised of a fiducial key and a fiducial extension rigidly and removably attached to the fiducial key, a tracker for obtaining image information of the surgical site, and a computer system with processor, memory, a software program, and access to a database. The computer has scan data of an area of a surgical patient with the fiducial reference fixed to the area by a multipodal surgical screw fixture. A uniquely identifiable first marker is attached to the fiducial key in a predetermined fixed relative position and orientation. The computer determines the relative position and orientation of the marker based on live image information from the tracker, relates and displays the current position and orientation of the composite fiducial reference to the scan data during a surgical procedure. Further implements at the surgical site may bear further markers that may be tracked.

Abstract: A medical robotic system has a robotic arm holding a medical device, and a control system for controlling movement of the arm according to operator manipulation of an input device. If the medical device is being commanded to a state exceeding a limitation by a threshold amount, then the control system disengages control of the medical device by the input device, servos the arm so that it remains in its current state, servos the input device so that it is set at a position such that a force being applied on the input device remains at its current level, requests the operator to lighten hold of the input device, sets a parameter associated with the input device upon detecting such lightened hold so that the medical device is commanded to a different state that does not exceed the limitation, and reengages control of the medical device by the input device.

Abstract: A surgical manipulator for manipulating a surgical instrument and an energy applicator extending from the surgical instrument. The surgical manipulator further includes at least one controller configured to operate the surgical manipulator in a manual mode or a semi-autonomous mode. The at least one controller including a feed rate calculator configured to calculate an instrument feed rate. The instrument feed rate is a velocity at which a distal end of the energy applicator advances along a path segment of a tool path in the semi-autonomous mode.

Abstract: Disclosed herein are various systems and methods for facilitating control of a tool or tools. The systems can allow a user to control multiple degrees of freedom. One such system allows a user to control multiple degrees of freedom of two tools simultaneously. Another such system allows a user to control multiple degrees of freedom with a single hand. Frames and rails for supporting and/or constraining movement of a tool or tools are also described herein.

Abstract: A stairway apparatus for use with an endoscope storage cabinet includes a slidable door to open or close the cabinet's interior compartment. The stairway apparatus includes a base member disposed on a ground and placed against the cabinet, the base member having a first step with a front face, a rear face opposite the front face, and a top face connecting the front and rear faces, the front face having a lip coupled thereto and positioned to remain flush with the top face of the first step. The front face of the first step contacts front edges of the cabinet. The lip extends into the interior compartment of the cabinet when open and contacts side walls of the cabinet, thereby preventing lateral movement of the base member.

Abstract: The disclosure relates to a container for shipping, storing, dispensing, and receiving units for storing, dispensing, and receiving medical sharps, wherein the container includes a plurality of compartments, said compartments each being capable of containing one unit for storing, dispensing, and receiving medical sharps and to a method of using said container to store, dispense, receive, and ship said units.

Abstract: A disposable dental instrument of the compressed air drive type is disclosed for use in performing dental procedures on a workpiece. The disposable dental instrument is constructed from two mating shells and a core. Each shell incorporates a mating surface and the shells are joined using various bonding methods to ensure a waterproof, high quality dental instrument. An elongated body has conduits penetrating a base at one end of the body. The conduits allow entry of a light beam, a pressurized water stream, and a compressed air stream into the body. The base includes attachment threads for securing the body to a source of the light beam, pressurized water stream, and compressed air stream. Pluralities of passageways are in communication with the conduits for conducting the light beam, the water stream, and the air stream through the body. A head at the opposite end of the body rotatably mounts a turbine shaft on bearing surfaces which inhibit vibration and noise.

Abstract: A dental hygiene system includes a feed line for a liquid that engages and dissolves a dental cleansing compound before being discharged from a nozzle connected to the feed line and sprayed on the teeth for cleaning.

Abstract: An endodontic file with improved fatigue resistance comprising a conical body made of a metal alloy and an amorphous titanium-zirconium-boron film deposited on a surface of the conical body.

Abstract: Various methods and systems for designing a restored smile are provided. One method includes receiving scan data of a patient's teeth, developing a digital model of the patient's teeth via a computing device, where the model represents the patient's teeth based upon the scan data, creating a dental treatment plan to restore one or more teeth from an initial condition to a successive condition, and wherein a final condition of the one or more is based on the one or more teeth having at least one planned additional restorative tooth structure provided therewith.

Abstract: Method for shaping an orthodontic wire, made of a shape-memory material, into a target geometry in order to permit precise insertion into a patient-specific orthodontic apparatus, said method having the following steps: a) creating a patient-specific target set-up of the upper jaw or lower jaw of the patient, b) placing brackets on teeth to be treated in the target set-up, c) preparing a two-dimensional image of the target set-up with brackets in a plan view, d) loading the image into a data processor, e) identifying the position of the slots of the brackets in the image, f) exporting data on the position of the slots from the data processor, g) creating a baking mold for the shape-memory wire, wherein the data are used to help generate wire-fixing portions in the baking mold that maintain the wire in areas corresponding to the slots during the baking, h) inserting the wire into the baking mold, and i) baking the wire.

Abstract: A set of orthodontic brackets is provided in combination with an archwire extending over an arc when fitted to the set of orthodontic brackets. The archwire has at least one radius of curvature over the length of its arc, and each one of said brackets in the set has an archwire slot. Each slot has at least one surface supporting the archwire which is contoured to have a radius of curvature that matches the radius of curvature along the arc of the archwire at that point. A round archwire is preferred and the archwire slots may be formed as tubular channels to provide better torque action for the archwire.

Abstract: An organ derived from genetic material is inserted in a patient's body. Genetic material is inserted at a selected site in the body to grow an organ.

Abstract: Dental implant, having a central body (1) with a substantially conical or frustoconical shape and having, extending from the end with a larger cross-section, a connection seat (701) able to receive a stump pin; this central body (1) is provided with a blade (2) positioned in a longitudinal mid-plane of said central body (1) and has a length so as to protrude beyond the end of the central body (1) which has a smaller cross-section; the central body (1) and the blade (2) are able to give the implant a substantially wedge-like form able to epand the bone during insertion.

Abstract: The invention relates to a method for validating a drilling template for producing an implant-borne tooth replacement before performing an implant drilling. The drilling template produced is placed on dental structures of a jaw area that is to be provided with the tooth replacement. A measuring element is inserted into the drill guide of the drilling template, wherein the measuring element and at least one partial region of the dental structures not covered by the drilling template is measured using an optical three-dimensional measuring method.

Abstract: Disclosed is a method for modeling and manufacturing a denture for a patient, where the denture comprises a gingival part and artificial teeth, wherein the method comprises: providing a 3D scan comprising at least part of the patient's oral cavity; virtually modeling at least part of the denture using the 3D scan; obtaining virtual teeth to represent the artificial teeth; virtually modeling at least one of the virtual teeth to obtain a set of modeled virtual teeth; manufacturing the modeled virtual teeth in a first material; manufacturing the gingival part in a second material; and manufacturing at least part of the denture by means of computer aided manufacturing (CAM).