Abstract: A delivery system is disclosed having an implant retainer configured to releasably hold an implant unit and maintain the implant unit in a fixation location relative to target tissue in a subject's body during an implantation procedure. A first suture guide portion may be disposed on a first side of the implant retainer and configured to guide a suture needle during the implantation procedure. A second suture guide portion may be disposed on a second side of the implant retainer, opposite the first side, and configured to guide the suture needle after the suture needle exits the first suture guide portion.

Abstract: A knot may be formed in suture material using a device having an elongated body with a longitudinal axis and a holder. A rail portion of the suture material is secured with a first grasper on the elongated body and a non-rail portion of the suture material is secured with a second grasper on the holder. A plurality of helical windings may be created with the non-rail portion. Detaching the holder from the elongated body in a motion away from the longitudinal axis of the elongated body completes the knot. The holder may be wrapped around the elongated body in a knot-forming pattern.

Abstract: A surgical instrument includes a body, a shaft, a cartridge receiving assembly, and a suture cartridge. The body has an actuator. The cartridge receiving assembly includes a pair of jaws. The suture cartridge includes a cartridge body, a needle, and a needle cover. The needle cover is releasably connected to the cartridge body such that the needle cover surrounds at least a portion of the needle. The needle cover is releasably connected to the body by at least one of a securement or a distal extension. The securement is located between the needle cover and the cartridge body to releasably connect the needle cover to the cartridge body. The distal extension projects from at least one of the first jaw or the second jaw and is configured to engage the needle cover thereby holding the needle cover to the cartridge body in the closed position.

Abstract: Tissue fasteners carried on a tissue piercing deployment wire fasten tissue layers of a mammalian body together include a first member, a second member, and a connecting member extending between the first and second members. One of the first and second members has a configuration alterable by a deployment wire to permit release of the fastener from the deployment wire after deployment and without causing excessive tissue trauma.

Abstract: A surgical instrument includes a surgical end effector having a receiving portion for removably receiving therein an interchangeable part. The receiving portion has a communication connection. A handle connected to the end effector actuates the end effector. The handle has a controller electrically connected to the communication connection for authenticating the interchangeable part when placed at the end effector. An interchangeable part is removably connected to the receiving portion and has an encryption device electrically removably connected to the communication connection when placed at the receiving portion. The encryption device authenticates the interchangeable part when queried by the electric controller.

Abstract: Devices, systems, and methods are provided for managing suture filaments when performing soft tissue repair. One exemplary embodiment of a surgical suture management device is in the form of a suture loop management card. The card can generally be configured to hold open a collapsible loop of suture until a force applied to the loop is greater than a threshold tension. The card can include a number of different features that help to keep the loop open until the threshold tension is achieved, including features designed to prevent the filament from being mistakenly offloaded. The card can be configured to be removably inserted into a handle of an inserter tool for use as a surgical tissue repair system. Other devices, systems, and methods for performing soft tissue repair are also provided.

Abstract: A dry sliding low friction suture having an undulated surface is provided. The suture includes: a first end; and a second end braided with the first end to form the suture having an undulated surface having high portions and low portions, and wherein the first end and the second end are of different Denier thereby causing the first and second end to have different diameters which forms the high portion and low portions when all of the ends are braided together. A method of forming a suture having an undulated surface is also described.

Abstract: A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.

Abstract: A cardiovascular valve assembly is disclosed including a housing assembly comprising a first portion and a second portion removably attached to the first portion. A valve may be positioned within the housing assembly. The valve, which may be a mechanical valve, a biological tissue valve, or a polymeric valve, may be structured to allow fluid to flow through the housing assembly in a single direction. In certain embodiments, the valve assembly may further include at least one coupling structure provided on the second portion and at least one aperture defined in the first portion, with the aperture structured to receive the coupling structure to couple the first portion to the second portion. Corresponding systems incorporating cardiovascular valve assemblies are also disclosed.

Abstract: An embolic coil delivery assembly is disclosed. The delivery system may include a tubular member having a distal portion, a proximal portion and a lumen extending therein. The system may further include a tip member secured to the tubular member. The tip member may include a distal portion and a bonding portion. The bonding portion may include a bonding surface. The system may also include an embolic coil releasably disposed within the distal portion of the tip member. The distal portion of the tubular member may extend over the bonding portion of the tip member. The bonding surface may be configured to mechanically interlock with the tubular member.

Abstract: In one embodiment, a method is disclosed in which a retrieval apparatus is coupled to a retrieval portion of an implantable device. The implantable device includes a plurality of expandable members each having a portion that comes into contact with a tissue of a subject when expanded. A force is then provided to the retrieval portion to collapse the implantable device. An electrical current is also provided to the portions of the expandable members that come into contact with the tissue of the subject via the retrieval apparatus.

Abstract: Vaso-impacting implants and novel methods of making coils, stent-trievers, flow diverters and the like enable aneurysm treatment, including in the brain. Refined and variegated framing and complex coils provide for rapid electrolytic detachment, including less than 20 second embodiments. Novel enhanced mandrels, fittings and winding schemes are likewise disclosed improving the standard of care and state of the art.

Abstract: A tourniquet for occluding the flow of blood in an injured limb, and methods of use and construction thereof is provided. The tourniquet includes a strap of inelastic material having an annulus at a first end and a fastener assembly a second end. The fastener assembly is extendible through the annulus, and the strap has a hook or loop fastener portion on at least one side. The fastener assembly includes first and second fastener portions. The first fastener portion is releasably fixable to the hook or loop fastener portion on the strap and is separable from the hook or loop fastener portion under a first tensile force. The second fastener portion is fixable to the hook or loop fastener portion on the strap and is separable from the hook or loop fastener portion under a second tensile force, wherein the second tensile force is greater than the first tensile force.

Abstract: Disclosed is a system and method for regulating tourniquet cuff pressure to restrict blood flow penetration past the cuff based on a personalized restrictive pressure (PRP). The system includes mechanisms for estimating a limb occlusion pressure (LOP) by determining a minimum pressure at which arterial blood penetration past an applied tourniquet cuff is stopped and measuring a pulsation characteristic associated with the LOP. Thereafter, the system establishes a PRP by determining a second pressure that restricts but does not stop arterial blood penetration past the cuff and that corresponds to a second pulsation characteristic differing by a percentage from the pulsation characteristic associated with the LOP. During a limb-activity time period, the system maintains pressure in the applied tourniquet cuff near the PRP, thereby restricting but not stopping arterial blood penetration past the cuff during the activity time period.

Abstract: A system and a device are provided for counterbalancing a surgical robotic system that include a rail assembly having a shaft that engages a first carriage and a second carriage via threaded mechanism. A manipulatable arm carries a movable effector; the manipulatable arm is supported by the first carriage. A counter weight is supported by the second carriage with a single actuator. A simplified robotic surgery system results.

Abstract: Disclosed is a medical motor drill having an angle adjusting function. The medical motor drill includes a main body, a shaft connected to the main body, a drill unit connected to the shaft so as to be bendable relative to the shaft, the drill unit including a motor configured to receive power from the main body and a drill blade configured to be rotated by the motor, a drive force transmission unit configured to bend the drill unit relative to the shaft, and an angle adjustment unit connected to the drive force transmission unit to adjust a bending degree of the drill unit. The medical motor drill has advantages of enabling drilling over a wide range in a state in which a drill manipulation position is fixed and of enabling adjustment in the angle of the drill unit that is located distant from a user manipulation position.

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.

Abstract: A hip resurfacing CAS system for guiding an operator in altering a femoral head in computer-assisted surgery for subsequent implanting of a femoral head implant, comprises a trackable reference on the femur. A registration tool is trackable. A bone-altering tool is associated with a resurfacing of the femoral head. A tracking apparatus tracks the tools. A resurfacing processing unit is connected to the tracking apparatus so as to receive tracking data for the tools. The resurfacing processing unit has a position/orientation calculator to calculate from the tracking data a position and orientation of the trackable reference to track the femoral frame of reference, and of the registration tool and the bone-altering tool. A model generator receives position and orientation data of the registration tool to produce a model of the femoral head and neck with respect to the femoral frame of reference.

Abstract: A method includes inserting a guide mount into a space between a talus and a tibia until a mating portion having a conformal bone engaging surface is disposed against the tibia. An instrument guide is into a cavity defined by the guide mount such that an opening defined by a superior wall of the instrument guide aligns with an opening defined by a superior wall of the guide mount. A reamer head disposed within the opening defined by the instrument guide is connected to a flexible reamer shaft that is received within a passageway defined by the instrument guide. The talus is reamed with the reamer head driven by the flexible reamer shaft.

Abstract: Devices and methods for use in hip replacement surgery can incorporate computer models of a patient's acetabulum and surrounding bone structure, a first patient-specific jig designed from the computer model and configured to correspond to a final installation position and orientation of a prosthetic him implant, a second patient-specific jig, also designed from the computer model, configured to refine the procedure, if necessary, following use of the first patient-specific jig, and/or a third patient specific jig, designed from the computer model, configured to refine the procedure, if necessary, following use of the first and second patient-specific jigs, allowing the surgeon to properly position and orient the hip prosthesis. Also shown and described are novel devices for implanting an acetabular cup.

Abstract: A method for securing a biceps tendon to a proximal portion of a humerus includes, in one example, forming a transosseous passage with openings on opposite sides of the biceps tendon. In another example, an instrument for use with the method includes a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.

Abstract: A medical device, configured to perform an endovascular therapy, e.g., thrombectomy, can comprise an elongate manipulation member having a first connection member proximate a distal end of the elongate manipulation member, and an intervention member having a second connection member proximate a proximal end of the intervention member. The second connection member can be connected to the first connection member such that the first connection member can rotate relative to the second connection member.

Abstract: Systems and methods for treating thrombosis and or emboli in a peripheral vasculature of a patient are disclosed herein. The method can include providing a thrombus extraction device including a proximal self-expanding coring portion formed of a unitary fenestrated structure and a distal expandable tubular portion formed of a braided filament mesh structure; advancing a catheter constraining the thrombus extraction device through a vascular thrombus in a vessel; deploying the thrombus extraction device from the catheter from a constrained configuration to an expanded configuration; retracting the thrombus extraction device proximally so that the coring portion cores and separates a portion of the vascular thrombus from the venous vessel wall while the mesh structure captures the vascular thrombus portion; and withdrawing the thrombus extraction device from the patient to remove the vascular thrombus portion from the vessel.

Abstract: Systems and methods for removal of thrombus from a blood vessel in a body of a patient are disclosed herein. The method can include: providing a thrombus extraction device including a proximal self-expanding member formed of a unitary fenestrated structure, a distal substantially cylindrical portion formed of a net-like filament mesh structure, and an inner shaft member connected to a distal end of the net-like filament mesh structure; advancing a catheter constraining the thrombus extraction device through a vascular thrombus, deploying the thrombus extraction; retracting the thrombus extraction device to separate a portion of the thrombus from the vessel wall and to capture the portion of the thrombus within the net-like filament mesh structure; and withdrawing the thrombus extraction device from the body to remove thrombus from the patient.

Abstract: A clot retrieval device (9501) for removing clot from a blood vessel comprises an inner elongate body (9503) and an outer elongate body (9504) at least partially overlying the inner elongate body (9503). The device also comprises an elongate member or shaft (9502) having a proximal end which extends exterior of a patient so that a user can retrieve the stent-basket device and captured clot by retracting the shaft (9502). The outer elongate body (9504) and the inner elongate body (9503) are connected to the distal end of the shaft (9502) and are expandable relative to the shaft (9502) from a collapsed delivery configuration to an expanded deployed configuration. The outer elongate body (9504) is expandable relative to the inner elongate body (9503) to a radial extent which is greater than the radial extent of the inner body (9503) in the deployed configuration.

Abstract: A binding part of a basket-type grasping forceps includes: a first binding part to which proximal ends of first wires that are some of a plurality of basket wires are fixed; and a second binding part to which proximal ends of second wires not connected to the first binding part among the plurality of basket wires are fixed, which is engaged with the first binding part to be separable from the first binding part, is containable inside a sheath along with the first binding part in a state in which the second binding part is engaged with the first binding part, and is held by an inner surface of the sheath to be inseparable from the first binding part in the sheath.

Abstract: A forceps includes an end effector assembly having first and second jaw members disposed in parallel orientation relative to one another. One or both of the jaw members is movable along a first axis relative to the other jaw member between a spaced-apart position and an approximated position for grasping tissue therebetween. The first and second jaw members are configured to maintain the parallel orientation therebetween upon movement of the jaw members between the spaced-apart and approximated positions. A drive bar is coupled to one or both of the jaw members. The drive bar is selectively movable along a second axis that is different from the first axis between first and second positions for moving the jaw members between the spaced-apart and approximated positions.

Abstract: Devices and methods are provided for facilitating canulation of body conduits. For example, this document provides devices and methods for facilitating canulation of the bile and/or pancreatic ducts in the context of an endoscopic retrograde cholangiopancreatography (ERCP) procedure.

Abstract: A manipulator including an elongated shaft, at least one joint disposed at a distal end of the shaft, a manipulating part via which a movement instruction for the joint is input, and a driving unit that drives the joint according to the movement instruction input via the manipulating part. The manipulating part includes a handle fixed to the shaft and gripped in one hand of an operator, a displaceable member that is disposed at a position along which at least one finger of the hand gripping the handle can be extended and that can be displaced by a movement of the finger extending therealong, and a sensor that detects displacement of the displaceable member and outputs it as the movement instruction.

Abstract: The present disclosure provides medical devices for creating a channel in a biological soft tissue. The devices comprise an integral rotatable tool formed by an elongated distal member and a proximal shaft, the elongated member having a distal end portion and a proximal end portion, the distal end portion comprising a tissue piercing tip of a pyramid-like shape, and the proximal end portion comprising an elongated prism-like portion having at least three surfaces and respective prism edges, with at least one of the prism edges between the surfaces being configured as a tissue cutting blade, and the proximal shaft interfacing and extending from the prism-like portion and having a cross section larger than a cross section of the prism-like portion at the interface.

Abstract: A retractable device includes a sheath member having an interior space; a retractable member disposed in the interior space of the sheath member and moveable longitudinally between an exposed position and a guarded position relative to the sheath member; a biasing member disposed longitudinally within the retractable member; and a latch member that locks the retractable member relative to the sheath member in the guarded position. In such circumstances, the latch member includes a release button extending through both the retractable and the sheath members. The retractable member is movable from the exposed position to the guarded position in response to the release button being pushed by a user.

Abstract: A cutting device including a blade with a first end with a cutting surface and a second end configured to be attached to a handle, wherein the blade can be attached to the handle without a user contacting the blade; and wherein the blade is configured to be locked in place in they handle by rotating said handle.

Abstract: The present disclosure relates to the field of endoscopy. In particular, the present disclosure relates to systems and methods suitable for resecting or dissecting large areas of mucosal or submucosal tissue. The system may apply tension to and continuously manipulate mucosal tissue such that large lesions may be resected or dissected by a cutting element disposed at the distal end of an endoscope.

Abstract: In one aspect, the present disclosure pertains to ultrasonic treatment devices that comprise: (a) a flexible elongate body having a proximal end and a distal end, the flexible elongate body being configured for insertion to a target site within a patient; (b) an effector assembly disposed at the distal end of the flexible elongate body, the effector assembly comprising a piezoelectric transducer and an end effector; and (c) flexible electrical conductors in electrical communication with the piezoelectric transducer, the flexible electrical conductors extending along a length of the flexible elongate body, wherein transference of electrical energy to mechanical motion takes place via the piezoelectric transducer at the target site. Other aspects of the present disclosure pertain to systems employing such ultrasonic treatment devices and methods of treatment using such ultrasonic treatment devices.

Abstract: A removable component configured for insertion into an internal compartment of a surgical instrument is provided including a housing defining first and second ends, a grasping member, and a biasing member. The grasping member is operably coupled to the housing at the second end thereof and is movable relative to the housing between a presented position, wherein at least a portion of the grasping member is spaced-apart from the second end of the housing, and a stored position, wherein the grasping member is approximated relative to the second end of the housing. The biasing member is disposed between the grasping member and the second end of the housing and is configured to bias the grasping member towards the presented position. Systems including a surgical instrument and such a removable component and methods of assembling a surgical instrument using the same are also provided.

Abstract: A balloon catheter is provided that may be used to dilate hardened regions of a stenosis. The balloon catheter is provided with one or more dilation elements that extend along a surface of a balloon. Each dilation element is connected to an outer surface of the balloon by a connector. The connector is sufficiently sized and designed to undergo stress-induced plastic deformation incurred during blow molding so that a significant portion of each of the dilation elements does not become absorbed into the wall of the final blow molded balloon, thereby maintaining the structural integrity of each of the dilation elements.

Abstract: A trocar sensor unit including a base that is configured to be attached to and detached from a trocar and that has a through-hole through which an insertion section to be inserted into the trocar is inserted; a moving member that has a pressing surface forming at least a portion of an inner surface of the through-hole of the base and that is configured to be moved in a radial direction of the through-hole; and a sensor that is disposed in at least one of the moving member and a portion of the inner surface of the through-hole opposite the pressing surface and that detects the amount of movement of a surface of the insertion section in the through-hole.

Abstract: A needle assembly has a needle having an echogenic feature proximate to its distal sharp tip mounted to an echogenic cannula, with the echogenic tip of the needle extending beyond the distal end of the cannula. The echogenic tip provides guidance for the movement of the needle assembly under ultrasound observation so that the needle assembly may be more readily maneuvered inside a body. Once correctly positioned, the needle is removed and further confirmation may be made under ultrasound observation that the cannula has been correctly positioned inside the body. The echogenic feature of the needle may be at least one spiral groove that is tilted at an angle relative to the tip of the needle to effect a substantially 180° reflection of the ultrasound. An alternative echogenic feature to improve reflected echogeneity has crisscrossing grooves each having a predetermined pitch density formed at a neutral position on the needle.

Abstract: An assembling surgical access device includes a flexible tube and a connecting structure. The flexible tube includes a tube body and a positioning portion connected to the tube body. The connecting structure is connected to the flexible tube, and includes a housing and a tube fixing member. The housing includes a side wall, an end wall, a fixing portion and a tube hole. The fixing portion is connected to the positioning portion of the flexible tube, and the tube body is disposed through the tube hole. The tube fixing member is engaged into the side wall so as to position the positioning portion between the end wall and the tube fixing member.

Abstract: A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member including leading portion, a trailing portion, and an intermediate portion disposed between the leading and trailing portions. The leading portion of the seal anchor member is configured and adapted to ease insertion of the seal anchor member into the tissue tract. Subsequent to insertion of the seal anchor member, the leading portion of the seal anchor member is also configured and adapted to facilitate securing and/or anchoring of the seal anchor member within the tissue tract.

Abstract: The present embodiments relate generally to systems and methods for measuring an analyte in a host. More particularly, the present embodiments provide sensor applicators and methods of use with activation that implant the sensor, withdraw the insertion needle, engage the transmitter with the housing, and disengage the applicator from the housing. Systems and methods according to present principles allow for such steps to occur without significant loss of spring force, and without deleterious effects such as seal slingshotting.

Abstract: The present embodiments relate generally to systems and methods for measuring an analyte in a host. More particularly, the present embodiments provide sensor applicators and methods of use with activation that implant the sensor, withdraw the insertion needle, engage the transmitter with the housing, and disengage the applicator from the housing. Systems and methods according to present principles allow for such steps to occur without significant loss of spring force, and without deleterious effects such as seal slingshotting.

Abstract: The present embodiments relate generally to systems and methods for measuring an analyte in a host. More particularly, the present embodiments provide sensor applicators and methods of use with activation that implant the sensor, withdraw the insertion needle, engage the transmitter with the housing, and disengage the applicator from the housing. Systems and methods according to present principles allow for such steps to occur without significant loss of spring force, and without deleterious effects such as seal slingshotting.

Abstract: The present embodiments relate generally to systems and methods for measuring an analyte in a host. More particularly, the present embodiments provide sensor applicators and methods of use with activation that implant the sensor, withdraw the insertion needle, engage the transmitter with the housing, and disengage the applicator from the housing. Systems and methods according to present principles allow for such steps to occur without significant loss of spring force, and without deleterious effects such as seal slingshotting.

Abstract: An embodiment includes a uterine manipulator system comprising: a collar including a first shelf connected to the inner surface of the collar; a stabilizer including a stabilizer rim adapted to couple to the first shelf; and a shaft adapted to pass through the stabilizer and a hollow tunnel of the collar with a bulbous tip. Other embodiments are described herein.

Abstract: An apparatus for use in connection with an endoscopic surgery includes an elongated body adapted to be placed at least partially in the vagina of a female patient partially passing through the wall of the vagina such that an end portion of said elongated element is introduced into rectouterine pouch. The elongated body includes at least an attachment means for accommodating at least a part of at least a surgical instrument comprising an end portion adapted to be received inside the vagina, the surgical instrument and the apparatus are movable to each other. An endobag having an elongated port is provided through the vagina into the pelvis.

Abstract: An implantable assembly (21) for a knee joint includes a force absorber assembly (33) connected to a first attachment structure (25) for a tibia and a second attachment structure (29) for a femur. The absorber assembly includes a cylinder body (47) connected to the first attachment structure and a piston (41) connected to the second attachment structure. The piston includes a first portion (39) connected to the second attachment structure and a second portion receivable in a cylinder body opening (43) of the cylinder body, the second portion of the piston being of greater flexibility than the first portion of the piston.

Abstract: A spinal construct comprises at least one spinal implant connected with vertebrae and a member extending between a first end including, at least one part configured for connection to tissue of a rib cage and a second end configured for connection with the at least one spinal implant. Systems and methods are disclosed.

Abstract: A system for reducing deformities of the vertebrae in the spine includes a first reduction assembly, a second reduction assembly, and a reduction drive assembly. The first reduction assembly is configured for attachment to a first reduction tower that attaches to a first vertebra. The second reduction assembly is configured for attachment to a second reduction tower that attaches to a second vertebra. The reduction drive assembly includes an arcuate rack gear operably coupling the first reduction assembly to the second reduction assembly to translate the first reduction assembly relative to the second reduction assembly along an arcuate path in a first plane.

Abstract: An extender system is configured to couple a vertebral bone anchor that has been previously implanted in a vertebra, or is newly implantable in a vertebra, to an adjacent bone, which can be an additional spinal level or an occiput, for example. The extender system includes an extension member having a body and an engagement member coupled to the body. The extension member defines an aperture extending through the engagement member. A screw is configured to attach the extension member to the vertebral bone anchor. The extension member can be fastened to the adjacent bone.