Abstract: A cannula for preventing spraying of liquid is disclosed. The cannula includes a support tube partially inserted into a human body to guide a surgical instrument to an inside of the human body and a handle integrally formed with the support tube to allow the surgical instrument to be in and out of the human body, wherein the handle further includes a plurality of seal plates coupled to an inside thereof to prevent spraying of liquid onto an operator by an internal pressure of the human body and an outlet formed at a side surface thereof to reduce an internal pressure of the handle to atmospheric pressure.

Abstract: A fornix manipulator includes a collar and stabilizer. The collar has a first end and a second end, the second end having an opening and diameter greater than the first end and the first end having an opening to receive a cervix into the collar. The stabilizer has a base portion defining a guide hole and a plurality of prongs extending from the base portion to contact the first end of the collar.

Abstract: A device for assisting in the removal of items endovascularly includes a catheter, a cutting head, and a pull wire. The pull wire has a proximal portion protruding from a proximal end of the catheter and a distal end connected to the cutting head. The pull wire is movable within the catheter to selectively extend and retract the cutting head from the distal end of the catheter. The cutting head is arranged to hold and/or cut an item to be removed.

Abstract: Orthopedic device (10, 110, 210, 310) for correcting deformities of a long bone (11), comprising a bar (12), extended along an axis (Y-Y) and intended to be placed alongside the bone (11), at least a first clamp (14, 214, 314) for a first group of osseous screws (16) and a second clamp (18, 19, 118) for a second group of osseous screws (20, 22), removably mounted on said bar (12), wherein the first of said clamps (14, 214, 314) is placed onboard a support base (21, 221, 321) in turn mounted on said bar (12), and angularly movable in relation to the support base around a given rotation axis (X-X, X?-X?, Z-Z) by means of a rotary coupling, characterized in that said rotary coupling comprises a male element (35; 235, 236, 237, 238, 239; 333, 334) associated with the first clamp (14, 214, 314) and having a surface at least partially cylindrical, and a corresponding female element (36; 130; 250, 254, 255; 336, 337) associated with the support base (21, 221, 321) and having a surface at least partially cylindrical

Abstract: A system and method for stabilizing adjacent vertebral bodies that have been fused is provided. The system and method involves transversely securing the bony segments of fused vertebral bodies together. In accordance with one exemplary embodiment, translaminar screws may be employed to transfix the facet joints of one or more motion segments. The motion segment may further include the presence of a spinal fusion implant or other internal fixation device.

Abstract: The present disclosure generally relates to a device for positioning and immobilizing at least two adjacent vertebrae. In particular, in one or more embodiments, the present disclosure relates to spinous process fusion devices that distract and immobilize the spinous processes of adjacent vertebrae.

Abstract: Technologies are generally provided for devices, systems, and methods to provide spinal fixation, spinal stabilization, and/or spinal fusion. Example devices may include a first end and a second end with a middle portion extending between the first and second end. The first end may be configured to be in contact with a portion of a first or upper vertebra and the second end may be configured to be in contact with a portion of a second or lower vertebra in an adjacent vertebral pair. Portions of the vertebra which may be in contact with the device may include lamina, processes, vertebral bodies, and facet joints. The example devices may include bone engagement features, such as screws or similar fasteners, to enhance stabilization and fixation when in contact with the vertebrae. Additionally, the devices may include a bone integration feature to promote bone growth and to facilitate fusion between the vertebrae.

Abstract: The present invention is directed to a foot beam insert. The beam is a cannulated beam having a chamber defined by the hollow space inside the beam. The beam includes holes along the length of the beam that communicate between the hollow chamber inside and the outside of the beam. The beam further includes a groove or grooves in the outside surface of the beam.

Abstract: A probe for ablating tissue comprises an electrosurgical working end configured to provide a first plasma about a first surface location and a second plasma about a second surface location, the first plasma having first ablation parameters and the second plasma having second ablation parameters. The probe has a working end with a thickness below 3 mm and produces a low temperature plasma.

Abstract: An energy delivery device is disclosed. The energy delivery device may include an elongate member having a proximal end and a distal end, and an energy emitting portion coupled to the distal end of the elongate member. The energy emitting portion may be configured to transition between a first, collapsed configuration and a second, expanded configuration. In addition, the energy emitting portion may include a plurality of legs forming a basket, such that when the energy emitting portion is in the second, expanded configuration a central portion of at least one of the legs includes a substantially straight configuration.

Abstract: A guard for use with a surgical cutting system. The guard includes a housing and wiring. The housing defines a longitudinal passageway, and is configured for releasable attachment to an instrument handpiece. The wiring is coupled to the housing and includes an electrically conductive wire and an insulative material. The wire defines opposing, first and second ends, with the first end being positioned within the passageway. The insulative material covers the wire apart from the first end such that the first end of the wire is exposed within the passageway. The first end of the wire establishes an electrical connection with a cutting tool shank upon placement within the passageway.

Abstract: A shaft (14) is provided for a flexible endoscopic instrument, the shaft including at least one flexible section (20) along the length of the shaft, a distal section (19) located distally of the flexible section, and a proximal section (18) located proximally of the flexible section (20). The distal section (19) includes a connection to a shaft electrode, while the proximal section (18) includes at least one connection for connecting the shaft (14) to an electrosurgical generator (1). The shaft also includes a bypass lead (26) in electrical connection with both the distal section (19) and the proximal section (18). The bypass lead (26) ensures that the distal section (19) and the proximal section (18) remain at the same potential even if the electrical pathway via the flexible section (20) becomes degraded by wear or damage thereto.

Abstract: A method of assembling a surgical instrument includes inserting a knife into a knife guide and positioning the knife and the knife guide within an inner shaft. The method also includes moving a drive collar stop along a longitudinal axis defined through the inner shaft, engaging a pair of opposing projections of the drive collar stop within a corresponding first pair of opposing apertures defined in the inner shaft, and moving a drive collar along the inner shaft. The method also includes moving a spring along the inner shaft, compressing the spring, moving an inner shaft stop transverse to the longitudinal axis defined through the inner shaft, and engaging a pair of opposing projections of the inner shaft stop within a corresponding second pair of opposing apertures defined in the inner shaft proximal to the first pair of opposing apertures.

Abstract: A bipolar electrosurgical device includes a handle and an elongated end effector coupled to the handle. The end effector includes an elongated, insulating body having first and second electrodes disposed thereon. The first and second electrodes are separated at the distal end of the insulating body, and a cavity formed in the distal end of the effector is positioned between the first and second electrodes. A fluid-delivery tube is positioned on the body to deliver a conductive fluid to the distal end, adjacent the cavity. During use of the electrosurgical device, delivery of the conductive fluid facilitates formation of an electrical coupling between the electrodes via the tissue being treated.

Abstract: A catheter adapted for simultaneous tissue contact with two opposing ring electrodes carried on a generally linear portion of an electrode assembly is adapted to straddle an ostium for ablating two lesions along a chord of the ostium, wherein the generally linear portion is stabilized on the ostium to ensure proper tissue contact when a force is applied down the length of the catheter body.

Abstract: According to some embodiments, a medical instrument (for example, an ablation device) comprises an elongate body having a proximal end and a distal end, an energy delivery member positioned at the distal end of the elongate body, a first plurality of temperature-measurement devices carried by or positioned within the energy delivery member, the first plurality of temperature-measurement devices being thermally insulated from the energy delivery member, and a second plurality of temperature-measurement devices positioned proximal to a proximal end of the energy delivery member, the second plurality of temperature-measurement devices being thermally insulated from the energy delivery member.

Abstract: Apparatuses and methods for the haptic sensation of forces at a remote location. Groups of MEMS-based pressure sensors are combined into sensor arrays. In some embodiments, the pressure sensors are encased in silicone or other elastomeric substance to allow for routine use in the aqueous environment of the body. The sensor arrays may be housed in a No-compatible material (e.g., stainless steel, plastic) and may be attached to a printed circuit board to allow the electrical signal generated by the sensors to be communicated to a user. The sensor arrays may be used with faceplates that directly interact with the target tissue or object. The faceplates may be rough, smooth, serrated, or any other texture. The present apparatuses and methods are particularly well suited for robotic surgery and may be used in wherever haptic sensing of forces at a remote location is desired.

Abstract: A surgical device (2) having a distal end and a proximal end, and comprising a delivery portion (12) extending from the proximal end and comprising first and second instrument delivery channels, an active portion (4,8) at a distal portion of the device and a plug (10) having a proximal end and a distal end, and engageable with the delivery portion at its proximal end, and with the active portion at its distal end, the plug comprising first and second plug channels (82) each defining a curved path, such that the plug channels diverge from one another towards the distal end of the plug wherein when the plug is engaged with the delivery portion the first plug channel and the first instrument delivery channel form a first instrument channel and the second plug channel and the second instrument delivery channel form a second instrument channel.

Abstract: A medical robotic system and method of operating such comprises taking intraoperative external image data of a patient anatomy, and using that image data to generate a modeling adjustment for a control system of the medical robotic system (e.g., updating anatomic model and/or refining instrument registration), and/or adjust a procedure control aspect (e.g., regulating substance or therapy delivery, improving targeting, and/or tracking performance).

Abstract: The robotic device for positioning a surgical instrument relative to the body of a patient includes a first robotic arm with a device for rigidly connecting to at least one surgical instrument, a device for anatomical realignment of the first arm by realigning an image that is of an area of the anatomy of the patient, and a device for compensating the movements of the first arm on the basis of detected movements. One version of the device includes at least one second robotic arm having sensors for detecting inner movements of the anatomical area, and a device for controlling the positioning of the first arm relative to sensed inner movements and to the outer movements induced in the second arm.

Abstract: The invention relates to a surgical instrument, in particular a sliding shaft instrument, with a main part, and a moveable part relative thereto, with a handle attached to the main part, comprising a fixed grip and a grip actuating the moveable part, with at least one guide, through which, in relation to the main part, the moveable part is moveable between an initial position and a working position, and with a sliding surface attached to the movable part and pointing towards the main part, the sliding surface being slid along a guide surface attached to the main part and pointing towards the sliding surface, with at least the sliding surface or the guide surface are assigned to each other for the formation of a washable gap.

Abstract: A package for an object such as a preferably-sterile medical component, includes: a support element provided with elements for coupling the object; a stopper that can be coupled to the support element in such a manner as to define a first chamber for containing the object, and such that a grip portion of the support element projects from the stopper; and a cover that can be coupled to the stopper in such a manner as to define a second chamber inside which the grip portion of the support element extends, and such that a portion of the stopper coupled to the support element projects from the cover.

Abstract: A device for positioning a reference element during aortic valve implantation surgery. The device includes a first extension member having a proximal end and a distal end, a connection member adapted to connect the first extension member to a support, and a coupling having a first end connected to the connection member and a second end connected to the proximal end of the first extension member so that the first extension member is moveable in multiple planes relative to the support. At least one reference datum is operatively connected to the distal end of the first extension member and extends in a straight line, the reference datum being moveable between a first position and a second position to enable precise locating of the reference datum during the aortic valve implantation surgery.

Abstract: An imaging system comprises an image acquisition device configured to image certain internal anatomic structures of a patient, and an interventional device, at least a portion of which is configured to be inserted into the body of a patient. The interventional device includes one or more markers disposed on the insertable portion(s) of the interventional device. The material of which the marker is formed is suitable for detection by the image acquisition device, and is arranged in an identifying pattern. The image acquisition device is configured to detect the marker and to read the identifying pattern. In response to the detection and reading of the pattern, the image acquisition device is configured to identify and track the position of the interventional device.

Abstract: The invention relates to a radio frequency identification capsule for marking an object. The capsule is characterized in that it comprises: a metal base to be attached to the object; a receiving element for holding a radio tag, the receiving element being secured to the base and overmolded on the base in order to form a durably tight joint with the base; and means for holding the radio tag at a determined distance from the base. The invention allows an automatic inventory of a plurality of marked objects randomly arranged in a highly metal medium and in the presence of Faraday cages.

Abstract: A dental hand tool including a main body having a main body proximate end, a main body distal end, at least one dental utility conduit associated with the main body proximate end, and a dental disinfection system associated with the main body that disinfects dental fluid at a point of use. The dental disinfection system includes a disinfection reactor associated with the main body, a collimated germicidal UV light source end, a disinfection reactor distal end, disinfection reactor walls, a disinfection reactor fluid inlet that receives the dental fluid from a dental fluid source, a disinfection reactor dental fluid outlet that delivers the dental fluid to the point of use, and a disinfection reactor inner chamber.

Abstract: A method for virtual orthodontic treatment is provided in which a virtual set of orthodontic components is associated, in a virtual space, with a first virtual three-dimensional image of teeth, and then by a set of rules which define the effect of the set of components' teeth, the effect of the virtual treatment can be computed. This virtual treatment can be used to predict the results of a real-life orthodontic treatment as to design such a treatment.

Abstract: A dental implant system can include an upper implant body coupled to a lower body with a cavity between the upper and lower implant bodies. The system can further include an anchor at least partially disposed within the cavity. The system can also include an abutment that couples to the anchor and serves as a mounting area for a crown. The anchor can be rotatable and swivelable, allowing the lower implant body to be implanted at an angle in bone while permitting the crown to be positioned in a natural tooth orientation.

Abstract: The invention relates to a dental mill blank comprising a pre-sintered porous zirconia material, the porous pre-sintered zirconia material showing a N2 adsorption of isotherm type IV according to IUPAC classification, the porous pre-sintered zirconia material having a Vickers hardness from about 25 to about 150, the dental mill blank comprising means for reversible attaching it to a machining device. The invention also relates to a process of producing a zirconia dental article comprising the steps of providing a dental mill blank comprising a porous pre-sintered zirconia material, placing the dental mill blank in a machining device, machining the porous zirconia material and to a dental article obtained by such a process.

Abstract: A superstructure for oral, dental and maxillofacial prostheses includes at least one anchoring dental element and at least one additional dental element, wherein the additional dental element has an internal hollow portion forming a closed cavity inside the same element. With respect to the known technology in the field, the superstructure of the invention offers the advantage of being lighter, more comfortable and less bothersome for the user, thanks to the substantial reduction in weight due to the smaller quantities of material used for producing it.

Abstract: A removable vena cava filter configured for reduced trauma and enhanced visualization of anchoring hook placement relative to the vessel wall is disclosed. The filter includes a plurality of struts, each having an anchoring hook and a stop member proximate the anchoring hook. The stop members are configured to engage the vessel wall to prevent excessive penetration of the anchoring hooks into the vessel wall and to aid in the identification of anchoring hook placement relative to the vessel wall.

Abstract: The present disclosure includes systems and a method for in situ application of a surgical patch during minimally invasive surgery. The method includes the steps of inserting a surgical patch into a bag; transferring a polymeric bag containing a hemostatic patch into a body cavity; removing the surgical patch from the polymeric bag while the polymeric bag is within the body cavity; and applying the surgical patch to a tissue within the body cavity.

Abstract: A method for hernia mesh placement during in-situ surgical applications. The method includes the step of positioning a mesh having a center mark within an abdominal cavity near a site of repair. A light assembly projecting a light beam through a free end is provided. Next, the free end of the light assembly is inserted through a central location of the site of repair. Finally, the center mark of the mesh is aligned with the light beam of the light assembly to position the mesh at the central location of the site of repair.

Abstract: Some embodiments of the present disclosure are directed generally to systems and methods for delivering an implant to a body vessel of a patient. Such disclosed implants may be a monofilament implant, and disclosed systems for implanting the implant may be automatic. Some embodiments may enable retraction of said implant back into the delivery system following partial exteriorization of the implant from the delivery system. Some embodiments may be configured for retraction of said implant from the patient's body following complete exteriorization of the implant from the delivery system. Some of the embodiments are directed at delivering a monofilament implant for preventing embolic stroke. Other embodiments are directed at preventing pulmonary embolism, occluding a body vessel such as the left atrial appendage, occluding a body passageway such as a patent foramen ovalae, stenting a body vessel, or releasing a local therapeutic agent such as a drug or ionizing radiation.

Abstract: An embolic material blocking catheter includes a handle assembly, an elongated element having a lumen, and a deployable embolic material blocking element. The embolic material blocking catheter is configured to accommodate insertion of a treatment catheter into the lumen to position a treatment device distal to the embolic material blocking element for administering a treatment at a treatment site and/or convey embolic material blocked by the embolic material blocking element for extraction from the patient.

Abstract: An aortic graft assembly includes a tubular component that defines a wall aperture having a proximal end that extends perpendicular to a major longitudinal axis of the tubular aortic component, and a tunnel graft connected to the wall of the tubular aortic component and extending from the wall aperture toward a proximal end of the tubular aortic component. The method for delivery of the aortic graft assembly includes delivering the aortic graft assembly through the wall aperture and into interferring relation with the tunnel graft.

Abstract: A bone block assembly including a bone block having a proximal end, a distal end, a central axis defined therethrough, and a hole formed therethrough, and a threaded screw having a proximal end, a distal end, and a first eyelet formed on the proximal end of the threaded screw, the threaded screw configured to be received within the hole of the bone block. The first eyelet of the threaded screw is, at least partially, exposed on the proximal end of the bone block when the threaded screw is fully engaged with the bone block. The first eyelet of the threaded screw is configured to receive a suture.

Abstract: Various methods and devices are provided for a graft fixation device for fixing a graft member within a bone tunnel. In one embodiment, a graft fixation device is provided having a radially expandable sheath adapted to be disposed within a bone tunnel, and a sheath expander adapted to be received within the radially expandable sheath to expand the sheath and thereby anchor a graft between the sheath and the bone tunnel. In an exemplary embodiment, the graft fixation device is particularly useful to affix a graft within a femoral tunnel.

Abstract: This invention discloses methods and apparatus for providing a variable optic insert into an ophthalmic lens. A liquid crystal layer may be used to provide a variable optic function and in some examples, an alignment layer for the liquid crystal layer may be patterned in a cycloidally dependent manner. The patterning may allow for a polarization dependent lens in some examples. An energy source is capable of powering the variable optic insert included within the ophthalmic lens. In some examples, an ophthalmic lens is cast-molded from a silicone hydrogel. The various ophthalmic lens entities may include electroactive liquid crystal layers to electrically control optical characteristics.

Abstract: The present invention relates to devices used in the management of bodily airways including tracheostomy tubes, laryngectomy tubes, bronchial stents, bronchial Y-tubes, bronchial TY-tubes, and nasal stents. The devices may comprise a protective coating to prevent the accumulation of mucus, crusting and granulation on or around airway management devices, as well as prevent adhesion to tissues which can cause bleeding upon removal, and prevent build-up of blood, or blood clots, to the stent.

Abstract: The invention relates to a device for use in the transcatheter treatment of mitral valve regurgitation, specifically a coaptation enhancement element for implantation across the valve; a system including the coaptation enhancement element and anchors for implantation; a system including the coaptation enhancement element, catheter and driver; and a method for transcatheter implantation of a coaptation element across a heart valve.

Abstract: Inflatable medical devices and methods for making and using the same are disclosed. The devices can be medical invasive balloons, such as those used for transcutaneous heart valve implantation, such as balloons used for transcatheter aortic-valve implantation. The balloons can have high strength, fiber-reinforced walls.

Abstract: A prosthesis for implantation at a native semilunar valve includes a prosthetic distal valve, which includes a pliant material configured to collapse inwardly towards a longitudinal axis of the prosthesis during diastole, and to open outwardly during systole, and a distal fixation member configured to be positioned in a downstream artery of the subject. The apparatus also includes a proximal fixation member coupled to the distal fixation member, and configured to be positioned at least partially on a ventricular side of the native semilunar valve. The proximal fixation member is shaped so as to define a lattice that is shaped so as to define an intermediary portion that is coupled to the pliant material of the valve and diverges outwardly from the longitudinal axis, and a distal portion that is distal to the intermediary portion and diverges outwardly from the intermediary portion of the lattice. Other embodiments are also described.

Abstract: The invention relates to a device for use in the transcatheter treatment of mitral valve regurgitation, specifically a coaptation assistance element for implantation across the valve; a system including the coaptation assistance element and anchors for implantation; a system including the coaptation assistance element and delivery catheter; and a method for transcatheter implantation of a coaptation element across a heart valve.

Abstract: Apparatus is provided that includes an annuloplasty system for use on a subject. The system includes an annuloplasty ring, which includes a sleeve having a lumen, and at least one anchor, shaped so as to define a coupling head and a tissue coupling element, which tissue coupling element is shaped so as to define a longitudinal axis, and is configured to penetrate cardiac tissue of the subject in a direction parallel to the longitudinal axis. The system further includes an anchor deployment manipulator, configured to be removably positioned within the lumen of the sleeve, and, while so positioned, to deploy the tissue coupling element from a distal end of the deployment manipulator through a wall of the sleeve into the cardiac tissue in the direction parallel to the longitudinal axis of the tissue coupling element and parallel to a central longitudinal axis through the distal end of the deployment manipulator.

Abstract: Described herein are methods of treating a patient to prevent or correct cardiac remodeling following myocardial infarction. In general these methods may include inserting or implanting a device in a heart chamber to support the affected region within 72 hours after myocardial infarction. The device may be a support device (e.g., a resilient frame) and/or a partitioning device.

Abstract: A method and apparatus for preventing brain compression subsequent to removal of a portion of a patient's cranium comprises custom forming a protective external cranial plate. The protective external cranial plate is shaped to approximate the removed portion of the patient's cranium, and to extend peripherally beyond the removed portion. The protective external cranial plate is affixed in airtight and fluid tight engagement to the scalp of the patient.

Abstract: Disclosed is a device and method which provide a surgical therapy for in situ treatment and repair of intra-articular cartilage lesions and/or defects. The device is an implantable laminate cartilage repair patch which is bio-compatible and physiologically absorbable. The cartilage repair patch has a first outer cell occlusive layer; a second outer, cell porous layer adapted to be disposed proximate a subchondral bone wound site; and a cartilagenic matrix disposed between the first and second layers. The cartilagenic matrix is a sink for diffusion of autologous stem cells and includes chemical components promoting generation of hyaline-like cartilage in the presence of the autologous stem cells. The method of the present invention provides the autologous compositions, which when used in combination with the repair patch provides a therapeutic system to regenerate replacement hyaline-like intraarticular cartilage.

Abstract: A liner adapted for insertion into an acetabular shell for use in hip arthroplasty. The liner includes a concave inner surface adapted to engage a femoral head. The liner also includes an outer surface adapted to engage the acetabular shell and a rim that extends between the inner surface and the outer surface. The outer surface includes a locking section extending from the rim, a composite-curved section extending from the locking section at a first transition point, and a dome section extending from the composite-curved section, wherein at the first transition point, the composite-curved section is tangential to the locking section.

Abstract: A set of distal femoral knee prostheses which are designed to be more narrow in medial/lateral dimensions with increasing anterior/posterior size than existing prostheses to more closely correspond to the physical anatomy of female patients. The prostheses are designed to have a substantially trapezoidal shape or profile when viewed distally which features a more pronounced narrowing of the medial/lateral dimensions beginning at the posterior end of the prostheses and progressing anteriorly to the anterior end of the prostheses. Additionally, the prostheses each include a reduced profile patellar sulcus and reduced profile anterior condyles to more closely conform to the anatomy of a resected femur, and also include sulcus tracking optimized to conform to female anatomy.