Abstract: A bending control mechanism includes a turning power input mechanism A, a turning transmission mechanism B, a locking mechanism C and a linear power output mechanism D; further, the turning power input mechanism A and the turning transmission mechanism B which are coaxially arranged have a relative rotating angle range in the circumferential direction; the turning power input mechanism A sequentially rotates in an angle I, an angle range II and an angle III while rotating relative to the turning transmission mechanism B from one end angle to the other end angle within a relative rotating angle range, wherein the angle I or the angle III corresponds to turning; the angle range II corresponds to a locking state. With the adoption of the mechanism, the problem of turning and fixing of the surgical instrument in a human body during surgery is solved, and the risk of surgery is reduced.

Abstract: A surgical instrument system can comprise a surgical instrument for use with a loading unit comprising an end effector, wherein the loading unit is releasably attachable to the surgical instrument. The surgical instrument comprises a motor configured to drive a firing member and is configured to determine whether the loading unit includes a datum identifying the loading unit or is otherwise identifiable. If the loading unit is identifiable, then the motor of the surgical instrument fires a first firing rate. If the loading unit is not identifiable, then the motor of the surgical instrument fires at a second firing rate.

Abstract: A surgical instrument comprising an end effector configured to grasp tissue. The end effector comprises at least one sensor configured to measure a parameter corresponding to a thickness of the grasped tissue. The surgical instrument further includes a firing member movable during a firing stroke to cause a motion at the end effector and a motor configured to drive the firing member. A feedback indicator or display is configured to display the speed of the firing member according to one of a plurality of zones of speed, such as the relative speed of the firing member.

Abstract: A surgical instrument comprising an end effector, which comprises a sensor configured to measure a parameter associated with a tissue grasped between the first jaw member and the second jaw member of the end effector. The surgical instrument further comprises a firing member to effect motion at the end effector, which is driven by a motor. Instructions stored in the memory of the surgical instrument cause the motor to driven the firing member at a firing rate that is a function of a measurement of the parameter. The parameter can, for example, include a thickness of the tissue grasped by the end effector.

Abstract: A surgical fastener applying apparatus comprising a cartridge section having a cartridge containing a plurality of fasteners, an anvil section having an anvil for receiving the fasteners when advanced from the cartridge, the cartridge and anvil sections clamping tissue therebetween. The first and second cam members are movable within the cartridge section to fire the fasteners. A cam member supporting member fixed within the cartridge section has an upper surface on which the cam members are slidable. The upper surface of the cam member supporting member has a first upper surface portion on a first plane and a second lower surface portion in a different substantially parallel second plane such that the first and second cam members slide in offset planes on the upper surface to fire the fasteners.

Abstract: A surgical staple includes a backspan and a pair of deformable legs extending from the backspan and terminating in a penetrating end. The backspan and deformable legs are formed from a wire having a curvilinear cross-section defining a major axis and a minor axis with a portion of the wire above the major axis defining a first curved surface and a portion of the wire below the major axis defining a second curved surface, and a portion of the wire to the left of the minor axis defining a third curved surface and a portion to the right of the minor axis defining a fourth curved surface being different than the first, second, and third curved surfaces. One or more of the curved surfaces is different than the remaining curved surfaces.

Abstract: A connector is provided for fluid communication between two anatomical compartments through at least one anatomical wall, wherein the connector comprises a neck adapted and configured to be positioned across the anatomical wall(s); primary means for securing the neck across the anatomical wall(s); and secondary means for securing the neck across the anatomical wall(s). A method for coupling two anatomical walls using said connector is also provided.

Abstract: An adapter assembly for connecting a loading unit to a handle assembly is provided. The adapter assembly includes a sleeve, a removable trocar assembly releasably securable with the sleeve, and a locking assembly configured to releasably secure the trocar assembly within the sleeve. The locking assembly includes first and second button members and corresponding first and second locking members for releasably securing the trocar assembly.

Abstract: A surgical instrument comprised of an end effector having two opposing tissue-compression surfaces, wherein at least one of the tissue-compressing surfaces is movable with respect to the other of the tissue-compressing surfaces, and a handle connected to the end effector. The handle comprises a power source, an electric motor supplied with power from the power source, and a closure assembly comprising a drive part that is selectively moved by the motor along a drive-part axis and is operatively connected to the end effector such that, when the motor is supplied with power, the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface at a differential rate of speed dependent upon a position of the drive part along the drive-part axis.

Abstract: Apparatus (610) for closure of a left atrial appendage (220) of a heart, comprising a deployment device (520) configured to enter a pericardial region of the heart and to be advanced toward an outer surface of the left atrial appendage; and first and second rigid longitudinal rod elements (630) coupled to each other by at least one coupling suture (552), the first and second rigid longitudinal rod elements (630) being deployable by the deployment device on opposing external surfaces of the left atrial appendage, and configured to compress tissue of the left atrial appendage due to pulling of at least one proximal portion of the coupling suture (552). Other applications are also described.

Abstract: The present invention is directed to a Point Specific Junctional Tourniquet Kit designed for the treatment of hemorrhage control of junctional injuries to a patient's torso especially in the area of the iliac (hip/groin area) and axillary (shoulder/armpit area) arteries where blood flow is extremely hard to stop. The complete kit contains a variety of components to give caregivers in the military as well as civilian medical caregivers a means for treating a wide variety of severe injuries, in the pre-ambulance environment, increasing the chances of a victim surviving and reaching a higher level of care.

Abstract: The present disclosure relates to a saw, comprising a drive, a first blade configured to oscillate about an axis perpendicular to a plane defined by a surface of the first blade, a second blade configured to oscillate about an axis perpendicular to the plane in a direction opposite to that of the first blade, and wherein gearing is provided between the drive and the first and second blades to reduce the speed transmitted from the drive to the blades. A saw blade, a connection mechanism for connecting a blade to a saw and associated methods are also provided.

Abstract: The present invention provides, in certain embodiments, a device for positioning and orienting the femoral cutting block. The present invention also provides a device for setting rotation of sagittal resection for unicompartmental knee arthroplasty. The present invention further provides methods for setting the rotation of the tibial implant by kinematic measurements.

Abstract: An elastomeric sleeve which is a hollow tube having a first side, a second opposite side, a top end, and a bottom end, wherein the top end is open and the bottom end is closed. The second opposite side has a slit extending from the top end towards the bottom end. The slit and the open top end make the sleeve easy to place over the handle and to remove it from the handle. The closed bottom end facilitate the sleeves remaining on the handle during use. The slit may have an opening so that handle elements, such as leaf springs, may extend therethrough. The sleeve may have a cover for a horn member on a handle of a rongeur. The cover may have a flange at a base of the cover, thereby forming a cushion. The cover and cushion reduce or eliminate fatigue and trauma to the thenar muscles and surrounding nerves. The sleeve may also have a thumb support.

Abstract: A handheld surgical device having a working portion that can be covered or uncovered. The working portion of the handheld surgical device can have an advanced position or a retracted position, which can be controlled by one or more switch(s) at the handle portion of the handheld surgical device. The handheld surgical device can also include a shroud that can cover the working portion having a cutting blade driven by a powered motor. The shroud can also have a cutting edge, which is not driven by the powered motor.

Abstract: Methods and instruments for reconstructing soft tissues of a skeletal joint such as for example of the foot or hand are presented.

Abstract: Devices, instruments and associated methods for the subchondral treatment of osteoarthritis in small joints are provided. In addition, a method for treating joint pain in small joints is provided. These small joints may be ankle, elbow or wrist joints. The methods may target one of many different access points having trajectories with a common focal point at or near the small joint. The instruments may limit access to areas within or near the small joint by providing predefined entry paths that avoid damage to surrounding tissues.

Abstract: Irrigation devices, methods, and systems are disclosed. The system comprises a catheter with one or more lumens and an expandable portion. One or more pumps are used to supply a mixture of contrasting and dilating agents in an interior kidney volume and flush a portion of the mixture out of the interior kidney volume. The method comprises placing a catheter into the interior kidney volume through a ureter, occluding a portion of the ureter with a distal end of the catheter, forming an exit port through an exterior kidney surface, flowing the contrasting and dilating agents through the one or more lumens to supply the mixture in the interior kidney volume, and flushing a portion of the mixture out of the exit port.

Abstract: A guidewire including an elongate inner member having a proximal portion and a distal portion, an elongate outer member disposed about the elongate inner member, wherein one of the elongate inner member and the elongate outer member is more flexible relative to the other of the elongate inner member or the elongate outer member, and the elongate inner member is movable relative to the elongate outer member.

Abstract: A method for manufacturing a surgical instrument, comprising the steps of selection of a value for at least one parameter of the surgical instrument in a configuration program, automated generation of configuration data from the selected values by the configuration program, transfer of the configuration data to a 3D printer, and printing of the surgical instrument by means of a 3D printer.

Abstract: An instrument that includes an outer member, an inner member, and a jaw assembly. The inner member includes a first arm and a second arm. The jaw assembly includes a first jaw and a second jaw. The first jaw is connected to the first arm at a first pivot joint and to the outer member at a second pivot joint. The second jaw is connected to the second arm at a third pivot joint and to the outer member at a fourth pivot joint. The inner member is adapted to be moved distally relative to the outer member so that the first jaw pivots about the second pivot joint towards the second jaw and the second jaw pivots about the fourth pivot joint towards the first jaw thus moving the jaw assembly from the open position towards the closed position.

Abstract: A forceps comprising: (a) a stylet having a hollow tube having a proximal end region and a longitudinal axis; one or more assemblies that are extendable through the hollow tube, the one or more assemblies comprising: one or more support rods and one or more functional attachments; (b) a hand piece comprising: one or more housing structures defining a cavity; one or more actuating mechanisms comprising: a bearing fitting; a shuttle in communication with the bearing fitting constrained by a plurality of guide ridges; a socket housed by the shuttle; and one or more levers in communication with stylet so that movement of the one or more levers causes movement of the hollow tube and movement of the one or more assemblies; and wherein the movement of the hollow tube and the movement of the one or more assemblies are relative to each other.

Abstract: A surgical device comprising: (a) a stylet comprising: one or more support rods; (b) a hand piece comprising: one or more housing structures defining a cavity; and one or more actuating mechanisms comprising: one or more levers attached to one or more pivot axes in the hand piece and configured to form one or more slidable joints in communication with the one or more support rods; wherein the one or more levers are configured to be assembled by: being placed into the hand piece along the assembly direction before the stylet so the stylet may be placed into the hand piece over the one or more levers; or being placed into the hand piece along the assembly direction after the stylet so the one or more levers is placed into the hand piece over the stylet and in communication with the stylet.

Abstract: The present invention is directed to material removal instrument for forming cavities in interior body regions, particularly cavities in intervertebral discs and vertebrae. The instrument includes a cannula and a rotation mechanism disposed at least partially within the cannula. A cutting element extends from the rotation mechanism and impacts and dislocates tissue as the rotation mechanism is rotated within the body. Dislocated tissue with withdrawn from the body via the cannula.

Abstract: A medical treatment device includes: a probe where ultrasound vibration generated by each ultrasound transducer is transmitted from the one end to other end of the probe; a jaw portion configured to rotate around a central axis of the probe; and a controller configured to: calculate outputs, which respectively drive ultrasound transducers, based on a rotation angle of the jaw portion; and drive each of the ultrasound transducers by each of the calculated outputs. Each output is an output that sets a direction of vibration of the other end caused by ultrasound vibration generated by each of the ultrasound transducers to a direction from the central axis to the jaw portion with respect to a direction along the central axis.

Abstract: In a surgical treatment instrument, a probe extending in a longitudinal axial direction is inserted through a sheath, and each of sheath components, in the sheath, is divided from a neighboring sheath component at a dividing plane along the longitudinal axial direction. A flow of liquid to a proximal side in an inside of the sheath is prevented by a first seal portion. In a divided part between each of the sheath components and the neighboring sheath component, liquid-tight is kept by the second seal portion, and thereby a flow of the liquid to the proximal side is prevented.

Abstract: A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.

Abstract: An ultrasonic surgical blade includes a body having a proximal end, a distal end, and an outer surface. The distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end. At least a portion of the outer surface of the body comprises a lubricious coating adhered thereto. The lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body.

Abstract: An ultrasonic surgical blade includes a body having a proximal end, a distal end, and an outer surface. The distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end. At least a portion of the outer surface of the body comprises a lubricious coating adhered thereto. The lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body.

Abstract: A tissue-removing catheter includes a tissue-removing element operatively connected to a drive shaft for rotation of the tissue-removing element about an axis of rotation in a cutting direction. In some embodiments, the tissue removing element has a cutting blade and cutting teeth positioned radially inward of the cutting blade with respect to the axis of rotation. The cutting blade and cutting teeth are fixed with respect to one another to form first and second cuts in tissue as the tissue-removing element rotates. In certain embodiments, the tissue-removing element includes a cutting blade and raised elements spaced apart inward of the cutting blade relative to the axis of rotation to define an annular tissue-receiving channel between the cutting blade and the raised elements. A bottom surface of the channel can define cutting teeth.

Abstract: A deployment mechanism of a tissue-removing catheter includes a socket member received in a catheter body that is capable of moving longitudinally therein, and a ball member extending distally from the distal end portion of the cutting element and operatively connected to the socket member. The ball member is constrained axially relative to the socket member and is capable of pivoting relative to the socket member for allowing pivoting of the cutting element relative to the socket when the cutting element is moved from a retracted position to a cutting position.

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed.

Abstract: A guidance device is disclosed. The device may comprise a tracking pad with a guiding opening and a plurality of sensors operable with at least one beacon on a needle to track the disposition of the needle at least when a distal end of the needle is inserted into the guiding opening. Related systems and methods are also disclosed.

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

Abstract: An apparatus is described that includes a vacuum line and a head coupled to a first end portion of the vacuum line. The vacuum line defines a fluid passageway. The head is configured to be removably coupled to a first portion of a reusable device. The head includes a contact portion configured to contact a surface associated with a target location. The contact portion is configured to circumscribe an opening to a bodily cavity associated with the target location. The head defines a volume through which a vacuum is conveyed to the surface associated with the target location. The volume is in fluid communication with the fluid passageway of the vacuum line.

Abstract: A device for assisting delivery of an infant during childbirth includes a sleeve configured to be positioned over and around the infant's head, an inserter comprising a handle provided at a proximal end of the inserter, flexible arms attached to the handle and configured to engage and position the sleeve over and around the infant's head, a central rod attached to the handle, an inner tube provided around the central rod at a distal end of the inserter such that the inner tube is retracted over the central rod when a force is applied to a soft cone provided at a distal end of the inner tube, the soft cone being configured to be placed on the infant's head to position the device for inserting the sleeve over and around the infant's head, and a reuse prevention feature configured to prevent the inner tube from being retracted a second time.

Abstract: A polyaxial bone anchor including a housing, a bone screw, and a retainer for pivotably coupling the head of the bone screw to the housing. The retainer is positioned into the bore of the housing and includes a plurality of alternating tabs and slots circumferentially arranged to define a cavity for receiving the head portion of the bone screw therein. The retainer is axially moveable in the housing from a first position in which the head portion is not passable through the lower opening of the retainer to a second position in which the head portion is passable through the lower opening of the retainer.

Abstract: Various methods, devices, and systems are disclosed that facilitate easier and more compact implantation of osteosynthesis devices. In some embodiments, implants are screwed into two vertebrae and a plate is used to hold and displace the spine. In some plate embodiments, at least one longitudinally elongated opening is disposed at one end of the plate and partially opening onto an edge of the plate. In some plate embodiments, at least one longitudinally elongated opening is disposed at one end of the plate having a portion sufficiently large to be inserted without disassembly in the fixation means of an implant already screwed into the spine when the fixation means are already assembled.

Abstract: Methods and apparatus for compressing and/or distracting bones are described herein. In one such method, a tap marker is engaged with a bone and a compressor/distractor device. The tap marker can be removed after moving the bone and a bone screw can be inserted into the space previously occupied by the tap marker. A rod or other fixation element can then be attached to the bone screw.

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: The present invention relates to an assistant robot for spine surgery, including: a surgical tool support provided with a rotating body to which the surgical tool is penetratingly coupled; a handle provided at one side of the surgical tool support; a driving member configured to rotate the rotating body; and a linear guide provided at the other side of the surgical tool support so as to move the surgical tool forward and backward. Accordingly, the surgical tool can smoothly move without vibration when moving forward and backward, and can be automatically rotated with uniform force so as to enable sophisticated surgery.

Abstract: A guide assembly includes a spinal screw assembly having a bone screw and a spinal rod holder; and a spinal rod guide having first and second elongated arc portions defining a pair of longitudinal slots extending along the first and second arc portions, each of the first and second arc portions further defining at least one recess extending transversely from each of the longitudinal slots, the at least one recess configured to receive at least a portion of a reduction tool to enable reduction of a spinal rod received within the spinal rod holder.

Abstract: A surgical tool adaptor (10) includes a distal interface member (12) and a proximal holder (14). The surgical tool adaptor is formed with a lumen (16) through the distal interface member and the proximal holder for passing a guiding element (24), e.g. a K-wire, distally through the distal interface member. The proximal holder includes a locking element (26) for locking the guiding element in the lumen and the distal interface member includes a connecting element (18) for connecting to a surgical tool. The proximal holder is movable relative to the distal interface member so that the proximal holder is movable to a position wherein the guiding element does not protrude proximally out of the proximal holder.

Abstract: Disclosed is a combined intramedullary and extramedullary bone stabilization and alignment system, which includes both methods and apparatuses for the alignment and stabilization of a first bone or piece of bone to a second bone or piece of bone. Embodiments of the system may include an implant device which has an elongated framework within the intramedullary portion and an extramedullary portion which are cannulated. The cannulated aspect of the framework includes a wire aperture through both the intramedullary portion and the extramedullary portion.

Abstract: Osteoarthritis (OA) is the most common disease affecting human joints. Mechanical stress through the joint is one of the most important independent etiological factors. The present invention provides a prosthesis that by passes some of the stress from the joint without destroying the joint surface. It allows may provide a full range of joint movement, while sharing the load with the physiological joint, thereby maintaining the viability of the physiological joint surface. In addition, the prosthesis can accommodate native soft tissue structures in or around the joint, such as ligaments.

Abstract: An assembly used in osteosynthesis comprising a delivery instrument in combination with an implant wherein the delivery instrument releasably holds the implant in a first configuration prior to attachment of the implant to bone. The delivery instrument allows the implant to be affixed to bone before the implant is released from the instrument. And the instrument may comprise guide means for drills, depth gauges, screws, pins, pegs, blades and or drivers which are used or implanted when the implant is releasably attached to the instrument. After the implant is affixed to bone and released from the delivery instrument, the implant assumes at least a second configuration which provides compression and or distraction and or control of spacial orientation.

Abstract: A fastener, for example a bone screw, is sized to pass into an aperture of an implant, for example, a bone plate, the fastener having an anchor portion engageable with body tissue, and a head portion formed by an assembly of an insert and an anchor extension. The insert and anchor extension cooperate to form a reduced dimension passable into the aperture, and an expanded dimension not passable out of the aperture. The size of the assembly may be configurable, for example, by tabs, ramped surfaces, or an expanding diameter of a threadable insert.

Abstract: A spinal plate assembly comprising a base plate defining an opening adjacent at least one aperture for receiving a bone screw which attaches to a spinal vertebrae. The aperture includes a seat and an annular groove having an end wall. The assembly comprises a locking mechanism having a split ring partially recessed within the annular groove and moveable between a locked condition partially blocking the aperture for retaining the screw in the seat and an unlocked condition radially deformable into the annular groove for permitting screw removal. The split ring has a proximal end and a distal end. The distal end is configured to engage the end wall of the annular groove. The locking mechanism comprises a rotating member retained within the opening of the base plate and having a notch configured to engage the proximal end of the ring to drive the ring toward the unlocked condition.

Abstract: Provided is an implant for fixing a femur, the implant capable of stably providing a position of a wire wound around a fractured femur, the implant including: a body (100) being in a shape extending in a longitudinal direction, and provided with a plurality of locking holes (110) penetrating through the body (100) and being spaced apart from each other at predetermined intervals; a head (200) extending from an upper end of the body (100), and being bent to be in a hook shape for being hooked over a greater trochanter of a femur; a fixed wire support (300) integrally provided in the body (100) or in the head (200), and supporting a wire (700); and a detachable wire support (400) detachably mounted to the body (100), and supporting the wire (700).

Abstract: Implementations described herein include headless compression screws and corresponding systems. The headless compression screw has a shaft extending along a longitudinal axis from an insertion end to a driving end. The shaft includes a first portion and a second portion. The first portion extends from proximate the insertion end to a first intermediate point and includes a first thread extending along at least a portion thereof that has a constant pitch. The second portion extends from proximate the driving end to a second intermediate point and includes a thread extending along at least a portion thereof that has a variable pitch that decreases from a first value proximate the second intermediate point to a second value proximate the driving end. Methods of reducing a fracture using headless compression screws are also described.