Abstract: A battery assembly is disclosed which includes a housing and one or more battery cells position in the housing. The battery assembly further comprises features configured to absorb an impact force and protect the battery cells. The battery assembly further comprises features configured to accommodate the thermal expansion of the battery cells.

Abstract: Devices for attaching a sheet-like implant to a target tissue include a sheath and a staple push rod. The sheath has a distal end configured to be pressed against the target tissue. The staple push rod is disposed within at least a portion of the sheath and is slidable relative thereto. The staple push rod includes a pair of stakes. Each stake is dimensioned to abut a surface of a staple to apply pushing forces thereto. The stakes are biased to assume a bow-like shape such that an intermediate portion of a staple extends tautly between the first stake and the second stake when the stakes are extending beyond the distal end of the tubular member. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

Abstract: A linear surgical stapler includes an upper staple cartridge receiving half-section, a lower staple cartridge receiving half-section and a staple cartridge assembly. The staple cartridge assembly includes a cutting groove in which a reciprocating movement cutter is mounted. The cutter includes a bottom surface and a knife blade located at a far end of the cutter. The staple cartridge assembly includes a restricting member mounted therein and an elastic stopper. The elastic stopper abuts against the restricting member when the staple cartridge assembly is in an initial state. The restricting member breaks away from the staple cartridge assembly when the staple cartridge assembly is in a firing complete state, thereby preventing the cutter from sliding towards the far end of the staple cartridge. As a result, misfiring throughout the whole operation of the linear surgical stapler is prevented.

Abstract: A nerve repair conduit configured to be secured on first and second portions of a selected nerve. The nerve repair conduit includes a polymeric body having a proximal end, a distal end, an exterior surface and an interior surface defining an interior lumen. In addition, the nerve conduit includes at least one drug reservoir to hold agent(s) that may, for example, facilitate nerve regeneration. The drugs diffuse from the drug reservoir(s) into the nerve repair conduit through an outlet (e.g., a semipermeable membrane) in proximity to the first and second portions of a selected nerve. The nerve repair conduit may be configured to deliver the agent(s) at a rate having substantially zero-order kinetics and/or at a constant rate over a selected period of time (e.g., at least 1 week).

Abstract: Methods, devices and systems facilitate gastric retention of a variety of therapeutic devices. devices generally include a support portion for preventing the device from passing through the pyloric valve or esophagus wherein a retaining member may optionally be included on the distal end of the positioning member for further maintaining a position of the device in the stomach. Some embodiments are deliverable into the stomach through the esophagus, either by swallowing or through a delivery tube or catheter. Some embodiments are fully reversible. Some embodiments self-expand within the stomach, while others are inflated or otherwise expanded.

Abstract: A surgical clip applier with scissor-type operating handle and clip applying cartridge in which handle has housing of upper and lower shells that defines socket for receiving cartridge, includes a lever arm actuated linear translator for linear reciprocating movement delivered to the cartridge, and an anti-backup mechanism for full forward and release strokes of the handle, and in which cartridge includes jaws for applying clips, safety means to ensure opening of jaws for each cycle, a puller bar for receiving motion from handle and timing of jaw operation to clip feed, a magazine for feeding clips to jaws in proper sequence, and a lockout mechanism to render applier inoperative after using last clip.

Abstract: A surgical clip applier includes an actuation mechanism, a body portion, a jaw blade, and a clip cartridge, the jaw blade and clip cartridge removeably disposed within the body portion. The jaw blade including first and second opposed jaws operably connected to the actuation mechanism to effectuate closure of a surgical clip, the first and second opposed jaws connected to each other at a proximal end by a shank section. The clip cartridge disposed within the body portion adjacent to the jaw blade and configured to store at least one surgical clip therein. The clip cartridge having a first nub which abuts a first end of the shank section of the jaw blade, and a second nub which abuts a second end of the shank section of the jaw blade, such that longitudinal and vertical movement of the jaw blade is arrested.

Abstract: Bleeding from blood vessels located in difficult-to-compress regions of the body (especially the abdomen, pelvic or groin region) is controlled by the use of a portable, small-footprint belt-like device that contains multiple inflatable bladders. The inflatable bladders are selectively positioned and inflated over exsanguinating blood vessels, thereby exerting pressure to stop the bleeding. The device may also be used to provide perfusion support in low flow disease states such as hemorrhagic shock and cardiac arrest.

Abstract: Disclosed are methods and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of surgical and medical procedures. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient to provide both a sensor during a first time period and an effector during a second time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the second time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the first time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of a patient encircled by the cuff.

Abstract: An adjustable rongeur includes a first handle portion pivotally connected to a second handle portion. A shank is connected to the first handle portion at a proximal end of the shank, wherein the shank has a footplate at a distal end thereof. A crossbar is slidably engaged with the shank, wherein the crossbar is connected to the second handle portion, wherein a cutting opening is formed between a distal end of the crossbar and the footplate of the shank. An opening selection actuator is positioned within at least one of the first and second handle portion, wherein the opening selection actuator engages between the first and second handle portions to control a length of the cutting opening.

Abstract: The devices and methods described herein relate to clearing of blockages within body lumens, such as the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen.

Abstract: A medical device for retrieving small fragments from within a patient's anatomy includes a collection wire configured for entering the patient's anatomy. The collection wire includes a distal end with a plurality of tips that are configured to attract stone fragments from the patient's anatomy.

Abstract: A medical instrument effectively suppresses a situation in which the edge of a blade springs immediately after completion of incision, excision, or the like.

Abstract: A method of performing surgery includes the steps of providing a forceps having a housing including a shaft that extends therefrom and at least one handle moveable relative to the housing and providing an end effector assembly configured to selectively engage a distal end of the shaft. The method also includes the steps of inserting the forceps through a first opening formed in a body; inserting the end effector assembly through a second opening formed in the body; engaging the end effector assembly with the distal end of the shaft in vivo; and actuating the end effector assembly by moving the handle relative to the housing. The method may also include the steps of providing a coupling at the distal end of the shaft, and engaging, via the coupling, the distal end of the shaft with the end effector assembly.

Abstract: Methods and devices described herein facilitate improved access of locations within the body by providing a variety of dissection modes on a single access device.

Abstract: A uniportal surgical device having a slotted clear cannula, a blade and a housing, wherein the cannula is attached to the housing, and wherein the blade is enclosed in the housing and is slidable into the cannula is disclosed. The device further has a device for locking a viewing device in place relative to other components of the device. A method for a performing an operative procedure on a target tissue in a subject using the uniportal surgical device is also described.

Abstract: A device and method for ablating tissue is disclosed comprising the steps of acquiring an anatomical image of a patient, correlating the image to the patient, guiding an ablating member within the patient while tracking the position of the ablating member in the patient, positioning the ablating member in a desired position to ablate tissue, emitting ablating energy from the ablating member to form an ablated tissue area and removing the ablating member from the patient.

Abstract: A method of penetrating an intravascular occlusion including the steps of: obtaining an apparatus with a sleeve assembly defining an elongate passageway having a lengthwise axis, a stabilizing assembly, and a blade assembly; directing the sleeve assembly into an operative position within a vessel passage wherein an outlet from the elongate passageway is adjacent an occlusion within the vessel passage; through the stabilizing assembly, stabilizing the sleeve assembly in the operative position; and with the sleeve assembly stabilized in its operative position advancing the blade assembly in a first lengthwise direction relative to the sleeve assembly to penetrate the occlusion.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

Abstract: A fixation device comprises a first body having a threaded end, a longitudinal axis, and a bore perpendicular to the longitudinal axis. A second body is received in the bore. The second body has an exterior thread and an interior passage for receiving a pin or wire. The second body has a wire locking device for retaining the pin or wire. An advance nut engages the exterior thread. The advance nut abuts the first body for moving the wire locking device away from the first body when the advance nut is turned, for tensioning the pin or wire.

Abstract: Embodiments herein are generally directed to extendable rods for use in orthopedic assemblies. In some embodiments, these implants may be used in conjunction with procedures to treat spinal deformities, including, but not limited to, early onset scoliosis.

Abstract: A dynamic longitudinal connecting member assembly includes an anchor member having an integral or otherwise fixed elongate core of circular or non-circular cross-section. The core is pre-tensioned and extends through at least one elastic spacer and at least one outer sleeve. The anchor member and the outer sleeve each attach to at least one bone anchor. In operation, the core is held in tension by the spacer.

Abstract: A multi-planar axial spinal rod connector includes a first portion, a second portion, and a connector assembly. The first portion defines a longitudinal axis and defines a first passage. The first passage is sized and configured to slidably receive a first spinal rod. The second portion defines a second longitudinal axis and defines a second passage. The second longitudinal axis is different from the first longitudinal axis. The second passage is sized and configured to slidably receive a second spinal rod. The connector assembly is configured to fix the first and second portions relative to one another such that the first and second longitudinal axes define an angle relative to one another.

Abstract: A system for implanting an implant screw into one or more bones of a patient, such as the sacrum and the ilium, can include a rod and a screw. The screw can be generally hollow and have a blunt distal end. The rod can include a threaded and pointed distal end that is inserted through the rod to drive the screw through the bones. Once the screw is at a desired position, the rod can be removed such that the sharp driving edge used to seat the screw does not remain in the bone. The system can further include an extraction tool having a generally hollow body sized to be inserted over the rod and a distally located screw engagement portion configured to engage the screw to adjust positioning of the screw after it is initially seated.

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: Technologies are generally provided for devices and methods for use in bone fixation, bone fusion and/or bone stabilization. In various embodiments, the devices and methods relate to a bone stabilization having a first end, second end and a bridge connecting the first and second ends. The first end has a bone engagement feature and may be fused to bone over time without the use of osteogenic materials.

Abstract: A flexible bone screw for insertion into the intramedullary cavity of a fractured bone facilitates enduring fixation of the fracture. The flexible bone screw includes a substantially smooth shaft and a threaded portion positioned at one end of the shaft, wherein the outer diameter of the threaded portion is greater than the shaft diameter and the length of the threaded portion is about 20% of the overall length of the flexible bone screw or less.

Abstract: A flexible bone screw for insertion into the intramedullary cavity of a fractured bone facilitates enduring fixation of the fracture. The flexible bone screw includes a substantially smooth shaft and a threaded portion positioned at one end of the shaft, wherein the outer diameter of the threaded portion is greater than the shaft diameter and the length of the threaded portion is about 20% of the overall length of the flexible bone screw or less.

Abstract: Systems, methods, and apparatuses for fusion, stabilization, or fixation of bones are provided.

Abstract: Provided herein is an osteosynthesis device for articular fracture fixation, more particularly for fixation of shoulder, knee, elbow, ankle and wrist fractures. The osteosynthesis device comprises an articular supportive plate for supporting the articular surface of a long bone, said articular supportive plate comprising (i) at least one pin receiving feature for receiving a pin or a screw; and (ii) at least one fin projecting from a first side of said articular supportive plate, said fin being provided with one or more pin receiving features for receiving a pin or screw. Further provided herein are systems for articular fracture fixation, and methods of fixating an articular fracture in a long bone using such systems.

Abstract: A bone plate includes (a) a body having a first surface which, in an operative configuration, faces away from a bone on which the plate is to be mounted and a second surface, which in the operative configuration, faces the bone, the body including a first section extending along a first longitudinal axis and a second section extending along a second longitudinal axis angled with respect to the first longitudinal axis; (b) a first hole extending through the body from the first surface to the second surface and defining a first hole axis, the first hole being structured to lockingly engage a head of a first bone anchor inserted therein such that a shaft of the first bone anchor extends along the first hole axis; and (c) a second hole extending through the body and spaced apart from the first hole. The second hole defines a second hole axis and is structured to lockingly engage a head of a second bone anchor inserted therein such that a shaft of the second bone anchor extends along the second hole axis.

Abstract: A driver instrument for engaging and transferring rotational torque to a bone anchor already screwed into a bony structure. The driver instrument may be advanced through an incision while disengaged from the bone anchor and thereafter engaged in a driver socket of the bone anchor. The driver instrument includes an elongate shaft extending distally from a handle, a tapered distal tip, and a driver engagement feature located proximally of the tapered distal tip. The tapered distal tip and the driver engagement feature are configured such that the longitudinal rotational axis of the driver instrument automatically moves into parallel alignment with the longitudinal rotational axis of the bone anchor as the driver engagement feature of the driver instrument is advanced into the driver socket of the bone anchor.

Abstract: An anchor delivery tool is described. The tool includes a shaft and a handle coupled to a proximal portion of the shaft. The handle includes a hub, with a knob and a nose cone coupled to the hub. The knob and nose cone may be spring loaded so as to selectively retain a length of suture disposed therebetween. The tool further includes an anchor, such as a suture anchor, coupled to a distal portion of the shaft.

Abstract: An impactor having a housing including an upper portion and a lower portion at least a part of which extends perpendicularly from the upper portion, a ram having a first end positioned in the upper portion and positioned in axial alignment with the lower portion, an opposite end of the ram extending from the lower portion of the housing, at least one drive assembly including a first drive shaft operably coupled to a cam shaft, a cam operably coupled to the cam shaft, a cam operably coupled to the cam shaft, the drive shaft operably connectable to motor, wherein the cam is operable to rotate and positioned to contact the proximal end of the ram upon rotation of the cam, a circuit board comprising circuitry operable to receive instructions from a plurality of switches electrically coupled to the circuit board to operate the impactor, wherein the impactor is operable to deliver low amplitude pulsed strikes to a workpiece at variable frequencies.

Abstract: A medical device includes a catheter body having a first injection lumen, a second injection lumen, and an exhaust lumen, where the first injection lumen provides a fluid flow rate greater than a fluid flow rate provided by the second injection lumen; an expandable element coupled to the catheter body in fluid communication with the first and second injection lumens; a cryogenic fluid source in fluid communication with the first and second injection lumens; a valve in fluid communication with the first and second injection lumens to selectively allow fluid flow to at least one of the first and second injection lumens; a pressure sensor in fluid communication with an interior defined by the expandable element; and a controller in communication with the pressure sensor programmed to regulate fluid flow through the first injection lumen based at least in part on a signal from the pressure sensor.

Abstract: Embodiments disclosed herein are directed to devices, methods, and systems for the treatment of tissue using energy delivery. Specifically, certain embodiments may utilize a thermochemical reaction between at least two reagents where a first reagent has been preloaded into a catheter while a limiting reagent is circulated through the catheter to react with the first reagent. The resulting chemical reaction may be exothermic or endothermic, and a heat transfer fluid may be used to exchange energy between the chemical reaction and surrounding tissue.

Abstract: An inventive system and method for touch free operation of an ablation workstation is presented. The system can comprise a depth sensor for detecting a movement, motion software to receive the detected movement from the depth sensor, deduce a gesture based on the detected movement, and filter the gesture to accept an applicable gesture, and client software to receive the applicable gesture at a client computer in an ablation workstation for performing a task in accordance with client logic based on the applicable gesture. The system can also comprise hardware for making the detected movement an applicable gesture. The system can also comprise voice recognition providing voice input for enabling the client to perform the task based on the voice input in conjunction with the applicable gesture. The applicable gesture can be a movement authorized using facial recognition.

Abstract: Surgical tools and methods are disclosed. The surgical tool has a first tip comprising a first tip longitudinal axis and a second tip. The surgical tool has a first configuration wherein the first and second tips operate as forceps. The surgical tool has a second configuration wherein the first and second tips operate as scissors, wherein the surgical tool is configured to transition between the first configuration and the second configuration, at least in part, by rotation of the first tip about the first tip longitudinal axis.

Abstract: An electrosurgical instrument for the treatment of tissue includes a longitudinal instrument shaft having a central axis, an end effector at the distal end of the shaft, the end effector including at least one element movable between a first and a second position. An actuator includes a handle which reciprocates movement between a first and second actuator position, and an actuation wire associated with the actuator for movement. Movement of the actuator causes the wire to move the element between its first and second positions, the wire running longitudinally of the shaft offset on one side from the central axis of the shaft. Compensation wire is associated with the actuator, the compensation wire running longitudinally of the shaft and being offset on the opposite side of the central axis of the shaft to that of the actuation wire.

Abstract: Surgical instruments and methods for controlling temperature are described herein and can have particular utility when sealing tissue. In one embodiment, an end effector can include first and second jaw members configured to clamp tissue therebetween, and an electrode having a single continuous conductive surface that is coupled to the first jaw member. The end effector can also include a plurality of electrical insulators of varying thermal conductivity disposed between the electrode and the first jaw member coupled thereto. The electrode can be divided into a plurality of thermal zones by at least one opening formed therein and the plurality of electrical insulators can be arranged such that at least a first thermal zone contacts an electrical insulator having a first thermal conductivity and at least a second thermal zone contacts an electrical insulator having a second thermal conductivity that is higher than the first thermal conductivity.

Abstract: A surgical instrument includes a housing, an energizable member selectively deployable relative to the housing, and a deployment mechanism. The deployment mechanism includes a fixed gear rotatable in opposite directions to move the energizable member between the deployed and storage positions. The deployment mechanism further includes an actuator assembly having a first actuator and a first gear, and a reversing assembly. The actuator assembly is movable relative to the fixed gear between an engaged position and a spaced-apart position. The reversing assembly includes a second actuator and a second gear that is movable between a removed position, wherein the first gear is disposed in the engaged position and the second gear is disengaged from the first gear and the fixed gear, and an inserted position, wherein the first gear is moved to the spaced-apart position and the second gear is engaged between the first gear and the fixed gear.

Abstract: A forceps includes an end effector assembly having a stop and a plurality of overmold teeth within at least one jaw member. One (or both) of the jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes a stop molded within an insulative housing, and an insulator plate with the overmold teeth formed from plastic. The overmold teeth extend through openings within a sealing plate and protrude past the tissue sealing surface of the sealing plate. The stop primarily controls the gap distance between opposing jaw members by bearing most of an applied load and the overmold teeth assist in controlling the gap distance by bearing the remaining applied load.

Abstract: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube (8) having a distal end portion, and a bipolar electrosurgical electrode assembly (13) located at the distal end of the tube. The electrosurgical electrode assembly (13) comprises first and second electrodes (14, 16) separated by an insulation member (15). When an electrosurgical cutting voltage is applied to the electrode assembly (13), and relative movement is initiated between the tube (8) and the tissue, a slug of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. The bipolar electrosurgical assembly (13) has a first circumferential region (A) and a second circumferential region (B), the first circumferential region (A) being longer than the second circumferential region (B).

Abstract: An energy delivery probe for use in tissue ablation and method of use is presented. The energy delivery device has at least a first energy delivery member and a second energy delivery member that have handle members positioned along a longitudinal axis, each handle member having a proximal and distal end. The distal end of the first handle member is releasably coupled to the proximal end of the second handle member and a portion of each member is defined in a coaxially surrounding relationship to each other along the longitudinal axis. The method of using the probe involves identifying a tissue to be ablated, providing the energy delivery probe, inserting at least a portion of the energy delivery probe into the identified tissue, delivering electrical energy through the energy delivery probe to the identified tissue, and ablating the identified tissue such that at least a first ablation zone is formed.

Abstract: Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering a coolable ablation assembly that ablates targeted tissue without damaging non-targeted tissue. The coolable ablation assembly damages nerve tissue to temporarily or permanently decrease nervous system input.

Abstract: An energy delivery device may include an elongate member having a proximal portion, a distal portion, and a lumen extending therebetween. The device may include a deployment member extending through the lumen toward a distal tip of the energy delivery device, and an expandable basket having a plurality of curved electrode legs. Each of the curved electrode legs may have a first end coupled to the distal portion of the elongate member and a second end coupled to the deployment member, and each of the plurality of curved electrode legs may have at least one energy insulated region and one energy active region. The device also may include at least one temperature sensing element coupled to said expandable basket.

Abstract: Systems and methods for creating an arteriovenous (AV) fistula comprise an elongate member, a distal member connected to the elongate member and movable relative to the elongate member, and a heating member disposed on at least one of the movable distal member and the elongate member. The distal member comprises structure for capturing tissue to be cut to create the fistula, and the heating member is adapted to cut through the tissue to create the fistula. The elongate member comprises an elongate outer tube. A shaft connects the distal member to the elongate member, and is extendable and retractable to extend and retract the distal member relative to the elongate member.

Abstract: A light diffuser, which is particularly suitable for introducing diffuse light into a tissue, is produced by interpenetration of a diffuser material in a liquid state into a boundary layer of a porous shaping material, by which process a diffuser surface is formed having a surface structure which represents essentially a negative of the pore structure of the shaping material and includes undercut structures induced by a surface tension. The light diffuser is e.g. produced by introducing a diffuser blank including material that is liquefiable through mechanical vibration into the shaping material and simultaneously stimulating it with mechanical vibrations, such that the liquefiable material liquefies at least there where it is in contact with the shaping material and is pressed into the shaping material. An in situ production of the diffuser is particularly advantageous for photodynamic therapy in bone tissue.

Abstract: Various embodiments of an offset catheter are provided. In some embodiments, an offset catheter includes a guidewire tube and a catheter coupled with an elastic and/or compressible rib. The compressible rib provides an offset or separation between the catheter and the guidewire tube in its resting state. The rib has an initial resting state, but may be forced into a compressed state. When released from the compressed state, the rib returns to its resting state. An offset catheter may be compressed and slid through a sheath. When the offset catheter emerges from the sheath, the distal tip will return to its resting state providing an operation offset.

Abstract: A surgical instrument is provided that includes a first input mechanism having axial slots formed in a periphery and a second input mechanism having helical slots formed in a surface. The instrument also includes an insert having pins extending from a surface thereof, the insert coupled to the second input mechanism such that the one or more pins extend into the helical slots, and a surgical device coupled to an end. The surgical device is moved in a first degree of freedom in response to a mechanical driving force applied to both the first input mechanism and the second input mechanism, respectively, and the surgical device is moved in a second degree of freedom in response to a mechanical driving force applied to the second input mechanism while the first input mechanism is held stationary.