Abstract: A surgical stapling instrument comprising an elongate shaft assembly that defines a shaft axis and includes a surgical end effector that is operably coupled thereto by an articulation joint. The surgical instrument includes a longitudinally movable flexible firing beam that is configured to flexibly traverse the articulation joint and be selectively axially movable from a starting position to an ending position. A middle support member is movably coupled to the elongate shaft assembly and a portion of the surgical end effector. A proximal support link is located proximal to the middle support member and is configured to provide lateral support to a proximal portion of the flexible firing beam traversing the articulation joint. A distal support link is located distal to the middle support member and is configured to provide lateral support to a distal portion of the flexible support beam traversing the articulation joint.

Abstract: A loading unit (100) including a shipping member (200) is provided. The shipping member (200) is receivable on a distal end of the loading unit (100) in a first orientation to prevent movement of a pusher assembly (130) from a first to a second position and in a second orientation to effect separation of the loading unit (100) from a surgical stapling device (10).

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

Abstract: An exemplary occlusion device is disclosed. In various embodiments, the exemplary occlusion device includes a cap chamber and a bulb chamber for occluding a left atrial appendage (LAA). In particular embodiments, after delivery to the LAA, the cap chamber and the bulb chamber are each inflated via various amounts of fluid(s) to occlude the LAA.

Abstract: A device and methods for treating an aneurysm includes a catheter capable of insertion into a body to be positioned adjacent the aneurysm, the catheter including a distal end and an operator end opposite the distal end. The catheter forms a circular pathway extending between the distal end and the operator end. A partitioner extends through the pathway of the catheter, the partitioner being rotatable within the catheter and including one or more lumens that provide an orifice from a first end of the partitioner to a second end of the partitioner. The device further includes a first coil extending through the partitioner from the first end to the second end in a first lumen and a second coil extending through the partitioner from the first end to the second end in a second lumen. The first and second lumens may be fully circumscribed by the partitioner and have first and second diameters, respectively.

Abstract: Embolic coil implant systems and methods whereby coils are mechanically detachable are disclosed. The coils include a retention element that may be releasably retained within the distal end of an implant tool. The implant tool may include a fulcrum configured to engage a first filament and prevent the release of the coil when the first filament is engaged. Alternatively, an urging means and aperture may be disposed within the sidewall of the implant tool, and a first filament may, in conjunction with the aperture and sidewall, releasably retain the coil until the first filament is withdrawn. The implant tool may also include an alignment member for aligning the first filament.

Abstract: A device 10 for gathering tissue in a patient includes an elongated catheter 14 and a capture assembly 13 at a distal portion of the catheter. The capture assembly has a closed side 18 and a door 20 rotatable between an open condition and a closed condition. The closed side 18 of the capture assembly 13 and the door 20 in the closed condition may collectively define a tissue capturing compartment 19. Movement of the door 20 from the open condition to the closed condition adjacent the tissue may capture a portion 44 of the tissue in the tissue capturing compartment 19. A clip may then be applied from the capture assembly 13 to the captured tissue 44 to hold the tissue substantially in a gathered configuration.

Abstract: An apparatus and method for connecting two tubular vessels together in a side-by-side or tangential manner is disclosed. The apparatus has an annulus and at least one series of fingers connected to and extending away from the annulus. Each finger is preferably heat-formed into an arcuate shape. In use, a deployment apparatus is used to constrain the fingers of the apparatus to be in a relatively planar configuration. The deployment apparatus containing the apparatus is placed between and in contact with the two tubular vessels so that one tubular vessel is above the device and one tubular vessel is below the device and so that the fingers of the device come into contact with the tissue of the vessels. As the fingers penetrate the vessels the constraint on the fingers is removed so that the fingers can assume their unbiased, heat-formed arcuate shape. In this way, the fingers penetrate and grasp the tissue of the vessels so that the apparatus grasps the vessels and pulls the vessels toward each other.

Abstract: Tools and methods are used for aligned total knee arthroplasty (TKA) of anatomically or kinematically aligned knee. A block tool system references a distal femoral cut to provide a guide for the tibial cut. The block tool system can be used with the leg in full extension or in flexion. The block tools system includes a femur positioning block, an alignment arm coupled to the femur block, a femural cutting block, a tibial positioning block and a tibial cutting block.

Abstract: A cutting head for use with an intramedullary reamer is described. The reamer cutting head is of a unitary body construction that comprises a conically-shaped body having a bone cutting portion spaced from a barrel portion for attachment to a drive shaft. The bone cutting portion comprises a plurality of blades having a tissue cutting edge that outwardly extends from the cylindrical body. The plurality of blades is positioned about the cutting head in a spaced apart manner. The various plurality of blades are arranged at prescribed angular relationship that increases cutting efficiency and debris removal, thereby reducing reactive torque, axial loading, and head pressure during a surgical procedure.

Abstract: A surface digitizing tool has a film of micro-sensor elements, with each micro-sensor element related in a network affected by a shape of the film. The film is flexible to conform to a shape of a selected surface of an object. A processing unit receives signals from the micro-sensor elements of the network. The processing unit has a model generator producing a model of the selected surface of the object from the signals of the network of resistive elements. A positioning frame aligns a position and orientation of a drilling tool with respect to a bone element.

Abstract: A surgical instrument is provided. The surgical instrument includes a housing. A movable handle is coupled to the housing and is configured to approximate a pair of jaw members toward and away from one another. A latch mechanism operably couples to the movable handle and includes one or more mechanical interfaces configured to selectively engage a corresponding mechanical interface disposed within the housing to lock and unlock the jaw members in an approximated configuration. When the movable handle is in a jammed position, the mechanical interface(s) of the latch mechanism is/are configured to deform and separate from the corresponding mechanical interface disposed within the housing when the movable handle is moved from the jammed position.

Abstract: An ultrasonic surgical instrument comprises a cylindrical shaft and a blade at a distal or free end of the shaft, the blade being unitary and continuous with the shaft, without an intervening joint. The shaft has a longitudinal axis and the blade includes a flat or planar blade body with a proximal end eccentrically disposed relative to the shaft axis. Thus, the blade body or at least a proximal end portion thereof is disposed eccentrically relative to the shaft. The blade in its entirely may be inclined relative to the shaft axis or extend parallel thereto.

Abstract: A surgical apparatus includes a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and a restricting member. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section is operable to flex to thereby deflect the end effector from a longitudinal axis defined by the shaft. The restricting member is operable to restrict lateral deflection of the end effector. The restricting member is further operable to cooperate with a translating member to rigidize the articulation section when the end effector is aligned with the longitudinal axis. Such rigidization includes removing any “play” or other small movement that might otherwise be provided by the articulation section due to manufacturing tolerances and/or looseness between parts.

Abstract: A system and method for removing a tissue specimen or organ from the body of patient is disclosed. The system includes a bag and an excising instrument. The tissue specimen or organ is located in the bag, which is located in the patient's body. The instrument comprises a guide and a cutter. The guide is configured for introduction into the bag. The cutter is rotatable within the guide and includes a central passageway and an annular cutting blade. The cutting blade is brought into engagement with a peripherally located portion of the tissue specimen and rotated to produce a tangentially cut peripheral portion while a pulling force is applied to the tissue specimen through the central passageway. The pulling force rotates the tissue specimen within the bag to effect the production of the tangentially cut peripheral portion and to move the tangentially cut peripheral portion out of the patient's body. Gas pressure may be applied to inflate the bag to facilitate placement of the excising instrument.

Abstract: A rotational atherectomy device including a drive shaft rotatably extending through an outer tubular member to rotate a cutting member positioned at a distal end thereof. The rotational atherectomy device further includes an elongate penetrator extendable distal of the cutting member a predetermined maximum distance and configured to stabilize the cutting member as the cutting member engages an occlusion to control the trajectory and advancement of the cutting member through the occlusion.

Abstract: A rotational atherectomy device advanceable over a guidewire. The rotational atherectomy device includes a drive shaft rotatably extending through an outer tubular member to rotate a cutting member positioned at a distal end thereof. The rotational atherectomy device further includes an insert positioned within the cutting member for frictional contact with the guidewire.

Abstract: A rotatable cutter for a tissue-removing catheter includes a central hub, flutes spaced apart from one another around the circumference of the central hub, and arcuate cutting members. Each cutting member includes an arcuate cutting edge extending along an arc length of the cutting member for cutting tissue as the cutter is rotated. A raised element of each cutting member has a leading cutting edge at a leading end of the distal cutting member for cutting tissue as the cutter is rotated. A clearance portion of each cutting member is recessed, relative to the longitudinal axis of the cutter, from the raised element and extends from the raised element to a trailing end of the cutting member to provide clearance for the leading cutting edge of an adjacent and opposing distal cutting member.

Abstract: [Object] To provide a catheter having a simple structure capable of excising an atheroma in a blood vessel and capable of obtaining ultrasonic images of a blood vessel. [Solution] A catheter 10 has a shaft 11 having an opening 20 in a part of the side wall on the distal end side, a cutter 12 which is located in the vicinity of the opening 20 in the internal space of the shaft 11 and which can move in the axial direction 101 of the shaft 11, a balloon 23 which is disposed on the side opposite to the opening 20 with respect to the axis of the shaft 11 and which outwardly expands from the side wall of the shaft 11, and a phased array ultrasound probe 17 disposed along the circumferential direction 102 of the outer peripheral surface of the side wall in the vicinity of the opening 20 at least on the same side as the side where the opening 20 is provided with respect to the axis of the shaft 11.

Abstract: Embodiments disclosed herein generally relate to an access sheath and access systems. In some embodiments, the access sheath may be non-adjustable access sheath or an adjustable access sheath. For example, a length of the adjustable access sheath may be modified or customized (e.g., before insertion thereof in a patient) to a suitable length for a particular patient. In some embodiments, the access sheath and/or dilator may have a substantially fixed or predetermined length.

Abstract: A seal comprises a first sealing member and a second sealing member. The sealing members each have an accessway to facilitate access from one side of the sealing member to the other side of the sealing member. The accessways are offset to facilitate sealed access of an object through the sealing members.

Abstract: An access device for surgical procedures includes a multiport end cap including a plurality of separate access ports for accommodating introduction of individual surgical instruments into the body of a patient. The access ports extend in a proximal direction. The end cap includes a distally extending seal ring. A bottom body has a distally extending tubular body with an access channel defined therethrough for accommodating surgical instruments from the access ports into the body of a patient. The bottom body includes a plurality of circumferentially spaced apart teeth, wherein the seal ring of the end cap is received inside and seals against a proximal rim of the bottom body. The end cap includes at least one flexible tab with distal teeth thereon configured to engage and disengage the teeth of the bottom body to selectively permit or prevent relative axial rotation of the multiport end cap.

Abstract: A medical applicator and a manipulation unit for use in connection with specific variants of the medical applicator are disclosed. In general, the medical applicator has an insertion needle (108; 308) configured for puncturing a part of a human or animal body (B), a sensor assembly (110; 310) configured to be at least partially inserted into a human or animal body (B) when the body is punctured by said insertion needle (108; 308) and a lifting means (102; 301, 302) for lifting up a surface adjacent portion of the human or animal body (B) towards the insertion needle (108; 308).

Abstract: The present invention relates to a fully integrated sterilizable one time use disposable tissue visualization device and methods for using such devices. Preferred embodiments of the invention facilitate the visualization of an internal tissue site while causing a minimum of damage to the surrounding tissue. Further preferred embodiments may allow for the delivery of fluids and other treatment to an internal tissue site.

Abstract: A handheld device provides personal assistance for hygiene of the foot, toes, and toenails for persons unable to bend sufficiently at the waist to reach their feet. The handheld device includes a handle slat and a toe slat. The slats can rotate relative to each other using a hinge pin to extend to a length sufficient for a person to accomplish personal hygiene to the foot, toes, and toenails. The handle slat includes a handle to grasp the device. The toe slat includes an operating end having a thinner flat end to fit between toes and one or more corner balls to reach the interstitial space between and under the web connection of adjacent toes. A gauze applicator sock or tube covers the operating end to be used to perform actions for personal hygiene to the foot, toes, or toenails.

Abstract: Disclosed herein are systems and methods for manipulating the orientation of a plurality of bone fragments with respect to one another. A bone transport frame including first and second rings, a plurality of elongate struts, and a plurality of ring transport assemblies for orienting a first bone segment with respect to a second bone segment is disclosed. A third ring may be included in the bone transport frame for orienting a third bone segment with respect to the first and second bone segments. Manipulation of an adjustable member of the bone transport frame can transport a ring in either a proximal or distal direction with respect to other rings of the frame. Manipulation of another adjustable member of the bone transport frame can translate a central axis of one of the rings either toward or away from the central axes of the plurality of elongate struts.

Abstract: Provided are orthopedic wires and pins with a cold forged tip for use with External Bone Fixation (EBF) devices. Orthopedic wires includes a length of wire or bar stock and a cutting tip on an end of the length of the wire or bar stock, the cutting tip comprising a cold forged section, wherein a width of the cold forged section conforms to a diameter of the wire or bar stock; and a first plurality of cutting edges in the cold forged section. Also provided are techniques for the manufacture of orthopedic wires and pins.

Abstract: The present invention relates to a bone fixation device (1) for securing attachment between a screw and a vertebra comprising two pedicles, comprising a hollow cavity having a longitudinal axis, a distal part (2) having itself a distal end and (7) a proximal end (8), a proximal part (3) having itself a distal end (9) and a proximal end (10) and a flange at the proximal end (10), characterized in that: —the distal part (2) comprises a deformable area (2D) comprising at least three helical slots (6); and—the distal part (2) comprises a full portion (5) located distally after said at least three helical slots (6); further characterized in that said full portion (5) cooperates with the screw such that once the screw abuts against the flange (4) of the bone fixation device (1), further screwing causes the deformation of the deformable area (2D) of the distal part (2) and the retraction of the distal end of the distal part (7) towards the proximal end of the distal part (8); and in that after screwing, the borders

Abstract: A distraction system includes a distraction rod having one end configured for affixation to at a first location on patient. The system further includes an adjustable portion configured for placement in the patient at a second location, the adjustable portion comprising a housing containing a magnetic assembly comprising a magnet, the magnetic assembly secured to a threaded element that interfaces with an opposing end of the distraction rod. The system includes a magnetically permeable member in proximity to the magnetic assembly and covering an arc of less than 360° of the adjustable portion.

Abstract: A bone fixation assembly includes a plurality of bone fixation elements that each include a bone anchor configured to be implanted into underlying bone, such as a vertebra. Each bone anchor is received in an anchor seat, and the anchor seats are joined by a fixation rod so as to operatively couple and fix the position and orientation of the vertebrae relative to each other. The bone anchor is free to rotate relative to the anchor seat, and is also free to pivot in a desired direction relative to the anchor seat.

Abstract: A device, kit and method for the correction of spinal deformity using an anterior approach. The device comprises a screw-head platform (102), wherein the screw-head platform (102) comprises a primary recess (112) for receiving a primary rod (114), and a main vertebral body screw (104) rotatably connected to the screw-head platform (102).

Abstract: A cervical minimal access fusion system is presented. The system has a plate with a longitudinal axis and defining at least two bone screw bores therethrough and an inter-vertebral cage configured to be positioned between two adjacent cervical vertebrae. A method for a cervical minimal access fusion system is also presented. In one aspect, the method comprises the steps of accessing the facet joints of two adjacent cervical vertebrae, distracting the joints so as to increase the space between the two adjacent cervical vertebrae, placing an implant or structural bone graft in the space between the two adjacent cervical vertebrae to maintain the distraction, and compressing the two lateral masses to induce lordosis around the facet joint.

Abstract: The invention refers to a device 1 for supporting a spinal column in the region of the transverse or spinous processions of two adjacent vertebrae and/or for spreading two adjacent ribs, comprising at least a first body 2 and a second body 3, each body having a receptacle 4 for a transverse or spinous process of a vertebra or for a rib; and a rotational joint 12 between the first body 2 and the second body 3, such that the first body 2 and the second body 3 are rotatable relative to one another about a common axis of rotation X, wherein the distance between the receptacles of the first body 2 and the second body 3 can be adjusted by means of the rotational movement of the first body 2 relative to the second body 3, which is characterized in that the receptacles 4 of the first body 2 and the second body 3 are designed such that the transverse or spinous processes of adjacent vertebrae or adjacent ribs can be received therein at least in a rotational angle of 0° to 180°, preferably 0° to 270°, of the first body

Abstract: A rod reducer including a housing, a plurality of arm members, an anvil, a shaft, a sleeve, and a plurality of locking feet. The shaft and locking feet are coupled to the anvil. The housing is slidably disposed within a cavity of the sleeve and defines an opening to receive the shaft. The locking feet are additionally coupled to the sleeve and are pivotable between an engaged configuration with the sleeve in a distal position with respect to the anvil and a released configuration with the sleeve in a proximal position. In the engaged configuration an engagement surface of the locking feet couple to an outer housing of a dual layered housing of a bone screw such that proximal translation of the shaft drives the outer housing proximally with respect to an inner housing of the bone screw into a partially locked or locked configuration.

Abstract: A fixing device is for a surgical anchor member. The fixing device may include a control component joined to a connecting portion, which is in turn connected to a shaft provided at one end with coupling units for connecting the fixing device to a fastening element suitable to couple with a respective fastening seat of a surgical anchor element. The fixing device may include a centering component for the coupling of the fastening member with the respective fastening seat of the surgical anchor member.

Abstract: Devices, methods and systems for remedying or preventing fractures of the bone are disclosed. The devices, and corresponding methods and systems, may include first and second members each having a proximal end, a distal end and a middle portion and an outer surface. The first member may be configured to be positioned at least partially within the femoral neck of the femur. The second member may be configured to be oriented at an oblique angle relative to the first member and mechanically engaged with the first member through an interlocking connection between the distal end of the second member and the middle portion or the distal end of the first member.

Abstract: Disclosed herein is an apparatus for fixing a cervical spine. The apparatus for fixing a cervical spine includes a plate in which a plurality of screw insertion holes is formed, bone screws inserted into the screw insertion holes and screwed onto a bone fragment through rotation, and a locking part rotatably coupled to the plate to open or close a top of the screw insertion hole. A stepped part of a specific depth is formed on top of the plate. The stepped part includes a rotation area in which the locking part is capable of rotating. A locking part insertion hole is formed in the rotation area so that the locking part is inserted into locking part insertion hole.

Abstract: A variable angle locking implant includes a bone plate having a lower surface, an upper surface, and at least one opening extending from the lower surface to the upper surface along an axis. The opening has a plurality of fins oriented along a plane. The axis is non-perpendicular to a tangent of a projection of the lower surface across the opening, the tangent defined at the intersection between the axis and the projected lower surface, and/or the plane is non-parallel to the tangent. The implant includes at least one fastener, and the plurality of fins are deflectable relative to a head portion of the fastener such that the fastener can be inserted and retained at any one of a plurality of angles.

Abstract: The present invention provides a sternal closure and ribs approximator device, the device comprising: a substantially C-shaped shaft/bracket, said bracket comprising: a linear shaft and a pair of curvilinear arms at either ends of the shaft, respectively; and a pair of claw shaped clamping elements, each claw shaped clamping element coupling with an arm of the C-shaped shaft/bracket, near its end portion, said claw shaped clamping element being positioned such that the concavity of the claw faces the inner area determined by the arms of the C-shaped clamping shaft/bracket, the coupling being provided by means of a fastening mechanism such that angular displacement of the claw shaped clamping element about the pivoted fastening mechanism is provisioned, said claw shaped clamping elements adapted to be angularly displaced towards each other or away from each other.

Abstract: A fastening device having a bellows-like or accordion-like structure made of a material that changes shape when activated by a catalyst, and having pleated or foldable zigzag elements that contract from an extended state to a contracted state upon activation. These elements are formed from zig and zag segments of various shapes. The shape changing material may be a shape memory metal alloy, shape memory polymer or elastic memory composite. A method of using this fastener provides apposition and compression of abutment surfaces to join together two pieces of material, and is suitable for joining apposing bone surfaces together to heal fractures via the use of orthopedic hardware.

Abstract: An exemplary bone screw includes a proximal section including a first outer thread, a center section including a second outer thread, an unthreaded distal section on an opposite side of the center section from the proximal section, a channel extending from the proximal section to a distal opening of the unthreaded distal section, and at least one side opening extending from the channel to an outer surface of the unthreaded distal section. In some embodiments, the at least one side opening includes a cutting edge configured to cut a material as the bone screw is rotated in a direction for removing the bone screw. In other embodiments, the side opening is formed in at least one of the center section and the unthreaded distal section and includes a diameter that increases in a direction from the channel toward an outer surface of the center section or the unthread distal section. The exemplary bone screws may be used to treat bone fractures with or without a bone plate.

Abstract: A bone graft delivery system can include an elongate tube, a handle having a trigger, and a tip. The trigger is actuated to deliver bone graft material through the tube. The tip has one or more openings to deliver the bone graft material to a desired location and includes a surface suitable to act as a rasp for decorticating bone. A method for delivering bone graft material to a desired surgical location includes providing a bone graft delivery device, positioning the device adjacent the surgical location, decorticating bone, and delivering bone graft material to the surgical location.

Abstract: Methods and apparatus for treating bones, including, in one or more embodiments, methods and apparatus for treatment of vertebral fractures that include a containment assembly for cement containment and/or a balloon assembly for maintaining vertebral height. A containment assembly comprising a containment jacket adapted to be deployed inside bone; and a dividing wall that separates the interior of the containment jacket into a proximal region and a distal region, the dividing wall having an opening for providing access to the distal region from the proximal region.

Abstract: An inflatable bone tamp for performing a minimally invasive surgical procedure includes a shaft having a primary region and a reduced diameter region, and an inflatable structure surrounding at least a portion of the reduced diameter region. The reduced diameter region of the shaft allows the deflated size of the inflatable structure to be minimized, while at the same time eliminating the need for the conventional dual lumen balloon catheter construction.

Abstract: A forming apparatus and method for forming a workpiece used a medical procedure is provided. A controllable bending machine for bending the workpiece is provided. A template is manually formable. The template has a shape sensor so as to sense a shape of the template. A controller receives template shape data from the shape sensor and operates the bending machine in accordance with the template shape data. The bending of the workpiece includes a spring back compensating operation which performs a first bending operation on the workpiece in accordance with the template shape data, acquires workpiece shape data from one of the shape sensor re-disposed associated with the workpiece, or another shape sensor associated with the workpiece, and performs a second bending operation compensating for spring back. A method employs the template for workpiece measurements and the forming apparatus using the measurements for forming the workpiece.

Abstract: A device for implanting heat deformable fixation elements of different sizes in a bone, comprises a hand piece extending from a proximal end to a distal end and including an internal optical waveguide connected to a laser source and open to the distal end of the hand piece and a light guiding tip extending from a proximal end to a distal end, the proximal end of the light guiding tip being removably mechanically and optically connectable to the distal end of the hand piece and the distal end of the light guiding tip being configured to permit removable attachment of a bone fixation element, the light guiding tip including an optical waveguide, wherein the light guiding tip is configured to control a total radiant energy Q transmitted from the laser source to the bone fixation element.

Abstract: A process and system for performing orthopedic surgery with the use of computer systems and robotic assistance to remove bone, bone cement, and a bone prosthesis, typically a bone prosthesis used in hip replacement surgery, knee replacement surgery, and the like. The process for replacing one or more bone prostheses using a robotic system includes receiving image data comprising an image of each bone, including at least one prosthesis implanted within each bone; creating three-dimensional models of the prosthesis, and the bone; creating a plan for positioning new prostheses within the bone; determining the location and amount of bone and any non-bone material to be removed for the new prostheses; and removing the bone prosthesis from the bone. The inventive process may be used for the replacement of hip joints, shoulder joints, ankle joints, wrist joints, finger joints, toe joints, or other joints.

Abstract: The present disclosure provides an implant extraction tool for removing either cemented or non-cemented intramedullary stem implants from bones. The tool includes an elongated handle section having proximal and distal end sections with a cap section affixed to the distal end section of the elongated handle section, and cap section has a hole extending therethrough. The tool includes an attachment member having opposed ends, one of these opposed ends is configured to grip a cemented or non-cemented intramedullary implant stem in a bone. The attachment member has a size and shape to be received into the hole and the other of opposed end includes at least one hook feature for gripping the implant. The tool includes an elongated lever having an elongate proximal section and a shorter distal end section with a pivot fulcrum at a transition from the distal end section to the elongate proximal section.

Abstract: An intravascular catheter for peri-vascular or peri-urethral tissue ablation includes multiple needles advanced through supported guide tubes which expand with open ends around a central axis to engage the interior surface of the wall of the renal artery or other vessel of a human body allowing the injection an ablative fluid for ablating tissue, such as nerve fibers in the outer layer or deep to the outer layer of the vessel, or in prostatic tissue. The system also controls the depth of penetration of the ablative fluid into and beyond the tissue of the vessel wall. The catheter includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened injection needles are advanced to penetrate into the vessel wall.

Abstract: An attachment for an electrosurgical hand piece. The attachment comprises a probe assembly having an elongated tube having a proximal end and a distal end, and an electrode. The electrode has at a proximal end a conductive connector, which has a proximal end, a distal end and a channel extending through the conductive connector. The conductive connector may be comprised of a nickel plated brass alloy. The electrode further has a conductive wire extending from said distal end of said conductive connector, said conductive wire being connected to said distal end of said conductive connector adjacent to said channel in said conductive connector. The conductive wire extends substantially along the length of the elongated tube and may or may not extend out of the end of the tube.