Abstract: Disclosed are methods and devices for obtaining patent hemostasis of the radial artery by compressing the uninstrumented ulnar artery to increase radial artery flow. The device comprises a band having an inflatable bladder for applying blunt pressure to the ulnar artery. The method comprises applying a pressure to the homolateral ulnar artery and applying a pressure to the radial artery at the access site to obtain hemostasis at the access site. The method further comprises administering an anticoagulant to a patient at a dose ranging from about 20 units per kg of body weight to about 30 units per kg of body weight.

Abstract: The invention relates to a medical device with a machine element mounted so as to be linearly movable and at least one linear guide, comprising at least one ball bearing and defining a longitudinal axis, for guiding a linear movement of the machine element parallel to the longitudinal axis, said at least one ball bearing comprising a plurality of balls which are movably held in corresponding ball holders and which guide the machine element, wherein the plurality of ball holders are constructed in the form of elongated holes.

Abstract: A humeral guide is provided that has a first portion or member configured to be positioned on a portion of a proximal humerus. The first portion or member can be configured to rest in a complementary manner on the portion of the proximal humerus. The humeral guide can be configured with apertures defining trajectories through bone, the pin trajectories being diverging in some case and in some cases being selected to enhanced support. A second portion or member and a third portion or member of the humeral guide are configured to be positioned on first and second lateral portions of the humerus distal to a location intended for resection, e.g., between an anatomical neck and a distal end of the humerus. The second and third portions or members or portions are configured to rest in a complementary manner on the first and second lateral portions of the humerus. The humeral guide can be configured to avoid soft tissue between a bone facing side and the humerus. The humeral guide can have a removeable jig portion.

Abstract: A novel coplanar X-ray guided method and device for insertion of distal locking screws in intramedullary bone nails. The device has coplanar holes, which allow insertion of protective sleeves. A drill and bone screws can be inserted through the protective sleeves. Radiopaque target markers in the aiming arm enable the easy positioning of an X-ray source such that an X-ray beam is coplanar with the aiming arm transverse holes. After the X-ray source is accurately oriented, a single X-ray snapshot is enough to assess the exact distortion of the implanted intramedullary nail. The X-ray beam need not be coaxial with the intramedullary nail holes. The aiming arm has a mobile portion and a fixed portion fastened to the nail, wherein said aiming arm can be adjusted, displacing the mobile portion over the fixed portion, to compensate for the distortion of the intramedullary nail after implantation.

Abstract: An orthopaedic prosthetic assembly includes a femoral component configured to be attached to a distal end of a patient's femur. A tibial tray is configured to be attached to a proximal end of a patient's tibia. A tibial insert is provided that includes a spine extending proximally from a body, and a pin hole extending through the spine. A bushing is sized and shaped to be positioned in the pin hole of the spine. A hinge pin is sized and shaped to be positioned in the bushing to couple the tibial insert to the femoral component. The bushing includes a retaining tab configured to engage an inner wall of the pin hole to secure the bushing to the spine.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.

Abstract: A humeral guide is provided that has a first portion or member configured to be positioned on a portion of a proximal humerus. The first portion or member can be configured to rest in a complementary manner on the portion of the proximal humerus. The humeral guide can be configured with apertures defining trajectories through bone, the pin trajectories being diverging in some case and in some cases being selected to enhanced support. A second portion or member and a third portion or member of the humeral guide are configured to be positioned on first and second lateral portions of the humerus distal to a location intended for resection, e.g., between an anatomical neck and a distal end of the humerus. The second and third portions or members or portions are configured to rest in a complementary manner on the first and second lateral portions of the humerus. The humeral guide can be configured to avoid soft tissue between a bone facing side and the humerus. The humeral guide can have a removeable jig portion.

Abstract: A device may be used for capturing and retrieving vascular debris. The device may include: at least two segments radially expandable from a collapsed state to an expanded state, each of the at least two segments having (a) a waist including a radially largest region of the segment and (b) two longitudinal ends; at least one intermediate portion, each of the at least one intermediate portion including a pivot that connects adjacent segments, each pivot having a diameter less than a diameter of the waist; wherein each of the at least two segments includes at least two struts that extend longitudinally from a proximal end to a distal end of the segment, the at least two struts tapering from the waist radially inward toward a longitudinal axis of the device as the at least two struts approach an adjacent intermediate portion.

Abstract: The devices and methods described herein relate to jointless construction of complex structures.

Abstract: Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.

Abstract: A two phase method for reducing the formation of biofilm includes an evacuation of ambient air from a region about the surgical or treatment site, to extract airborne or aerosolized bacteria ejected from the site by the treatment. The extracted bacteria are prevented from settling back onto the cleansed tissue surface, thus at least reducing colonial bacteriological growth and concomitantly exuded biofilm material. A second phase involves the attachment of one or more ultrasonic transducers to the patient over or near a surgical treatment site after the surgery is terminated. Each applied ultrasonic transducer is used to vibrate the patient's tissues at the treatment site to disrupt biofilm formation.

Abstract: A jaw assembly for vessel sealing device having a pair of jaw member that are pivotally coupled together via two flanges associated with one of the jaw members and a single, centrally positioned flange associated with the other of the jaw members. The flanges include cam slots so that axial movement of a drive shaft can open and close the jaw members. The jaw members may include a knife pathway for axial movement of a knife blade that is positioned to one side of the central flange and thus offset from the central axis of the jaws.

Abstract: A device for engaging tissue includes a body disposable around the distal end of a medical instrument, such as an endoscope, and a handpiece. The body includes a primary channel for receiving the medical instrument and at least one arm channel for receiving an arm therethrough. At least one arm extends through the arm channel of the body and proximally to the handpiece. The arm includes an engagement member distally of the body, and may further include a bend between the body and engagement member. The engagement member is movable between a first position not contacting tissue and a second position contacting tissue. With multiple engagement members, the engagement members are farther apart from one another in the first position and closer together in the second position. Movement of the engagement members is controlled by selective and independent movement of the corresponding arms by rotational and/or translational motion.

Abstract: A rotary shaver for tissue resection includes an elongated outer tubular member, an elongated inner cutting member disposed in and operatively rotatable relative to the outer tubular member for cutting a tissue, and an elongated jaw member disposed in the outer tubular member to surround the inner cutting member and operatively turnable to cooperate with an outer distal portion of the outer tubular member so as to clamp and electrocauterize the tissue for creating hemostasis during a surgical procedure.

Abstract: A medical instrument is disclosed that includes a body, and outer blade, and at least one sensing device for determining a rotational position of the outer blade, the inner blade, or both. The outer blade, the inner blade, or both are rotatably connected to the body. The sensing device comprises a sensor that generates an output signal corresponding to its position within a magnetic field generated by an image guidance system.

Abstract: The present application discloses a medical instrument for tissue ablation by a minimally invasive surgical procedure, including a hollow outer shaft, an inner shaft which can be guided longitudinally displaceably in the hollow outer shaft, and a control portion at a proximal end of the medical instrument, in order to position the hollow outer shaft. An attachment for mechanical ablation of tissue is arranged at a distal end of the inner shaft, wherein the attachment does not protrude beyond an inner profile formed by the inner faces of the outer shaft, and wherein at any rate the distal end of the attachment protrudes beyond the distal end of the hollow outer shaft in order to ablate tissue. The medical instrument may be combined with further medical appliances, in particular with an HF coagulation attachment or a laser coagulation attachment for tissue coagulation.

Abstract: An arthroscopical surgical method including administering a fluorescent chemical agent into a joint, which is a treatment target, allowing the fluorescent chemical agent to be adsorbed by a degenerated region that has degenerated from a normal region in a cartilage inside the joint, which is the treatment target, displaying and observing an emission of fluorescence from the degenerated region, which has adsorbed the fluorescent chemical agent, by infrared excitation light on a display through an arthroscope, and allowing a surgeon to recognize the degenerated region in the cartilage inside the joint, which is the treatment target.

Abstract: Disclosed herein is a snare (transparent cap) for removing a polyp which includes a stalk and a head connected to the stalk, wherein the snare includes: a body having a hollow tubular shape and an interior of which is partitioned into a plurality of chambers; a ring mounted to at least part of the body using elasticity; a first snare discharged outside the body through a first chamber among the plurality of chambers and hooks the stalk; and a second snare which is discharged outside the body through a second chamber among the plurality of chambers, wherein when the stalk is spread according to pulling the first snare that hooks the stalk, and the second snare pulls a first portion in a lower end of the stalk as spread including the head, the ring is discharged from the body and shrinks through the elasticity and then fixes the first portion.

Abstract: Devices used to hold a tissue access device, such as a bone cannula, at an access site are disclosed. The devices may be configured to hold the access device in a stable orientation while keeping the hand of a medical practitioner outside of an x-ray radiation field. The devices further include a patient contact member to facilitate orientation of the tissue access device.

Abstract: Disclosed herein is a device and method of use for specimen retrieval bags and wound protectors. More specifically, the present invention generally relates to a device and method of use for a specimen retrieval bag that utilizes vacuum assistance in conjunction with a sealed laparoscopic access port wound protector. In one embodiment the wound protector device is comprised of ring portions and a bladder portion. In other embodiments, the device is comprised of a bladder opening tube portion. In yet other embodiments, the bladder portion is further comprised of horizontal ridges and vertical ridges. In an embodiment, the specimen retrieval bag device is comprised of a handle portion and a retrieval bag portion. In another embodiment, the specimen retrieval bags handle portion is further comprised of a lumen portion, a pump lever portion, rubber gasket portions, metal prong portions, and an extension/retraction lever.

Abstract: Powered drivers, and kits and methods including or using powered drivers, having a driveshaft extending from a distal end of the housing and configured to slide responsive to a force applied to a distal end of the driveshaft and activate a motor to rotate the driveshaft. Some of the present powered drivers include a housing having a distal end and a proximal end; a motor disposed in the housing; a driveshaft extending outward from the distal end of the housing (e.g.

Abstract: A spinal stabilization system including an insert positionable in the channel of the housing of a vertebral anchor, and an associated support construct including a spacer and at least one cord extending through the insert. In some instances the construct includes first and second cords extending through first and second bores of the insert. A clamping member clamps the cord(s) in the insert. In some instances the clamping member includes first and second tabs movable in channels in first and second flanges of the insert.

Abstract: A spinal implant for implantation includes a plate that is adapted to contact the anterior side of an upper and lower vertebral body. An opening defined through the plate is adapted to receive a fastener there through so that the fastener extends into the bone plate of one of the vertebral bodies by extending across a disc space between the vertebral bodies at an oblique angle. An extension portion may extend at least partially in the cranial-caudal direction for an upper or lower edge of the plate to define a recessed portion. The extension portion may be adapted to be positioned adjacent a preexisting spinal device so that the preexisting spinal device is located within the recessed portion.

Abstract: An apparatus and method for fusing cervical vertebrae is provided. The apparatus may include a plate configured to be affixed to at least two vertebrae, and at least two screws configured to affix the plate to an anterior surface of the at least two vertebrae, wherein when the plate is affixed to the at least two vertebrae, the plate is configured to be partially disposed in a disc space between the at least two vertebrae, and extend in an anterior direction beyond an anterior surface of the at least two vertebrae.

Abstract: A bone plate system for use in an “open door” laminoplasty procedure, including a bone plate, a first fixation element, and at least one second fixation element. The bone plate is elongated and has a generally curved shape such that the plate has an associated radius of curvature. The plate is sized and dimensioned to span a gap between a pair of bony segments, for example a pair of bony segments constituting a divided lamina. The first and second fixation elements are each configured to securely attach the bone plate to the bony segments. The bone plate has a first end including a generally U-shaped slot extending therein such that the open end of the slot comprises a first terminal end of the plate.

Abstract: A system for bone transport is provided, the system comprising: an adjustable length implant configured for intramedullary placement and comprising a first end configured to be coupled to bone and a second end configured to be coupled to bone, wherein the first end and the second end are displaceable relative to each other along a longitudinal axis; and a driving element configured to be non-invasively activated to displace the first and second ends relative to one another along the longitudinal axis; and a support member having distal and proximal ends, wherein the support member includes a longitudinally extending slot disposed between the distal and proximal ends of the support member, the slot having opposing ends, wherein the slot is configured to pass an elongate anchor such that the elongate anchor is slidable between the first end and the second end of the slot.

Abstract: A locking clip for retaining a fastener in a bone fixation plate, the locking clip comprising a flexure member and a body member coupled to the flexure member, the body member comprising a locking tab, the locking tab configured to provide an axial limitation to motion of the fastener in a non-rotationally-ratcheting manner, the flexure member resiliently flexible to permit displacement of the locking tab to allow passage of a fastener head of the fastener, the locking tab configured to translate a downward force of the fastener head into a lateral spreading force to effect the displacement, the body member defining a clip tool engagement cavity for translational displacement of the locking tab.

Abstract: Guides, implants, devices, instruments, systems, and assemblies for achieving bone fusion are disclosed. A bone fusion system, including an implant template, a guide wire for insertion through the implant template, a plate for receiving the guide wire, and an alignment guide apparatus for coupling to the plate. Methods of using a bone fusion system for achieving bone fusion are also disclosed.

Abstract: A method and apparatus is provided for conducting percutaneous surgery using a cable passer device 200, a crimping device 100, a screwdriver device 120, a cable tensioning device 130, and a cutting device 300. The percutaneous cable passer device 200 is for inserting into an incision during percutaneous surgery having a cable 110 for making a loop around the bone. The crimping device 100 is for threading the tip of the cable 110 through an opening in crimping device 100. The cannulated screwdriver device 120 has a tip 126 for threading the tip of the cable 110 through the tip 126, and an exit port 124 for pulling the cable 110 while pushing said screwdriver device 120 towards the bone. The cable tensioning device 130 has an internal passage way 132 for threading the tip of the cable 110 through it. The screwdriver device 120 is rotatable while holding the cable tensioning device 130, thus deploying the crimping device 100.

Abstract: Multi-filament microcables are used in place of the traditional monofilament wires as the constituent elements of a woven or braided band. This enhances the function and manufacturability of such bands for various applications, such as orthopaedic applications including sternotomy closures.

Abstract: An implant device is used for maintaining a distraction or compression element and includes a rod linked to implants by support devices having a threaded stud and a head for interaction with a support piece. The support piece has a device for attaching and blocking a distraction or compression element. The threaded piece includes two zones, namely a distal end zone having a conical profile and a screw thread with wide turns, configured for cancellous bone, and a proximal zone having a conical profile with a conicity angle smaller than the conicity angle of the distal portion, with a narrow screw thread, configured for bone cortex, namely including sharp, thin, deep screw threads, whereas the web is flat.

Abstract: A coupling assembly for coupling a rod to a bone anchoring element includes a receiving part having a first end, a second end, a recess having a bottom for receiving the rod, and an accommodation space having an opening at the second end of the receiving part for accommodating a head of the bone anchoring element, and a retainer element configured to be inserted into the receiving part from the first end and to hold at least part of the head, the retainer element having a first portion and a spring portion compressible in an axial direction attached to the first portion. When the retainer element is in the accommodation space in a first position, the spring portion extends in the axial direction from the first portion of the retainer element to an axial position between the first end of the receiving part and the bottom of the recess.

Abstract: Implant delivery systems for delivering sheet-like implants include a delivery shaft, an implant expander, a sheath, and a sheet-like implant. In some embodiments, the delivery shaft has a proximal end and a distal end. The implant expander is mounted to the distal end of the delivery shaft. The implant expander includes a central portion and a plurality of leg portions radiating from the central portion. The implant expander is evertable between an unstressed configuration in which a distal surface of the implant expander defines a concave surface, and a first compact configuration in which the distal surface of the implant expander defines a convex surface. The implant expander has a first lateral extent when the implant expander is free to assume the unstressed configuration. The sheath defines a lumen having a lumen diameter. At least a portion of the delivery shaft is slidably disposed in the lumen.

Abstract: An exemplary medical apparatus includes a handle including a proximal knob at its distal end, a reservoir of cryogenic fluid in the handle, a shaft extending distally from the handle, the shaft configured to convey cryogenic fluid from the reservoir to a distal end of the shaft; where the shaft comprises a malleable material, and a rotating tip at a distal end of the shaft, where rotation of the proximal knob causes rotation of the rotating tip about an axis of the shaft.

Abstract: Unintended current flow or plasma discharge has been observed in known illuminated electrosurgical devices having a metallic tubular heat sink surrounding a conductive electrode and an illumination element, and having a distal outer edge that abuts against the light emitting element. An insulating, shielding or other isolating element that prevents or discourages unintended plasma formation between the distal outer edge and nearby patient tissue can reduce the potential for tissue damage to a patient or injury to a surgeon.

Abstract: A cover for an electrosurgical instrument having a wrist structure and an end effector is provided. The cover includes a hollow elongated structure, which includes a tip cover portion and a base cover portion integrally connected to the tip cover portion. The tip cover portion has a distal end with an opening therethrough sized to receive the end effector of the electrosurgical instrument and is composed of a first, electrically insulative material having a flexibility sufficient to allow the end effector to be manipulated while the end effector is received in the opening. The base cover portion is composed of a second material having a higher tear strength than the first material. The tip cover portion and the base cover portion overlap at an overlap region configured to receive the wrist structure of the electrosurgical instrument when the end effector is received in the opening.

Abstract: A method of transferring a battery assembly to a battery-powered surgical instrument includes releasably engaging a battery jacket with the battery assembly, transferring the battery jacket, having the battery assembly engaged thereto, to a battery-powered surgical instrument, and releasably engaging the battery jacket with a handle of the battery-powered surgical instrument such that the battery assembly is electrically coupled to the battery-powered surgical instrument and such that the battery jacket and the handle cooperate to enclose the battery assembly therein. Aseptic battery jackets for such use are also provided.

Abstract: A method of forming a jaw member of an end effector includes providing a metal support base; engaging a plurality of ceramic stops to the metal support base; and coupling an insulative plate and a sealing plate to the metal support base by aligning the plurality of ceramic stops through a plurality of openings defined in the insulative plate and a plurality of openings defined in the sealing plate.

Abstract: An arthroscopic or other medical device includes an elongate shaft having a proximal end and a working end. At least one electrode for treating tissue is located at the working end of the shaft, and a fluid outflow path extends proximally from the working end through a first channel portion in the shaft. A handpiece is coupled to the proximal end of the shaft and has a body with a second channel portion formed along an axis therein. The second channel is receives a heated or other outflow from a proximal end of the first channel in the shaft, and the second channel runs along an axis of the handpiece. A thin wall sleeve is located in the handpiece so that it surrounds at least a portion of the second channel. The thin wall sleeve is surrounded by an air gap or otherwise provides a thermal barrier between an exterior surface of the thin wall sleeve and an inner surface of the body of the handpiece in order to limit heat transfer from the heated or other fluid outflow through the second channel.

Abstract: Devices, systems, and methods for reverse irrigation of an ablation or treatment site. In one embodiment, a reverse irrigation device comprises at least one ablation electrode and at least one reverse irrigation port, the at least one reverse irrigation port being located at at least one of immediately proximate the at least one ablation electrode and on the at least one ablation electrode, the at least one reverse irrigation port being configured to be in fluid communication with a fluid removal component. A medical system may include an ablation system and a reverse irrigation system that are configured to operate synchronously such that the reverse irrigation system is activated to remove fluid from the ablation site during a period of time during which the ablation system is activated to deliver ablation energy through the at least one ablation electrode to the ablation site.

Abstract: Exemplary embodiments of a method, device, and apparatus for positioning an apparatus on a location of a tissue. For example, a substantially rigid film over an area of tissue to be treated can be provided. The film can include a positioning arrangement that facilitates a particular spatial engagement with the apparatus. The exemplary method can further include applying a portion of the film to a portion of a surface of the tissue and positioning the apparatus at the location by the engagement of the film to the apparatus using the feature of the film.

Abstract: Disclosed is a protective sleeve (1) for a dermatological treatment device comprising a laser head for firing a laser beam. The sleeve (1) comprises: a rigid shell (2) which is shaped such that it can be placed over the laser head and has a window (4) that can be positioned opposite the laser beam; a contact wall (5) arranged around the window (4) for contacting an area around a target area; and a means for attachment to the device, the attachment means being positioned as close as possible to the contact wall (5).

Abstract: The present disclosure is directed to systems and methods that facilitate delivery of a therapeutic agent into the skin of a subject. A first mechanism can create a first angled channel through a first location on a surface of a subject's skin at a first angle relative to the surface of the subject's skin. A second mechanism, associated with the first mechanism, can create a second angled channel through a second location on the surface of the subject's skin at a second angle relative to the surface of the subject's skin. The first angled channel and the second angled channel intersect to form a connected channel under the surface of the subject's skin.

Abstract: The present disclosure provides, according to some embodiments, methods and systems for selectively reducing, blocking or inhibiting at least part of the neural activity in an organ of a subject. In preferred embodiments, the method and system are used for selectively blocking at least part of the neural activity in a duodenum of a subject in need thereof. According to some embodiments, the selective blocking occurs through use of laser radiation. According to some embodiments, the selective blocking comprises causing damage to at least part of sensory nerves located within a target area while maintaining functional activity of tissue surrounding the sensory nerves. According to some embodiments, the sensory nerves include neurons configured to transmit signals triggered by food passing through the duodenum, such as, but not limited to, neurohormonal signals.

Abstract: The present disclosure relates generally to devices, methods and systems for laser generators, and more specifically, to laser generators having an optical assembly, which allows fiber optic catheters to couple to laser generators while delivering laser beams.

Abstract: A method including generating a 3-D model of an unstenosed geometry of a blood vessel responsive to a 3-D model of an actual geometry of the blood vessel, establishing a parametric description of a stent that is expanded from a collapsed configuration to a final configuration that apposes the unstenosed geometry, developing a design for the stent by varying parameters of the parametric description responsive to a design heuristic that includes risk of stent strut breakage during a plastic deformation between the collapsed configuration and the final configuration, embodying the stent according to the design for the stent, inserting the stent into a blood vessel in its collapsed configuration, maneuvering the stent through the blood vessel to a stenosis, and expanding the stent to its final configuration.

Abstract: A method including generating a 3-D model of an unstenosed geometry of a blood vessel responsive to a 3-D model of an actual geometry of the blood vessel, establishing a parametric description of a stent that is expanded from a collapsed configuration to a final configuration that apposes the unstenosed geometry, developing a design for the stent by varying parameters of the parametric description responsive to a design heuristic that includes risk of stent strut breakage during a plastic deformation between the collapsed configuration and the final configuration, embodying the stent according to the design for the stent, inserting the stent into a blood vessel in its collapsed configuration, maneuvering the stent through the blood vessel to a stenosis, and expanding the stent to its final configuration.

Abstract: A medical image diagnosis apparatus according to an embodiment includes processing circuitry. The processing circuitry is configured to obtain volume data acquired by imaging a subject by using a first image taking apparatus. The processing circuitry is configured to set one or more insertion paths to be used when a device is inserted into the subject, on a basis of the volume data. The processing circuitry is configured to obtain an imaged range that is related to the subject and is to be used by a second image taking apparatus when the device is inserted into the subject. The processing circuitry is configured to evaluate the one or more insertion paths by comparing the set insertion paths with the imaged range. The processing circuitry is configured to present a result of the evaluation.