Abstract: A powered surgical apparatus, which is configured to engage tissue includes a handle assembly having proximal and distal portions, a movable portion operatively connected to the distal portion of the handle assembly, a tool assembly operatively coupled to the movable portion, a power source configured to supply electrical power, and a transmission system operatively associated with the power source. The movable portion is movable with respect to the handle assembly. The tool assembly is adapted to engage tissue. The transmission system is configured to transmit electrical power or signals between the handle assembly and the movable portion.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. Each of the anvil and the cartridge has a face that is positionable on the anatomical structure. The anvil is coupled to the cartridge at first and second ends. The anvil is movable relative to the cartridge to define a first gap between the faces at the first ends that is different from a second gap between the faces at the second ends.

Abstract: A closure device of the present invention includes two closure elements, and two sheet materials for integrally disposing the two closure elements. Each of the closure elements includes a base portion, a drawstring portion integrally extending from the base portion, and an adjustment portion including an engaged portion having a shape engageable with the drawstring portion. The base portion of one closure element of the two closure elements and the adjustment portion of the other closure element of the two closure elements are integrally disposed on one of the sheet materials, and the adjustment portion of one closure element and the base portion of the other closure element are disposed integrally on the other of the sheet materials.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Abstract: An embolization scaffold device is provided. The scaffold has a base having a central longitudinal axis extending therethrough and a plurality of expandable struts extending from the base. Each of the struts has a proximal portion extending from the base and substantially aligned with the central longitudinal axis, an intermediate arcuate portion radially extending away from the central longitudinal axis, and a distal portion curving back towards the central longitudinal axis.

Abstract: Pulmonary treatment devices, systems and methods of use are provided which take into account the vast tissue damage of advanced COPD sufferers and provide treatments designed specifically to treat the particularly compromised lung tissues that are present in these patients. These treatments reduce trapped air volume, tension lung tissue and enhance lung elastic recoil. A variety of embodiments are provided, including pulmonary treatment devices that move portions of lung tissue around a rotational axis into a torqued configuration, anchoring such tissue in place for improved breathing mechanics.

Abstract: Devices, systems, and methods for reducing stress on a blood vessel are disclosed herein. For example, a method of treating effects of dementia comprises positioning a damping device along an artery that provides blood to a brain of a person so that an inner surface of the damping device contacts an outer surface of the artery. Wherein an inner diameter of the inner surface changes in response to a wavefront of blood passing through the artery and thereby attenuates energy of the wavefront.

Abstract: Aneurysm embolization devices made from laser cut NITINOL types of metals are highly differentiated by their form, which governs function, in addressing acute states of aneurysm to achieve improved clinical outcomes, namely better results with fewer devices needed, alone or in complement with conventional coils and devices.

Abstract: An intra-vascular aneurysm-treatment stent and a method for lowering pressure within an aneurysm bubble in a blood vessel. A stent coil is insertable into a blood vessel, the coil made of a material sufficiently flexible to move around curves, loops, and corners in the blood vessel. The stent coil is positioned in the blood vessel with selected stent coil portions proximate an opening into either a saccular aneurysm or a fusiform aneurysm. Blood in the lumen of the blood vessel flows past the leading edges and both over the outer surfaces, and under the inner surfaces. A portion of the blood inside the aneurysm becomes entrained with the blood flowing over the outer surfaces. At the trailing edges, the converging blood flows create eddies.

Abstract: An occlusion catheter system includes an inflation catheter member and an occlusion balloon. The proximal and distal balloon ends are connected to the inflation catheter between the proximal and distal catheter ends. A distal pressure sensor is attached to the inflation catheter member between the proximal balloon end and the atraumatic tip. An inflatable spine is connected to the inflation catheter. The proximal spine end is connected to the inflation catheter near the proximal balloon end and the distal spine end is connected to the inflation catheter near the distal balloon end. The occlusion balloon and the inflatable spine are configured to define blood flow channels with the internal surface and the external balloon surface when the occlusion catheter system is at least partially positioned in the vessel and the occlusion balloon and the inflatable spine are in a partially inflated configuration.

Abstract: A lung volume-reducing elastic implant (2) and a lung volume-reducing instrument; the lung volume-reducing elastic implant (2) is tubular and comprises a proximal implant end (201), an elastic deformation part (205) and a distal implant end (202); the elastic deformation part (205) is located between the proximal implant end (201) and the distal implant end (202), and the elastic deformation part (205) has a shape memory characteristic; the lung volume-reducing elastic implant (2) is opened at the proximal implant end (201); the elastic deformation part (205) is provided with a plurality of grooves (204) at intervals along the longitudinal direction thereof; each groove (204) communicates with the tube cavity of the elastic deformation part (205); the lung volume-reducing instrument comprises the lung volume-reducing elastic implant (2) and a delivery device (1) matching same; the delivery device (1) comprises a guidewire (101) and a hollow push piece (110); the lung volume-reducing elastic implant (2) is det

Abstract: A vascular occlusion device includes a braided filament mesh structure defining a longitudinal axis. The mesh structure has a relaxed configuration in which it has an axial array of radially-extending occlusion regions, each of which has a proximal side and a distal side meeting at a peripheral edge, the sides of each occlusion region forming a first angle relative to the longitudinal axis. Each occlusion region is axially separated from the adjacent occlusion region by a reduced-diameter connecting region. The mesh structure is radially compressible to a compressed state in which it is deployed intravascularly to a target site through a catheter. Upon deployment, the device radially expands to a constrained configuration in which the peripheral edges of the occlusion regions engage the vascular wall, and the sides of the occlusion regions form a second angle relative to the longitudinal axis that is smaller than the first angle.

Abstract: A wearable device comprises a tourniquet configured to occlude blood flow in an artery of a wearer. The tourniquet comprises at least one base plate; two anchor points connected to one of the at least one base plate and configured to anchor a first end of one of two laces; a tunnel strap comprising two lace guides connected to a first end of the tunnel strap, each configured to guide one of the two laces; and a tightening mechanism connected to one of the at least one base plate and comprising a spool configured to accept a second end of each of the two laces, and a knob configured for manually winding a portion of at least one of the two laces onto the spool. The wearable device comprises a wearable item quick release connector connected to the tourniquet, and configured to removably connect to a wearable item.

Abstract: A patient-specific guide tool for guiding an instrument toward a bone for implantation of a prosthetic device is disclosed. The guide tool includes a body portion having a guide element, and a patient-specific portion having at least one patient-specific mating feature that is configured to engage a soft tissue at or near the bone. A method of manufacturing a guide tool for guiding an instrument toward a bone is also disclosed.

Abstract: Disclosed is a surgical burr. The surgical burr includes prevention means, attachment means and a working part including at least one working means for processing of a material selected from a bone, a cartilage, a calcified tissue, a tooth and a foreign object within a patient body, wherein the working means is selected from a grinding surface and flutes defining cutting edges. The prevention means is configured to have a first position and a second position. In the first position, it at least partially prevents the working means from processing the material, when a force applied to the prevention means is less than a predetermined amount of force. In the second position, it allows the working means to process the material, when the force applied to the prevention means is equal or higher than the predetermined amount of force.

Abstract: A rotary drive tool for coupling of a surgical instrument, the rotary drive being intended to be enclosed within an envelope in such a way that the rotary drive tool can be used in a sterile environment. The rotary drive tool has a body with an end configured to removably engage the envelope intended to enclose the rotary drive tool. A coupling piece is disposed within the body, the coupling piece engaging and driving, in rotation, a surgical instrument.

Abstract: A device includes an elongate leg, a guard, and a fluid discharge nozzle. The elongate leg has a longitudinal axis. The elongate leg has a first end and a second end. The first end is configured to couple with a craniotome wherein the longitudinal axis is aligned substantially parallel with a cutter axis of the craniotome. The guard is coupled to the second end and has a surface configured to engage with a tissue. The guard is configured to preclude contact of tissue with an end of a cutter of the craniotome. The fluid discharge nozzle is coupled to the guard and configured to direct an ejected fluid that targets separation the dura and the cranium ahead of the cutter to remove dura from a cutting path of the cutter.

Abstract: A system for preparing a bone for receiving an implant is described. The system includes a cutting tool and a cutting guide. The cutting tool includes a cut guard configured to sheath at least a portion of a cutting surface of the cutting tool, and an engagement portion. The cutting guide includes a baseplate configured to be positioned onto the bone and a cut guide portion removably attached to the baseplate. The cut guide portion includes a cutting channel, the cutting channel being sized and shaped to receive the engagement portion of the cut guard and guide the cutting tool to cut a receiving channel into the bone, wherein the receiving channel includes a depth profile matching an implant to be inserted into the receiving channel.

Abstract: An intraluminal device may be provided including an elongated structure formed of a plurality of wires. The intraluminal device may include at least one expandable mesh segment configured to engage an obstruction in a body lumen, wherein the plurality of wires may be arranged into sets of looped wires that overlap to form the expandable mesh segment. The intraluminal device may also include at least one clot anchoring segment that may be configured to trap the obstruction to prevent downstream movement of the obstruction relative to the intraluminal device.

Abstract: A method for controlling a histotripsy using a confocal fundamental and harmonic superposition combined with hundred-microsecond ultrasound pulses, including: 1) positioning a target tissue by a monitoring and guiding system and adjusting a position of the target tissue to a focal point of a transducer; 2) first stage: controlling the confocal fundamental and harmonic superposition combined with hundred-microsecond ultrasound pulses to form a shock wave in a focal zone; wherein a negative acoustic pressure exceeds a cavitation threshold; an inertial cavitation occurs to generate boiling bubbles; the boiling bubbles collapse and achieve partial homogenization of the target tissue; 3) second stage: controlling the confocal fundamental and harmonic superposition combined with hundred-microsecond pulsed-ultrasound sequences to simultaneously irradiate a target zone and further mechanically disintegrate and homogenize the target tissue.

Abstract: A forceps includes jaws, a first shaft having a first slot, a second shaft extending along the first shaft and having a second slot, and a rod that extends along the second shaft. The rod has a third slot including a locking portion and a guide track portion. A pin extends through the first slot, the second slot, and the third slot to prevent deployment of the rod when the pin is in the locking portion and to permit deployment of the rod when the pin is in the guide track portion. A first actuator produces relative movement of the first and second shafts to move the jaws relative to each other and move the pin from the locking portion to the guide track portion of the third slot. A second actuator produces movement of the rod to deploy the rod when the pin is in the guide track portion.

Abstract: Surgical tools intended for use with robotic system include a shaft having a distal effector end and a proximal attachment end. A flexible cable having a distal effector end and a proximal attachment end is slidably received in the central passage of the shaft, and a flexible cable wire assembly includes a pull/push wire having a distal effector end and a proximal attachment end slidably received in a lumen of the pull/push cable. An end effector is operably attached to the distal effector ends of the flexible cable and the distal effector end of the pull/push wire, and the end effector is disposed distally beyond the distal effector end of the shaft and is actuated by axially translating the pull/push wire relative to the flexible cable in the flexible cable wire assembly.

Abstract: A treatment instrument includes a sheath having a longitudinal axis, an end effector provided on one end of the sheath, a housing to which the other end of the sheath is connected, and an operation dial provided to be rotatable relative to the housing around a first rotational axis. The operation dial includes a first outer peripheral surface provided around the first rotational axis, and a second outer peripheral surface spaced apart from the first outer peripheral surface in a direction along the first rotational axis and provided around the first rotational axis.

Abstract: A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.

Abstract: A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.

Abstract: A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.

Abstract: A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.

Abstract: A system comprising a handpiece and drive system configured to removably couple to a proximal end of a housing. A scalpet assembly is configured to removeably couple to the housing, and includes a scalpet array comprising at least one scalpet configured for rotation. The scalpet array is configured to harvest dermal plugs via fractional resection. A collection chamber is configured to collect the dermal plugs, and to house formation of an injectable filler by mincing the dermal plugs, and mixing the dermal plugs with a carrier. The injectable filler is configured for bulk fill. The collection chamber includes a loading port, and a cannular syringe is configured to mate with the loading port to receive the injectable filler, and to deliver the injectable filler for the bulk fill.

Abstract: An apparatus for detaching a blade from a scalpel handle is provided. The blade has a cutting portion and a heel portion and is removably mounted on a tang of the scalpel handle. The apparatus has a flexible blade detachment member with a stepped portion for engaging the heel of the blade as the handle is withdrawn and a leading angled portion. A backing member is provided with the detachment member being arranged adjacent the backing member so that during use the detachment member flexes in only one direction, away from the mounting tang in response to force applied by the handle to the leading angled portion thereby causing the blade and the handle to be separated and detached relative to each other. Upon withdrawing the tang from the opening, the stepped portion engages the heel of the blade resulting in detachment of the blade from the tang.

Abstract: A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including inserting a cutting member and tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting member and tracking member, inserting the catheter over the tracking member and leaving the cutting member outside the catheter, and expanding a portion of the catheter to move the cutting member into cutting contact with the lesion. A device for treating a lesion in a body lumen including a cutting member and tracking member is also provided.

Abstract: Medical systems and methods for making and using medical systems are disclosed. Example medical systems may include an atherectomy system configured to engage and remove plaque from walls in vessels of a vascular system. The atherectomy system may include a drive shaft, a rotational tip coupled to an end of the drive shaft, a drive mechanism coupled to the drive shaft to rotate the rotational tip, and control configurations to control settings of operational modules of the atherectomy system. The control configurations may be configured to change settings of multiple operational modules of the atherectomy system in response to a single actuation of an actuator to facilitate use of the atherectomy system in a vasculature of a patient.

Abstract: A medical assembly to assist physicians with holding and guiding multiple needles for medical procedures may include a targeter having a frame having two elongate parallel supports attached to one another by at least one adjustable central arm; and a plurality of ports attached to each elongate support, wherein the ports are each sized to accommodate a syringe needle. The ports may be attached to their respective support at an angle of 15°. Moreover, the supports may each include a fastener to removably secure the targeter to a patient.

Abstract: A device and method is provided to gain access to interior body regions. The system includes a safety needle, a stylet assembly, a blade assembly, an obturator assembly, a cannula assembly, a handle assembly, an actuator assembly, and a lock assembly. The safety needle accesses an interior body region. The actuator assembly, lock assembly, and handle assembly interact to expose the blade assembly, after which the blade assembly expands the pathway created by the safety needle. The obturator then further expands the pathway and delivers the cannula assembly to the desired location. The safety needle, obturator assembly, blade assembly, handle assembly, actuator assembly, and lock assembly are removed, leaving the cannula assembly in place for future procedures.

Abstract: A cannula assembly includes a housing supporting a seal assembly, a cannula shaft extending from the housing, and a sleeve positioned about the cannula shaft including an inner fixation device that is supported on a distal end of the cannula shaft. The inner fixation device includes an anchor member that is deployable within a body cavity to obstruct withdrawal of the cannula assembly from within the body cavity. The anchor member is formed of a material that will deactivate or allow removal of the catheter assembly from the body cavity when the anchor member is deployed and an excessive force is applied to the cannula assembly to prevent ripping or tearing of tissue.

Abstract: A peel-away electrode placement catheter includes a silicone tube, the silicone tube including perforations longitudinally positioned to spilt the silicone tube in half, a pair of separate metal semi-cylinders positioned within the silicone tube, and a deep brain stimulation (DBS) implantable electrode positioned between the pair of separate metal semi-cylinders.

Abstract: A method and apparatus for performing electrocautery on a site of a subject that includes inserting a trocar device into the location of the site of the subject and electro-cauterizing the site of the subject using a diode included with the trocar device. A method and apparatus for performing electrocautery on a site of a subject that includes inserting one or more medical tubes or medical instruments or devices that extends through an expandable sheath; and electro-cauterizing the site of the subject using a diode included with the expandable sheath device.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in a receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. The shank upper portion expands a retaining member in the receiver cavity to capture the shank upper portion in the receiver. The retaining member and attached shank are pivotable with respect to the receiver until locked in place with respect to the receiver. A pre-assembled receiver, retaining member and compression insert may be popped-on or snapped-on to the shank upper portion prior to or after implantation of the shank into a vertebra.

Abstract: The present invention provides a sacral-iliac plate having an iliac portion with a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone. A sacral portion integrated monolithically with the iliac portion is also provided with a second and third screw holes for receiving second and third fasteners to secure the sacral portion to the sacral bone. The sacral portion also includes a tulip for receiving and securing a spinal rod.

Abstract: A bone plate that includes an upper surface defined by at least two flat surfaces and a bone contacting surface defined by at least two flat surfaces.

Abstract: A method for manipulating a vertebra includes connecting a first bone anchor to a first vertebra, connecting a second bone anchor to a second bone anchor, positioning a spinal rod in a receiving member of the first bone anchor and in a receiving member of the second bone anchor, connecting a first instrument to the receiving member of the first bone anchor, and manipulating the first instrument to rotate first bone anchor and the first vertebra relative to the second vertebra.

Abstract: A tool set for implanting a rod in a human spine in conjunction with bone screws.

Abstract: Apparatus for treating a bone fracture, the apparatus comprising: an anchoring tube comprising a hollow elongated shaft adapted for disposition in a hole formed in a bone and having a distal end, a proximal end and a lumen extending therebetween, and a substantially planar plate mounted to the proximal end of the hollow elongated shaft and adapted for disposition against the outer surface of the bone; wherein the plate comprises a top surface and a bottom surface, and further wherein the bottom surface of the plate is convex, such that when the anchoring tube is disposed in a hole formed in a bone and is rotated about the longitudinal axis of the hollow elongated shaft, the convex bottom surface of the plate maintains supporting contact with the outer surface of the bone.

Abstract: Methods and devices for correcting hallux valgus and tailor's bunion are disclosed. An implant includes a bone engaging feature on each end connected by an intermediate portion. The implant is configured to be positioned on the dorsal side of the metatarsals and stabilizes two adjacent metatarsals toward one another, thereby decreasing the intermetatarsal angle. Depending on the severity of the deformity, a single or multiple implants may be used. In addition, the implant may be used as an adjunctive device in combination with other surgical procedures.

Abstract: Bone graft comprising cortical bone material having a screw shank with an external thread and a screw head. Screw head has an outer jacket surface which is rotationally symmetrical about a screw head axis and has an external thread. At least two recesses, which are distributed about the screw head axis, extend axially in the direction of the screw head axis and open into an end face of a free end of the screw head, for receiving an insertion tool. The recesses are each formed by side faces, which extend from the outer jacket surface in the direction of the screw head axis and merge into one another in a surface section close to the axis. By this design, introduction of an insertion torque is optimized and new surgical areas of application such as in intramedullary splinting, arthroscopic insertion and deep insertion of the graft into an bearing bone are possible.

Abstract: A surgical bender for use in bending and/or plastically deforming a variety of types and/or shapes of materials in medical and/or surgical applications. Various embodiments include a compact and easily sterilizable multiple fulcrum arrangement that utilizes a series of interlocked actuating lever arms to greatly multiply an actuating force applied to a pair of handles for application to an intended material.

Abstract: The present invention discloses an alignment guide apparatus, system, and method. The alignment guide apparatus includes a body, a fixation insert, a guide pin, and a screw. The body may include an arm with a first end and a second end, an attachment portion at the first end, and an alignment portion at the second end. The fixation insert may be configured to pass through the attachment portion and the guide pin may be configured to pass through the alignment portion. The screw may be configured to engage the guide pin. The alignment system may include a bone plate, an alignment guide, a screw, at least one first fastener, and at least one second fastener. A method for moving a joint is also disclosed.