Abstract: A polyaxial bone anchoring device is provided comprising a bone anchoring element having a shank to be anchored in a bone and a head; a receiving part coupled to the shank and configured to pivotably receive the head, and having a channel for receiving a rod and a longitudinal axis; a pressure member configured to be positioned in the receiving part; a locking member insertable into the channel; wherein the pressure member has a deformable portion; and wherein, when the locking member is advanced into the channel in the direction of the longitudinal axis, the locking member in moveable from a position where it contacts the pressure member resulting in a load applied to the pressure member that clamps the head, to a position where the locking member contacts the pressure member such that the deformable portion is deformed and the locking member contacts the rod and clamps the rod.

Abstract: A bone screw includes a receiving sleeve having a sleeve wall which forms a seat for a longitudinal support for the surgical connection of adjacent bone screws. The bone screw includes an internal thread. A thread turn of the internal thread has a widened lead-in region on the thread lead-in side.

Abstract: Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element and a retention member is configured to allow polyaxial rotation of the bone fastener and also to lock the bone fastener in place upon application of a force on a saddle and clamp in the coupling element.

Abstract: A bone fixation system for implanting in bone, the system comprising a plurality of bone fastener assemblies that attach to bone, a pair of elongate members that attach to the plurality of bone fastener assemblies, a connector member that contacts the pair of elongate members, and a plurality of locking caps that secure the connector member and the elongate members to the plurality of bone fastener assemblies, wherein at least one of the plurality of locking caps comprises a cap portion and a hook portion, where the cap portion is adapted to rotate while the hook portion is stationary.

Abstract: A spinal fixation system includes a rod and anchor devices that include a bone engaging fastener having a head defining a spherical socket. A ball insert is placed within the socket and rotated so that the ball insert is juxtaposed with the socket. The anchor device further includes a yoke defining a yoke channel for receiving the rod and a stem engaged to the ball insert captured within the socket. A sleeve disposed between the yoke channel and the fastener head supports the rod. A set screw is operable to clamp the rod against the sleeve and draw the insert into engagement within the socket. A friction element in the form of a wave spring is disposed between the yoke and the fastener head is configured to releasably retain the yoke in at least one discrete position relative to the fastener.

Abstract: The present invention generally relates to a rod connector for adding a pedicle rod to an existing spinal fusion construct. Specifically, this invention relates to an open rod connector that has a swiveling rod collet that allows for a pedicle rod to be rotated into the desired alignment.

Abstract: Embodiments of devices and methods of correcting vertebral misalignment, including, e.g., spondylolisthesis, are disclosed. In one embodiment, a vertebral implant may include an assembly configured to be secured to a first vertebral body, wherein the assembly includes a frame made of a first material and at least one end plate made of a second material different than the first material; a reducing plate configured to be slidably received over the central portion, wherein the reducing plate is configured to be secured to a second vertebral body; and an actuator configured to move the reducing plate relative to the frame.

Abstract: Devices and methods are provided for immobilizing facet joints of the vertebral column. Embodiments of the invention provide an implant that is inserted in a facet joint from which cartilage has been removed, and which retains the approximate original spacing of the facets in the joint. A retaining arrangement, such as an adhesive, a threaded fastener, or a screw is then used to secure the implant in the joint.

Abstract: A percutaneous and minimally invasive instrument for inserting an interspinous process spacer into a patient is disclosed. The insertion instrument includes a first assembly connected to a handle assembly. The first assembly includes an inner shaft located inside an outer shaft and configured for relative translational motion with respect to the outer shaft. The relative translation motion causes one of the outer or inner shafts to move with respect to the other and thereby deflect at least one prong formed on one of the inner or outer shafts wherein such deflection causes engagement with a juxtapositioned interspinous spacer. The instrument further includes a driving tool configured for removable insertion into a proximal end of a passageway of the instrument. The driving tool has a distal spacer engaging portion configured to engage that part of the spacer requiring actuation for deployment of the spacer from at least one undeployed configuration to at least one deployed configuration and vice versa.

Abstract: An orthopedic plate is specifically configured for use in osteotomies, in which part of the plate extends into a portion of a first bone segment and part is external to the cortical surface of an adjacent bone segment to fix the segments to allow them to fuse. The plate has a first end and a second end where the end which is inserted into the bone has a chamfer and a through hole having a hole axis optionally at an oblique angle to the longitudinal axis of the plate, and which can receive a screw, peg or pin. The second end of the plate includes a locking screw hole and optionally including a compression slot extending in a direction toward a screw hole in the opposing end. Optionally, the non-locking hole has a shroud that forms an arc or portion of a cylinder over the hole. A plate driver having a recess that holds the plate is used to insert the plate into the bone.

Abstract: Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.

Abstract: A paste application device stores two starting components for mixing the starting components to form a paste and for application of the formed paste. The device comprises a two-component cartridge comprising two internal spaces, two feed plungers shiftable in the internal spaces and bordering the internal spaces on a first side of the two-component cartridge, and at least two dispensing openings by means of which the internal spaces are open on a second side of the two-component cartridge that is opposite from the first side.

Abstract: Various forms of a cable fixation device, instrumentation, kit, and methods useful for repairing the skeletal system are introduced. The system utilizes a clamp housing fixing a head end of a surgical cable therein. In an operative configuration the cable is looped around a damaged bone segment and reentered through a lock aperture in the clamp housing then through a multi-part collet and lock cap residing within a lock aperture. The cable loop and each aforementioned component comprise a central axis aligned within a single plane. A sliding interface situated between the lock cap and collet prevent twisting of the surgical cable. The locking mechanism is non-destructive to the cable despite repeated unlocking and relocking of the fixation device. The axis for tensioning of the cable is coincident with the locking axis. A cerclage inserter instrument is disclosed.

Abstract: An apparatus is described for aiding in installing locking screws in intramedullary nails when repairing bone fractures. The apparatus includes a long section, a short section, and a removable insert. The long section includes a long radiopaque rod running along a long axis. The short section joins the long section and defines a central channel running through it along a short axis that is substantially normal to the long axis. The removable insert is at least partially located inside the central channel and comprises a short radiopaque rod oriented along the short axis.

Abstract: Exemplary embodiments of apparatuses and methods of a torque limiting device are provided. In one embodiment, a driving device comprises a torque limiting clutch including a lower ratchet, the lower ratchet including a plurality of ramps, an upper ratchet, and an upper ratchet including a plurality of bearings. The driving device further comprises a compression spring, wherein the compression spring is configured to exert a force on the upper ratchet so that the plurality of bearings interface with the plurality of ramps, wherein the plurality of bearings ride on the plurality of ramps when a torque is created by a rotation of the driving device thereby limiting an amount of torque.

Abstract: A wearable cold plasma system includes a wearable cold plasma applicator configured to couple to a surface of a user wearing the wearable cold plasma applicator and configured to generate a cold plasma. The wearable cold plasma applicator is in the form of a cuff having one or more electrodes configured to generate the cold plasma within a cavity of the cuff. The wearable cold plasma system also includes a controller coupled to the wearable cold plasma applicator, and the controller is configured to produce an electrical signal that forms the cold plasma with the wearable cold plasma applicator.

Abstract: A catheter-based device tracks over a guidewire which has been placed from a first blood vessel into a second blood vessel. The distal tip of the catheter is advanced into the second vessel while a proximal member remains in the first vessel. Matching blunt tapered surfaces on each of the distal tip and the proximal member are clamped together, with adjacent walls of each vessel between them, after which a known, controlled pressure is applied between the two surfaces. Heat energy is then applied to the blunt surfaces for approximately 1-30 seconds to weld the walls of the two vessels together. After coaptation of the vessel walls, the heat is increased to then cut through the vessel walls to create a fistula of the desired size.

Abstract: A method and device for determining the transmurality and/or continuity of an isolation line formed by a plurality of point contact ablations. In one embodiment, a method for determining the size of a lesion (width, depth and/or volume) is disclosed, based on contact force of the ablation head with the target tissue, and an energization parameter that quantifies the energy delivered to the target tissue during the duration time of the lesion formation. In another embodiment, the sequential nature (sequence in time and space) of the ablation line formation is tracked and quantified in a quantity herein referred to as the “jump index,” and used in conjunction with the lesion size information to determine the probability of a gap later forming in the isolation line.

Abstract: A surgical instrument includes first and second members movable between spaced-apart and approximated positions, a deployable component, and a trigger assembly including a trigger portion and a linkage portion. The trigger portion is engaged with the first member and includes a trigger configured to move relative to the first member between an un-actuated position and an actuated position. The linkage portion is engaged with the second member and the deployable component and is movable between a first position and a second position for moving the deployable component between a retracted position and an extended position. In the spaced-apart position of the members, the trigger portion and the linkage portion are disengaged and wherein, upon movement of the members to the approximated position, the trigger portion and the linkage portion are moved into engagement to enable actuation of the trigger to effect deployment of the deployable component.

Abstract: A treatment instrument includes a treatment body that includes a treatment surface provided in the first clamp surface, the treatment surface protruding toward the second clamp surface in response to the supply of heat energy and increasing pressure on the living tissue to treat the living tissue in cooperation with the action of the heat energy.

Abstract: A surgical instrument for treating body tissues through narrow body passages employs an elongated cantilevered beam having a proximal end supported in a rigid block and a narrower distal end extendable through the narrow passages. One or more piezoelectric actuators are fixed to the beam surface and energized from an AC source provided by an electrical excitation system through electrodes interspersed with the piezoelectric actuators to produce oscillatory motion of the beam distal end in multiple modes of movement.

Abstract: An assembly including an adapter assembly and an extension assembly for connecting an end effector to an electrosurgical instrument is provided. The adapter assembly includes a first pusher assembly configured for converting rotational motion into linear motion. The first pusher assembly includes a pusher member and first and second pawl assemblies for operable engagement with a flexible band assembly of the extension assembly.

Abstract: Disclosed are an electrode for high-frequency surgery, a high-frequency surgery device, and a method for controlling same, wherein the electrode for high-frequency surgery can be easily inserted and moved inside the lumens inside the body, and can expand a conduction area of a high-frequency current after reaching an area to be treated. The electrode for the high-frequency surgery, according to the present invention, comprises: a balloon; and a conductive structure, which is arranged on the outside of the balloon and the exterior shape of which varies according to the volume of the balloon.

Abstract: Surgical tools are disclosed that include a first handle having a first recess, a second handle having a second recess, a first tip disposed in the first recess and extending distally, and a second tip disposed in the second recess and extending distally. The first tip has a first external surface and a first internal surface. The second tip has a second external surface and a second internal surface. The surgical tool has a first configuration wherein the surgical tool operates as forceps. The surgical tool has a second configuration wherein the surgical tool operates as scissors. The first internal surface can be moved adjacent to the second internal surface to permit rotation of the first tip relative to the first recess and permit rotation of the second tip relative to the second recess. The rotation of the first tip and the second tip transitions the surgical tool between the first configuration and the second configuration.

Abstract: Techniques are disclosed to cauterize tissue. For example, certain aspects herein relate to a cautery device. The cautery device includes a voltage source comprising a voltage pump and a battery. The cautery device further includes a probe for applying current from the voltage source to tissue. The probe includes a first electrically conductive element electrically coupled to a first pole of the voltage source. The probe further includes a second electrically conductive element coupled to a second pole of the voltage source.

Abstract: An energy applicator is introduced to a uterine cavity through an endocervical canal while a gas is being introduced into the uterine cavity. The endocervical canal is sealed, and visually observing a flow rate of the gas allows a user to determine if the seal is effective. Inflation of the cavity facilitates opening of a working end of the applicator within the cavity.

Abstract: A gap between a plurality of ablation sites in a heart that hinders electrical propagation therethrough is found by projecting the locations of the sites in a 3-dimensional coordinate system onto a simulation plane, identifying a set of shortest 3-dimensional paths that correspond to 2-dimensional connections between pairs of the projected locations of the sites, and reporting a gap as a longest one of the set.

Abstract: Catheters including elements configured to deliver energy to nerves at or near a treatment location within a body lumen. A treatment assembly is transformable between a low-profile delivery configuration wherein a pair of electrodes are in a staggered arrangement relative to each other along the longitudinal axis, and an expanded deployed configuration wherein the pair of electrodes is aligned along an electrode axis that is orthogonal relative to the longitudinal axis.

Abstract: Provided is an apparatus (1) for treating skin, including: a body (2) including a casing (21, 22) forming a grippable region; electrical means for supplying power, arranged in said body; at least one treatment head (3); at least one light source (4); and at least one light guide (5) having a projection area (51) that is intended to receive the light emitted by the at least one light source (4) and to project at least one light beam intended for a region of skin. The at least one light guide (5) comprises a face opposite said projection area (51), the opposite face comprising distributing means intended to distribute the light over the projection area (51).

Abstract: The present disclosure relates to a laser irradiating apparatus including a laser resonator configured to generate a laser beam and output the laser beam forwards, a first passage part located in front of the laser resonator and configured to allow the laser beam generated from the laser resonator to pass through, and a second passage part located as being spaced from the first passage part and configured to allow the laser beam passing through the first passage part to pass through.

Abstract: A fiber optic probe includes a first diffuse reflectance spectroscopy fiber, a second diffuse reflectance spectroscopy fiber, and a temperature sensor at a distal end of a temperature sensor fiber. Other embodiments further include a treatment fiber for delivering a high optical power density of light to a tumor and a dosimetry fiber for monitoring the light flux of the treatment fiber. Other embodiments utilize an image-guidance step in a method of using the fiber optic probe.

Abstract: This invention relates to an advance in the delivery of laser beams to internal surgical sites using optical fibers with a novel distal tip design made using a fusion assembly procedure suitable for directing laser beams out of the side of an optical fiber. This side-fire fiber delivery tip assembly is fabricated by fusing a transparent tube onto the distal ends of a laser beam delivery fiber and an associated coaxial stub fiber that have beveled and parallel end faces that meet inside of the transparent tube. The result is a rugged fiber delivery tip assembly that is almost entirely solid, except for a very narrow gap between the beveled end surfaces of the two fibers. A loose fitting transparent capsule may be placed over this fiber tip to contain a refractive index matching fluid that may also serve as a cooling agent for the fiber tip assembly.

Abstract: This invention relates to enhancement of the delivery of laser beams to internal surgical sites by employing, where practical, heavy water rather than normal water as both the irrigation fluid and the laser beam transmission medium that fills some or all of the space between the distal tip of the optical fiber to the surgical site. The use of heavy water is advantageous for surgical procedures employing lasers operating in the wavelength range of 1.0 microns to 2.5 microns where heavy water is substantially more transparent than normal water. This range includes the commercially important semiconductor diode laser operating at 1.47 microns where the optical attenuation coefficient in heavy water is less than one hundredth of that in normal water. Due to the rather high cost of heavy water, methods are described for collecting and re-cycling heavy water used during laser surgery to mitigate this cost.

Abstract: A method for avoiding impingement between an implanted prosthetic hip stem and acetabular cup uses at least one digital x-ray of a standing patient preferably including a lateral x-ray to determine a pelvic tilt angle of the patient. A hip stem is virtually implanted at an initial stem version angle into a virtual femur constructed from the digital x-ray. Data of at least one hip joint motion is obtained from at least one individual. A range of inclination and anteversion angles is calculated for a virtually implanted acetabular cup that avoids impingement with the virtually implanted hip stem. The calculated range of inclination or anteversion angles is based at least in part on the pelvic tilt angle of the patient, the initial hip stem version angle and the obtained joint motion data.

Abstract: A robotic surgical systems and methods of operating the same are provided. The system comprises a surgical tool, a manipulator having a plurality of joints and supporting the surgical tool, and a controller. A virtual simulation represents the surgical tool as a virtual rigid body having a virtual mass including an inertia about at least one of the joints. The controller determines an expected joint torque for the joint. The expected joint torque is compared to an actual joint torque of the joint to determine a joint torque difference. The inertia of the virtual mass about the joint is determined. An angular acceleration about the joint is computed using the joint torque difference and the inertia. The angular acceleration is projected to the virtual mass to determine an external force. The controller simulates dynamics of the surgical tool in the virtual simulation in response to the external force.

Abstract: Systems and methods for tracking, identifying, labeling and/or classifying objects or features of interest, such as follicular units are provided. In some embodiments the identified and labeled features of interest, such as follicular units, may be used for planning hair harvesting, hair implantation and/or performing hair transplantation procedures.

Abstract: A method for guiding a procedure is provided. A volumetric map of an interior portion of a body of a subject is presented, and, during the procedure, in response to movements of a sensor with respect to the portion, the presented volumetric map is updated, by changing a manner in which the presented volumetric map shows areas of the portion from which material was removed by the procedure. Other embodiments are also described.

Abstract: Presented herein are methods, systems, devices, and computer-readable media for image guided surgery. The systems herein allow a physician to use multiple instruments for a surgery and simultaneously provide image-guidance data for those instruments. Various embodiments disclosed herein provide information to physicians about procedures they are performing, the devices (such as ablation needles, ultrasound wands or probes, scalpels, cauterizers, etc.) they are using during the procedure, the relative emplacements or poses of these devices, prediction information for those devices, and other information. Some embodiments provide useful information about 3D data sets. Additionally, some embodiments provide for quickly calibratable surgical instruments or attachments for surgical instruments.

Abstract: A measurement system may comprise a sensor wire and a transceiver unit. The sensor wire may comprise an insertable portion configured to be inserted in a blood vessel of a patient's body and two sensors disposed within the insertable portion at a distal end of the sensor wire. The sensors are configured to measure a parameter when inserted inside the patient. The transceiver unit may comprise: a housing adapted to be connected to a proximal end of the sensor wire; and a first communication module within the housing adapted to wirelessly communicate by a communication signal with an external second communication module in order to transfer information to the external second communication module.

Abstract: In one aspect, in general, a method includes receiving, at a computer system, data from an electromagnetic sensor, determining, at the computer system, based on the received data, a location of a tip of a guidewire inserted in a patient, and causing, by the computer system, an indication of the determined location of the tip of the guidewire to be displayed in an overlay image representing at least part of the guidewire.

Abstract: A method for correcting an error of a nonvolatile memory of an embedded component for an end effector used in a robotic surgical system is provided. The robotic surgical system includes a host controller in communication with the embedded component. The embedded component of the end effector performs a test process to test the nonvolatile memory. The host controller of the robotic surgical system requests a result of the test process from the embedded component of the end effector. The host controller determines that the error of the nonvolatile memory has occurred after requesting the result of the test process from the embedded component of the end effector. The host controller modifies the nonvolatile memory of the embedded component of the end effector to correct the error.

Abstract: Example embodiments relate to a device comprising a port assembly, instrument arm assembly, and camera arm assembly. The port assembly includes an outer and inner body. The outer body includes a first access port, first end, second end, and anchoring portions. The inner body is positionable in the first access port to form a second access port. The instrument arm assembly is configurable in a serial arrangement of arm segments, joint portions, and end instrument. The instrument arm assembly is configurable to attach to an anchoring portion. The camera arm assembly includes a camera, and configurable to attach to an anchoring portion. The port assembly is configurable to provide at least one degree of freedom, and configurable to allow insertion of the instrument arm assembly and camera arm assembly into an abdominal cavity. The port assembly is configurable to allow insertion of instruments into the abdominal cavity.

Abstract: A LUS robotic surgical system is trainable by a surgeon to automatically move a LUS probe in a desired fashion upon command so that the surgeon does not have to do so manually during a minimally invasive surgical procedure. A sequence of 2D ultrasound image slices captured by the LUS probe according to stored instructions are processable into a 3D ultrasound computer model of an anatomic structure, which may be displayed as a 3D or 2D overlay to a camera view or in a PIP as selected by the surgeon or programmed to assist the surgeon in inspecting an anatomic structure for abnormalities. Virtual fixtures are definable so as to assist the surgeon in accurately guiding a tool to a target on the displayed ultrasound image.

Abstract: A LUS robotic surgical system is trainable by a surgeon to automatically move a LUS probe in a desired fashion upon command so that the surgeon does not have to do so manually during a minimally invasive surgical procedure. A sequence of 2D ultrasound image slices captured by the LUS probe according to stored instructions are processable into a 3D ultrasound computer model of an anatomic structure, which may be displayed as a 3D or 2D overlay to a camera view or in a PIP as selected by the surgeon or programmed to assist the surgeon in inspecting an anatomic structure for abnormalities. Virtual fixtures are definable so as to assist the surgeon in accurately guiding a tool to a target on the displayed ultrasound image.

Abstract: A medical manipulator is equipped with a manipulation input unit by which an operator performs a manipulation input, and a treatment tool that is driven in accordance with the manipulation input. The medical manipulator includes a storage unit having correspondence information used when a driving signal that drives the treatment tool is generated in accordance with the manipulation input. The storage unit is disposed at the manipulation input unit.

Abstract: A surgical manipulator operates in a manual mode in which a user applies forces and torques to the surgical instrument to cause movement of the energy applicator. The surgical manipulator also operates in a semi-autonomous mode in which the surgical manipulator moves the energy applicator along a tool path. A controller monitors output of a force/torque sensor as the energy applicator is being moved along the tool path in the semi-autonomous mode and transitions from the semi-autonomous mode to the manual mode in response to the output exceeding a limit.

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 bio-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 wherever haptic sensing of forces at a remote location is desired.

Abstract: Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.

Abstract: A tissue removal system may include a tissue removal device including a handpiece and an upper housing, and configured with an outer cannula having an outer cannula opening for severing tissue, an inner cannula disposed in the outer cannula and reciprocal within the outer cannula, an illumination device having a sleeve arranged at least partially on the outer cannula, and a fiber optic channel defining an opening and arranged offset from the sleeve, and a light source arranged within the channel and configured to supply light from the opening to a surgical site.

Abstract: A massage guiding device and a massage guiding method are provided. The massage guiding device includes: a main body (1); and an image recognition unit (2) and a projection unit (3) which are disposed on the main body (1). The image recognition unit (2) is configured to obtain an image of a person being massaged and determine massage information based on the image of the person being massaged. The projection unit (3) is configured to emit visible light according to the massage information as determined by the image recognition unit (2) so as to display the massage information on a body of the person being massaged. The massage guiding device is applicable in a massage process to solve the problems that unprofessional massagers cannot achieve desired massage effect due to lacking of massage information or due to incorrect massage information.