Abstract: A tissue specimen removal device comprises a specimen bag; a flexible ring, the flexible ring configured to form a top opening of the specimen bag; a cannula assembly comprising: an inner tube portion and an outer tube portion. The device may further comprise a connector carrier, the connector carrier configured to retain at least one connector housing, the at least one connector housing comprising one or more connector portions and reside within an interior of the connector carrier, and wherein the connector carrier can be moved from a position within the cannula assembly to outside the cannula assembly.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed.

Abstract: A method of placing an anchor into tissue includes providing an anchor assembly including an anchor and a suture, handling the anchor assembly by holding the insertion tab, and inserting the anchor into a bore of a cannula by holding the insertion tab outside of the bore of the cannula.

Abstract: The guidance and positioning device may be a system for creating a passage in tissue, positioning fasteners or other implants, and tensioning an elongated fastening member, like a suture, thread, wire, or pin. In some embodiments, the device may allow for the implantation of multiple sutures and fasteners in tissue. A fastener may be positioned at the distal end of a flexible pushrod. The fastener may be connected with the pushrod or may be loosely fitted with the distal end of the pushrod. A suture may be looped through or connected with the fastener such that one, two, or more sections, legs, strands, or portions of the suture extend from the fastener.

Abstract: A suture construction and method for forming a suture construction is disclosed. The construction utilizes a suture having an enlarged central body portion defining a longitudinal passage. First and second ends of the suture are passed through first and second apertures associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes constriction of the longitudinal passage, thus preventing relative motions of the captured portions of the suture.

Abstract: Suture passer devices and methods of using the devices having one or more protective interlocks preventing or limiting operation of the suture passer when deployment of the needle may damage the apparatus or harm the patient. For example, described herein are suture passer devices that include an interlock preventing deployment of the tissue penetrator (needle) when the jaws are not clamped onto a tissue. Also described herein are interlocks preventing retraction of a jaw axially until the needle is retracted.

Abstract: A horizontal-transvertebral curvilinear nail-screw (HTCN) including a body portion having a first end and a second end, wherein the first end is opposed to the second end; and a head at the first end of the body portion, wherein the body portion has a predetermined curvilinear shape and includes a pointed tip at the second end of the body portion, and a method of surgically implanting universal horizontal-transvertebral curvilinear nail-screws (HTCN) into a plurality of adjacent vertebrae.

Abstract: The invention relates to a medical device for positioning a thread in tissue. In particular, the invention relates to a medical device (10) comprising a spiral needle (12), wherein the spiral needle (12) has a spiral-shaped needle body (14) which is formed about a central axis (A) and runs along a spiral path and also has a front end (16) and a rear end (18), wherein at least the front end (16) is integrally formed with the needle body (14), wherein the spiral path has an outer tangential plan (Ta), an inner tangential plane (Ti), an upper side (O) and an opposing underside (U), arid wherein the front end (16) runs in the direction of the spiral path of the needle body (14), and the front end (16) has a tip (22) and a thread-receiving means (24) arranged behind same.

Abstract: A surgical system is disclosed including a motor cartridge and a drive assembly. The motor cartridge is removably positionable in an enclosure and removably couplable with the surgical system. The motor cartridge includes a first motor including a first drive shaft, a first motor control circuit in electrical communication with the first motor, a second motor including a second drive shaft, and a second motor control circuit in electrical communication with the second motor. The drive assembly is removably couplable with the motor cartridge. The drive assembly includes a first rotatable input configured to be driven by the first drive shaft, a second rotatable input configured to be driven by the second drive shaft, a first rotatable output configured to provide a first control motion, a second rotatable output configured to provide a second control motion, and a third rotatable output configured to provide a third control motion.

Abstract: A surgical stapler. The surgical stapler includes a drive system, an electric motor, a battery and a control system. The drive system includes a movable drive member. The electric motor is mechanically coupled to the drive system. The battery is electrically couplable to the electric motor. The control system is electrically connected to the electric motor and includes an accelerometer. The control system is configured to control a force applied to the drive system based on an acceleration of the movable drive member.

Abstract: An apparatus includes a body, a shaft assembly, an end effector, and a staple cartridge. The end effector includes an anvil and a lower jaw. The anvil is pivotable toward the lower jaw to capture tissue between the anvil and the lower jaw. The staple cartridge is coupled with the lower jaw. The staple cartridge includes a deck and a plurality of staples. The deck faces the anvil. The anvil or the deck (or both) includes a compressible that extends toward the other of the anvil or the deck. The compressible feature of the anvil of the deck is configured to compress tissue against the other of the anvil or the deck.

Abstract: A surgical clip applier includes a handle assembly and an elongated assembly configured to releasably engage the handle assembly. The handle assembly includes a trigger and a drive bar wherein pivoting of the trigger through a full actuation stroke translates the drive bar through a full drive distance. The drive bar has a magnetic distal end portion. The elongated assembly includes an inner drive assembly including a magnetic proximal end portion. Upon engagement of the elongated assembly with the handle assembly, the magnetic proximal end portion of the inner drive assembly is configured to attract the magnetic distal end portion of the drive bar to move the drive bar and pivot the trigger such that the trigger is pivotable through a reduced actuation stroke to translate the drive bar through a reduced drive distance.

Abstract: A method for creating a flexible fastener line is disclosed. The fastener line comprises fasteners oriented in directions which are transverse or oblique to a tissue incision created by a cutting member. The fasteners can translate and/or rotate within the tissue when the tissue is stretched thereby creating flexibility within the tissue.

Abstract: The present disclosure relates to endoscopic reposable surgical clip appliers having a reusable handle assembly, at least one reusable shaft assembly, and at least one disposable clip cartridge assembly.

Abstract: An anastomosis device includes magnets coupled to a wire capable of changing shape from a straight wire into a coil when deployed within a body. The coil exerts compressive force upon layers of tissue caught between loops of the coil. The compressive force is enhanced by attractive forces between magnets coupled with adjacent loops of the coil and causes the coil to cut through the tissue layers, creating an anastomosis. One end of the wire is preferably provided with a connecting member, such as a screw or a nut, for connecting with a delivery device.

Abstract: A nerve guidance conduit includes one or more guidance channels formed as porous polymeric structures. The guidance channels are within an outer tubular structure that includes randomly-oriented nanofibers. The guidance channels may have electrospun nanofibers on their inner and outer surfaces in a parallel alignment with the guidance channels. Such aligned nanofibers may also be present on the inner surface of the outer tubular structure. The outer surfaces of the guidance channels and the inner surface of the tubular structure define additional guidance channels. Such a nerve guidance conduit provides augmented surface areas for providing directional guidance and enhancing peripheral nerve regeneration. The structure also has the mechanical and nutrient transport requirements required over long regeneration periods.

Abstract: A circular stapling apparatus includes a staple cartridge, a pusher, and a buttress. The staple cartridge has a tissue contact surface and supports an array of fasteners therein. The pusher is configured to move relative to the staple cartridge to fire the fasteners from the staple cartridge. The buttress is supported on the staple cartridge and selectively pinned to the pusher.

Abstract: The cartridge assembly includes a housing, a pusher member, a fastener cartridge body, a circular cartridge buttress member, and a retaining ring member. The pusher member is supported within the housing and movable between a first position and a second position. The fastener cartridge body is supported on the housing and has a tissue engaging surface that extends to an annular edge. One or both of the housing and the fastener cartridge body define an annular containment groove. The circular cartridge buttress member has a body portion and an extension portion. The body portion is supported on the tissue engaging surface of the fastener cartridge body. The extension portion extends from the body portion and over the annular edge of the tissue engaging surface. The retaining ring member is secured within the containment groove to releasably secure the extension portion of the circular cartridge buttress member to the cartridge assembly.

Abstract: The present invention relates to surgical instruments and methods for enhancing properties of tissue repaired or joined by surgical staples and, more particularly to surgical instruments and methods designed to enhance the properties of repaired or adjoined tissue at a target surgical site, especially when sealing an anastomosis between adjacent intestinal sections so as to improve tissue viability, prevent tissue infection, and to prevent leakage. The present invention further relates to circular stapling instruments and elongated tubular hollow sleeves deployed from such stapling instruments and establishing an enclosure around the stapled and resected tissues at the anastomotic joint.

Abstract: A rectal injection device and a method of operating the same. In one embodiment, the device includes: (1) a body having a handle, (2) a suction system associated with the body, (3) a trigger associated with the handle, (4) a pod coupled to the body via a neck and (5) multiple suction ports associated with the pod, each of the multiple suction ports configured to receive a ligation band thereabout, the suction system configured to provide a suction to the multiple suction ports to draw tissue thereinto, the pod configured to deploy the ligation bands upon activation of the trigger.

Abstract: A detachment system for delivering an implantable medical device to a target location of a body vessel has a generally hollow distal tube. The distal tube includes a proximal end, a distal end, and a compressible portion of the tube itself, between the proximal and distal ends which is axially movable from a compressed to an elongated condition. A generally hollow proximal tube has a proximal end and a distal end. An engagement system engages and deploys the implantable medical device engaged at the distal end of the distal tube. The engagement system moves the compressible portion to the compressed condition when engaging the implantable medical device, and deploys the implantable medical device and releases the compressible portion to the elongated condition.

Abstract: A latch assembly for a surgical instrument, a handle assembly of a surgical instrument including the latch assembly, and a surgical instrument including the latch assembly are provided. The latch assembly includes a lever having a distal engagement section, an intermediate section, and a proximal manipulatable section. The distal engagement section of the lever includes a base and an engagement tooth depending from the base. The engagement tooth is configured to releasably engage first and second components of a surgical instrument with one another and defines a first surface having a concave portion defining a varied radius of curvature.

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: Disclosed is a guide for intramedullary reamer, including: a central body adapted to be received in a medullary canal and presenting an inlet opening and an outlet opening, communicating with each other by an axial cavity, passing inside the central body, adapted to receive a reamer inside it; said central body presenting at least one non-rectilinear portion, interposed between the inlet opening and the outlet opening, shaped so as to guide the reamer inside the medullary canal, in axial alignment, wherein said non-rectilinear portion presents a window adapted to facilitate the insertion of the reamer inside said central body. Other aspects are described and claimed.

Abstract: A measurement system and method for determining a depth of penetration of a working portion of a surgical instrument (e.g., a rotating drill bit in a bore). A first sensor outputs a first signal representative of a displacement of the leading edge of the drill bit in the bore. A second sensor outputs a second signal representative of a force applied to the leading edge of the drill bit. A processor outputs a third signal representative of the depth of penetration of the leading edge of the drill bit when the leading edge of the drill bit passes from a first medium having a first density to a second medium having a second density. The third signal is based on the first and second signals.

Abstract: This disclosure is directed to systems and methods that facilitate the removal of tissue for implantation of an implantable medical device into bone or other substantially rigid tissue of a patient. An example system may include a shroud for a bone drill, the shroud including a housing extending along an axis and defining an inner surface around the axis. The inner surface may terminate at an edge of the housing and defining a cavity. The cavity may be configured to receive a drill bit having a shank and a primary cutting surface extending substantially parallel to the axis. The shroud also may include a collar coupled to the housing and configured to engage a distal portion of the bone drill.

Abstract: A bone milling device for grinding bone during a bone grafting procedure including a pair of opposing dead stops, one or more provided on a rotating plate of a rotatable mill and one or more provided on a stationary plate to prevent adhesion of respective arrays of grinding teeth.

Abstract: Certain embodiments of the invention relate to a surgical procedure resulting in the fusion of transverse processes. The disclosure herein presents novel approaches for accessing transverse processes of the spine, novel methods for the delivery of fusion material for the fusion of said transverse processes, and novel tools to facilitate the procedure. Certain embodiments of the invention include a graft delivery assembly, which has a delivery shaft, delivery sheath, and at least one curved rod. Bony material is position with a graft delivery assembly, in which retraction of the delivery shaft or sheath places the bone fusion material to the fusion site. The graft delivery assembly further includes features to decorticate and prepare the bone surface for fusion.

Abstract: Provided is a spinal reaming apparatus including a sleeve, an eccentric shaft, an operated element and an eccentric reaming element. The sleeve has a first end and a second end opposing the first end. The eccentric shaft is received in the sleeve. The operated element is connected to the eccentric shaft and positioned proximate to the first end of the sleeve. The eccentric reaming element is connected to the eccentric shaft and disposed at the second end of the sleeve. When rotated, the operated element drives the eccentric reaming element to rotate relative to the sleeve on the eccentric shaft such that the spinal reaming apparatus will switch between a folded mode and a functioning mode.

Abstract: A surgical apparatus includes a combination of a drill guide and a bone fixation device. The bone fixation device includes a plurality of screw receiving apertures extending therethrough. The drill guide includes a top face and a plurality of drill apertures extending from the top face through the drill guide. The drill apertures of the drill guide are arranged such that the drill apertures can be separated into two groups by an imaginary dividing line, and, if a separation between the two groups in the plane of the top face and normal to the dividing line were increased by a distance d, then the arrangement of the drill apertures would match, or otherwise be aligned with, that of the screw receiving apertures.

Abstract: An apparatus and improved methods for hip arthroplasty, including by introducing a modular rod that may remain resident in the path to the acetabulum and receive a series of tools or have segmented sections of tools to perform separate functions during the surgical procedure in which the incision length and risk of inadvertent surgical trauma are reduced.

Abstract: A gauge assembly includes a distal femur gauge including medial and lateral condyle paddles each having a shape and size corresponding to a pre-operative planned distal resection of a patient's femur, and a tibial cutting block connected to the distal femur gauge. The condyle paddles include features, for example, pin-receiving holes, that permit intra-operative anterior-posterior and/or internal-external adjustment of the position of the distal femur gauge. The tibial cutting block includes features, for example, pin-receiving slot and holes, that permit fixing of the varus-valgus and flexion-extension degrees of freedom prior to fixing the internal-external and medial-lateral degrees of freedom.

Abstract: An aspiration system includes an aspiration catheter including a tubular aspiration member having a proximal end, a distal end, and a lumen, and configured to at least partially extend out of the lumen of an elongate tubular member and into the vasculature of a subject, an elongate support member coupled to the tubular aspiration member and extending between the proximal end of the aspiration catheter and the proximal end of the tubular aspiration member, a high pressure injection lumen extending within the elongate support member and having a distal end including a curved portion configured to change a direction of fluid flow by at least about 90°, at least one orifice located at the distal end of the high pressure injection lumen configured to allow liquid to be released into the lumen of the tubular aspiration member, and an annular seal carried by the tubular aspiration member and configured to create a liquid seal against the inner surface of the elongate tubular member.

Abstract: A system for assisting in the retrieval of a clot from a vessel. The system can include an outer catheter and an inner catheter disposed in a lumen of the outer catheter. The inner catheter can include a distal end, a proximal end, a distal segment, a proximal segment, and a lumen extending proximal of the distal end and terminating at a transfer port at the proximal end of the distal segment. A seal is located on the outer surface of the inner catheter distal of the transfer port, the seal capable of sealing against the lumen of the outer catheter so that aspiration applied through the outer catheter is configured to be transferred to the inner catheter.

Abstract: An instrument system for treating a sinus of a subject includes an instrument including a base configured to be gripped by an operator, and an elongate probe including a probe proximal end coupled with the base and extending to a probe distal end. The probe includes an aspiration lumen terminating at an inlet port proximate the probe distal end, and a delivery lumen terminating at an outlet port proximate the probe distal end. The instrument also includes a waveguide on the probe and having a light emitting end proximate the probe distal end.

Abstract: A surgical device comprising: a closure assembly comprising: (a) a movement unit including (i) a bar and (ii) a contact element, wherein the bar, the contact element, or both move in a direction of a prescribed motion; (b) a latch unit comprising: (i) a latch plate including: (1) a hook latch that selectively receives the bar, the latch plate being movable between: (A) a lockable state where the hook latch is engageable by the bar, and (B) an unlockable state where the hook latch is unengageable by the bar; (c) an indicator mechanism that moves into alignment with the prescribed motion of the contact element, the bar, or both when the latch unit is in the unlockable state so that the indicator is contacted by the bar, the contacting element, or both generating an indication.

Abstract: In a manufacturing of a grasping device that is openable and closable and includes a first jaw having a first hole and a second jaw having a second hole larger than the first hole, the first jaw is arranged in between protruding portions of the second jaw. The second hole is located outside the first hole in a width direction of the grasping device, and a cross-sectional area of the second hole is larger than the first hole. A pin member is inserted through both the first hole and the second hole. The positions of the first jaw and the pin member are adjusted relative to the second jaw to predetermined positions. The pin member is fixed to the second jaw upon positioning the first jaw and the second jaw at the predetermined positions.

Abstract: The various embodiments disclosed herein relate to arms or forearms of medical devices that are configured to couple with quick-release end effectors, quick-release end effectors for use with such medical devices, and arms or forearms coupled to such quick-release end effectors. Certain forearms and end effectors have magnetic couplings, while others have mechanical couplings, and further implementations have both magnetic and mechanical couplings.

Abstract: Various exemplary systems, devices, and methods are provided for resisting torque in articulating surgical tools. In general, a surgical tool can include an elongate shaft having at a distal end thereof an end effector configured to engage tissue. The end effector can be configured to articulate relative to the elongate shaft. The surgical tool can include a cutting element configured to translate longitudinally along the end effector to cut the engaged tissue. When the end effector is articulated, the longitudinal translation of the cutting element along the end effector exerts a torque force on the end effector that urges the end effector away from its current angled orientation. The surgical tool can be configured to have a corrective tension or force applied thereto that counteracts the torque force.

Abstract: An arthroscopic cutting probe includes an outer sleeve having a longitudinal bore and an outer cutting window at its distal end. An inner sleeve is rotationally disposed in a bore of the outer sleeve, and the inner sleeve has a distal end, a proximal end, a longitudinal passageway, and an inner cutting window at its distal. An active electrode sleeve is disposed on an outer surface of the inner sleeve in a position opposed to the inner cutting window. Rotation of the inner sleeve relative to the outer sleeve causes the inner cutting window to rotate past the outer cutting window to resect tissue received through the cutting windows as they pass each other. Radiofrequency current can be applied to the active electrode to enhance tissue cutting then the cutting windows are being rotated or to able or cauterize tissue when the cutting windows are held stationary with the active electrode disposed through the outer cutting window.

Abstract: Disclosed is a skin treatment device, including: a support main body; a rotating part mounted on one surface of the support main body to be rotatable about a rotating shaft; a plurality of elastic parts which have one ends fixed to the support main body and inserted into the rotating part and are disposed to correspond to a rotation direction of the rotating part, and a needle holder coupled to tip ends of the elastic parts. When the rotating part rotates, the plurality of elastic parts are bent in the rotation direction so that relative positions of tip ends of the elastic parts vary.

Abstract: A surgical apparatus comprises a body assembly, an ultrasonic transducer, a shaft assembly, a motor, and a locking feature. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises a waveguide operable to transmit ultrasonic vibrations. The motor is operable to rotate the ultrasonic transducer to thereby selectively couple the ultrasonic transducer with the waveguide. The locking feature is configured to selectively prevent rotation of at least a portion of the shaft assembly relative to the body assembly. The locking feature and the motor may be activated automatically in response to an operator positioning a proximal portion of the shaft assembly in a distal portion of the body assembly. The surgical apparatus may include a feature configured to alert a user when the waveguide has been adequately secured to the ultrasonic transducer.

Abstract: A pericardial access device includes an outer tube, an inner tube, a pericardial interface structure, and an access needle. The inner tube is axially, slidably received in an axial passage of the outer tube. The pericardial interface structure is disposed on a distal end of the inner tube and has a plurality of tissue-engaging tines which deploy from a constrained configuration to a deployed configuration as the inner tube is advanced distally through the outer tube. The plurality of tissue-engaging tines has been adapted to engage the parietal pericardium to draw the parietal pericardium away from the visceral pericardium to enlarge a pericardial space to improve access. Alternatively the plurality of tines can be adapted to atraumatically engage the parietal pericardium to reduce the risk of advancing a cannula having a tissue-penetrating distal end. The access needle has a tissue-penetrating tip on a distal end thereof and is slidably received in an axial passage of the inner tube.

Abstract: Disclosed are lighting and optical devices, systems, and methods for use in laparoscopic surgical procedures. The disclosed devices, systems, and methods advantageously do not require tethers in order to receive power or transmit data, such as camera images, to and from an external device. In addition, the disclosed devices, systems, and methods utilize improved camera mechanisms and reduce costs and improve accessibility with respect to laparoscopic surgical procedures.

Abstract: Lighting and optical devices, systems, and methods are configured for use in laparoscopic surgical procedures. The disclosed devices, systems, and methods advantageously do not require tethers in order to receive power or transmit data, such as camera images, to and from an external device. In addition, the disclosed devices, systems, and methods utilize improved camera mechanisms and reduce costs and improve accessibility with respect to laparoscopic surgical procedures. Furthermore, a smoke evacuator system can be used as part of surgical procedure to evacuate smoke from a surgical setting.

Abstract: Systems and methods for enhanced implantation of an electrode lead for neuromuscular electrical stimulation of tissue associated with control of the lumbar spine for treatment of back pain, in a midline-to-lateral manner are provided. The implanted lead may be secured within the patient and used to restore muscle function of local segmental muscles associated with the lumbar spine stabilization system without disruption of the electrode lead post-implantation due to anatomical structures.

Abstract: A segmented rod assembly for aligning a spine having a plurality of vertebrae, including a rod, including a plurality of segments, the plurality of segments having at least a first segment arranged to be slidingly secured to a first vertebra of the spine, a second segment arranged to be fixedly secured to a second vertebra of the spine, and a third segment arranged between the first and second segments to be connected to a third vertebra of the spine, a tensioning member arranged within the plurality of segments, the tensioning member having a first end secured to the first segment and a second end.

Abstract: An expandable rod system includes a first rod portion having an internal cavity, a second rod portion sealingly positioned within the internal cavity of the first rod portion and moveable in a first axial direction relative to the first rod portion, and an osmotic chamber for receiving an osmotic agent to facilitate movement of the second rod portion to expand the rod system. The rod system includes a lock assembly engageable with the second rod portion to prevent the second rod portion from moving in a second axial direction. The lock assembly includes a tapered ramped portion and a bearing member that is moveable within the tapered ramped portion such that when compression forces are imparted on the second rod portion, the bearing member becomes wedged in the tapered ramped portion.

Abstract: A cannulated bone anchor assembly includes a bone anchor, a receiver member for receiving a spinal fixation element to be coupled to the bone anchor, and a closure mechanism to fix the spinal fixation element with respect to the receiver member. The bone anchor includes a distal shaft having a first threaded section distal to a proximal head, a second threaded section distal to and adjacent the first threaded section, and a third threaded section distal to and adjacent the second threaded section. The first threaded section having a constant major and minor diameter. The second threaded section having a tapering major and minor diameter. The third threaded section having a tapering major diameter and a constant minor diameter.