Abstract: A soft anchor, anchor assembly, and methods of inserting soft anchors into bone are disclosed herein.

Abstract: A suturing device, in particular for suturing lacerations of the meniscus, comprises an elongated body provided with a longitudinal cavity extending along a main direction, at least a first and a second implant slidably inserted in the cavity and arranged in sequence along the main direction and a surgical thread slidably inserted in the cavity and connected to the first and second implant. Such first and second implant comprise, respectively, a first and a second wedge-shaped element arranged in sequence and extending from an enlarged portion to a tapered portion along the main direction.

Abstract: In accordance with an aspect of the present disclosure, an apparatus for suturing tissue is provided that includes a body having a proximate end and a distal end. A suturing head is coupled to the distal end of the body, including a first set of curved needles, a second set of curved needles, and a plurality of sutures. A first end of a suture is coupled to one of the curved needles of the first set. A second end of the suture is coupled to one of the curved needles of the second set. The curved needles of the first set are oppositely oriented to the curved needles of the second set. The suturing head can be positioned between two substantially parallel sections of tissue. An actuator is coupled to the body to deploy the first and second sets of curved needles.

Abstract: A system and method for securing a medical implant within a patient. The method comprises disposing an anchor element around the implant, the anchor element including a pair of tabs each including an eyelet, and a flexible intermediate portion between the tabs, wherein disposing the anchor element around the implant includes positioning the implant within the intermediate portion and folding the anchor element such that the tabs contact one another and the eyelets aligned. The anchor element is positioned at a desired implantation position with the tabs positioned proximate soft tissue of the patient. The method further comprises inserting a distal tip of a fixation element delivery tool through the eyelets and into the soft tissue, the fixation element including at least one tissue anchor and an adjustable suture arrangement coupled to the tissue anchor. The at least one tissue anchor is deployed from the delivery tool and into the soft tissue of the patient.

Abstract: In one embodiment of the present disclosure, an apparatus for securing a first object to a second object, including a deformable anchor body, a working suture connected to the anchor body, the working suture including a pre-formed knot, and a repair suture connected to the first object, wherein, with the anchor body connected to the second object and at least one of the anchor body and the working suture connected to the repair suture, the anchor body is adapted to secure within the second object and the working suture and repair suture are adapted to secure to the anchor body to secure the first object to the second object.

Abstract: A minimally invasive suturing device is disclosed. The minimally invasive suturing device has a shaft and a distal tip. The minimally invasive suturing device also has a flexible span coupling the distal tip to the shaft. The flexible span has an angling link, a plurality of bending links, and an end link.

Abstract: A prosthetic suturing device is disclosed. The prosthetic suturing device has a housing and a needle press slideably engaged with the housing. The prosthetic suturing device also has a plurality of needles coupled to the needle press. The prosthetic suturing device further has a prosthetic retainer. The prosthetic suturing device also has a ferrule platen having a plurality of ferrule holders, each corresponding to one of the plurality of needles. The prosthetic suturing device further has an actuator configured to move the needle press from a retracted position where needle tips of the plurality of needles are away from the ferrule platen to an engaged position where the needle tips of the plurality of needles are at least partially within the ferrule holders of the ferrule platen.

Abstract: An arthroscopic bone channel forming and suturing method including forming a first generally straight channel in a bone, forming a second generally straight channel in the bone, the second generally straight channel not intersecting the first generally straight channel, inserting a curved needle into the first generally straight channel, inserting a suture through the second generally straight channel in the bone to a suture pick-up location, manipulating the curved needle to form a curved junction between the first generally straight channel and the second generally straight channel; and pulling the suture by the curved needle from the suture pick-up location through the junction and though the first generally straight channel.

Abstract: A suturing device includes: a needle; and a shuttle. The needle has an elongated shape extending in a predetermined direction and is configured to hold a first thread-like member. The needle is reciprocally movable forward and backward in the predetermined direction and is rotatable about an axis extending in the predetermined direction. Rotation of the needle about the axis permitting the first thread-like member to cross the needle to form a loop in the first thread-like member. The shuttle includes a holding portion. The holding portion is configured to hold a second thread-like member. The shuttle is configured to permit the holding portion to pass through the loop.

Abstract: A device to assist in securing a holding a portion of a suture during an intra-abdominal suturing procedure, the device including an elongated tubular body, a handle, an inner member element, and a push button. The inner member element may include at least one grasping element that expands as the at least one grasping element is extended beyond a distal end of the elongated tubular. The device may include a proximal spring disposed within the push button and abutting against a proximal end of the inner member element to allow the at least one grasping element to retract into the elongated tubular body in a proximal direction.

Abstract: A method for securing a strand to a fixation member for arthroscopic fixation, wherein the fixation member includes a channel on an exterior surface and an aperture therethrough. The method includes passing a strand having first and second ends through a flexible sleeve, passing the sleeve through the aperture of the fixation member in a first direction, tensioning the strand, and pulling the sleeve in a second direction different than the first direction to secure the sleeve to the fixation member without tying the strand on the fixation member.

Abstract: An apparatus and a method are provided for a sterile staple implant kit that a surgeon may unpack and utilize during a surgery. The staple implant kit comprises a group of complementary surgery-specific instruments that are packaged in a sterile state. An instrument tray is configured to preserve the instruments in the sterile state until the staple implant kit is opened during the surgery. The instrument tray is configured to provide the surgeon with easy access to the instruments during the surgery. The staple implant kit comprises at least a staple inserter and a surgical staple suitable for being implanted in parallel holes drilled across a bone fusion or fixation site of a patient. The surgical staple preferably is loaded in a relaxed configuration into the staple inserter. A staple retention clip retains the surgical staple in the staple inserter until the staple is distracted during the surgery.

Abstract: End effectors with increased clip loading capacity include a housing having a tapered section at a distal end; first and second jaw members protruding distally from the tapered section; a surgical clip feeder arranged within the housing and configured to contain a plurality of surgical clips therein; and a feedbar longitudinally movable between the housing and the plurality of surgical clips, the feedbar having a distal portion engageable with a distal-most surgical clip of the plurality of surgical clips within the tapered section. The plurality of surgical clips is arrangeable within the surgical clip feeder at a non-zero angle with respect to a longitudinal axis of the end effector. Actuation of the feedbar engages and advances the distal-most surgical clip out of the surgical clip feeder and into interposition between the first and second jaw members.

Abstract: A suture for lifting is disclosed. The suture comprises: a medical fiber yarn; fixing parts formed at one side of the fiber yarn and fixable to the skin; and anchor parts protruding on an outer circumference of the fixing parts, wherein the anchor parts are integrally formed with the fiber yarn by a double injection.

Abstract: An object of the present invention is to provide a medical clip that enables the adjustment of a holding position or a closing angle until the very moment of closing the clip.

Abstract: A device for treating tissue includes a capsule defining a channel extending therethrough and clip arms. Each of the arms includes a proximal part releasably coupled to a distal part, a proximal portion of the distal part configured to be received within the channel of the capsule so that the arms move proximally and distally relative to the capsule between a tissue receiving configuration, in which distal ends of the arms are separated from one another, and a tissue clipping configuration, in which distal ends of the arms are moved toward one another. The proximal portion of each of the aims is configured to release from the corresponding distal part to lock the distal part of each of the aims over a portion of target tissue to be clipped while the proximal parts of the alms are removed from the body.

Abstract: Apparatus and methods for occluding hollow body structures, such as blood vessels, and for attaching tissue layers together by providing implantable elements on opposite sides of the structure or tissue layers and drawing the implants together to occlude the body structure and/or bring the tissue layers together. The implants are deliverable in a low-profile configuration and self-expand to an enlarged configuration. The implantable elements are delivered by transfixing the body structure, then releasing the implants on opposite sides of the body structure and drawing the implants together to effect an occlusion or attachment. The implants are configured to apply oppositely directed forces to opposite surfaces of the tissue layers at alternate, circumferentially spaced locations and may constrain the tissue in a serpentine pattern or in a direct clamping pattern. The implants grip the tissue in a manner that defines a pressure zone about the transfixion aperture that prevents leakage from the aperture.

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: An external LAA exclusion clip comprises a clipping assembly comprising first and second opposing clip struts each of the clip struts having a tissue-contacting surface and first and second bias surfaces, a bias assembly connecting the first clip strut to the second clip strut to align the first and second clip struts in a strut plane passing through the tissue-contacting surface. The bias assembly comprises at least one first bias spring connected to the first bias surface of the first clip strut and to the first bias surface of the second clip strut and at least one second bias spring connected to the second bias surface of the first clip strut and the second bias surface of the second clip strut. The first bias spring and the second bias spring are configured to permit movement of the first and second clip struts in the strut plane.

Abstract: An endoscopic surgical apparatus is configured to be loaded with a replaceable cartridge. The cartridge is loaded with a single-file line-up of a series of endoscopic clips. The endoscopic surgical apparatus is furthermore configured to apply (ie., dispense) each clip serially in the line-up, one clip at a time, wherever and whenever the user (eg., surgeon) chooses.

Abstract: An occlusive implant for bifurcation aneurysms (A), with the implant (1) being in an expanded state in which it is implanted in the blood vessel and in a contracted state in which it is movable through the blood vessel, with the implant (1) having a proximal fixing section (3) by means of which the implant (1) can be secured to the wall of a blood vessel, a distal section (5) where the implant (1) in expanded state is radially widened relative to the fixing section (3) and which is intended for placement in or in front of the aneurysm (A), and having a transition section (4) located between the fixing section (3) and the distal section (5), wherein fixing section (3) is attached to an delivery wire (2) in a detachable manner and wherein the transition section (4) has a second detachment point (7) which enables the distal section (5) to be detached.

Abstract: Disclosed herein are improved methods and apparatuses for providing hemostasis within a cavity defined by an internal surface of a bleeding tissue space. A catheter comprising a proximal end and a distal end may be advanced into the cavity through a proximal opening of the tissue space into the cavity. A distal balloon coupled to the catheter may be positioned adjacent a distal opening of the tissue space, and expanded to seal the distal opening. A hemostatic agent may be applied from the catheter to the internal surface of the tissue space to inhibit bleeding of the tissue space. The hemostatic agent may be applied without occluding the proximal opening, the distal opening, and a path extending therebetween with the hemostatic agent.

Abstract: An occlusion device formed of a microcoil having a three-dimensional relaxed state employing open looped portions interposed between closed loop portions. Planes defined by sequentially formed open looped and closed loop portions are neither coincident nor parallel to one another.

Abstract: A method of making a vascular occlusion device may include cutting a tubular member to form an expandable frame including a first hub integrally formed with the expandable frame adjacent a first end of the expandable frame, and a plurality of longitudinally-oriented struts extending in a direction opposite the first end; heat-setting the expandable frame to define an expanded configuration of the expandable frame; sliding a constrainment member over the plurality of longitudinally-oriented struts, the constrainment member being formed using additive manufacturing technology; fixedly securing the constrainment member to the plurality of longitudinally-oriented struts to define a second hub of the expandable frame; and cutting the plurality of longitudinally-oriented struts adjacent the constrainment member and opposite the first end relative to the constrainment member.

Abstract: An embodiment includes a system comprising: a catheter; an optic fiber having a long axis and a short axis that is orthogonal to the long axis; first and second radiopaque elements coupled to the optic fiber; a first wire coupled to the optic fiber and extending from the first radiopaque element to the second radiopaque element; a fluid; wherein (a)(i) the first wire wraps at least partially around an exterior surface of the optic fiber; (a)(ii) an outer diameter of the first wire and an outer diameter of the optic fiber are collectively less than an inner diameter of the catheter, and (a)(iii) the first wire is configured to center the optic fiber within the catheter within a plane orthogonal to the long axis.

Abstract: An improved type of tourniquet is disclosed herein. This tourniquet includes an elongated elastomeric body that includes first and second distal ends. The body is provided with a row of holes, where each hole is spaced a determined distance from one another. A first subset of at least three holes are located proximately to the first distal end and a second subset of at least three holes are located proximately to the second distal end. The tourniquet also includes a buckle that is affixed to or otherwise secured near the first distal end. Additionally, the tourniquet includes a set of one or more protruding spikes that are affixed to the elongated elastomeric body and that are positioned proximately to the buckle.

Abstract: A cutting system including a surgical saw and a blade assembly is described. The blade assembly may comprising a blade bar, a blade head, and a tag. The tag may comprise a memory containing data related to one or more characteristics of the blade assembly. The surgical saw may comprise a saw processor for receiving data from the tag of the blade assembly and be configured to regulate the operation of the saw based on the one or more characteristics of the blade assembly. The one or more characteristic of the blade assembly comprises may comprise a blade assembly length, a blade geometry, and a blade teeth geometry. A method of navigating a surgical saw is also described. The method may comprise attaching a blade to the saw, touching a pointer to reference points on the blade, and determining the position and orientation of a distal end of the blade.

Abstract: An instrument for setting a position of a resection of a distal femur or a proximal tibia in a total knee arthroplasty, the instrument comprising: a stable portion, the stable portion configured for orientation in a set position relative to said distal femur or said proximal tibia; a resection guide portion, the resection guide portion configured to guide a resection path for said resection; a resection guide body, the resection guide body associated with the resection guide portion in a fixed orientation; the resection guide body pivotally connected to the stable portion, whereby pivoting adjustment of the resection guide body on the stable portion sets a resection orientation of the resection guide portion; and the resection guide body having a lock for selectively locking the resection guide body to the stable portion at a plurality of selectable resection orientations.

Abstract: A surgical device incorporating a powered rotary cutting tool having a protective distal foot plate which protects against injuring non-target tissue enabling the rapid and safe removal of specifically-targeted bone, cartilage, and soft tissue.

Abstract: Improved instruments for modifying a shape of a proximal femur of a patient for installation of a stem of a femoral component of a prosthetic hip during hip replacement surgery, comprising a handle including an elongated shaft extending downward approximately in a z-direction, a first offset extending from a bottom of the elongated shaft approximately in a y-direction, a second offset extending from the second offset approximately in an x-direction, and a shaping member elongated downward from the second offset approximately in the z-direction. Provided is an improved femoral broach and an improved osteotome. Also provided is a method of improving a patient's positioning during hip replacement surgery by using a variable configuration mattress for positioning the patient.

Abstract: The invention relates to devices and methods for creating a curvilinear cavity within a vertebral body or other body structure. An example method of forming a void in bony structure includes accessing a bony structure with a cannula, inserting a distal end of a combined drill and reaming device through the cannula and into the bony structure, manipulating the distal end of the combined drill and reaming device to create a void in the bony structure, and removing the distal end of the combined drill and reaming device from the cannula.

Abstract: This surgical bone preparation instrument (1) comprises a main body (5) terminated by a contacting surface (50) adapted to abut on a bone (B), and a sliding body (7) equipped with a cutting element (3) and which is movable in translation with respect to the main body (5). The bone preparation instrument (1) includes a cutting depth control ring (11) that is adjustable by a single hand, which forms an abutment surface (110) against the movement of one of the main body (5) and the sliding body (7) when the sliding body (7) reaches an adjusted cutting depth (D) corresponding to an adjustment position of the control ring (11).

Abstract: A drill guide assembly for accurate and stable drilling of a bone tunnel. The drill guide assembly includes a guide body having first and second ends, and a slot extending from the first end toward the second end. The drill guide assembly also includes a curved guide arm having a first arm connected at an angle to a second arm. The first arm terminates in a distal tip. The second arm has first and second sides, and is slidable within the slot of the guide body. The second arm also includes detents along its second side. A locking mechanism is attached at the first end of the guide body and in a first position, and the locking mechanism is engaged with one of the detents. The drill guide assembly also includes a clamp mechanism attached at the second end of the guide body and a guide sleeve removably extending therethrough.

Abstract: A guide for drilling a tunnel in a knee joint having intercondylar roof and tibial eminence. The guide can comprise a guide assembly having a positioning member including an inferior end, and a guide arm extending from the positioning member including a trochlear tip; and a drill sleeve having a body attached to the inferior end, an aperture extending along a drilling axis, and a distal end having a patient-specific surface configured to engage an anterior surface of the tibia. A method of producing a tibial tunnel can comprise inserting a trochlear tip of a guide arm between the tibial eminence and the intercondylar roof, adjusting a position of a positioning member connected to the guide arm, engaging a patient-specific tip of a drill sleeve connected to the positioning member with a surface of a tibia, and inserting a drill bit through the drill sleeve to drill a tibial tunnel.

Abstract: A reperfusion device for an occluded vessel. The device includes a framework of struts that form a porous body comprising a collapsed delivery configuration capable of being stored in a microcatheter and an expanded deployed configuration when delivered to an occlusion and distal of the microcatheter. The framework of struts is constructed from a material visible under fluoroscopy and capable of recovering its shape in the expanded deployed configuration once released from the collapsed delivery configuration in the microcatheter.

Abstract: Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment/valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment/valve member to facilitate withdrawing the interventional device through the attachment/valve member without significant retention of clot material within the attachment/valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.

Abstract: A medical treatment tool includes an elongated insertion section; a grasper supported by a distal end of the insertion section so as to be openable and closable; a generator disposed at a proximal end of the insertion section and generating a force to drive the grasper; a transmitter transmitting the force generated by the generator to the distal end of the insertion section; an amplifier amplifying the force transmitted through the transmitter; and a toggle amplifying and converting the force amplified by the amplifier into a force directed to open or close the grasper.

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 surgical treatment instrument includes a holdable housing, a shaft, an end effector configured to perform a bending movement with respect to the shaft, a rotor configured to rotate about a rotation axis in response to an operation input performed through an operation member, and a transmission member configured to transmit a driving force for causing the end effector to perform the bending movement to the end effector. The operation member and the transmission member are configured to rotate together with the shaft and the end effector in response to the operation input, and the rotor is configured to not rotate together with the shaft and the end effector when the operation input is performed.

Abstract: The present disclosure relates to a dissecting tip for use in a surgical stapler or instrument.

Abstract: Disclosed herein is a medical device. The medical device includes two coaxially aligned solenoids and a cannulated armature configured to be received within the two coaxially aligned solenoids.

Abstract: A debrider that includes an outer member, an inner member located inside of the outer member, and an irrigation supply channel configured to supply irrigation fluid to a distal portion of an aspiration channel defined inside the inner member. The irrigation supply channel is located outside of the outer member.

Abstract: A laparoscopic instrument is placed into the abdomen without the creation of a skin incision. The laparoscopic instrument includes a shaft that does not exceed 1.6 mm in diameter. The shaft has a beveled end and is inserted into an abdomen similar to the placement of a needle, without use of a scalpel. Operating instruments are introduced into the abdomen through the umbilical port using a docking device, and are then docked to the beveled end of the shaft after the shaft is introduced through the abdomen. Multiple types of operating instruments can be placed on the beveled end of the shaft during the surgical procedure. Each operating instrument is docked with a holster during introduction into and withdrawal from the umbilical port and is removed from the holster only when in use. When removed from the holster it is locked to the shaft and cannot be dropped.

Abstract: A compact ultrasonic transducer for an ultrasonic surgical instrument includes a proximal casing defining a hollow interior and a piezoelectric rod array including a plurality of piezoelectric rods radially spaced-apart from one another and arranged in a longitudinally-oriented direction. The piezoelectric rod array is disposed within the hollow interior. The compact ultrasonic transducer further includes a distal horn including a distal connector configured to engage a waveguide. The distal horn is configured to engage the proximal casing to enclose the piezoelectric rod array within the hollow interior. An ultrasonic surgical instrument including the compact ultrasonic transducer is also provided.

Abstract: A medical treatment apparatus includes: a pair of holding members, each including a grasping surface configured to grasp a joining target site in living tissue; an energy application mechanism that is provided in at least one of the pair of holding members, the energy application mechanism being configured to apply joining energy and vibration energy to the joining target site through the grasping surface; and a control device configured to sense whether joining at the joining target site is completed by application of the joining energy to the joining target site, and control the energy application mechanism after the joining at the joining target site is completed to apply the vibration energy to the joining target site.

Abstract: An ultrasound transducer includes: a drive unit including a piezoelectric device; a proximal end block; and a distal end block. The distal end block includes a first portion, a supported portion, a second portion, and a third portion. The distal end block is configured such that a position of a boundary between the second portion and the third portion corresponds to or substantially corresponds to an antinode of the ultrasonic vibration while the piezoelectric device generates the ultrasonic vibration, and the ultrasonic vibration is being propagated to the proximal end block, the first portion, the second portion, and the third portion. A resonance frequency of the ultrasonic vibration differs according to a position of the boundary between the second portion and the third portion under a condition that a distance from the supported portion to a distal end of the third portion along the longitudinal axis is constant.

Abstract: An ultrasonic horn for an ultrasonic transducer assembly of an ultrasonic surgical instrument includes a body and a nose. The body defines a tubular configuration having a hollow interior and a plurality of slots therethrough extending into the hollow interior. The nose extends distally from the body. The body defines a proximal connector configured to enable the body to be secured to a piezoelectric stack and the nose defines a distal connector configured to enable the nose to be engaged with a waveguide for transmission of ultrasonic energy produced by the piezoelectric stack to the waveguide.

Abstract: An ultrasonic transducer for an ultrasonic surgical instrument includes a proximal hub, a piezoelectric rod array including a plurality of piezoelectric rods spaced-apart from one another and disposed in parallel and longitudinally-extending orientation relative to one another, and a distal horn including a distal connector configured to engage a waveguide. The proximal hub and the distal horn are configured to engage one another to retain the piezoelectric rod array therebetween under compression.

Abstract: A biopsy guide for use in guiding a needle in a transperineal prostate biopsy procedure. The biopsy guide may include a guide member and a displacement member. The guide member may operably couple with the transrectal probe and include a guide body including a distal end, a proximal end, a length, a first guide member extending the length, and a second guide member extending the length, wherein a portion of the first and second guide members overhangs the transrectal probe when coupled thereto. The displacement member may be supported by the guide member and may include a central vertically extending member having a plurality of needle receiving ports therein, and a planar member coupled to the central vertically extending member and having a planar bottom surface that is configured to slide on the first and second planar top surfaces of the first and second guide members, respectively.

Abstract: A method of performing a transperineal biopsy procedure including sliding a displacement member of a biopsy guide relative to a guide member of the biopsy guide such that the displacement member is proximate the perineal access site of the patient. The guide member may be secured to the ultrasound probe, and the guide member may include a pair of guide rails each having a planar top surface. The displacement member may include a platform having a planar bottom surface and at least one needle receiving port for guiding a needle, wherein the planar bottom surface of the platform opposes the planar top surfaces of the pair of guide rails during the sliding of the displacement member relative to the guide member. The method may further include inserting a needle into the perineal access site of the patient.