Abstract: An arthroplasty plate and method of use to repair a fractured end of a bone are described. The arthroplasty plate comprises a fixation plate arranged to be secured to a surface of a bone and a connector assembly comprising a barrel extending from the fixation plate and having a bore which opens through the fixation plate. A connector rod is arranged to slide within the bore of the barrel. An articulation component comprises a bearing surface coupled to or arranged to couple to an end of the connector rod which extends from the barrel away from the fixation plate. The connector assembly incorporates an adjustment mechanism arranged to cause the connector rod to slide into or out of the barrel and a locking mechanism arranged to lock the position of the connector rod within the barrel to rigidly space the articulation component apart from the fixation plate.

Abstract: A bone plate configured to accommodate fixation devices (such as screws, for example) inserted at various angles. The bone plate is formed of a material softer than the material of the fixation devices, and is provided with fixation holes with rounded, curved interior walls (i.e., non-threaded holes) that allow the fixation devices to be inserted at various angles. The fixation holes have a diameter smaller than that of the fixation devices. As a result of the difference between the materials of the plate and of fixation devices, and of the difference between the diameters of the fixation holes and of the fixation devices, the fixation devices deform the interior walls of the fixation holes, therefore self-threading the holes at an advantageous angle.

Abstract: A wedge-shaped bone implant, particularly but not necessarily, for fixing bones of the foot is provided. The implant has bone screw bores that are each configured to hold a bone screw at a particular angle for receipt in a foot bone, eliminating the need to also use a plate. The implant can include an opening that extends through the implant body from one tapered side thereof to the other tapered side thereof. This opening allows the introduction and retention of bone graft material to promote bone fusion. One or both tapered sides of the body may also have teeth, serrations or the like. The implant body may include a hole or the like in the distal aspect thereof. This allows for the insertion of a metallic component (e.g. titanium or tantalum) to allow for the visibility of the extent of the implant body in radiography, x-ray, or the like.

Abstract: Implant for stabilization of pelvic ring fractures, comprising a nail for intraosseous implantation, a fixing agent and at least one locking element for relative fixation of the pelvic bone to the nail.

Abstract: Described herein are applicators for delivery of a viscous material to a bone surface and methods of use. The applicator includes an elongate handle portion and a tip coupled to a distal location of the handle portion and formed of an elastomeric material configured to conform to the bone surface. The tip includes a bend a distance away from the distal location, a contact surface distal to the bend and including one or more surface features configured to adhere to the viscous material, and a front end having a conic curvature. The bend is between about 20 degrees to about 40 degrees from a longitudinal axis of the tip.

Abstract: To easily and accurately place a bone filling material in a cured state at a bone treatment target, a bone treatment system includes a placement device and a deployment operation device. The placement device includes a shaft having a flow path which enables a bone filling material to be placed on a space of a radius to flow therethrough, and a filling balloon to be filled with the bone filling material via the flow path 38 disposed in a distal end portion of the shaft. The deployment operation device 16 can be inserted into the flow path, and exposes the bone filling material by breaking the filling balloon after being filled with the bone filling material.

Abstract: A chip-removing tool of a surgical torque-transferring instrument includes a distal engagement segment which is adjoined by a tool shaft whose proximal end portion is prepared for a torque-transferring insertion into a tool mounting of the instrument. The proximal end portion is subdivided at least in a functional section “torque transmission” and a functional section “axial locking” which is axially spaced therefrom. The functional section “axial locking” is arranged with respect to the engagement segment so as to be proximal relative to the functional section “torque transmission”.

Abstract: A torque-limiting driver is disclosed, having a handle, a body, a torque-limiting assembly and a work-piece engaging tip. The torque-limiting assembly includes an upper and lower shank that have a plurality of teeth circumferentially spaced. The teeth have a vertical face, an inclined face, and a flat peak. There is a spring for applying pressure across the upper and lower shank with multiple washers interposed between the lower shaft and spring. In some instances, there is a round-square drive with arched catches having preselected radii to assure operation over certain cycles at selected torque and to reduce nose cone damage and breakage at a predetermined measurement of inch-pounds of torque.

Abstract: A surgical instrument includes a handpiece to which a handpiece shaft can be flanged, and a tool mounting for receiving a tool which can be rotatably supported in the handpiece shaft for axially securing the tool in the tool mounting and for transferring a torque to the tool. The tool mounting includes a sleeve-shaped entrainment shaft with a plug-in zone for a torsion rod and torque transmission and axial locking zones for the tool. The tool mounting also includes a closure sleeve surrounding the entrainment shaft that includes a distal blocking section which acts on the axial locking zone of the entrainment shaft for axially locking and releasing the tool, and a proximal arresting section acting on the plug-in zone of the entrainment shaft for arresting the tool mounting on the torsion rod to transfer torques and axial forces and for releasing the tool mounting from the torsion rod.

Abstract: A driver device (hexalobe or otherwise) that includes a handle portion, an elongate shaft portion, and an end portion that includes a screw engagement portion and a split manufactured offset from the central axis of the end portion and/or the screw engagement portion, forming two asymmetric halves of the end portion and/or screw engagement portion. This screw engagement portion is slightly oversized relative to the corresponding tool engagement recess of the locking cap, set screw, or bone screw. Thus, when the screw engagement portion is pressed into the corresponding tool engagement recess of the locking cap, set screw, or bone screw, the split manufactured offset from the central axis of the end portion and/or the screw engagement portion allows the screw engagement portion to compress slightly, creating a friction fit between the screw engagement portion and the corresponding tool engagement recess of the locking cap, set screw, or bone screw.

Abstract: An endoscopic cryoablation apparatus for the ablation of unwanted tissues is disclosed. A method of utilizing the apparatus for ablating pancreatic cancer, gastrointestinal cancers, or other undesired tissue is also incorporated. The apparatus provides a cryoprobe needle tip covered by an outer sheath at a distal end of a catheter shaft such that the distal end includes a defined ablation zone. As implemented, the cryocatheter can be utilized alone or in combination with and endoscopic ultrasound. A moveable handle attached to the outer sheath is configured such that the handle retracts and protracts the outer sheath to expose and cover, respectively, the cryoprobe needle tip.

Abstract: Devices and methods for efficiently and reproducibly heating fluid for use in fluid enhanced ablation are disclosed herein. In one embodiment, an ablation device is provided having an elongate body, at least one wire extending through an inner lumen of the elongate body, and at least one spacer disposed within the inner lumen. The at least one wire extends through the at least one spacer such that the at least one spacer is effective to maintain an adjacent portion of the at least one wire in a substantially fixed geometric relationship with the inner lumen, thereby preventing electrical shorts and providing for the consistent and uniform heating of fluid flowing through the inner lumen of the elongate body.

Abstract: A desiccation device for operation on a target tissue includes a handle, a shaft extending distally from the handle, and a head. The shaft defines a lumen therethrough, and the head has a loop configuration supported on a distal end of the shaft. The head is hollow and defines a lumen therethrough. The lumen is in fluid communication with the lumen of the shaft. At least a portion of the head is electrically connected to a source of electrosurgical energy. A fluid is circulatable through the lumen of the shaft and the head.

Abstract: The present invention relates to the use of electrochemistry to control and generate specific user defined chemical reactions in regions that may be defined by electrode placement and geometry. In one embodiment, the present invention provides a method of shape changing cartilage in a subject through potential-driven electrochemical modification of tissue (PDEMT) or use of a potential-driven electromechanical (EMR) device.

Abstract: An electrosurgical system includes an electrosurgical generator, a power source configured to deliver power to at least one load connected to the generator, a master configured to generate an initial pulse, and a plurality of slaves connected in series to the master. The initial pulse cooperates with a first floating power supply configured to create an electrical connection between at least one first load and the power source. A first slave is configured to generate a subsequent pulse based on the initial pulse. The subsequent pulse cooperates with a second floating power supply configured to create an electrical connection between at least one second load and the power source. The subsequent pulse is configured to cause an ensuing slave to generate an additional pulse. The additional pulse cooperates with a corresponding floating power supply configured to create an electrical connection between at least one additional load and the power source.

Abstract: An electrosurgical generator may reduce unintended tissue damage by improving regulation of output power. The electrosurgical generator may control the power during a cycle, and react to a change in power if arcing occurs. Voltage sources, especially, demonstrate the tendency to have large, uncontrolled power excursions during normal electrosurgical use. The magnitude of the power excursions may be dependent on various factors. An exemplary electrosurgical generator control scheme reduces or minimizes the thermal spread by accurately supplying the specified power within a few cycles. Additionally, fast and accurate regulation provided by the constant voltage mode reduces or minimizes unintentional tissue charring. Thus, reduced thermal spread and charring should result in better surgical outcomes by reducing scarring and decreasing healing times.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly operably coupled to a distal end of the shaft includes a pair of first and second jaw members having proximal and distal ends. One or both of the first and second jaw members is movable from an open configuration for positioning tissue therebetween, to a clamping configuration for grasping tissue therebetween. A knife blade assembly includes a knife blade that is translatable within the first and second jaw members when the first and second jaw members are in the clamping configuration. The knife blade assembly includes a knife blade stop configured to contact at least a portion of the proximal end of the second jaw member when the first and second jaw members are in the open configuration to limit translation of the knife blade assembly.

Abstract: A surgical instrument includes an end effector and a handle assembly. The end effector includes a movable jaw and a cutting element slidably movable within the end effector. The handle assembly includes an energy button configured to deliver energy to at least one electrode located in the end effector, a trigger plate operably coupled to a jaw closure mechanism, the trigger plate configured to close the movable jaw, a firing plate operably coupled to a cutting element drive mechanism. The firing plate is configured to drive the cutting element independently of the jaw closure mechanism. The cutting element drive mechanism is configured to close the movable jaw when the cutting element is driven. The handle assembly further includes a trigger operatively coupled to the trigger plate and the firing plate. The jaw closure mechanism and the cutting element drive mechanism are configured to simultaneously close the movable jaw.

Abstract: A deployment and retraction mechanism for deploying and retracting a deployable component of a surgical instrument includes a gear assembly, a slider, and one or more actuators. The slider is translatable between a proximal position, corresponding to a storage condition of the deployable component, and a distal position, corresponding to a use condition of the deployable component. The actuator(s) is coupled to the gear assembly and is movable from an un-actuated position to an actuated position. The gear assembly is configured such that a full actuation and subsequent release of the actuator(s) translates the slider from one of the proximal or distal positions to the other of the proximal or distal positions while a partial actuation and subsequent release of the actuator(s) translates the slider from one of the proximal or distal positions to an intermediate position and back to the one of the proximal or distal positions.

Abstract: The present invention provides improved methods and apparatus for skin treatment and tissue remodeling. The apparatus includes an array of needles that penetrate the skin and serve as electrodes to deliver radio frequency current or other electrical or optical energy into the tissue being treated, causing thermal damage in controlled patterns. The damaged regions promote beneficial results such as uniform skin tightening by stimulation of wound healing and collagen growth.

Abstract: A device positionable in a cavity of a bodily organ (e.g., a heart) may discriminate between fluid (e.g., blood) and non-fluid tissue (e.g., wall of heart) to provide information or a mapping indicative of a position and/or orientation of the device in the cavity. Discrimination may be based on flow, or some other characteristic, for example electrical permittivity or force. The device may selectively ablate portions of the non-fluid tissue based on the information or mapping. The device may detect characteristics (e.g., electrical potentials) indicative of whether ablation was successful. The device may include a plurality of transducers, intravascularly guided in an unexpanded configuration and positioned proximate the non-fluid tissue in an expanded configuration. Expansion mechanism may include helical member(s) or inflatable member(s).

Abstract: Methods of treating a subject for a cardiac arrhythmia are provided. Aspects of the methods include thoracoscopically producing a cardiac Cox maze III set of lesions in cardiac tissue of the subject in a manner sufficient to treat the subject for the cardiac arrhythmia.

Abstract: An electrode catheter device with indifferent electrode for direct current tissue therapies is disclosed. An example of the catheter device has a flexible tubing with at least one ablation electrode. The catheter device also may also be used with a sheath for introducing the flexible tubing inside a patient's body. An indifferent electrode on the sheath can provide a ground for a direct current (DC) pulse to deliver electrical energy and create an electrical field adjacent a tissue. Various other embodiments are also disclosed.

Abstract: An end effector for operating on tissue comprises an upper jaw, a lower jaw, a flexible member, and a pair of conductive members. The upper jaw and the lower jaw are configured to receive tissue when in an open position and the upper jaw is movable toward the lower jaw. The flexible member is coupled to either the upper jaw or the lower jaw, and is configured to deform in response to compression of tissue between the jaws. One of the conductive members is associated with the flexible member and is configured to move with the flexible member in response to compression of tissue between the jaws. The end effector may be configured to manipulate the position of muscle within tissue in response to compression of tissue between the jaws.

Abstract: The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Abstract: Provided herein is a light transmitting cable for laser treatment, the cable including a first optical fiber configured to generate a high energy particle by a laser beam transmitted from a light source and to transmit the high energy particle to a target; and an image transmitting cable configured to transmit an image surrounding the target, thereby being capable of treating a tumor with relatively low power output while identifying a location of the tumor.

Abstract: A surgical drape support for maintaining a surgical drape above a patient's face is provided. The surgical drape includes a base member positioned adjacent to a top portion the patient's head, the base member including a first end and a second end, a first connector secured adjacent a first end of the base member, a second connector secured adjacent a second end of the base member, and an arch support member extending from the first connector, across the patient's face, and to the second connector. The arch support member extends diagonally across the patient's face for supporting the surgical drape above the patient's mouth while allowing the drape to be positioned directly adjacent one of the patient's eyes.

Abstract: A navigable probe system and method of use is provided. The system may include a handle assembly having a locking mechanism enclosed and a stylus, a cannula, and a tracking device extending from the handle assembly. The stylus may include undercuts for receiving pins of the locking mechanism. A cam of the handle assembly may rotate such that in a first position, the pins of the locking mechanism may be engaged with the undercuts and in a second position, the pins of the locking mechanism may be disengaged from the undercuts releasing the stylus from the locking mechanism. The stylus may be slidably engaged with an inner diameter of the cannula. In some arrangements, the handle assembly may include a quick connect system that in a first position attaches the cannula to the handle assembly and in a second position releases the handle assembly and thus stylus from the cannula.

Abstract: A needle holder for use in an image guided intervention procedure. The needle holder includes a clip for holding a needle and a guide arrangement for supporting the clip and directing the needle at a desired angle relative to a patient's body. The clip includes a releasable connection such that the needle can be disengaged from the guide arrangement by a lateral movement of the clip and/or the guide arrangement relative to the longitudinal axis of the needle.

Abstract: An MRI safe robot for guiding transrectal prostate biopsy comprises a support arm, a robot body operatively connected to the support arm and a transrectal biopsy device operatively connected to the robot body. The transrectal biopsy device includes an endorectal extension and a biopsy needle device, the endorectal extension including an MRI coil for MRI imaging of the prostate. The robot body includes a first driver module for generating rotational motion of the endorectal extension and a second driver module for angulating the biopsy needle device toward a target area of the prostate for biopsy. The biopsy needle device is rotatable relative to the endorectal extension about a fixed axis and translatable through the endorectal extension. Each of the first and second driver modules include at least one pneumatic motor, wherein the MRI images are used by a physician to determine the target area for biopsy.

Abstract: Systems, methods, and interfaces are described herein for assisting in noninvasive location selection for an implantable electrode for use in cardiac therapy. Mechanical motion information and surrogate electrical activation times may be used to identify one or more candidate site regions.

Abstract: Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Abstract: Systems and methods provide visualization of the projected results of an aesthetic treatment, such as facial skin therapy, using an image display device and a plurality of stored transformation instructions. The system receives an input image of a subject, such as a recent portrait photograph. The system determines the aesthetic treatment to apply, retrieves the associated transformation instructions, and transforms the input image with the transformation instructions to produce a modified image that represents changes to the subject's face that are expected to occur after the selected treatment. The system may include or access a virtual treatment visualization engine that stores transformation parameters describing changes to make to the input image based on the selected treatment and other input parameters. The transformation parameters may be obtained from a model that received the selected treatment. The system may determine similarities of the subject to the model.

Abstract: In one embodiment of the invention, a counter balanced arm is disclosed including, a first link having a first rotating transmission device, a second link having a first rotating transmission device and a compression spring, a third rotating transmission device coupled between the first and second links, and a cable routed over the rotating transmission devices coupled between the second link and the compression spring. The compression spring forms a tension in the cable to counter balance a load applied to an end of the second link of the counter balanced arm.

Abstract: A robotic surgical system is provided. The robotic surgical system includes a robotic mechanism having a force transmitting member and a computer connected with the robotic mechanism. The robotic surgical system also includes an optical sensing system connected with the computer, at least one navigation member configured to couple to one or more tissues of a patient, and a tool suitable for use in resecting at least a portion of a first bone of a joint in a patient and at least a portion of a second bone of the joint in the patient.

Abstract: The present invention relates to a device developed for surgical interventions comprising (i) an inner end (1) guidable/steerable to the operation field, (ii) an outer end (3) operated by the user and (iii) a middle part (2) which connects both ends (1, 3) together. According to the main concept of the present invention, it further comprises force transmission units extending between the outer (3) and the inner (1) ends, and said force transmission units, the outer and the inner ends and the middle part (2) are designed to transfer the movements of the outer end (3) to the inner end (1) in an identical measure, as if the inner end (1) were the straight continuation of the outer end (3).

Abstract: Enhanced targeting systems and methods may be used to visualize trajectories for surgical instruments. Such a targeting system may have a fixture that can be secured at a predetermined location relative to a patient, a first light source attached to the fixture, and a second light source attached to the fixture. The first light source may project first light along a first plane, and the second light source may project second light along a second plane nonparallel to the first plane. At an intersection of the first and second planes, the first light and the second light may cooperate to produce a targeting line that indicates the desired trajectory. A controller may be connected to first and second sets of motors to orient the first and second light sources, respectively. The targeting line may be projected on a visualization aid that guides the surgical instrument along the trajectory.

Abstract: A fiber twist reduction system for optical shape sensing enabled instruments includes a rotatable launch fixture (12) configured to hold an optical fiber (28). An optical shape sensing enabled device (26) includes the optical fiber disposed therein. A rotation mechanism (14) is configured to rotate the fiber in response to a twist of the fiber to reduce accumulated twist along its length.

Abstract: Compressed air handpiece including a handle connected to a head housing a turbine. The turbine includes a moving wheel from a periphery of which extends a plurality of blades which define an outer diameter of the moving wheel. The handpiece also includes injection means, whose function is to direct onto the blades of the moving wheel a compressed air flow whose pneumatic energy is converted into kinetic energy when the compressed air flow strikes the blades of the moving wheel. The injection means take the form of an independent insert inside which is arranged a compressed air flow feed pipe and which is mounted inside the handle of the handpiece.

Abstract: An electric dental handpiece including a head engaging a handle and configured to rotatably support a tool. The handle includes a lower handle portion and an upper handle portion with the lower handle portion engaging the head and the upper handle portion having an attachment area configured for attachment to a power supply. An electric motor is positioned with a majority thereof within the lower handle portion and is configured to rotate the tool.

Abstract: The present invention is a hand-held device for dispensing multiple controlled dosage of powered material having a main body, a cavity in the main body constructed and arranged to be operatively associated with an actuator for dispensing a medicament, an actuator constructed and arranged for dispensing said medicament from said cavity through a delivery device, and a tip attached to said second end of said main body, wherein said tip is constructed and arranged at a fixed angle relative to said main body to facilitate periodontal delivery of a medicament.

Abstract: A non-invasive method for making a tooth veneer from composite resin material for a patient's tooth without tooth reduction, enamel removal or any invasive tooth preparation, comprising the steps of transferring an amount composite resin material on the patient's tooth without prior invasive tooth preparation; forming a preview veneer from the composite resin material directly on the tooth; requesting the patient to approve or disapprove the preview veneer; if approved, requesting the patient whether to have a first method veneer or a second method veneer. A kit for a non-invasive method of making a tooth veneer for a patient's tooth without tooth reduction, enamel removal or any invasive tooth preparation.

Abstract: A dental apparatus is disclosed. The dental apparatus can comprise a pressure wave generator to be disposed at a treatment region of a tooth. The pressure wave generator can include an opening to deliver a flowable filling material to the treatment region. The apparatus can include a reservoir for supplying the filling material to the pressure wave generator. The pressure wave generator can be configured to generate pressure waves through the treatment region to cause the filling material to substantially fill the treatment region.

Abstract: A dental matrix band includes a band having a first end and a second end. The band is folded over with the first end and second end generally aligned. A portion of the band adjacent the first and second ends form opposed facing band portions in contact with one another, and another portion of the band forming a looped band forming a circumference. A first or stationary toggle is secured to the band at the first and second ends with the first toggle stationary with respect to the band. A second or movable toggle is formed over the band and is capable of sliding over the opposed facing band portions in contact with one another, whereby sliding of the movable toggle away from the first and second ends causes the circumference of the looped band to reduce in size.

Abstract: An orthodontic/orthognathic device for correcting and changing tooth placements and bone structure, and a method of using orthodontic/orthognathic device for tooth movement, correcting syndromic conditions of the mouth and osteogenetic correction. The device may be used for maxillary distraction and expansion as well as mandibular separation and expansion. The device can be controlled by computer to direct tooth and bone placement.

Abstract: The present invention relates to an orthodontic gripping device having a body made of a superelastic metal alloy, cold worked titanium beta III, or solution heat treated and aged titanium beta III. The body has first and second, spaced apart arm portions connected to each other. Each arm portion includes a jaw portion having an inner, arch wire-gripping, surface. The inner gripping surfaces are disposed opposite one another in spaced relation with a station defined therebetween for receiving the arch wire. At least a portion of the station is sized smaller than the arch wire. The arm portions are resiliently deflectable outwardly away from each other to admit the arch wire into the station. Once seated in the station, the arch wire is tightly held by inner gripping surfaces so as to resist displacement of the gripping device relative to the arch wire.

Abstract: A method of shaping a green body provides a shaped green body comprised of a plurality of sinterable particles and an organic binder. Such a method includes: (1) molding a mixture of sinterable particles and organic binder into the shape of an initial green body or intermediate, wherein the sinterable particles include at least one of metal particles or ceramic particles; and (2) shaping the green body intermediate with at least one of a stream of energy or a stream of matter, wherein the shaping yields a green body having a desired shape. The shaped green body can be sintered in order to provide a hardened body having substantially the shape of the shaped green body.

Abstract: The present invention provides an article, at least part of it being coated by inorganic fullerene-like (IF) nanoparticles or composite containing such nanoparticles. Preferably, the invention provides an article made of metal, for use in dentistry or medicine e.g. archwire, needle or catheter, having a friction-reducing film, and methods for coating such articles with a friction-reducing film.