Abstract: An expanding suture anchor in which a distal end of the rigid anchor body includes at least one annular protrusion. A mating deformable cap includes at least one annular slot or ridge that engages the annular protrusion such that the annular slot and annular protrusion are coupled when the deformable cap is pushed or pulled onto the rigid anchor body. The engagement of the annular slot and the annular protrusion may lock the deformable cap and rigid anchor body into a mated position and inhibits distal retraction of the deformable cap from the anchor body.

Abstract: A suture button for a surgical procedure provides an anchor for pulling and maintaining suture tension through a transosseous tunnel during an operation such as meniscal root repair in the knee. The suture button includes a body having a first tapered longitudinal end, a second tapered longitudinal end, a first side, a second side, an anterior surface and a posterior surface. A first concave notch is defined in the first side, and a second concave notch is defined in the second side. The first notch is open to a first suture dock in the first side, and the second notch is open to a second suture dock in the second side. Each of the first and second suture docks includes a seat to centrally position suture material in some embodiments. A center passage is defined through the suture body at a location between the first and second suture docks.

Abstract: A suture anchor method including a suture anchor and a suture anchor drive. The suture anchor is positionable on a rod of the suture anchor drive. The rod defines an awl for forming a hole in a bone. The suture anchor drive further has an impactor for moving the suture anchor along the rod between a retracted position and an advanced position so as to implant the suture anchor in the bone with the awl positioned in the bone.

Abstract: Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a suture anchor is provided that includes one or more bone-engaging surfaces features and an external sidewall. The external sidewall can allow a suture coupled to the suture anchor and located between the anchor and bone to be movable relative to the suture anchor, even when the suture anchor is partially or fully disposed within a bone hole. Suture threaders and suture anchor drivers are also provided that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

Abstract: An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.

Abstract: A suturing device includes an elongate body, an actuator, a needle holder and a knot pusher. The elongate body includes a proximal end portion and a distal end portion. The actuator interacts with the elongate body and is operable between a first operating position and a second operating position. The needle holder extends away from the distal end portion or is provided as part of the distal end portion of the elongate body, and includes a distal end section having a distal-most tip. The needle holder defines a needle passage and a distal opening adjacent the distal-most tip. The knot pusher connects with and extends away from at least one of the elongate body and the needle holder.

Abstract: A device is disclosed that can pierce and hold tissue and then pass suture through tissue. The device can have a shuttle that can removably attach to a suture and jaws that can be rotatably opened and closed with respect to each other. A method for using the device to repeatedly pass the suture through the tissue without removing the suture or device from the target site is also disclosed.

Abstract: The present disclosure provides a heart valve repair method, comprising: advancing a distal end of a suture implanting apparatus from an outside of a body through a transapical approach into a left ventricle or a right ventricle of a heart; holding each leaflet of a heart valve with the distal end of the suture implanting apparatus; implanting at least one suture into the leaflet; withdrawing the suture implanting apparatus from the body; advancing a distal end of a suture locking apparatus from the outside of a body through a transapical approach into the corresponding left ventricle or the corresponding right ventricle; using the suture locking apparatus to lock the plurality of sutures; and withdrawing the suture locking apparatus from the body. The heart valve repair method has a simple surgical procedure, a low degree of patient trauma, and a high success rate of surgery.

Abstract: Disclosed herein are embodiments of devices, systems and methods for suturing biological tissue incorporating one or more suture spools. The suture spools can be located external to a handle or elongate body of a suturing device, and can contain the sutures within an inner circumference of the suture spools. The suture spools can be configured to reduce entanglement of sutures during use in an operation.

Abstract: A suturing device includes a curved needle, a suture, an elongate body, an actuator and a curved needle holder. The suture connects with the curved needle. The actuator interacts with the elongate body and is operable between a first operating position and a second operating position. The curved needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The curved needle holder includes a distal end section having a distal-most tip. The curved needle holder includes an inner surface defining a needle passage for holding the needle and a distal opening. The curved needle has a curved needle radius and the curved needle passage has a curved needle passage radius that is different than the curved needle radius and the curved needle frictionally engages the inner surface when the needle is in a retracted position.

Abstract: An orthopedic implant includes a bridge and at least a first leg extending from a first end of the bridge and a second leg extending from the second end of the bridge. The bridge includes a first upper section and a second lower section. The first upper section includes surfaces that are non-orthogonal and taper from a central surface to provide the first upper section with a non-uniform cross-section. The second lower section includes surfaces that are non-orthogonal and taper from a central surface to provide the second lower section with a non-uniform cross-section. The non-uniform cross-sections of the first upper section and the second lower section flatten the profile of the bridge, thereby producing an orthopedic implant with a smooth composite surface.

Abstract: A surgical cutting and fastening instrument. The instrument comprises a handle and an end effector connected to the handle. The end effector comprises upper and lower opposing jaw members, wherein the upper jaw member comprises a plurality of co-linear, separately actuatable, RF electrodes.

Abstract: A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Abstract: A surgical tool configured for operation in connection with a robotic system. The surgical tool includes a shaft and an end effector extending distally from the shaft. The end effector comprises a first jaw member and a second jaw member movable relative to the first jaw member from a closed position to an open position in response to at least one axial motion. In addition, the surgical tool includes a motor configured to generate at least one rotational motion and a motion conversion assembly operably coupled to the motor and the second jaw member, wherein the motion conversion assembly is configured to convert the at least one rotational motion to the at least one axial motion.

Abstract: A method of operating a surgical instrument is disclosed. The surgical instrument includes an electronic system comprising an electric motor coupled to the end effector; a motor controller coupled to the motor; a parameter threshold detection module configured to monitor multiple parameter thresholds; a sensing module configured to sense tissue compression; a processor coupled to the parameter threshold detection module and the motor controller; and a memory coupled to the processor. The memory stores executable instructions that when executed by the processor cause the processor to monitor multiple levels of action thresholds and monitor speed of the motor and increment a drive unit of the motor, sense tissue compression, and provide rate and control feedback to the user of the surgical instrument.

Abstract: The invention provides a fastening device for laparoscopic hernia repair. The coordinated operation of two insertion members stabilizes a fastener during closure and locking to ensure that the fastener is locked in the intended location before the device releases from the fastener. One of the insertion members includes a pair of prongs that exhibit a closed configuration when they are disposed in a recess at an end of the fastener. The fastener has a hook at one end and a loop at the other end. The insertion members push the fastener out from the device and through the tissue. A curvature in at least one of the insertion members pushes the hook through the loop all while the prongs are in the recess in the fastener, thereby stabilizing the fastener with respect to the device.

Abstract: Various embodiments of a suture are provided. In one embodiment, a suture comprises a plurality of nanoparticles configured to form a fiber structure.

Abstract: A surgical stapling device that comprises an end effector. According to various embodiments, the end effector comprises a circular anvil having a staple forming surface and a plurality of staples facing the staple forming surface of the anvil. The end effector also comprises a staple driver assembly comprising a plurality of staple drivers. Each staple driver supports one of the plurality of staples and is configured such that, when the staple driver assembly is actuated, each staple driver drives the staple into the staple forming surface of the anvil. A first quantity of the plurality of staple drivers has a first height and a second quantity of the plurality of staple drivers has a second height, wherein the first height is less than the second height.

Abstract: A fastener cartridge can include, one, a cartridge body comprising a deck and a plurality of fastener cavities and, two, a plurality of fasteners positioned in the fastener cavities. The cartridge body can further comprise extensions extending from the deck having different sizes and/or configurations. The extensions can control the flow of tissue relative to the deck and/or support the fasteners as they are ejected from the fastener cavities.

Abstract: A loading unit includes a shell assembly and a locking band. The shell assembly has a proximally extending annular body. The annular body defines two hook openings that oppose one another, a lug opening positioned between the hook openings, and a central passage for receiving a portion of a surgical instrument. The locking band has an arced body with two ends, a retention hook positioned adjacent each end of the body and extending from the inner surface of the body. Each of the retention hooks is disposed within a respective one of the hook opening to retain a respective one of the ends of the locking band to the annular body. The lug is disposable through the lug opening into the central passage to secure the loading unit to a surgical instrument.

Abstract: An anastomosis device having a tubular structure with first and second tubular end portions and an intermediate portion, the intermediate portion being united at one end to the first tubular end portion and at the other end to the second tubular end portion, the first and the second tubular end portions having expansion elements to allow the expansion and contraction of each end portion in at least one radial direction thereof, and the intermediate portion having approximation elements configured and attached to the tubular end portions to allow the length in the axial direction of the intermediate portion to increase and decrease.

Abstract: A shunt rivet for implantation in the aorta and inferior vena cava to treat chronic obstructive pulmonary disease, and a method of treating chronic obstructive pulmonary disease. The shunt rivet may be formed to have a central section, a proximal clinch section, and a distal clinch section each having one or more clinch members. These one or more clinch members may be trained to be resiliently biased to bend radially outwardly from the central section.

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: A downhole apparatus comprising a body configured to be coupled to a production tubular and an upper opening and a lower opening. First and second flow paths are provided between the upper opening and the lower opening in the body, and a flow diverter is arranged to direct downward flow through the body towards the second flow path and away from the first flow path. A filter device in the second flow path filters or collects solid particles in the second flow path from passing out of the lower opening of the apparatus. The apparatus has particular application to artificial lift hydrocarbon production systems, and may be installed above a downhole pump in a production tubing to prevent solids from settling on the pump during pump shutdown. Embodiments for use with ESPs and PCPs are described.

Abstract: An apparatus is configured to be implanted within a biological structure. The apparatus includes an annular body, a first ring, a second ring, a first plurality of magnets, and a second plurality of magnets. The annular body is disposed about a central axis. The annular body includes an outer wall facing away from the central axis and an inner wall facing toward the central axis. The first ring extends adjacent to the inner wall of the annular body and extends annularly toward the central axis. The second ring extends between the first ring and the central axis. The second ring defines an opening disposed about the central axis. The first plurality of magnets are imbedded in the first ring and are annular disposed about the central axis. The second plurality of magnets are imbedded in the second ring and are annularly disposed about the central axis.

Abstract: A surgical implant is configured to reinforce a sphincter to transition between an occluded state and an opened state. The surgical implant includes an openable occlusion mechanism and a plurality of magnets. The openable occlusion mechanism includes an absorbable component and a non-absorbable component. The plurality of magnets are configured to encourage the sphincter toward the occluded state. An apparatus is operable to deploy the implant. The implant is placed on the distal end of the apparatus. An endoscope along with the implant and the apparatus are inserted in a biological lumen.

Abstract: According to an embodiment of the present disclosure, a medical device for deploying a ligation band may include a tubular body. The tubular body may include a proximal end, a distal end, a radially inner surface defining a lumen through the tubular body, and a radially outer surface. The radially outer surface may include protrusions arranged in rows extending at least partially around a proximal region of the radially outer surface. Protrusions in adjacent rows may be separated by a first distance. Surface features may extend at least partially around a distal region of the radially outer surface. Adjacent surface features may be separated by a second distance larger than the first distance.

Abstract: A valve (2) comprising: (a) membrane (50) and (b) a frame (10) in communication with the membrane so that the frame expands the membrane, the frame including: (i) a rod (4), (ii) a plurality of struts (12) connected to the rod at a distal end and extending generally radially outward as the struts extend away from the distal end and towards a proximal end; (iii) a plurality of anchors (30) that are in direct communication with the struts between the distal end and the proximal end, each of the plurality of anchors extending through an exit location (52) in the membrane.

Abstract: Systems, methods, and devices for the treatment of acute ischemic stroke that provide immediate blood flow restoration to a vessel occluded by a clot and, after reestablishing blood flow, address the clot itself Immediate blood flow restoration advantageously can facilitate natural lysis of the clot and also can reduce or obviate the concern for distal embolization due to fragmentation of the clot. Several embodiments of the invention provide for progressive, or modular, treatment based upon the nature of the clot. For example, the progressive treatment can include immediate restoration of blood flow, in-situ clot management, and/or clot removal depending on the particular circumstances of the treatment. The in-situ clot management can include, for example, lysis, maceration, and/or removal.

Abstract: A hemostatic device can perform hemostasis by compressing a puncture site on a hand of a patient, and can prevent a movable range of fingers from being narrowed or can prevent misalignment at a wearing position, when the hemostatic device is worn on the hand. The hemostatic device has a covering portion to cover a site where bleeding is to be stopped on a hand of a patient, and a pressing portion that compresses the site where bleeding is to be stopped, in a state where the covering portion covers the site where bleeding is to be stopped. The covering portion includes a securing portion that surrounds at least a portion of the hand while covering the pressing portion, and a restriction portion that restricts a movement of the securing portion in an axial direction. The restriction portion is disposed between adjacent fingers and of the hand.

Abstract: An orthopaedic surgical instrument includes a polymer cutting block having a number of metallic cutting guides secured thereto. A pair of metallic bushings function as saw stops at the medial and lateral ends of the cutting slot during an orthopaedic surgical procedure.

Abstract: Tools and methods for expanding a precursor hole in a host material to receive a fixture. The precursor hole is enlarged by a rotary tool having helical flutes and interposed lands. The flutes have a negative rake angle. The lands each have a working edge that cuts the host material when the tool is rotated in a cutting direction, and that condenses the host material when the tool is rotated in a densifying direction. The body of the rotary tool has a stopper section that plugs the hole when a certain depth is reached. When the tool is used with a copious wash of irrigating fluid at or below the necessary depth, hydraulic pressure builds inside the precursor hole. The hydraulic pressure can be advantageously exploited in cutting mode to autograft a slurry of host material particles into the sidewalls of the hole and create an incipient densifying crust.

Abstract: A drill bit (1) for creating a tubular hole in a bone (9), comprises: a longitudinal body (2) extending along an axis (21) and having a proximal end and a distal end (22); a main cutting edge (3) formed at the distal end (22) of the body (2); a main cutting face (4) extending from the main cutting edge (3) and defining a rake angle (?); and a spiral flute (5) formed around the body (2) and extending from the main cutting face (4) along the axis (21) of the body (2). The main cutting edge (3) is the only single main cutting edge (3) of the drill bit (1). The spiral flute (5) is the only single spiral flute (5) of the drill bit. The rake angle (?) is at least 25°. The drill bit (1) according to the invention drill bit allows for minimizing heat production when drilling a hole into the bone.

Abstract: A system including an instrument having a working tool configured to penetrate a tissue; a sensor configured to generate in real-time one or more torque signals related to torque of the working tool; a controller in operative communication with the sensor and configured to receive the one or more torque signals. The controller processes the torque signals into one or more processed signals representative of torque, energy, power or a combination thereof. The system also includes a display providing to the user in real-time the one or more processed signals. Related devices, systems, methods, and articles are provided.

Abstract: System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a distal opening at the distal end of the trocar. The system includes a curved cannula sized to be received in the central channel, the curved cannula comprising a curved distal end configured to be extended outward from the distal opening to generate a curved path extending away from the trocar. The curved cannula has a central passageway having a diameter configured to allow a treatment device to be delivered through the central passageway to a location beyond the curved path.

Abstract: An orthopaedic surgical instrument includes a patella trial and drill guide that may be used to both perform a surgical trial of the patellofemoral joint and guide the surgeon in drilling a number of anchor holes in the patella of the patient.

Abstract: A device comprises a base. A support is attached to the base. The support is shaped to receive a calf of a person and adapted to receive a wire or pin for securing a tibia of a person. A foot plate is attachable to the base. The foot plate has a plurality of attached members. The members are configured for receiving at least a first wire or pin to fix a foot of the person relative to the foot plate while the foot plate is oriented normal to a superior-inferior direction of the foot. The foot plate is rotatable relative to the base while the foot plate is attached to the base.

Abstract: The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can define a path having linear and/or curved portions. In various embodiments, the path can include a curved portion having a first portion that extends away from the shaft axis and a second portion that extends toward the axis. In one embodiment, the path can include a curved portion defined by an arc corresponding to an angle greater than 90 degrees.

Abstract: Embolism treatment devices, systems, and methods are provided. In one embodiment, an embolism treatment system includes a flexible elongate member configured to be positioned within a blood vessel of a patient, the flexible elongate member comprising a distal portion and a proximal portion; an ultrasound imaging component positioned at the distal portion and configured to emit ultrasound energy towards a blood clot within the blood vessel and collect an image signal representative of the blood clot; a treatment component positioned at the distal portion and configured to treat the blood clot; and a flow sensing component positioned at the distal portion and configured to determine a blood flow measurement within the blood vessel associated with the blood clot.

Abstract: The present disclosure pertains to assemblies, devices and systems for shockwave generation and to methods of using the same.

Abstract: A surgical instrument has at least one tool unit including at least one first tool element, at least one second tool element, and at least one coupling element that is connected to the second tool element, the at least one coupling element and the second tool element being supported in such a way that they are together displaceable relative to the first tool element along at least one displacement axis, and has an actuation, which includes at least one actuation element that is coupled with the coupling element in at least one first position of the coupling element relative to the second tool element, wherein for the purpose of releasing the actuation element, the coupling element is transferred from the first position into at least one second position relative to the second tool element.

Abstract: A catheter device 10 with a cutting structure or means 16 on the distal portion 14 is disclosed, along with a medical procedure for using the device. The catheter 10 is configured in such a way as to create a permanent interatrial aperture in the heart, including creating a permanent interatrial hole and/or removing tissue.

Abstract: An endoscopic catheter assembly including a catheter portion is disclosed. The catheter portion includes a proximal portion and a distal portion. The catheter portion includes a tube-shaped body defining a passage extending there-through.

Abstract: An ultrasonic instrument includes a housing, an ultrasonic transducer support by the housing, and an integrated usage indicator. The housing is configured to removably connect to a shaft assembly. The ultrasonic transducer is configured to be acoustically connected to a waveguide and operated a predetermined number of use cycles. The integrated usage indicator is operatively connected to the housing and includes a used state indicator. The used state indicator is configured to indicate to a clinician in a used state when the ultrasonic transducer has been operated at least the predetermined number of use cycles for limiting usage of the ultrasonic transducer to the predetermined number of use cycles.

Abstract: The treatment section integrally includes, on the distal side of a probe, a cortical bone abrasion portion which abrades a living body tissue or a bone among treated target parts by mechanical abrasion by ultrasonic vibration, and a cartilage abrasion portion which generates heat by ultrasonic vibration and abrades a cartilage among the treated target parts by dissolutive abrasion.

Abstract: An ultrasonic treatment system for a joint has an ultrasonic transducer configured to generate ultrasonic vibration at a predetermined frequency, a treatment unit configured to treat a bone or a cartilage with the ultrasonic vibration, a frequency measurement unit configured to measure the frequency of the ultrasonic vibration of the treatment unit, a calculation unit configured to calculate a tilt indicating change, in a predetermined time, of the frequency measured with the frequency measurement unit, and a controller configured to determine whether change of absolute value of the tilt is equal to or larger than predetermined absolute value of the tilt.

Abstract: The ultrasonic treatment instrument for articulations according to the embodiment of the present invention includes, at the distal end of the probe, the treatment section which performs a desired treatment on the treated target part. The treatment portion is provided with an edge which extends in a direction crossing, or a direction parallel to, the longitudinal direction of the probe; a first ultrasonic transducer which generates ultrasonic vibration in a direction crossing the edge; and a second ultrasonic transducer which generates ultrasonic vibration in a direction parallel, to the edge.

Abstract: A method of assembling an ultrasound catheter includes providing an elongated catheter body having a proximal end, a distal end, and at least one lumen extending longitudinally therethrough; coupling a proximal housing to the proximal end of the elongated catheter body, the proximal housing having a distal bore; inserting an ultrasound transmission member through the lumen of the catheter body; positioning a sonic connector on the proximal end of the ultrasound transmission member for connecting the ultrasound transmission member to a separate ultrasound generating device at a connection location, the sonic connector having a proximal section and a front portion, the proximal portion provided for connection to the separate ultrasound generating device; connecting the front portion of the sonic connector to the proximal end of the ultrasound transmission member; and retaining an absorber inside the distal bore of the proximal housing wherein the absorber substantially surrounds the ultrasound transmission memb

Abstract: An ultrasonic surgical instrument including a housing, an ultrasonic generator, a waveguide assembly, and a retainer. The housing defines a cavity and is configured to mount to a linkage of a surgical robot. The ultrasonic generator includes a portion that is positioned within the cavity. The waveguide assembly is coupled to the ultrasonic generator and includes a portion that is positioned within the cavity. The retainer is positioned over the proximal connector and is engaged with the housing to secure the portions of the ultrasonic generator and the proximal connector within the cavity.

Abstract: A sheath comprises an elastomeric tube having a self-expanding scaffold coupled to a wall. The scaffold can expand to a diameter larger than the tube diameter to provide an enlarged distal opening. An aspiration catheter has a balloon and an aspiration port so that occlusive material can be removed from a blood vessel by drawing the balloon through the vessel while simultaneously aspirating through the port.