Abstract: A method and a device for detecting physiological indexes. The method includes: obtaining a body temperature fluctuation value associated with a user, where the body temperature fluctuation value is at least obtained by a first difference value between a current shell temperature associated with the user and a basal temperature associated with the user (101); and determining a current physiological index associated with the user based on the body temperature fluctuation value associated with the user (102). The method can be applicable in a detection process for physiological indexes and can perform health-related operations based on the detected physiological indexes including a body temperature measuring result.

Abstract: A non-invasive and accurate vagina evaluation device and uterine evaluation devices are provided that measure the receptivity (uterine implantation capacity) of the mother's body to a fertilized egg implanting itself into the uterus. A first vagina evaluation device includes: a main body stretchable and expandable after insertion into a vagina, followed by air injection thereinto; four electrodes brought into contact with the vagina wall as the main body expands and stretches; and fixation means configured to fix the interval of arrangement of the electrodes. Second and third uterine evaluation device include: a flexible and rod-shaped main body for insertion into a uterine cavity; and four or two impedance electrodes arranged with a predetermined interval therebetween in an insertion direction of the main body and brought into contact with an endometrium of the uterine cavity to measure a uterine endometrial impedance generated between the endometrium and each of the electrodes.

Abstract: A biopsy device for percutaneous tissue removal includes an elongated housing having an operational axis, a stylet hub slidably mounted in the housing, where the stylet hub is movable relative to the housing between a proximal, armed position, and a distal, fired position, the stylet hub having a stylet strike, a cannula hub slidably mounted in the housing alongside the stylet hub, and a spring-biased arming member. The cannula hub is movable relative to the housing between a proximal, armed position, and a distal, fired position. The arming member is moveably mounted to the housing proximal of the respective stylet and cannula hubs, and configured for manually-actuated movement from a relaxed, extended position to a loaded, compressed position to define a compressive arming stroke. The biopsy device also includes an arming member biasing spring that restores the arming member from the compressed position to the extended position.

Abstract: A multipurpose tissue sampling device is provided for extracting at least one tissue sample from a tissue sampling site. An outer sheath has a cutting surface and an outer sheath lumen extending from an outer sheath proximal end to an outer sheath distal end. An inner stylet has a solid inner stylet cutting tip, sampling notch, and an inner stylet lumen extending from an inner stylet proximal end to the sampling notch. The inner stylet exterior wall is configured to pass through the outer sheath lumen. A fine needle aspiration needle has an FNA needle body configured to pass through the inner stylet lumen. The FNA needle has an FNA needle lumen and a sampling feature. An actuator has a proximal port and a distal port with inner port walls that are configured to accept at least a portion of at least one of the outer sheath and inner stylet.

Abstract: A vein harvesting device for harvesting a vein in a body comprises a tubular member possessing a distal end portion and a proximal end portion, and a capping member at the distal end portion of the tubular member. The capping member possesses a distal end portion and a proximal end portion, and the distal end portion of the capping member possesses a window member and a dissecting member. The window member extends from the proximal end portion of the capping member to the distal end portion of the capping member, and a cutting member is positioned in the tubular member and is movable under the window member and in a circumferential direction relative to the tubular member.

Abstract: A combination of a first assembly for guiding resection of a femur and tibia of a knee joint and a second assembly including femoral and tibial knee components. The combination of the first assembly and the second assembly provides optimal placement and positioning of the femoral and tibial knee components to achieve near-normal knee kinematics and tension. The preparation for and placement of the prosthetic knee components provides medial-pivoting kinematics mimicking that of the natural knee thereby promoting improved outcome for the patient.

Abstract: A self-retaining retractor for use in hip replacement surgery includes a pair of handles, a locking ratchet, a first arm including a first portion, a hinge joint, and a second portion having a modular blade system. The retractor also includes a second arm having a first portion, a universal locking joint, a locking lever, and a second portion having a generally triangular shaped end. The modular blade system has an interchangeable blade.

Abstract: A surgical access device and methods for facilitating access through an incision or wound to a surgical site in a patient's body comprising an inferior retention member, a superior retention member, and a pliable membrane therebetween. The pliable membrane includes a base layer, a permeable membrane attached to the base layer, and a fluid channel disposed between the layers. The fluid channel is fluidly coupled to a fluid source. The fluid is delivered to the surgical site via the permeable membrane. The pliable membrane may also provide for fluid removal from the surgical site. The delivered fluid may comprise an antimicrobial fluid chosen to selectively inactivate or prevent the growth of a target microorganism. Methods are provided for determining the risk of surgical site infection, therapeutic regimen, target microorganism likely to require therapeutics, and/or contributing risk factors.

Abstract: Disclosed herein are devices and methods for introducing a plurality of instruments to a target site through a working channel. The working channel can include a surface adapted to guide one or more instruments into select positions. The working channel can be defined by a portion of a guide tube or tip that may be coupled with an endoscope.

Abstract: A fibrous tissue repair device includes first and second tubular anchors having corresponding longitudinal passages. The tissue repair device includes corresponding first and second inserters. Each inserter has a shaft with a distal portion received in the longitudinal passage of the corresponding tubular anchor. A flexible strand couples the first and second anchors.

Abstract: [Problem] To reduce the risk of damaging organs in a body while delivering a thread during surgery. [Means for Solving Problem] An instrument for delivering a surgical thread has a grip 10, an outer cylinder 70 fixed the grip, a hollow needle 80 extending inside the outer cylinder 70 and being configured to be moved relative to the outer cylinder 70 in an axial direction and a loop 90 configured to be housed in the outer cylinder 70. An end of the outer cylinder 70 is bent in a state where force is not applied. The hollow needle 80 is exposed from the outer cylinder 70 when puncturing skin or etc., and the hollow needle 80 is housed in the outer cylinder 70 when it travels near organs which should not be damaged.

Abstract: A suture implant device includes: a splice; a fixed loop having a first fixed end at a first end of the splice and a second fixed end at the first end of the splice; an adjustable loop having a fixed end at the second end of the splice and an adjustable end at the second end of the splice, the adjustable end passes through the at least a portion of the splice so that a tensioning strand extending from the adjustable loop protrudes from the splice; a needle on the fixed loop; and a member on the adjustable loop. A method of cinching a first tissue to a second tissue includes: attaching the suture implant to a first tissue; attaching the suture implant to a second tissue; and cinching the first tissue to the second tissue without the suture implant sliding against or through the first tissue.

Abstract: Electrically operated surgical instrument, comprising a handle having a power supply; a drive assembly having an electrical motor, a controller electrically connected to the power supply and motor, and a drive part selectively moved by the motor between a fully extended position and a fully retracted position; and a control assembly operably connected to the motor to control a rotation of the motor; an end effector having a tissue-cutting assembly comprising: a blade connected to the drive part to move between opposing compression surfaces over the course of a blade stroke to cut tissue compressed between the compression surfaces, the blade stroke being comprised of the drive part advancing the blade towards the tissue to an extended position and retreating proximally to a retracted position, the control assembly being operable to selectively cause the motor to automatically retreat the drive part to place the blade in the retracted position.

Abstract: A dissecting tip is provided for use with a surgical stapler or instrument. In one embodiment, the dissecting tip is secured to the end effector of the surgical instrument, e.g., to the cartridge assembly. The dissecting tip extends distally from the end effector and is configured to dissect or separate target tissue from certain tissue, e.g., adherent, connective, joined or other tissue.

Abstract: A surgical stapling device is disclosed including a cartridge assembly and an anvil assembly. The anvil assembly is translatable relative to the cartridge assembly between a spaced position, where the anvil assembly is spaced from the cartridge assembly, and an approximated position, where the anvil assembly is in close cooperative alignment with the cartridge assembly for clamping tissue disposed therebetween. A lockout sleeve is slidably supported on the cartridge assembly and translatable relative to the cartridge assembly and the anvil assembly between a first position and a second position. The lockout sleeve is configured to engage the anvil assembly and the cartridge assembly when the lockout sleeve is in the second position to inhibit translation of the anvil assembly relative to the cartridge assembly from the spaced position to the approximated position.

Abstract: A surgical apparatus includes a handle, an elongate member and a switch actuator. The switch actuator includes an activation link and a switch plunger coupled to the activation link. An electric switch is mounted to the elongate member. A rotatable lock member is mounted to the elongate member and adapted for rotational movement between an unlocked condition and a locked condition. The rotatable lock member includes an actuator stop dimensioned to operatively engage the switch actuator to prevent movement of the switch actuator from a first longitudinal position to a second longitudinal position when in the unlocked condition, and to permit movement of the switch actuator to the second longitudinal position when rotated to the locked condition such that the switch plunger activates the switch. A loading unit is releasably couplable to the rotatable lock member and is secured relative to the elongate member when the rotatable lock member is in the locked condition.

Abstract: An endoscopic surgical device is provided and includes a handle assembly including a handle housing and a trigger operatively connected to the handle housing, and a drive mechanism actuatable by the trigger; and an endoscopic assembly selectively connectable to the handle assembly. The endoscopic assembly includes an outer tube defining a lumen therethrough and having a helical thread disposed within the lumen thereof; an inner tube rotatably supported in the outer tube and being operatively connectable to the drive mechanism, the inner tube defining a splined distal end, wherein the splined distal end of the inner tube is defined by a pair of opposed longitudinally extending tines and a pair of opposed longitudinally extending channels; and a plurality of surgical anchors loaded in the splined distal end of the inner tube.

Abstract: An adapter assembly includes an elongated body, a switch, a sensor link, and an annular member. The elongated body includes a distal portion configured to couple to a surgical loading unit. The distal portion defines a slot therein. The sensor link has a proximal end disposed adjacent the switch and a distal end disposed adjacent the distal portion of the elongated body. The sensor link is longitudinally movable between a proximal position and a distal position. The annular member has a protrusion movably disposed within the slot. The annular member is rotatable between a first orientation, in which the annular member prevents movement of the sensor link to the distal position, and a second orientation, in which the sensor link moves distally to toggle the switch. The annular member is resiliently biased toward the first orientation.

Abstract: A dissecting tip is provided for use with a surgical stapler or instrument. In one embodiment, the dissecting tip is secured to the end effector of the surgical instrument, e.g., to the cartridge assembly. The dissecting tip extends distally from the end effector and is configured to dissect or separate target tissue from certain tissue, e.g., adherent, connective, joined or other tissue.

Abstract: The present disclosure relates to endoscopic reposable surgical clip appliers having a reusable handle assembly, at least one reusable shaft assembly, and at least one disposable clip cartridge assembly.

Abstract: A sutureless anastomosis device is provided herein comprising an outer tube defining an outer lumen and an inner tube formed of a compliant material defining an inner lumen. The inner tube is disposed within the outer lumen. In various embodiments, the anastomosis device is implanted such that proximal ends of the outer and inner tubes are secured around an outer surface of a proximal blood vessel, the distal end of the outer tube is secured to an outer surface of a distal blood vessel, and the distal end of the inner tube is secured to an inner surface of the distal blood vessel. Such a configuration connects the proximal blood vessel and distal blood vessel together in a manner that limits or eliminates turbulent flow through the anastomosis device. Methods of implantation are also disclosed.

Abstract: The problem of attaching a donor nerve stump to a recipient nerve for an end-to-side coaptation is solved by the use of a tissue connector. The tissue connector can have a body for receiving the donor nerve stump and one or more overflaps for attaching the tissue connector with the donor nerve stump therein to the epineurium on the side of the recipient nerve. Sutures can also be used to secure the tissue connector and nerves in place.

Abstract: An adapter assembly for connecting an end effector to a surgical instrument includes first and second drive assemblies configured for converting rotational motion into linear motion, and an actuation assembly. The second drive assembly includes a pair of push/pull cables for longitudinally advancing and retracting a drive member.

Abstract: Navigation and tissue capture systems and methods for navigation to and/or capture of selected tissue using the innate electrical activity of the selected tissue and/or other tissue are described. In the context of left atrial appendage closure, the systems and methods can be used to navigate to the left atrial appendage and capture/control the appendage while a closure instrument (suture, clip, ring) is placed over the appendage and tightened down or a closure method (ablation, cryogenic procedures, stapling, etc.) is performed to close the left atrial appendage. The use of innate electrical activity for navigating devices may be used in connection with other tissues and/or areas of the body.

Abstract: An implant can include a support component, a cover component, and a valve component. The valve component can be operable to permit flow through the implant. The implant can be delivered on a catheter, with one of the ends of the implant being selectively expanded to permit temporary occlusion of a vessel while delivering a material through the valve component to a downstream target region. The other end of the implant can thereafter be released such that the implant occludes the vessel, or the implant can be removed from the vessel entirely.

Abstract: Methods and devices for removing a thrombus are described. The device includes an expandable cylindrical structure made of wires and a self-expanding permeable shell located at the distal end of the cylindrical structure. Methods and devices for treating a cerebral aneurysm are described. The device may include a self-expanding resilient permeable shell and a metallic coil secured to the distal end of the permeable shell.

Abstract: An assembly for guiding resection of a femur and tibia of a knee joint in preparation for installing a femoral and tibial knee components. For example, the assembly can include tibial and femoral IM rods to which are connected through a tensioning bolt that allows controlled adjustment of the distraction of the tibia and femur during cut positioning in a range of flexion angles. Also, the assembly is usable with relatively small, noninvasive approaches to the knee joint by way of relatively narrow, low profile components that attach to tibial and femoral IM rods. Further, the assembly includes several quick-release components to allow fast assembly and disassembly in a surgical setting. Each of these aspects, along with the ability of the assembly to accurately guide initial reference cuts to the tibia and femur, promotes an improved outcome for the patient.

Abstract: An integrated instrument for arthroplasty planning comprises a cutting block having an adjustable distance between an anterior cut guide and a posterior cut guide, and a sizer mounted to the cutting block, the sizer comprising medial and lateral posterior feet having an adjustable distance from one of the cut guides and an adjustable angular position relative to the one of the cut guides.

Abstract: A microfracture device comprising a guide shaft having a proximal end and a distal end and defining an internal passage between the proximal and distal ends, the distal end having a curved tip, a stabilizing portion disposed along an outer surface of the guide shaft, at least a portion of the stabilizing portion being wider than the guide shaft, and a flexible element movably positioned within the internal passage of the guide shaft, the flexible element having a distal tip configured for driving into bone.

Abstract: Use of measurement system and detection module with a burr instrument for surgical procedures. The measurement system may include sensors (e.g., displacement, acceleration, and/or force sensors) that may be utilized to detect potentially hazardous operation of the burr instrument. For example, when penetrating through the cortex of the bone the measurement system may be operated in a unicortical mode such that when the burr passes through the cortex of the bone, the instrument operating may be arrested to avoid damage to surrounding tissue. Moreover, the system may be utilized to detect a slip or sudden loss of contact of the burr instrument such that the instrument may be arrested to avoid damage to surrounding tissue. Furthermore, the burr instrument may have a predetermined ramp-up speed.

Abstract: A powered surgical tool that includes a housing with a head and a handle that extends from the head. An electric motor is disposed in the head. A trigger extends from the handle. There is a void space in the handle. A plate separates the motor from the handle. Internal to the handle void space there is a rotor sensor and a control circuit. The rotor sensor is able to monitor the magnetic fields emitted by the motor rotor and that pass through the plate. The control circuit receives signals from the rotor sensor representative of the rotational orientation of the rotor and is further able to monitor the actuation of the trigger. Based on the rotor orientation signals and the actuation of the trigger, the control circuit generates signals that result in the selective generation of power signals to the motor rotor.

Abstract: A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member extends distally from the distal end of the elongated sleeve, and has sharp cutting edges. The cutting head is formed from a wear-resistant ceramic material, and a motor coupled to the proximal end of elongated sleeve rotate the cutting member. The cutter is engaged against bone and rotated to cut bone tissue without leaving any foreign particles in the site.

Abstract: An apparatus for providing medical treatment includes a tool portion configured to operate relative to bone tissue, a handle portion to operate the tool portion, and a nerve monitoring system to detect neural elements. The tool portion includes an insulated shaft comprised of an electrically conductive member and a non-insulated tip. The shaft carries an electrical signal to the non-insulated tip. The handle portion, which is removably and operably connected to the tool portion, incorporates an operating system to rotationally operate the tool portion. Additionally, the nerve monitoring system is linked to the tip and is operable to detect a neural element as a function of a characteristic of the electrical signal on the tip. Upon detection of a neural element, the nerve monitoring system provides a signal to the operating system of the handle portion directing the operating system stop rotation of the tool portion.

Abstract: A retrograde resection apparatus may include a cutting blade including a slot defined in the cutting blade, a recess defined in at least a portion of the slot, a screw, including a proximal end and a distal end defining a bore therethrough, a shaft having a distal end and a proximal end, wherein the shaft passes through the bore and the distal end is configured to be received in the recess, and a biasing device configured to bias the shaft against the cutting blade. In addition, the apparatus may include a tether, a first portion of which is affixed to the cutting blade and a second portion of which passes through the bore.

Abstract: A bone material removal device including a cannula, a bone drilling forward tip and a bore widening element including a bone carving portion that slides axially relative to the cannula and extends in a circumferential direction and wherein the axial movement of the bore widening element relative to the cannula brings a carving portions to travel and extend radially in a circumferential direction beyond a surface of the cannula and carve bone from a wall of a bore.

Abstract: An orthopedic jig and pins therefore are disclosed that allow the pins to be pre-loaded into apertures through the jig before the jig is positioned at a desired location with respect to a bone during an orthopedic surgical procedure. At least one of the pin and/or jig includes a retention mechanism whereby the pin can be inserted into the bore and releasably restrained therein until the jig is place is the selected position and the pins driven into the bone.

Abstract: The tissue retrieval system deploys a tissue bag at the surgical site. The bag is supported by the system as tissue is placed within the bag and is closed to isolate the collected tissue and allow the bag and collected tissue to be removed from the body. The bag can be reopened and re-closed as desired through use of a guide bead and cord. The bead also facilitates removal of the collected tissue.

Abstract: The present invention provides devices for removing an embolus or thrombus. The device includes an elongate member configured for insertion into the vasculature, an expandable member that extends from the distal end of the elongate member, and a flow restrictor associated with a proximal portion of the expandable member. The expandable member is configured to transition from a compacted state to an expanded state, in which the expandable portion engages with the embolus. The flow restrictor is configured to restrict blood flow and generate a low pressure zone at a location in the vasculature that is distal to the flow restrictor.

Abstract: An ultrasonic device having a tri-axial configuration including an ultrasound transmission member, a dilator, and a sheath is disclosed. The ultrasound device may be used in a procedure to treat an occluded blood vessel. The ultrasound transmission member can transmit ultrasonic energy from an ultrasonic transmission member into the subintimal space of a blood vessel. The sheath may articulate to aid in the process of re-entering the central lumen of the blood vessel.

Abstract: An irregularly-shaped balloon-type ureteral stone blockage extractor, which is provided with a hollow operating rod (1) that is opened at the proximal end and closed at the distal and. A fitting groove (4) is provided at a distal section of the operating rod (1). An annular balloon (5) is provided on the fitting groove (4). A blocking film (6) is provided on the periphery of the balloon (5). The blocking film (6) surrounds the periphery of the balloon by at least one circle. The interior of the balloon is in communication with a cavity of the operating rod.

Abstract: Devices, kits, and methods of treatment are described. More particularly, methods of treating tissue of a passage wall defining a bodily passage, such as a sinus cavity, airway, or sinus passage are described. An exemplary method utilizes an elongate member having an elongate member proximal end, elongate member distal end, and an elongate member body that defines a curve.

Abstract: Described here are paranasal sinus devices for treating paranasal sinus conditions. The devices include a cavity member, ostial member, and nasal portion. One or more of the cavity member, ostial member, and nasal portion may deliver an active agent for sustained release to treat the paranasal sinus condition. Exemplary paranasal sinus conditions are sinus inflammation due to functional endoscopic sinus surgery (FESS) and rhinosinusitis.

Abstract: A surgical device comprises an elongate shaft comprising an outer tube and an inner rod positioned in the outer tube, the outer tube and inner rod each comprising a distal end and a proximal end. An actuator is operably connected to the proximal ends of the outer tube and the inner rod. An end effector is adapted for in vivo attachment to and detachment from the distal ends of the outer tube and the inner rod, the end effector comprising a collet for locking engagement with the distal end of the inner rod. The end effector may further comprise a second collet for locking engagement with the outer tube. The surgical device may further comprise a loader comprising a collet for locking the end effector in the loader.

Abstract: A treatment instrument includes a grip and a handle. The grip is provided in an operation unit. The grip includes a first surface and a second surface provided back to back. The handle provided in the operation unit on a distal end side of the grip. The handle moves to the distal end side and the proximal end side relative to the grip. At least one of the first surface and the second surface is provided with a protrusion.

Abstract: Methods and apparatus are provided for affecting an appearance of skin by harvesting small portions of tissue from a donor (first) site and applying them at a recipient (second) site. A plurality of micrografts can be formed from a piece of graft tissue and attached to a dressing material. The dressing material can then be expanded to increase a separation distance between the micrografts, and the dressing material having spaced-apart micrografts attached thereto can be applied to a prepared recipient site. An apparatus can be provided that expands the dressing material using a pressurized fluid. A further method can include providing a suspension of small portions of graft tissue in a solution. The solution can be injected into blisters formed at a recipient (second) site and the tissue portions allowed to attach and proliferate. A method and apparatus can also be provided for forming corresponding blisters at a donor site and at a recipient site.

Abstract: The broach or rasp holder tool with reduced rasp moment includes an angled strike plate with an optional curved or spheroidal surface and/or an angled withdrawal plate having a contact surface for receiving a generally perpendicular strike force that generally aligns with a point along a rasp for substantially eliminating a moment applied thereto while broaching the intramedullary canal in preparation for implanting a prosthetic stem during joint replacement surgery.

Abstract: The present invention presents an applicator having a non-reusable static pointing device reversibly attachable to a face of an ultrasound transducer to attach the non-reusable static pointing device to the face of the ultrasound transducer in a consistent and accurate way. The static pointing device attached to the face of the ultrasound transducer is coupled with an ultrasound positioning apparatus and is to produce a linear shadow line in a visualized ultrasonographic field.

Abstract: The invention relates to an apparatus for providing and maintaining access to a surgical site, particularly a surgical site that needs to be accessed through delicate tissue such as brain tissue. The invention relates particularly to an apparatus that uses an expandable member or trochar. In one arrangement the expandable member is positioned proximally relative to the distal end of an obturator when the apparatus is in an insertion configuration for insertion to the surgical site. The expandable member comprises a frame and a membrane attached to the frame. The frame and membrane are configured to allow bending of at least a portion of the surface of the expandable member about an axis perpendicular to the longitudinal axis without breakage of the expandable member.

Abstract: A sleeve system for lining a hole of a surgical screw in a bone or tissue of a subject includes a woven sleeve having a first end, a second end, and an elongated body. The elongated body has an interior portion. The first end includes an aperture that accesses the interior portion. The sleeve system also includes a protective tip that may be inserted through the aperture of the first end of the sleeve. The protective tip at least partially protects tissue of the subject from a screw positioned within the sleeve.

Abstract: A system for implanting a bone fixation system including an implant head inserter associated with each hook member and positionable relative to one of the elongate members to engage the hook member with the elongate member; a preliminary locking instrument associated with each implant head inserter and configured to engage the respective elongate member and lock the position of the hook member and implant head inserter relative to the elongate member; a compressor assembly configured to engage the implant head inserters and compress them toward one another; a path creation tool configured to be extended through holes in the hook members to define a connector member path between the hook members; and a rod introduction instrument configured to support the connector member and direct it through the connector member path. Methods of implanting a bone fixation system are also provided.