Abstract: A vascular plug comprises a superstructure expandable from a collapsed percutaneous insertion configuration to an expanded deployment or use configuration. The superstructure is comprised of both primary and secondary three-dimensional shapes allowing for the occlusion of a wide range of vessel sizes from small to large through a disproportionately small delivery catheter. The plug includes a shape memory element for the generation of radial force and the creation of the larger secondary three-dimensional twisting or helical superstructure as is needed for target vessel occlusion.

Abstract: In one embodiment, the present invention includes a method of alignment for resection of tissue including obtaining a surgical device comprising an alignment guide, a first guide structure and a second guide structure; securing the alignment guide to a bone, the alignment guide including a positioning block; placing the first guide structure onto the positioning block of the alignment guide; viewing a target location of a first resection plane on the bone using the first guide structure; adjusting the target location of the first resection plane by adjusting a position of the first guide structure; attaching the second guide structure to the first guide structure; viewing a target location of a second resection plane on the bone using the second guide structure; and adjusting the target location of the second resection plane by adjusting a position of the second guide structure.

Abstract: A cutting apparatus for resecting a distal face of a femur prior to implanting a femoral component of a total knee prosthesis, comprises an elongate rod adapted for inserting into an intramedullary canal of the femur, a distal femoral cutting block, and a distal femoral jig assembly. The jig assembly can position the distal femoral cutting block on either left leg or right leg. It includes a distal femoral jig having at least one passage for slidingly receiving the rod with a preset valgus angle and a distal end face being adapted for abutting against on the distal face of the femur of either left leg or right leg dependent on its two flip orientations.

Abstract: A reconstruction system for ligament employing a button/loop construct with a drill pin. The drill pin has a shaft with a proximal and a distal end. A pin tip provided at the distal end of the shaft has a width greater than the shaft diameter. The pin tip helps cut a wider tunnel for fixation of ligaments/grafts in reconstructive surgeries. The shaft of the drill pin is provided with a laser marks for measurement of intraosseous length.

Abstract: Systems and methods herein are associated with a handpiece, a drive hub, a drive coupler, and an instrument comprising an elongate shaft and resection member telescoped within the elongate shaft, the resection member coupled to the drive hub. The drive hub comprises an interior surface and an exterior surface, the interior surface defines a cross-sectional shape, and the drive hub is coupled to a drive shaft of a motor of the handpiece. The drive coupler comprises a first lobe extending radially from a central axis of the drive coupler, the drive coupler is telescoped at least partially within the drive hub such that the first lobe that engages with a portion of the cross-sectional shape.

Abstract: A dual speed medical procedure power tool includes first and second gear sets. The first and second gear sets may be engaged and disengaged, selectively, to provide a first speed for a high-speed, low-torque drilling function and a second speed for a low-speed, high-torque reaming function.

Abstract: Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.

Abstract: A bone clamp having a first jaw, an opposed second jaw and a drill guide, the drill guide being attached to the first jaw so that bone held between the first jaw and the second jaw can be drilled by a drill inserted through the drill guide, the first jaw having a longitudinal axis. The drill guide can be ball shaped at one distal end thereof that is positioned sufficiently within and retained within a corresponding cavity of the first jaw so that the angle of the drill guide can be adjusted to compound angles in the longitudinal and transverse directions in relation to the longitudinal axis of the first jaw. The bone clamp preferably comprises an organic polymer that is relatively transparent to X-rays.

Abstract: An instrument for establishing orientation of a pelvic prosthesis comprises a tripod having an angularly adjustable guide rod on it. The tips of the legs define a plane, and the guide rod is set by the surgeon to a defined orientation with respect to this plane on the basis of preoperative studies. In use, two of the legs of the instrument are positioned by the surgeon at defined anatomical locations on the pelvis (e.g., a point in the region of the posterior/inferior acetabulum and a point on the anterior superior iliac spine). The third leg then lands on the pelvis at a point determined by the position of the first two points, as well as by the separations between the third leg and the other two legs. The position of the guide rod then defines with respect to the actual pelvis the direction for insertion of a prosthesis.

Abstract: Methods and apparatuses of treating meibomian glands are disclosed. The method comprises applying regulated heat to an eyelid to reach a temperature adequate to melt at least one obstruction within at least one meibomian gland. The method also comprises maintaining the regulated heat for a time period adequate to place the at least obstruction in the melted state. The method further comprises positioning a pressure application device into contact with the patient's eyelid and applying a pressure with the pressure application device over a substantial portion of the eyelid to express the at least one obstruction from the meibomian gland. An apparatus suitable to treat meibomian glands comprises a heater, a controller, and a pressure applicator configured to be placed into contact with the eyelid and apply a pressure over a substantial portion of the eyelid to express the at least one obstruction from the meibomian gland.

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 surgical instrument including a housing, a transducer assembly, a motor, a hollow sheath, and a blade is disclosed. The transducer assembly may be rotatably supported within the housing and may be configured to selectively generate an ultrasonic motion. The motor may be coupled to the transducer assembly and may be configured to selectively apply rotational motion to the transducer assembly. The hollow sheath may be coupled to the housing and may define a distal cavity. The blade may be coupled to the transducer assembly and may be rotatably supported within the hollow sheath. A distal end of the blade may include a tissue-cutter that may be rotatably supported in the distal cavity. The distal cavity may comprise a friction reducing material. A portion of the tissue-cutter may be arranged to apply the ultrasonic motion to tissue.

Abstract: A clot retrieval device (9501) for removing clot from a blood vessel comprises an inner elongate body (9503) and an outer elongate body (9504) at least partially overlying the inner elongate body (9503). The device also comprises an elongate member or shaft (9502) having a proximal end which extends exterior of a patient so that a user can retrieve the stent-basket device and captured clot by retracting the shaft (9502). The outer elongate body (9504) and the inner elongate body (9503) are connected to the distal end of the shaft (9502) and are expandable relative to the shaft (9502) from a collapsed delivery configuration to an expanded deployed configuration. The outer elongate body (9504) is expandable relative to the inner elongate body (9503) to a radial extent which is greater than the radial extent of the inner body (9503) in the deployed configuration.

Abstract: According to one example a medical device snare is described that may comprise a first strip and a second strip, each having an interlock feature. The first interlock feature configured as a groove and the second interlock feature configured as a rail may be interlocked such that the first strip and the second strip are slidable parallel to one another so a snare portion may form a loop.

Abstract: A surgical apparatus is provided for performing turbinate lateralization including a pair of levers connected at a fulcrum, each lever including a handle connected to a bend portion, a pair of shafts, each shaft connected to the bend portion of each of the levers on first side of the fulcrum, where each shaft is dilated laterally with a substantially parallel displacement along a shaft length in response to the pair of levers being brought together on a second side of the fulcrum; a limiter connected to the pair of levers and configured to limit a dilation of the pair of levers in response to the pair of levers being brought together on the second side of the fulcrum; and a limiting bridge configured to attach between the shafts at a predetermined distance from the distal end of each shaft and press against a columella of the patient.

Abstract: A transoral gastroesophageal flap valve restoration device has sufficient flexibility and dimension to be passed through the mouth, throat, and esophagus of a patient into the patient's stomach. The device includes a first member and a second member hingedly coupled to the first member. The first and second members are configured to flex in a direction to follow the esophageal path into the stomach and to be substantially rigid when forming the restored gastroesophageal flap valve.

Abstract: A handle assembly for use with a surgical instrument having an operative distal end portion is disclosed. The handle assembly comprises a handle housing, a drive element, an actuator and a clamp release assembly. The drive element is disposed at least partially within the handle housing and is longitudinally translatable with respect to the handle assembly. The actuator is disposed in mechanical cooperation with the handle housing. At least a partial actuation of the actuator longitudinally translates the drive element. The clamp release assembly is disposed in mechanical cooperation with the drive element. The clamp release assembly includes a clamp pawl configured to releasable lock the longitudinal position of the drive element.

Abstract: A microsurgical handle and instrument may include an actuation structure having an actuation structure distal end and an actuation structure proximal end, a plurality of actuation arms of the actuation structure, and an actuation structure base. A compression of the actuation structure may be configured to extend the actuation structure distal end relative to the actuation structure proximal end. A compression of the actuation structure may be configured to expand an extension joint of an actuation arm of the plurality of the actuation arms. A decompression of the actuation structure may be configured to retract the actuation structure distal end relative to the actuation structure proximal end. A decompression of the actuation structure may be configured to collapse an extension joint of an actuation arm of the plurality of actuation arms.

Abstract: In various embodiments, a fastening assembly comprising a first jaw, a second jaw, a closure member, a rotatable drive shaft, a firing member, an electric motor, a sensing device, and a control system is disclosed. The second jaw is movable between an open position and a closed position relative to the first jaw. The closure member is movable between a first position and a second position. The second jaw is in the closed position when the closure member is in the second position. The electric motor is operable to rotate the rotatable drive shaft and advance the firing member through a firing stroke. The sensing device is configured to sense when the closure member is in the second position. The control system is configured to prevent advancement of the firing member through the firing stroke until after the second jaw is in the closed position.

Abstract: A device (1) for treatments of endoscopic resection/removal of tissues, includes: a handpiece apt to be held by an user; an external tubular element (3) having a proximal end, a distal end and a cutting aperture disposed at the distal end; an internal tubular element (4) apt to be pivotally housed in the external tubular element (3) and having a proximal end, a distal end and a cutting tip at its distal end. The device also includes guide elements (5) for rotating and/or oscillating the internal tubular element (4) with respect to the external tubular element (3). The guide elements (5) include an electric motor (19) and electric feeding element for the electric motor (19) and are contained completely inside the handpiece (2).

Abstract: An endoscopic tissue resecting system that includes a reciprocating rotary surgical instrument for cutting tissue that includes a planetary gear assembly to vary rotational speed. A method of cutting and detaching tissue includes positioning an outer member such that tissue is located within a window in the outer member, engaging the tissue with an inner member, and simultaneously rotating at an increased speed relative to a rotary driver and translating the inner member to cut the tissue. A tangential cutting force is applied to the tissue with the inner member to mechanically cut and detach the tissue.

Abstract: The present system is directed in various embodiments to rotational atherectomy systems and methods generally. More specifically, a method for methodically softening and disrupting calcification within the wall of a biological conduit or lumen. This result is achieved by use of at least one eccentric head that, during high-speed rotation within the exemplary lumen, produces a combination of a low-frequency orbital motion comprising a force that is exerted against the lumen wall, with concomitant deflection of same, and a high-frequency pulsatile frequency, also with concomitant exertion of force against the lumen wall and deflection of same. These force-driven deflections produce shockwaves within the layers of the exemplary artery's wall layers, resulting in systematic disruptions of any calcification within the intimal and/or medial layers of the subject artery. In addition, any calcification within the occlusion is also softened and disrupted, increasing compliance of the vessel and/or lesion.

Abstract: A surgical instrument comprises a shaft assembly comprising a shaft and an end effector coupled to a distal end of the shaft; a handle assembly coupled to a proximal end of the shaft; a battery assembly coupled to the handle assembly; a driver configured to drive movement of at least one component of the surgical instrument; a motor powered by the battery assembly and configured to actuate the driver using an output of the motor; and a controller for the motor, configured to perform a first limiting operation to the output of the motor when a first limiting condition is met, wherein the first limiting condition defines a maximum control variable profile of the motor over a range of the movement of the at least one component.

Abstract: An apparatus for creating minimal skin incisions and soft tissue tunnels, particularly useful in the insertion of transverse or oblique screws through a bone and the holes in a locking nail embedded within the intra-medullary cavity of the bone. A unique surgical tool, as described herein, is used in conjunction with a targeting guide and targeting guide tunnel to create skin and soft-tissue tunnels that are precise, of minimal size, and minimally traumatic for the patient, and very quick and easy for the surgeon to create and to repair.

Abstract: A scoring balloon catheter includes a scoring balloon, a distal control balloon positioned distal of the scoring balloon, a proximal control balloon positioned proximal of the scoring balloon, and a scoring element coupled to the proximal and distal control balloons. The scoring balloon is configured to expand radially and contact the scoring element.

Abstract: The described invention provides several aspects designed to help mechanically break up and/or lyse a clot inside vessels and/or remove a clot via aspiration. According to some embodiments, the devices are adapted to irrigate a blood vessel during thrombectomy; to macerate an obstruction during thrombectomy, to block blood flow in a blood vessel during aspiration of a thrombus; or to capture distal emboli.

Abstract: A device for the application and storage of a sharps device is disclosed here in with the ability to re-sterilize and reuse this device on multiple occasions. This device enables the user to access and store the blade in a safe manner where the chances of accidental puncture are greatly reduced. The device enables the user to store the sharps blade in the device in such a manner that will allow the user to autoclave or sterilize the storage device and the blade at the same time. The device is designed for multiple uses over a wide range of different blades, such as the myriad of surgical blades and blades used in the hobby and crafts arena using X-Acto knife style of blades. When a singular device is used for the storage, application and re-loading of sharps, the user is more familiar with the operation of the device, which leads to more comfort of the user in dealing with sharps blades.

Abstract: A needle for invasive medical use includes a long extended cylindrical needle shaft having an axis and an outer surface area, with a short shaft end at a first end of the shaft with a beveled tip with a pointed end, and a needle hub attached to a second end of the shaft including a device to indicate the location of the shaft end during use inside a body. The needle has a flexible joint with a notch within the shaft at the beginning of the shaft end. The device is a displacement sensor for detecting a displacement of the shaft end relative to the rest of the shaft resulted from a force applied to the shaft end when the needle hub is moved and a signal conductor to transmit the detected signals. The invention further describes a needle assembly comprising such a needle and a syringe attached to said needle hub, whereas an evaluation unit is connected to the signal conductor.

Abstract: An arthroscopy cannula according to an exemplary aspect of the present disclosure includes, among other things, a cannula body that extends along a longitudinal axis between a proximal end and a distal end and a first inflatable component attached to the cannula body and configured to move via fluid pressure between a compressed position and an expanded position.

Abstract: A system for incisionless transvaginal sacrospinous ligament fixation, the system including an anchoring unit configured to affix a vaginal wall to a sacrospinous ligament; and a piercing tip configured to: pierce said vaginal wall, pierce said sacrospinous ligament, and deploy a first portion of said anchoring unit though said pierced vaginal wall and said pierced sacrospinous ligament, thereby disposing said first portion at said sacrospinous ligament.

Abstract: An apparatus for repairing an anatomical tear, such as a tear in the meniscus of a human knee. The apparatus includes a guide cannula directing a penetrating shaft through the meniscal tear and through the outer skin layer of the knee. The penetrating shaft pulls a line to the outside of the skin layer of the knee where it is used to pull or kedge a repair implant into position across the meniscal tear.

Abstract: A clamping assembly for an external fixation system, comprising a clamp body having an opening for receiving a bone fixation member; a pivotably rotatable locking arm associated with the clamp body, the locking arm being configured to provisionally hold the bone fixation member inside the opening of the clamp body; and a cam arm coupled to the locking arm, the cam arm being pivotably rotatable towards the clamp body to definitively hold the bone fixation member inside the opening of the clamp body.

Abstract: An external fixation system for the correction of long bone deformities includes an elongate beam element having an engagement feature along a longitudinal edge of the elongate beam element, a connector element secured to the elongate beam and structurally configured to support a first bone anchor extending from the external fixation system, and a movable carriage engaged with the engagement feature along the longitudinal edge of the elongate beam element and selectively movable along the engagement feature of the elongate beam element. The movable carriage is selectively lockable into a position along the elongate beam element. The movable carriage is structurally configured to support a second bone anchor extending from the external fixation system.

Abstract: The present application provides external bone and tissue fixation systems and related methods. The fixation systems may include an elongate beam element defining an axis with an axially extending threaded track portion. The systems may also include at least one drivable fixation clamp assembly comprising a housing with a central bore, a driving housing rotatably coupled to the housing, a threaded driving member, and a clamp assembly rotatably coupled to the housing configured to clamp to at least one fixation member. The elongate beam element may extend axially through central bore of the housing. The driving member may be movable with respect to the central bore via rotation of the driving housing between engaged and disengaged states with the threaded track portion. Rotation of the driving member in the engaged state may axially translate the clamp assembly along the beam element.

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: The present invention generally is directed toward a spinal fixation system whereby a coupling element allows the physician to selectively lock or unlock either the connection between the coupling element and a fastener, such as to allow for repositioning of the coupling element, or the connection between the coupling element and an elongate rod. The locking or unlocking of these connections may be made independently and as desired by the physician.

Abstract: A pivotal bone anchor assembly includes a receiver with a cavity and a rod-receiving channel having opposed interior surfaces with a downwardly-facing surface located below a discontinuous closure mating structure, and a shank having an upper capture portion uploadable into the receiver cavity through a bottom opening. The pivotal bone anchor assembly also includes a retainer disposed within the receiver cavity for capturing the shank upper capture portion therein, and a compression insert disposed within the receiver channel having an upper rod-engaging surface, a lower retainer-engaging surface, and an overlapping arrangement with the receiver channel downwardly-facing surface to inhibit upward movement of the compression insert within the receiver after the retainer has captured the shank upper capture in the receiver cavity, with the compression insert remaining spaced apart from the shank upper capture portion when the shank is pivoted with respect to the receiver.

Abstract: A pedicle screw includes a tulip head, a rod seat, a screw shank, and a retainer collar. The tulip head has an upper opening disposed in a top end of the tulip head and a lower opening disposed in a bottom end of the tulip head opposite the upper opening. The upper and lower openings form a single cavity extending through the tulip head from a top end to the bottom end. The rod seat is disposed within the cavity of the tulip head and engages a stop extending inwardly from an interior wall of the cavity. The screw shank has a thread disposed along a length of the screw shank and a connector positioned at an upper end. The retainer collar has a pass through aperture, an expansion slit, and is disposed about the connector of the screw shank. Other embodiments are described and claimed.

Abstract: An anchor device for use in sacroiliac joint stabilization comprises a housing having a bore, one or more apertures, and a threaded outer surface, one or more engagement members at least partially disposed in the housing, where at least one of the one or more engagement members is movable between a retracted position and an extended position such that, when the at least one of the one or more engagement members is in the extended position, the at least one of the one or more engagement members extends through at least one of the one or more apertures, and where, when the at least one of the one or more engagement members is in the extended position, the at least one of the one or more engagement members is configured to engage a cortical wall of a sacrum bone.

Abstract: A method of providing access to an intervertebral disc has been developed that involves using the patient's bony pedicle as an anchoring spot for a pedicle screw that temporarily attaches to the access port. One key element of the method is an assembly comprising: a) a screw extension comprising a shaft having a distal end portion comprising a receiver adapted for receiving a screw and a proximal end portion comprising a pivoting feature, b) a port comprising: i) a tubular wall defining a central passageway, ii) a longitudinal slot in the wall defining opposed ends of the wall, iii) opposed flanges extending radially from each end of the wall, and iv) a mating feature disposed in each opposed flanges adapted to pivotally mate with the pivoting feature of the screw extension, wherein the mating feature of the tube pivotally mates with the pivoting feature of the screw extension.

Abstract: A percutaneous access device includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The outer tube may be sized to span from a skin incision in a patient to a site proximate the spine of the patient. The distal end of the outer tube may be adapted to releasably engage a bone anchor. The inner tube may be adjustable relative to the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A bone anchor assembly includes a bone anchor having a distal bone engaging portion and a receiving member having a recess for receiving a spinal fixation element. The proximal end of the receiving member may have an arcuate groove formed on an exterior surface thereof to facilitate connection of an instrument to the receiving member.

Abstract: A bone implant comprising an elongate body having a first end and a second end coupled by a shaft is disclosed. The first portion is configured to couple to a first bone. The second portion comprises a first expandable section comprising at least one expandable feature. The first expandable section is configured to be received within a reverse countersink in a second bone in a collapsed state and to expand within the reverse countersink. The expandable feature couples to a bearing surface of the reverse countersink. A surgical tool comprising a shaft and at least one expandable cutting edge is disclosed. The shaft is sized and configured to be received within a canal formed in a bone. The expandable cutting edge is formed integrally with the shaft. The expandable cutting edge is configured to expand from a collapsed position to an expanded position for forming a reverse countersink.

Abstract: A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive one or more flexible strands.

Abstract: Bone fixation systems include various combinations of stabilizing members, dynamic elements, fasteners, and locking mechanisms. Bone plates receive dynamic bone staples and bone screws. Other dynamic elements include elbow pegs, straight pegs, and wire pegs.

Abstract: The present invention generally relates to connectors that connect bone screws with fusion rods for use in stabilizing surgery such as spinal fusion surgery, and to bone screw systems comprising such connectors. In particular, the present invention relates to poly axial screw systems configured to provide a stable but adjustable angular placement. Furthermore, embodiments of the present invention relate to tulip connectors which have a head and a collet, that are configured to rotatably and pivotably lock onto the ball head of a poly axial screw shaft into a manually adjustable locked position, to methods achieving this locked position with or without using a tulip assembly tool, and to the tulip assembly tool that has outer hooks to grab the tulip head and a center dowel to push the collet down into the locked position.

Abstract: The invention concerns an osteosynthesis screw (1) formed from a core (2) externally provided with a helical thread (3), said screw comprising a distal penetration portion and a proximal portion forming the head of the screw (6) and having a conical longitudinal section characterized in that the proximal portion comprises annular notches which are formed in the thickness of the core (2) and in the gaps between the threads of said proximal portion in such a way as to reduce the radial pressure during screwing.—Surgical device.

Abstract: An orthopedic screw having a shaft and a thread ribbon is provided. The shaft includes a proximal driving end and a distal end. The thread ribbon extends around the shaft and including a base portion that is rigidly attached to the shaft and a flange portion that is resilient. The flange portion extends away from the shaft at a preset angle to form a preset outer thread diameter in a preset configuration. The flange portion extends away from the shaft at a second angle greater than the preset angle to form a second outer thread diameter greater than the preset outer thread diameter when the orthopedic screw is subjected to a pull out force.

Abstract: Provided is an automatic wire-directing intramedullary reduction device used for long bone fracture including a holder, a reduction bushing mounted at the holder; a reduction head rotatably mounted at the reduction bushing; a pipe for guide wire mounted at the holder, a reduction rod received in the reduction bushing with the front end of the reduction rod connecting to the other side at the rear end of the reduction head, the reduction rod will drive the reduction head to rotate around a shaft when moving back and forth, a fixing handle fixed at the rear part of the holder; a wire-directing handle rotatably connected to the fixing handle, a pushing plate for guide wire disposed between the front part and the rear part of the holder, a guide wire passing through the pipe for guide wire, a return spring for pushing plate sleeved around the guide wire, the wire-directing handle will drive the pushing plate for guide wire and the guide wire to move forward when rotating around the rotate shaft.

Abstract: Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail. In some embodiments, the proximal end may further include a cross-locking feature, which includes a second bone anchor that interlocks with a first bone anchor, for example, for enhanced bone purchase and bony fixation.

Abstract: A cryotreatment catheter for treating tissue. The catheter may include an outer elongate body, a balloon treatment element coupled to the distal portion of the elongate body with a plurality of balloon lobes radially arranged around the outer elongate body, an inner elongate body rotatably movable within the lumen of the outer elongate body, and a fluid delivery lumen located within the lumen of the outer elongate body and at least partially within the lumen of the inner elongate body. The fluid delivery lumen may be branched at a distal portion into a plurality of linear segments, each linear segment being in fluid communication with one of the plurality of balloon lobes. Each of the balloon lobes may be inflated independently of each other by the linear segments of the fluid delivery lumen.