Abstract: A spinal screw assembly providing an adjustable securement of a fixation rod across at least two vertebrae. The assembly includes a pedicle screw having a spherical head portion, a threaded shaft portion and a tool engagement surface in the head portion for use in driving the screw into a vertebrae. The head portion of the screw is positioned in a body member adjacent a curvilinear surface disposed about an aperture in the end of the body member such that the shaft portion of the screw extends therethrough and the curvilinear inner surface abuts and mates with the head portion of the screw so as to define a ball joint therewith. The body member additionally defines a pair of opposed parallel slots therein adapted to receive a portion of the fixation rod and a locking cap bears against the fixation rod to releasably secure the rod within the assembly.

Abstract: Multi-mode torque drivers employing anti-backdrive units for managing pedicle screw attachments with vertebrae, and related systems and methods are disclosed. A spinal column includes vertebrae in an articulating structure protecting a spinal cord. Medical intervention may involve limiting the relative motion between vertebrae by fusing vertebrae together with mechanical assemblies, including pedicle screws attached to the vertebrae. A torque driver may be used to form the pedicle screw attachments with vertebrae. By including an anti-backdrive unit and a motor assembly enclosed within a handle body as part of a multi-mode torque driver, the user may apply sequential combinations of manual and motorized torques to the screws with high levels of tactile feedback as desired. In this manner, pedicle screw attachments may be efficiently achieved with fewer injuries to the patient and surgeon while minimizing screw attachment failures.

Abstract: A pedicle screw removal device comprises a rod having a first end and a second end opposite the first. A clamping member is located at the first end of the rod, and a handle is located at the second end. The clamping member is configured to remove a pedicle screw via clamping to a pedicle screw socket. To remove a pedicle screw, the rod is inserted into a pedicle screw socket until a screw engagement surface on the first end portion of the rod is met by a head of the pedicle screw. The clamping member is lowered to a desired position and clamped to the pedicle screw socket. Rotating the handle unscrews the pedicle screw while the screw engagement surface is pressing on the screw head.

Abstract: A surgical instrument comprises a first member including a drive engageable with a first mating surface of a bone fastener. A second member is rotatable relative to the first member and includes an engagement element connectable with a second mating surface of the bone fastener. Systems, spinal implants and methods are disclosed.

Abstract: An internal intramedullary fixation device for the stabilization of bone in arthrodesis and fractures of the foot and hand is disclosed. During implantation in the medullary canal of each bone, the device grasps the edges of the canal, stabilizing the bone (internally) during the natural healing process.

Abstract: The invention relates to a plate fixed between two bone parts by way of screws engaged in holes formed in the thickness of said plate. The plate comprises an angled member or rib which is inclined according to an angle of between about 30° and 60° in relation to the plane defined by the plate. The angled member or rib has a hole for engaging a screw and is located in the central part of the width, over a determined part of the length of the plate, so that the screw brings the two bone parts into a compressive position.

Abstract: A bone fragment-fixing device of the present invention including: a supporting portion for supporting, on an inner side of a mandible, a bone fragment generated by cutting the mandible; a connecting portion which is connected to one side of the supporting portion and protrudes to a height corresponding to the outer side of the mandible along the cut surface of the bone fragment; and a fixing portion connected to the connecting portion and formed in a shape corresponding to the mandible around the bone fragment.

Abstract: A method and device for attaching a bone plate to a bone includes the steps of placing a first surface of a wire insertion device against the bone, inserting a reference wire through an opening of the wire insertion device extending therethrough from the first surface of the wire insertion device to a second surface of the wire insertion device, removing the wire insertion device from the reference wire and positioning a bone plate on the bone by moving the bone plate in a transverse direction relative to a longitudinal axis of the reference wire so that the reference wire is received within a slot of the bone plate, the bone plate including a first surface facing toward the bone and a second surface opposing the first surface, the slot open to a lateral side surface connecting edges of the first and second surfaces.

Abstract: Disclosed is a fracture fixation device, for reducing and compressing fractures in a bone. The fixation device includes an elongate body. An axially moveable proximal anchor is carried by the proximal end of the fixation device and comprises a tubular sleeve that includes a plurality of graduations positioned on an outer surface of the tubular sleeve. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. In certain embodiments, the elongated body includes a distal anchor with a distal cutting tip.

Abstract: A differential compression bone screw and a method are provided for compressing adjacent bone portions together to encourage bone fusion. The compression bone screw is comprised of a head portion and a shank. A center hole extends from the head portion to a distal end of the shank. A superior end of the head portion includes a shaped opening that receives a tool for driving the compression bone screw into a hole drilled in a patient's bone. An inferior end of the head portion includes barbs that engage with surrounding bone tissue. A smooth portion of the shank is disposed between proximal threads and distal threads that rotatably engage within the hole in the patient's bone. A thread pitch of the distal threads is greater than a thread pitch of the proximal threads, such that the compression bone screw comprises a differential pitch configured to compress the adjacent bone portions.

Abstract: An orthopedic implant includes an internal fixation device. The internal fixation device includes: an exterior surface; a threaded section including a reservoir and at least one threaded section channel fluidly communicating the reservoir with the exterior surface, each threaded section channel having an interior diameter and a length which is greater than the interior diameter; a head including a head channel fluidly communicating the reservoir with an exterior surface of the head, a channel diameter of the head channel being respectively larger than a largest interior diameter of each threaded section channel, the channel diameter of the head channel being the same as a large interior diameter of the reservoir; and a continuously tapering inner surface between the head channel and the reservoir.

Abstract: Described herein are bone graft material (BGM) delivery devices having a tray configured to provide a mixing and/or holding area for BGM to substantially prevent BGM from inadvertently being delivered to an unacceptable surgical site.

Abstract: A method of treating scoliosis in a subject includes securing a scoliosis treatment device to first and second locations on the subject's skeletal system, the scoliosis treatment device including a first portion, a second portion moveably mounted relative to the first portion, and an adjustment device disposed on the device and configured to change a distraction force between the first location and the second location, the adjustment device including a rotationally mounted magnetic element configured to move the second portion relative to the first portion in response to rotation of the magnetic element. An external adjustment device is provided external to the subject and is able to adjust the distraction force between the first location and second location.

Abstract: An apparatus for crimping a cable, the apparatus including a crimp body, an elongate shaft, a neck coupling and interposed between the crimp body and the elongate shaft, and a central passage extending through the crimp body, neck, and elongate shaft. The cross-sectional dimension of the central passage is at least large enough to receive the cable.

Abstract: A cryogenic treatment system has a housing that includes a dispensing nozzle operably connected with a CO2 dispensing conduit that includes a valve for controlling the flow of CO2 therethrough. A connector fitting is adapted for operably connecting the CO2 dispensing conduit with the separate CO2 source, which is not mounted on the housing. A temperature sensor is operably mounted for monitoring the temperature of a treated area of the patient, and an accelerometer is operably mounted for monitoring movement of the housing. A computer controller is operably connected with the temperature sensor and the accelerometer for controlling the valve responsive to the temperature sensor and the accelerometer.

Abstract: A system for treatment target tissue comprises an ablation device and an energy delivery unit. The ablation device comprises an elongate tube with an expandable treatment element. The system delivers a thermal dose of energy to treat the target tissue. Methods of treating target tissue are also provided.

Abstract: Various embodiments are directed to methods for providing an electrosurgical signal to a patient using an electrosurgical system. A method may, for a first application period, apply the electrosurgical signal to first and second electrodes according to a first mode. In the first mode, the electrosurgical signal is limited to a first maximum power when the impedance between the first and second electrodes exceeds a first mode threshold. The method may also, for a second application period after the first application period, apply the electrosurgical signal according to a second mode. In the second mode, the electrosurgical signal is limited to a second mode maximum power when the impedance between the first and second electrodes exceeds a second mode threshold. The second maximum power may be greater than the first maximum power.

Abstract: The embodiments disclosed herein relate to various medical device components, including components that can be incorporated into robotic and/or in vivo medical devices, and more specifically including end effectors that can be incorporated into such devices. Certain end effector embodiments include various vessel cautery devices that have rotational movement as well as cautery and cutting functions while maintaining a relatively compact structure. Other end effector embodiments include various end effector devices that have more than one end effector.

Abstract: Systems and methods are provided for identifying surgical instruments, e.g., MIS instruments, including a shaft including a proximal end and a distal end sized for introduction into a patient's body, a tool tip on the distal end including an end effector, and a handpiece or connector on the proximal end. One or more identifier members may be provided on the proximal end and/or distal end of the shaft, on the handpiece, and/or on the tool tip to identify one of a type and a class of the end effector. For example, a set of surgical instruments may be provided that include identifier knobs added onto the shafts to identify different tool tips, the shafts may include different outer shapes and/or textures, or colored and/or luminescent features may be provided on the instruments.

Abstract: An electrode assembly for a catheter system has a longitudinal axis, a proximal end and a distal end. Multiple struts extend coextensively with each other from the proximal end to the distal end of the electrode assembly. Each strut carries an electrode spaced longitudinally from the proximal end of the electrode assembly. The longitudinal spacing of one electrode from the proximal end of the electrode assembly is different from the longitudinal spacing of another electrode from the proximal end of the electrode assembly. The electrode assembly is configurable between a collapsed configuration and an expanded configuration, with the electrodes being transversely spaced from the longitudinal axis of the electrode assembly a greater distance in the expanded configuration than in the collapsed configuration. In the expanded configuration, the electrodes are transversely spaced from the longitudinal axis of the electrode assembly approximately the same distance.

Abstract: Systems, methods, and devices allow percutaneous mapping, orientation and/or ablation in bodily cavities or lumens. Such may include a structure that is percutaneously positionable in a cavity, such as an intra-cardiac cavity of a heart. Transducers carried by the structure are responsive to blood flow. For example, the transducers may sense temperature, temperature being related to convective cooling caused by blood flow. A controller discerns positional information or location, based on signals from the transducers. For example, blood flow may be greater and/or faster proximate a port in cardiac tissue than proximate tissue spaced from the port. Position information may allow precise ablation of selected tissue, for example tissue surround a port in the intra-cardiac cavity.

Abstract: The present invention provides devices and methods for decalcifying an aortic valve. The methods and devices of the present invention break up or obliterate calcific deposits in and around the aortic valve through application or removal of heat energy from the calcific deposits.

Abstract: Medical devices and methods for making and using the same are disclosed. An example method may include a method for treating a patient having congestive heart failure. The method may include positioning an expandable balloon in a renal artery of the patient. The expandable balloon may include a plurality of electrode assemblies. At least some of the electrode assemblies each may include at least two bipolar electrode pairs. The two bipolar electrode pairs may be longitudinally and circumferentially offset from one another. The method may also include expanding the balloon in the renal artery such that at least some of the bipolar electrode pairs are electrically coupled to a wall of the renal artery and energizing at least some of the bipolar electrode pairs so as to therapeutically alter at least one nerve proximate the renal artery to treat the patient's congestive heart failure.

Abstract: A medical device includes an insertion tube, having a distal end for insertion into a body of a subject and an opening at the distal end. A lumen, which includes a flexible tube which passes longitudinally through the insertion tube so as to communicate with the opening at the distal end of the insertion tube, is secured under tension inside the insertion tube.

Abstract: An ablation catheter adapted for use with a guide wire has a 3-D shaped portion that carries ring electrodes for ablating a vessel or tubular region, including the renal artery. The 3-D shaped portion, for example, a helical portion, enables the ring electrodes to contact an inner surface of the vessel at a plurality of locations at different depths along the vessel to form a conduction block without forming a closed conduction loop which would otherwise increase the risk of stenosis of the vessel. In one embodiment, the catheter has a lumen with entry and exit ports to allow the guide wire to pass through the lumen but bypass the 3-D shaped portion. In another embodiment, the catheter has outer bands providing side tunnels through which the guide wire can pass through.

Abstract: A visual guidance system for use in a surgical procedure. The system includes an image processing unit programmed to receive a three-dimensional image of a surgical area, information on an instrument being used in the procedure, and a surgical plan including a planned trajectory that the instrument should follow. The image processing unit generates a derived representation of the surgical procedure depicting the movement of the instrument on the three-dimensional image. A graphical guidance indicator is disposed on the three-dimensional image with a center point of the graphical guidance indicator centered on the planned trajectory, the graphical guidance indicator being displayed orthogonal to the planned trajectory. The derived image and the graphical guidance indicator depict at least five degrees of freedom of motion of the instrument. The graphical guidance indicator is changed based on the movement of the instrument in accordance with the surgical plan.

Abstract: A system to produce a replacement anatomical structure, comprising: a quantitative three-dimensional (Q3D) endoscope disposed to image a structure within a field of view that includes target tissue; at least one processor configured to: produce a first Q3D model of an anatomical structure that includes target tissue; produce a second Q3D model of the anatomical structure that includes remainder tissue in a location from which the target has been tissue removed; and produce a third Q3D model of a replacement structure based at least in part upon the first Q3D model and the second Q3D model.

Abstract: A pre-planning interface displaying step of a method for verifying panoramic images of implants is for displaying a picture, a menu and a cursor on a screen. An implant trajectory pattern adding step is for moving the cursor to select an implant adding item by a user and then generating the implant trajectory pattern in the picture. An implant trajectory pattern adjusting step is for controlling the cursor to adjust a position of the implant trajectory pattern and then move the implant trajectory pattern from a starting position to a target position in the picture. A panoramic image verifying step is for rotating the surgical site pattern around the implant trajectory pattern at a viewing angle according to the target position and the implant trajectory pattern as a central axis, and the viewing angle is greater than 0 degrees and smaller than or equal to 180 degrees.

Abstract: A shape sensing enabled instrument includes a flexible longitudinal body (300) including a plurality of longitudinal members (310) held together to form a lumen (205). The longitudinal members have frictional contact therebetween and are configured to engage neighboring longitudinal members during bending, twisting or external pressure to maintain dimensions of the lumen. A shape sensing optical fiber (302) is disposed within the lumen.

Abstract: A method for calibrating a surgical device is provided. The method includes acquiring first data including a position and/or an orientation of a first object disposed on the surgical device at a first location; acquiring second data including a position and/or an orientation of a second object disposed on the surgical device at a second location; determining third data including a position and/or an orientation of the first object relative to the second location; and determining a position and/or an orientation of the second object relative to the second location based at least in part on the first data, the second data, and the third data.

Abstract: Medical robot systems, surgical tool assemblies, devices, and methods regarding the same. The medical robot system may include a robot coupled to an end-effector having a guide tube. The robot may be configured for controlled movement and positioning of the end-effector. The system further includes a motor assembly coupled to the robot. The motor assembly may be configured to move the end-effector along one or more of an x-axis, a y-axis, and a z-axis. The surgical instrument is positionable and/or slidable within the guide tube. The surgical instrument includes at least one detectable feature, such as a reflective lens or stripe. A detection device is configured and arranged to detect the at least one detectable feature. The system enables a depth of the surgical instrument in the guide tube to be determined by the at least one detectable feature on the instrument.

Abstract: Some embodiments are directed to a surgical robotic system for use in a surgical procedure, including a surgical arm having a movable arm part for mounting of a surgical instrument having at least one degree-of-freedom to enable longitudinal movement of the surgical instrument towards a surgical target. Some other embodiments are directed to a human machine interface for receiving positioning commands from a human operator for controlling the longitudinal movement of the surgical instrument, and an actuator configured for actuating the movable arm part to effect the longitudinal movement of the surgical instrument, and controlled by a processor in accordance with the positioning commands and a virtual bound. The virtual bound establishes a transition in the control of the longitudinal movement of the surgical instrument in a direction towards the surgical target. The virtual bound is determined, during use of the surgical robotic system, based on the positioning commands.

Abstract: Robotic devices, systems, and methods for use in robotic surgery and other robotic applications, and/or medical instrument devices, systems, and methods includes both a reusable processor and a limited-use robotic tool or medical treatment probe. A memory the limited-use component includes machine readable code with data and/or programming instructions to be implemented by the processor. Programming of the processor can be updated by shipping of new data once downloaded by the processor from a component, subsequent components can take advantage of the updated processor without repeated downloading.

Abstract: A surgical instrument comprising: a jaw assembly; a slider beam; first and second distal jaw-mounted coaxial pulleys rotatably mounted to a distal portion of the second assembly; a two degree of freedom wrist that includes first and second pitch axis pulleys rotatable about a pitch axis and that includes a yaw pulley rotatable about a yaw axis; a first cable that is secured to the slider beam, that wraps about the first distal jaw-mounted pulley and that extends parallel to the jaw assembly to opposite sides of the first pitch axis pulley; a second cable that is secured to the slider beam, that wraps about the second distal jaw-mounted pulley and that extends parallel to the second jaw assembly to opposite sides of the second pitch axis pulley; and at least one yaw cable wrapped about at least a portion of the yaw pulley.

Abstract: A manipulator is provided that supports a surgical tool used in a surgical procedure. The manipulator includes a plurality of links and joints and a controller that evaluates an actual joint angle of each joint relative to one or more joint boundary angles for each joint. The controller computes forces and torques to apply to a virtual rigid body based on the evaluation. The controller then determines a commanded joint angle for each joint based on the computed forces and torques so that actuators move the surgical tool to a commanded pose associated with the commanded joint angles.

Abstract: A sterile radiation shield drape configured to be disposed about a radiation shield while the radiation shield is hanging from a support at its top end and extending to a free bottom end is provided. The radiation shield drape includes a circumferentially continuous wall having a sterilized outer surface and an inner surface extending between an upper end and a lower end. The inner surface circumferentially bounds a cavity sized for receipt of the radiation shield. The upper end has an everted edge providing at least one pocket extending along the upper end and further includes at least one fastener provided adjacent the upper end. The at least one fastener is configured to releasably fix the circumferentially continuous wall about the radiation shield.

Abstract: A medical device, assembly, or kit may be used to hold a plurality of elongate medical instruments, such as guidewires, catheters, etc. A guidewire holder may include a reservoir for holding a liquid and one or more separators for segregating the guidewires from each other. In some instances, the guidewire holder can hold a coiled guidewire such that the guidewire is in contact with liquid held by the reservoir.

Abstract: A staging tray has a bracket with a hook and a bumper. The hook and bumper are configured to be removably engaged with a lipped tray. A pivot mechanism pivotably connects the bracket to the staging tray. The pivot mechanism is selectively positionable into a plurality of positions.

Abstract: Apparatus and method for surgeon-assisted rapid surgical implantation of devices into soft tissue. The apparatus comprises several subsystems that enable the referencing of the spatial position and orientation of the device being implanted with respect to the soft tissue into which it is being implanted and then the controlled implantation of the device at a predefined speed with higher positional accuracy and precision and a reduction in soft tissue damage, provided by ultrasonic assisted motion, compared to current state-of-the-art implantation methods and devices.

Abstract: A cup impactor assembly comprises a shaft. A cup coupler is at a cup end of the shaft and is releasably connecting a cup in fixed relation. A handle is at an impacting end of the shaft. A visual guide is mounted to at least one of the shaft and the handle, the visual guide producing visual guidance for pointing at at least two landmarks of the pelvis or fixed relative to the pelvis, based on a pre-planned patient-specific relation between the at least two landmarks and a desired acetabular cup orientation relative to the landmarks. A method for orienting an acetabular cup prior to impacting in an acetabulum of a pelvis is also provided.

Abstract: The invention relates to a retaining device for an instrument, comprising at least one joint having at least two parts that can be moved relative to each other and at least one drive unit associated with the joint. The drive unit is designed to move the joint by driving at least one of the parts of the joint that can be moved relative to each other. The retaining device also comprises a securing device, which has a locking mechanism associated with the joint and a release unit that can be activated, wherein the locking mechanism interacts with the release unit in such a way that the locking mechanism holds the joint in a locked position as long as the release unit is not activated. The securing device is designed to permit a motion of the joint out of the particular locked position within a specified range of motion even if the release unit is not activated. The invention further relates to a corresponding securing device for a retaining device and to an operating method for said securing device.

Abstract: An RFID transponder for a medical instrument and/or for an endoscope includes at least one printed circuit board carrying an antenna embodied as at least one conductor track of the printed circuit board and an RFID circuit coupled to the antenna, wherein the at least one printed circuit board has a substantially ring-shaped embodiment and the at least one conductor track is embodied on a radially extending surface of the printed circuit board. A medical instrument and/or endoscope including an RFID transponder, and to an assembly method for a medical instrument and/or endoscope including an RFID transponder.

Abstract: Provided is a medical system comprising a controller unit configured to be capable of generating a first code or coded message; and a medical device unit configured to be capable of generating a second code or coded message, the medical device unit configured to be in electronic communication with the controller unit, wherein the controller unit is configured to lock the medical device unit from being used or reused if the first code or coded message does not match or is not identical to the second code or coded message. Also provided is a method of preventing use or reuse of a medical device unit as described herein.

Abstract: A system and method for mitigating pain associated with dentistry provides a removal apparatus for removing a portion of a tooth. A desiccation apparatus flows a desiccated gas to the portion of the tooth to desiccate dentinal tubules in a region surrounding the portion of the tooth, generally preventing nerve cells within the tooth from transmitting pain signals associated with the removal. The removal apparatus has a drill head with a body having an axial opening configured to accept a dental burr. An annular passage exists between the dental burr and the body within the axial opening. A chamber in the body is in fluid communication with the axial opening, where a channel is fluidly coupled to an external port and to a source of the desiccated gas to flow the desiccated gas therethrough and expose a drilling region of the dental burr to the desiccated gas to mitigate pain.

Abstract: Illuminated dental instrument assemblies (e.g., illuminated dental mirrors, illuminated dental wedges, trans-illumination dental instrument, illuminated dental bite blocks, etc.) are provided. The illuminated dental instrument assemblies may be adapted to be periodically sterilized. The illuminated dental instrument assemblies may include a magnetically energetic fiber optic coupler. The magnetically energetic fiber optic coupler may be configured to allow the illuminated dental instrument assembly to rotate with respect to an associated fiber optic cable that is removably connected to the magnetically energetic fiber optic coupler. The illuminated dental instrument assemblies may include a fiber optic material that is encapsulated.

Abstract: A multi-directional handpiece that includes a motor drive extending along and configured for rotation about a body axis, the motor drive having: a motor gearing at a proximal end of the motor drive; and a file gearing in engagement with the motor gearing for transferring the rotational and axial movement to a workpiece; and a housing for the workpiece; and wherein through rotation of the motor drive, the workpiece moves in an axial oscillating motion while being rotated.

Abstract: A vibrator for attaching composite resin to a tooth includes a housing, a vibration motor accommodated in the housing and configured to generate vibration, a micro-computer configured to control an operation and a vibration frequency of the vibration motor, a vibration tip configured to couple with one side of the housing to be exposed to an outside of the housing and to transfer the vibration to the composite resin, a vibration bushing provided at one end of the vibration tip and accommodated in the housing, and a control switch provided on one side of the housing and configured to generate a vibration motor control signal in response to a user contacting or pushing the control switch.

Abstract: Methods of manufacturing dental prosthesis/implants each to replace a non-functional natural tooth positioned in a jawbone of a specific pre-identified patient are provided. An example method includes the steps of receiving imaging data such as x-ray image data and surface scan data of a dental anatomy and/or a physical impression of the dental anatomy of a specific preidentified patient. The steps can also include forming a three-dimensional virtual model of at least portions of a non-functional natural tooth positioned in the jawbone of the specific pre-identified patient based on the imaging and surface scan data, virtually designing a dental implant based upon the virtual model, exporting the data describing the designed dental implant to a manufacturing machine, and custom manufacturing the dental implant for the specific patient.

Abstract: A method for the treatment of Class II and III malocclusions by applying curved intrusive vector forces to the dental arches. The apparatus is anchored in operational contact by a pair of sheaths that are form fit over some or all of the teeth in the upper and lower dental arches. The apparatus can be removed by the user and can be incorporated into both full and partial Class I malocclusion aligners. Most importantly, the apparatus does not require the use of braces affixed to the teeth and it has an adjustable pressure range of pushing force.

Abstract: The invention relates to a process for selectively treating parts of the surface of a porous dental zirconia article, the process comprising the steps of providing a liquid composition and a porous 3-dimensional dental zirconia article having an outer and inner surface, applying the liquid composition to only a part the outer surface and/or inner surface of the porous dental zirconia article, the liquid composition comprising a whitening agent comprising a phosphorous containing component, the phosphorous containing component comprising a phosphate, phosphone or phosphine moiety, with the proviso that at least one P—O unit of the phosphate, phosphone or phosphine moiety is dissociable or able to otherwise interact with zirconia. The invention also relates to a dental zirconia article obtainable or obtained by such a process and a kit of parts comprising a container containing a certain liquid composition.