Abstract: An electromechanical surgical system is provided and includes a hand-held surgical device. The surgical device includes a device housing defining a connecting portion for selectively connecting with an adapter assembly, the housing being configured to removably receive a battery therein; at least one drive motor supported in the device housing and being configured to rotate a drive shaft; and a circuit board disposed within the housing for controlling power delivered from a battery to the motor. The system includes a battery configured for disposition in the device housing, the battery being capable of powering the at least one drive motor, the battery including at least one display. The device housing is configured such that the at least one display of the battery is visible therethrough.

Abstract: The present invention is directed to surgical staplers stapling and resecting tissue comprising a surgical buttress at least partially disposed on a tissue facing surface of at least one of the cartridge or the anvil, said buttress having width substantially larger than width of said tissue facing surfaces; said buttress comprising a first portion positioned over the deployable staples or over the staple forming pockets, and at least one flap portion not positioned over the deployable staples or over the staple forming pockets; said flap portion folded or rolled on itself and configured to be unfurlable and wrappable about the resected tissue. The present invention is also directed to methods of use of such stapler assembly devices.

Abstract: A computer-controlled surgical system may include a surgical instrument having a working end, the working end having a moveable mechanical component, and movement of the mechanical component performing a clamping and cutting function by the working end. The surgical system may further include a computer control system operably coupled to the surgical instrument and to first and second input devices. In response to a first command received from the first input device, the computer control system controls movement of the mechanical component within a first range of motion, and in response to a second command received from the second input device, the computer control system controls movement of the mechanical component within a second range of motion different from the first range of motion.

Abstract: An endoscopic surgical device comprising 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 blade is enclosed within the housing and cannula, and has a horizontally-oriented pushing component and a vertically-oriented cutting component that protrudes through the slot of the cannula. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic surgical device is also described.

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

Abstract: A trocar comprising an alignment channel and an instrument seal comprising a bending portion and a base portion. The bending and base portions of the instrument seal are spaced relative the alignment channel such that when a surgical instrument is retracted the bending portion inverts and the lip does not enter the alignment channel.

Abstract: A tunneling tool is used to create a subcutaneous tunnel for passage of a lead extension. The lead extension is transported from a proximal incision site to a distal incision site and as a result the proximal connector of the lead extension does not pass through the subcutaneous tunnel. The tunneling tool may carry the lead extension during the tunneling procedure. The tunneling tool may include a tool body that contains the lead extension as the lead extension is being carried to the distal incision site. The tunneling tool may further include a tracker tube that is present within the tool body, and the lead extension is contained in and carried by the tracker tube.

Abstract: The disclosure relates to a needle assembly for delivering a lead and methods of use. The needle assembly is configured to cut tissue and reduce the potential for cutting vulnerable bodily structures. The needle assembly includes an outer needle with a blunt tip and an inner needle with a sharp tip. The outer needle may be curved, and the inner needle may be curved. When the inner needle is rotated with respect to the outer needle, the inner needle protracts or retracts with respect to the outer needle. A stopping feature on the needle assembly may be included to resist over-rotation or over-extension. The needle assembly provides an initial path that may be further dilated for delivering a lead, such as a vagus nerve stimulation lead to a target site. The target site may be electrically tested with some embodiments.

Abstract: This disclosure describes various examples of multi-purpose tools and associated methods for safely gaining access to extravascular spaces. The multi-purpose tools described herein are particularly suited for safely gaining access to the sub-sternal space underneath the sternum/ribcage as well as tunneling subcutaneously above the ribcage for the purpose of positioning of a medical electrical lead. This eliminates the need for separate tools for tunneling in different extravascular spaces by providing a single tool capable of the multiple uses.

Abstract: System and methods are shown having a tube-within-tube assembly with a deployable curved deflectable tube or cannula that deploys from a straight cannula or trocar. The curved cannula has pre-curved distal end to create an angular range of 0° to 180° when fully deployed from the straight trocar. The curve is configured such that the flexible element carrying a treatment device can navigate through the angular range of deployment of the curved cannula. The curved cannula allows the flexible element to navigate through a curve within bone without veering off towards an unintended direction.

Abstract: Transradial access devices, systems, and methods. An exemplary device of the present disclosure for providing access to a vessel or other luminal organ and to prevent overperforation of the same comprises a needle having a needle tip and at least one current element positioned thereon or embedded therein at or near the needle tip, a sheath positioned around at least part of the needle, and a protractor in communication with the needle, whereby engagement of the protractor causes the needle tip to protract from the sheath through the aperture, and whereby release of the protractor causes the needle tip to retract through the aperture into the sheath. Activation of the at least one current element can facilitation vasodilation of the vessel or other luminal organ.

Abstract: A system includes a first pedicle screw, a second pedicle screw, and an adjustable rod having an outer housing coupled to one of the first pedicle screw and the second pedicle screw, the outer housing having a threaded shaft secured to one end thereof extending along an interior portion thereof. The system further includes a hollow magnetic assembly disposed within the outer housing and having a magnetic element disposed therein, the hollow magnetic assembly having an internal threaded surface engaged with the threaded shaft, the magnetic assembly being coupled to the other of the first pedicle screw and the second pedicle screw, wherein the hollow magnetic assembly rotates in response to an externally applied magnetic field to thereby lengthen or shorten the distance between the first pedicle screw and the second pedicle screw.

Abstract: Open implant closure structures include a helically wound guide and advancement flange form having splay control surfaces. Multi-start closures and closures with inner set screws have splay control contours for interlocking with cooperating flange forms of bone anchor receivers. Flange form heights, thicknesses and other geometry, such as splay control ramp angle may be varied.

Abstract: A spinal prosthesis includes first and second spinal attachment members attachable to first and second spinal structures, respectively. One or more adjustable stopper elements are assembled on one or both of the first and second spinal attachment members. The one or more adjustable stopper elements are formed with a bore through which either of the first and second spinal attachment members is slidable. The one or more adjustable stopper elements include structure that limits relative movement between the one or more adjustable stopper elements and the spinal attachment member on which the one or more adjustable stopper elements are mounted.

Abstract: A pedicle screw is provided. The pedicle screw includes a threaded shaft portion and a head portion that is supported on the threaded shaft portion for pivoting movement relative to the threaded shaft portion. A yoke portion is supported on the head portion for linear sliding movement relative to the head portion.

Abstract: The surgical assembly includes: a bone anchorage screw having an anchorage portion for anchoring in a vertebral column, and a head in the form of a socket; and an extension device adapted to fit over the socket of the bone anchorage screw for forming a longitudinal extension thereto. The extension device includes a first tubular element referred to as an “inner tube”, of inside diameter greater than or equal to the inside diameter of the socket of the bone anchorage screw, and extended longitudinally by two diametrically opposite branches, forming jaws for clamping onto the outside surface of the socket so as to lock onto the socket, and a second tubular element referred to as an “outer tube”, mounted to slide along said inner tube.

Abstract: A system for locking an intramedullary nail to a bone includes a first plate sized and shaped to be inserted through a channel of an intramedullary nail and dimensioned to prevent its passing through a locking hole of the intramedullary nail and a second plate sized and shaped to be positioned along a portion of an exterior of a hole drilled in the bone and dimensioned to prevent its passing through the hole drilled in the bone along with a connector couplable to the first and second plates and slidable through the channel of the intramedullary nail to extend through the locking hole from an interior of the channel to an exterior of a bone in which the intramedullary nail has been inserted.

Abstract: A system and method for forming a hip implant offering minimal invasiveness is described. The system comprises means for positioning the implant under optical and X-ray control, an implant and an applicator for screwing and expanding the implant. The implant includes an insert body and an expansion tube with cut-outs and slits defining legs. The legs expand radially through windows in the insert body when the expansion tube is pushed against the sloped distal portion of the insert body. The expansion process may be ensured by using an anti-rotation device to prevent the insertion tube from rotating within the insert body. Applicator and implant are provided with means preventing cold welding during the implantation process.

Abstract: A bone plate is formed with a throughgoing hole formed with a radially inwardly open outer groove. A screw fastener has a shaft engageable coaxially through the hole and a head of larger diameter than the shaft and adapted to bear axially on the plate around the hole. The shaft is formed offset from the head with a radially outwardly projecting ridge defining a radially outwardly open inner groove aligned radially with the outer groove when the fastener is fitted through the hole with the head bearing on the plate. An elastically deformable ring of a diameter generally equal to that of the hole at the outer groove is formed with at least one radially inwardly directed projection that, when the ring is fitted to the outer groove and the fastener is seated in the hole, projects radially inward into the inner groove of the fastener.

Abstract: A spine plate implant utilizes cam lock setscrews to retain bone screws in the plate once implanted. A cam lock setscrew is received in a setscrew pocket adjacent a configured bone screw bore of the plate and is configured to allow a bone screw to be received in the plate when in an unlocked rotational position, and to retain the received bone screw when in a locked rotational position. The bone screw includes a tang that allows engagement with external teeth of the cam lock setscrew when the cam lock setscrew is rotated into the locked position. Once the cam lock setscrew is in the locked position, the bone screw is inhibited from backing out of the bone screw bore. When the cam lock setscrew is in the unlocked position, a flat of the cam lock setscrew is adjacent the bone screw tang so the bone screw may be removed.

Abstract: A self-locking screw with a raised root is provided. The self-locking screw has a head, a distal end, and a shaft extending between the head and the distal end. The shaft includes a thread with a plurality of turns so as to define a root, the raised root extending over the root for at least a subset of the plurality of turns proximal to the head. The raised root is removably attached to the root and detaches from the root when the self-locking screw is screwed into a substrate such that the detached raised root binds between the self-locking screw and the substrate and/or becomes embedded within the substrate.

Abstract: An inflatable bone tamp is provided that includes a shaft with proximal and distal portions and a central longitudinal axis. A balloon is attached to the shaft such that a material can flow through the shaft and into the balloon to inflate the balloon. A flow controller controls the flow of the material through the shaft and into the balloon. Kits, systems and methods are disclosed.

Abstract: A reference guide tool for conforming a bone plate can include a series of bone templates, each having a distinct three-dimensional shape that replicates portions of various clavicles. Each bone template of the series of bone templates can have a plate engaging surface that is configured to engage a bone plate and provide a reference for the bone plates during structural modification of the bone plate.

Abstract: A method of fixing a proximal bone mass to a distal bone mass can include driving a guide wire through the proximal bone mass and the distal bone mass to define a path through the proximal bone mass and the distal bone mass. The method can include inserting a suture from the proximal bone mass into the distal bone mass along the path defined by the guide wire and fixing the suture to the distal bone mass. The method can further include tensioning the suture to draw the distal bone mass against the proximal bone mass.

Abstract: The invention provides for a system for controlling a therapeutic pad having a data storage medium. The system for controlling has means for reading and/or writing the data of the data storage medium of the therapeutic pad, and means for implementing an operational procedure depending on the data of the storage medium of the therapeutic pad. Further, a method for controlling a therapeutic pad having a data storage medium is provided. The method has the steps of reading and/or writing the data of the data storage medium of the therapeutic pad, and implementing operational procedure depending on the data of the storage medium of the therapeutic pad. Furthermore, a computer program product is provided. The computer program product has one or more computer readable media having computer executable instructions for performing the steps of the method as discussed hereinbefore.

Abstract: Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

Abstract: The invention relates to a device, preferably a collar, for treating areas of human or animal skin or mucous membrane with a cold atmospheric pressure plasma by creating a dielectrically hindered surface discharge, comprising at least one flexible insulating material (1), a flexible high-voltage electrode (2), a flexible dielectric (3), a flexible grounded electrode (4) and a gas supply (7), characterized in that the flexible high-voltage electrode (2) is embedded in the insulating elastomer (3), having the effect of a dielectric, and the grounded electrode (4) is applied to the elastomer surface facing the surface to be treated.

Abstract: A method for controlling a waveform shape of a motional branch current in an ultrasonic transducer of a surgical device. The method may comprise generating a transducer drive signal by selectively recalling, using a direct digital synthesis (DDS) algorithm, drive signal waveform samples stored in a look-up table (LUT), generating samples of current and voltage of the transducer drive signal when the transducer drive signal is communicated to the surgical device, determining samples of the motional branch current based on the current and voltage samples, a static capacitance of the ultrasonic transducer and a frequency of the transducer drive signal, comparing each sample of the motional branch current to a respective target sample of a target waveform to determine an error amplitude, and modifying the drive signal waveform samples stored in the LUT such that an amplitude error between subsequent samples of the motional branch current and respective target samples is reduced.

Abstract: A surgical instrument comprises a handle assembly including an actuator mounted for manipulation through an actuation stroke. An elongate shaft extends distally from the handle assembly and defines a longitudinal axis. A reciprocating member extends at least partially through the elongate shaft, and is mounted for longitudinal motion through the elongate shaft in response to manipulation of the actuator through the actuation stroke. A drive mechanism includes a first rotating component coupled to the actuator about a first circumference to induce rotational motion in the first rotating component. A second rotating component is coupled to the first rotating component such that rotational motion in the first rotating component induces rotational motion in the second rotating component. The second rotating component is coupled to the reciprocating member about a second circumference such that rotational motion of the second rotating component induces longitudinal motion in the reciprocating member.

Abstract: An electrosurgical forceps is provided. The electrosurgical forceps includes an end effector including first and second jaw members. One of the first and second jaw members is movable from an open configuration for positioning tissue between the first and second jaw members to a closed configuration for grasping tissue for subsequent electrosurgical treatment thereof. One or more cutting electrodes are positioned on the first and/or second jaw members. The cutting electrode(s) includes one or more piezo-elements that are configured to oscillate at a predetermined frequency when the cutting electrode(s) is energized to sever tissue.

Abstract: A surgical instrument is provided for controlling control circuits for an independent energy delivery over segmented sections. The surgical instrument comprises an end effector comprising a first jaw and a second jaw, a first set of electrodes and a second set of electrodes and a slot defined between the first set of electrodes and the second set of electrodes. A cutting member configured to reciprocate within the slot. A control circuit is configured to receive information about impedance of tissue located between the first jaw and the second jaw of the end effector, provide electrosurgical energy to the first set of electrodes and the second set of electrodes and repeatedly alternate the electrosurgical energy between the first set of electrodes and the second set of electrodes at a predetermined time interval, and advance the cutting member.

Abstract: An endoscopic bipolar forceps includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The jaws members are connected to a source of electrical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. At least one non-conductive and spaced-apart stop member is disposed on an inner-facing surface of the jaw members to regulate the gap distance between the jaw members when tissue is held therebetween. The forceps also includes a longitudinally reciprocating knife which severs the tissue after sealing at a location which is proximate the sealing site.

Abstract: An ablation device is provided for forming one or more lesions on a wall of an artery, such as a renal artery. The device can include an elongate shaft having a proximal end and a distal end. The device may also include a handle disposed at the proximal end, a distal tip including an electrode disposed at the distal end, and one or a plurality of independently expandable splines proximate the distal end.

Abstract: A catheter enables real-time light measurements, for example, without limitation, diffuse reflectance, fluorescence, etc., from biological materials, such as tissue (including blood), while performing RF ablation. The catheter tip design isolates illumination and collection paths within the tip electrode such that light for illuminating the tissue of interest (e.g., cardiac tissue or blood) is isolated within the tip electrode from light that returns from the tissue to the catheter tip, and vice versa. Such a design advantageously avoids saturation of the optical detector, and ensures diffusion of the illumination light within the medium of interest. The catheter has a catheter body and a tip electrode with a shell wall and a hollow cavity. The shell wall has at least an illumination opening and a collection opening.

Abstract: A catheter carries a position sensor in a distal, on-axis position in an irrigated ablation tip electrode. The tip electrode has a shell wall that defines a cavity through which fluid flows and exits via fluid ports formed in the shell wall. The cavity is sealed by an internal member extends into the cavity with a baffle portion and a distal portion. The distal portion safely houses the position sensor and the baffle portion diffuses and disperses fluid entering the tip electrode for a more uniform flow through the cavity. The distal portion is configured to provide an annular region that runs along the length of the tip electrode to better feed fluid to the more distal fluid ports on the tip electrode for more uniform cooling at all locations on the tip electrode.

Abstract: A microwave applicator having a probe which comprises an elongate shaft (14), the shaft having an external tubular wall (18), a radiating portion (15) disposed at the distal end of the shaft (14), a transmission line (17) extending to the radiating portion internally of the tubular external wall (18), and an elongate flow dividing member (19) which co-extends with the transmission line (17) longitudinally of the shaft (14), the side wall of the transmission line (17) and the side wall of the flow dividing member (19) contacting each other and contacting the internal surface of the external tubular wall (18) at two-spatially separated discrete positions, thereby defining a pair of flow channels (20, 21) inside the shaft (14). In use, cooling fluid can pass down one channel (20) and return via the other channel (21). The structure of the probe is uncomplicated and the probe is straightforward to assemble.

Abstract: A Computer Assisted and Robot-Guided Laser Osteotome (CARLO) medical device (1) for perforating hard tissue, having a photoablation laser source (31) mounted in a robotic arm (2), and optical system (37) for focusing a laser beam in a target plane of the ostetomy line featuring an autotracking navigation system (8).

Abstract: Systems and methods for planning and performing image free implant revision surgery are discussed. For example, a method for generating a revision plan can include collecting pre-defined parameters characterizing a target bone, generating a 3D model, collecting a plurality of surface points, and generating a reshaped 3D model. Generating the 3D model of the target bone can be based on a first portion of the pre-defined parameters. Generating the reshaped 3D model can be done based on the plurality of surface points collected from a portion of the surface of the target bone.

Abstract: A method of using a robotic guidance system for performing surgery on a spine is provided. The method includes utilizing a computerized tomographic scan image of a location on a spinal column of a patient, such that the computerized tomographic scan image is connected to a computer and visible on a monitor connected to the computer. The method also includes attaching a coupling component to the spinal column of the patient, coupling a marker to the coupling component, and imaging, with a fluoroscope, the view of the spinal column of the patient, wherein the fluoroscope image is transmitted to the computer and visible on the monitor and the at marker is clearly visible in the fluoroscope image.

Abstract: Disclosed is a mechanical teleoperated device comprising i) a handle (30) placed in a proximal part of the device, having a plurality of handle links interconnected by respective handle joints, ii) an end effector (31) placed in a distal part of the device, having a plurality of end-effector links interconnected by respective end-effector joints, iii) a transmission system arranged to kinematically connect the end effector to the handle such that movements of the end effector correspond to movements of the handle, comprising at least one arrangement of a plurality of rotatable elements (41a-d) coaxially mounted together about an axis and arranged to rotate independently from each other, b) first transmission means comprising driving elements (62a-c) which are arranged to actuate in rotation of the plurality of rotatable elements (41a-d) based upon movements of the handle, c) second transmission means comprising driven elements (63a-c) which are arranged to be driven by rotation of the plurality of rotatable e

Abstract: Systems, devices, and methods designed to make it easier to couple end effectors to surgical instruments are provided. A variety of features are disclosed, which can be used independently or in conjunction with each other. The resulting benefits include enhanced visualization, more secure coupling, easier communication that coupling has occurred, self-clocking components with respect to each other, and more component modularity. In one exemplary embodiment, an end effector assembly having an end effector and an attachment arm includes a terminal end surface of the attachment arm having a three-dimensional configuration such that a portion of the end surface extends further away from a set location than another portion of the end surface extends from the location. In another exemplary embodiment, end effector assemblies include chambers having curved configurations that assist in self-clocking the assemblies with respect to surgical devices. Other features, devices, systems, and methods are also provided.

Abstract: A surgical instrument has a treatment section, a first pulling section and a second pulling section configured to transmit a pulling force to the treatment section, a power source configured to generate force for operating the treatment section, and a switching section having a first path configured to transmit the force from the power source to the first pulling member and a second path configured to transmit the force from the power source to the second pulling member and configured to switch the first path and the second path.

Abstract: The present invention relates generally to methods of preparing antimicrobial elastomeric articles that include an elastomeric article having an antimicrobial coating provided thereon. The antimicrobial elastomeric articles exhibit enhanced ability to reduce or eliminate microbes that come in contact with the article. Certain aspects of the invention are further directed to methods of packaging the antimicrobial elastomeric articles, where the packaged antimicrobial articles exhibit antimicrobial effectiveness for an extended period of time as compared to unpackaged antimicrobial articles. Antimicrobial elastomeric articles and packaged antimicrobial elastomeric articles prepared in accordance with the methods of the present invention are also provided.

Abstract: A drape is disclosed for use during a surgical procedure in a sterile work area. The drape may include a cloth configured to at least partially cover a patient during a surgical procedure. The cloth may have a patient-side and a physician-side. The drape may also include a pocket attached to the cloth. The pocket may have at least one wall that is at least partially transparent, and an opening that is accessible via only the patient-side of the cloth.

Abstract: The present invention is directed to a surgical drape that provides for effective and fluid collection while reducing the reducing the risk of staff or patient contact with fluid expelled from a patient during a medical procedure.

Abstract: A surgical system is disclosed. The surgical system can include a tray and a vacuum-fitted cover covering at least a portion of the tray. The surgical system can comprise a tray and a drape at least partially vacuum-fitted to the tray. A surgical drape is also disclosed. The surgical drape can comprise a cover including an opening and an interior cavity defined by a flexible wall which is configured to receive a support surface. The surgical drape can further comprise a closable portion configured to close the opening and seal at least a portion of the support surface within the interior cavity. The surgical drape can further include a valve in fluid communication with the interior cavity, wherein the valve is configured to enable the suction of air from the interior cavity and draw the flexible wall inwardly to closely envelop at least a portion of the support surface.

Abstract: A cranial anchor system configured to attach to an opening in a cranium includes an anchor member. The anchor member has a middle anchor portion and a lower anchor portion coupled to and disposed in a downward direction relative to the middle anchor portion. The lower anchor portion has a plurality of contact members, each of which have a leg that extends at least partially in the downward direction, a tab connected to the leg, and a rib disposed between the leg and the tab. The system further includes an outer sheath and an inner sheath disposed within the outer sheath and slidable relative to the outer sheath.

Abstract: Systems, methods, and devices are provided for assisting or performing guided interventional procedures using custom templates. The system uses pre-procedure scans of a patient's anatomy to identify targets and critical structures. A template is then manufactured containing guide elements. During a procedure, the template may be aligned to the patient and instruments passed though the guide elements and into various targets. The template may be aligned using one or more of, for example, a position sensing system or a live imaging modality to register the patient to the template. The system makes optional use of devices designed to immobilize or track an organ during therapy.

Abstract: Disclosed herein in a method and system for creating and utilizing a virtual-three dimensional image in a real-world environment to guide medical procedures. The process may include receiving image data related to a patient and creating and displaying a three-dimensional holographic model of the patient utilizing the received image data, wherein creating a three-dimensional holographic model of the patient utilizing the received image data. Exemplary methods include organizing image data in a unique manner and utilizing subvolume skipping techniques allowing for more efficient accurate rendering of holographic images.

Abstract: Disclosed is a medicine ingestion state management method capable of objectively managing medicine ingestion states of patients. The medicine ingestion state management method involves an operation of prescribing medicine (10) encapsulating, together with a medicament, a medicine information transmitting unit (20) having a function of transmitting medicine information capable of specifying a type and a quantity of the medicament to each individual patient, and an operation of grasping the medicine ingestion state of each patient by collecting the medicine information from each medicine information transmitting unit (20) in each patient.