Abstract: A vessel access and closure assist system is used for accessing a vessel to perform a vascular intervention. The system facilitates the delivery of a vessel closure device onto a blood vessel for closing an opening in the wall of the blood vessel. The vessel access and closure assist system includes a procedural introducer sheath that directly couples to a vessel closure device delivery sheath such that the procedural introducer sheath does not have to be exchanged with the vessel closure device delivery sheath.

Abstract: A system having an elongate assembly, an expandable assembly having a fixed end region and a movable end region, the expandable assembly selectively transitioning between an expanded state and an unexpanded state with movement of the movable end region towards the fixed end region, and an advancement aid extending distally from the expandable assembly.

Abstract: A specimen retrieval device includes a tubular body defining a longitudinal bore, an inner shaft slidably disposed within the longitudinal bore of the tubular body, and a specimen bag affixed to a support mechanism at the distal portion of the inner shaft. The specimen retrieval device includes a drain tube that passes from within specimen bags and out of the specimen retrieval device that permits passage of fluids out of the specimen bag prior to removal of the device from the body.

Abstract: A surgical retractor, comprising a blade having a top surface and a bottom surface, and a handle extending at an angle from a proximal end of the blade, wherein the blade and the handle are molded from a glass-fiber reinforced polymer having a flexural strength of at least 300 Mpa, and wherein the blade, being molded from the glass-fiber reinforced polymer, deforms less than 10 mm under 15 lbs of force applied thereto.

Abstract: The present application is generally directed to improved instruments and instrument features for distraction and tissue retraction. In particular, the present application is directed to distraction blades and wide blocking blades that can be used together, or individually, to assist in the distraction of bone and the retraction of tissue during a surgical procedure, such as a spinal fusion procedure.

Abstract: A retractor for use in surgical operations comprises a pair of blade assemblies. In operation, the blade assemblies are initially in a closed position to assume a low profile, inserted into a relatively small incision, and stretched apart from each other, thereby stretching the skin about the incision to form an aperture longer than the incision. The retractor is adapted to rotate a first blade about a first axis and a second blade about a second axis. The retractor is adapted to move the pair of blade assemblies apart along a third axis. The retractor is adapted to pivot the first blade about a fourth axis and the second blade about a fifth axis. In some embodiments, a method of performing an operation, e.g. a spinal operation, on a patient using the disclosed retractor is provided.

Abstract: A pre-assembled, telescoping needle system comprising an outer needle surrounding a finer gauge needle which, after percutaneous penetration by the outer needle, extends to penetrate the intervertebral disc into which the injectable is to be delivered.

Abstract: A system and method for performing surgical procedures within a body cavity, e.g. abdomen, uses a magnetized device is utilized to allow a surgeon to control intra-abdominal organs and objects. The system and method allows a surgeon to perform an intra-abdominal procedure without the need to position surgical tools inside of the body cavity. Additional surgical ports are not necessary as the magnetized device allows the surgeon to retract or position various objects within the abdomen.

Abstract: Methods and systems disclosed herein provide systems and methods for anchor placement.

Abstract: An anchoring system can use an implant delivery device to deploy an implant into a pre-drilled bore, to secure one or more sutures between a threaded outer surface of an implant body and a wall of the bore. The implant delivery device can controllably rotate the implant about its longitudinal axis. The implant delivery device can include a projection extending distally from a distal end of an inner shaft The implant delivery device can controllably translate a wire between a distally extended position, at which the wire can form a closed loop with the projection and a distal end of the inner shaft, and a proximally retracted position, at which the wire can be at least partially retracted into the distal end of the inner shaft.

Abstract: A surgical tensioner and methods for surgical repairs. A tensioner can tension a flexible strand (suture or wire) attached to tissue (for example, graft or bone segments). A tensioner can include an angled tip with a split hole to past-point on a knot and lock the construct during tensioning. A tensioner can include a securing mechanism that can capture a flexible strand and lock it into place.

Abstract: A surgical instrument for treating a patient includes a shaft assembly and a body assembly. The shaft assembly includes a proximal end portion, a distal end portion, and an articulation joint operable to selectively articulate the distal end portion relative to the proximal end portion. The body assembly includes a joint drive assembly, an actuator, and a joint stabilizer. The joint drive assembly is operatively connected to the articulation joint and configured to actuate the articulation to thereby articulate the distal end portion relative to the proximal end portion. The actuator is configured to actuate the joint drive assembly for articulating the articulation joint. The joint stabilizer includes a detent abutment and a detent notch configured to releasably capture the joint drive assembly and thereby inhibit articulation of the distal end portion of the shaft assembly relative to the proximal end portion of the shaft assembly.

Abstract: A suturing device includes a clamshell body having a first side coupled to a second side by a hinge. The first side and the second side each have an end opposite the hinge. A spool is coupled to the clamshell body and rotatable relative to the clamshell body. A suture is wound around the spool. The ends of the first side and the second side may lock together to capture an end of the suture.

Abstract: A surgical stapling instrument comprising an elongate shaft assembly that includes a surgical end effector that is operably coupled thereto by an articulation joint. The surgical instrument may include a first distal articulation driver operably coupled to the surgical end effector and a second distal articulation driver that is coupled to the surgical end effector. At least one driver member may operably engage the first and second distal articulation drivers such that when the first distal articulation driver is moved in a distal direction, the least one driver moves the second distal articulation driver in a proximal direction and when the first distal articulation driver is moved in the proximal direction, the at least one driver member moves the second distal articulation driver in the distal direction.

Abstract: A surgical instrument is configured to compensate for battery pack and drivetrain failures. One method includes generating a firing sequence, determining whether a subset of rechargeable battery cells is damaged during the firing sequence, and stepping-up an output voltage of the battery pack to complete the firing sequence in response to a determination that a subset of the rechargeable battery cells is damaged. Another method includes generating a mechanical output to motivate a drivetrain to transmit a motion to a jaw assembly of the surgical instrument, activating a safe mode in response to an acute failure of the drivetrain, and activating a bailout mode in response to a catastrophic failure of the drivetrain. Another method includes driving a drivetrain, sensing and recording vibration information from the drivetrain, generating an output signal based on the vibration information, and determining a status of the surgical instrument based on the output signal.

Abstract: The present disclosure relates to electromechanical surgical systems configured for use with removable disposable loading units and/or single use loading units for clamping, cutting and/or stapling tissue. A force transmitting assembly of surgical instrument transmits a rotation of a rotatable drive member of the surgical instrument to the rotation receiving member of the end effector. A distal neck assembly of the surgical instrument includes at least one gear system configured to convert a rotational input of the rotatable drive member into at least two output forces to the end effector; and an articulating neck assembly interconnecting the tubular body and the distal neck housing. The articulating neck assembly is configured to enable off-axis articulation of the distal neck assembly. The rotatable drive member extends through the articulating neck assembly.

Abstract: A needle cartridge for a surgical suturing instrument includes a cartridge body, a track extending through the cartridge body and defining a circular path, an arcuate needle movably positioned within the track, and a suture thread extending from the arcuate needle. A needle driver operatively connects to the cartridge body and the arcuate needle. The needle driver is configured to orbit the arcuate needle along the circular path. A needle cover is secured to the cartridge body such that the needle cover and the cartridge body define a gap, which receives the suture thread therethrough. A retention abutment extends from at least one of the cartridge body or the needle cover into the gap such that the needle cover, the cartridge body, and the retention abutment at least partially define a tortuous path configured to retain the orbiting arcuate needle in the track while the suture thread passes therethrough.

Abstract: An end effector of a surgical stapler includes first and second jaw members and a buttress material. The first jaw member is moveable relative to the second jaw member. The first jaw member includes a contact surface, a first projection, and a catch. The catch includes first and second fingers distal of the first projection. The second finger is biased toward the contact surface. The buttress material defines a longitudinal axis. The buttress material is releasably secured to the first jaw member. The buttress material defines first, second, and third slots formed therein. The first projection of the first jaw member is received in the first slot of the buttress material. The first finger of the catch is received in the second slot of the buttress material.

Abstract: An adapter assembly for connecting an end effector to a handle assembly includes first, second, and third drive assemblies configured for converting rotational motion from the handle assembly to linear motion for performing first, second, and third functions.

Abstract: Implantable prostheses for repairing soft tissue defects near an anatomical tube and methods for their manufacture are described. Exemplary prostheses may be implanted at a soft tissue repair site, for example, in treating an inguinal hernia. An implantable prosthesis may include a patch made up of two co-knit fabric layers, and a passageway for receiving an anatomical cord extending through the fabric layers. The passageway is configured through the first fabric layer so as to minimize the prospects of the cord-like structure contacting the portion of the second fabric layer defining the passageway therethrough. The passageway through the first fabric layer may include a barrier.

Abstract: The invention provides improved medical devices, therapeutic treatment systems, and treatment methods for treatment of the lung. The invention includes methods, systems, and devices for applying a first lung volume reduction action to the functionally impaired lung tissue so as to reduce its volume to less than a pre-treatment volume; and applying a pro-inflammatory stimulus to the functionally impaired lung tissue having reduced volume, that stimulus being sufficient to induce fibrosis in the functionally impaired lung tissue. The pro-inflammatory stimulus may be separate and additional to that of the lung volume reduction action.

Abstract: The present disclosure describes an occlusion device and methods of delivering the occlusion device. The occlusion device can include an expandable structure configured to move between an unexpanded configuration and an expanded configuration. The expandable structure can be configured to have an expansion ratio of at least about 5:1. Further, the occlusion device can be configured to prevent substantially all fluid from flowing past the occlusion device when the occlusion device is in the expanded configuration in the vessel.

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, is directed toward an occlusion device that includes a proximal portion, a distal portion, and an intermediate portion extending between the proximal portion and the distal portion. The distal portion can include a directing region and a lead-in member that extends distally from the directing region. When the occlusion device is in a deployed configuration, the intermediate portion can form a preset bend in the occlusion device that positions the directing region at an angle with respect to the proximal portion. As a result, as the occlusion device is pushed distally out of a delivery catheter into the aneurysm, the directing region directs the distal portion away from exiting the aneurysm through the neck such that the proximal portion crosses the neck and generally remains within the aneurysm.

Abstract: An occlusive implant includes an expandable framework that is configured to shift between a collapsed configuration and an expanded configuration. An occlusive member is disposed along at least a portion of the expandable framework. At least part of the occlusive implant is configured to repel fibrinogen. In some cases, the occlusive implant may be configured for placement within a left atrial appendage (LAA) of a patient's heart.

Abstract: Systems and methods for embolizing body lumens are provided that include a mixing component provided in a flow path between two chambers, e.g., syringes, such that one or more actuators may direct embolic material back and forth between the two chambers through the mixing component to mix the embolic material. Once mixed, the embolic material may be delivered from one of the chambers through a catheter into a patient's body to embolize a target location.

Abstract: A smart tourniquet for self-administering a medication is provided. When a patient needs to inject themselves with a medication, intravenously, called an “infusion,” the patient wears the smart tourniquet around their arm and tightens the device. While the patient is using the smart tourniquet, the device automatically records the date and time of the infusion, called a “timestamp”. The patient can also use the device to record the dosage or “number of units” taken at the time of the infusion. The smart tourniquet can store the timestamp as well as other related information as a record. At a later time, the patient can recall prior records on the smart tourniquet itself. The smart tourniquet can also be synchronized with an application and the records can be downloaded for review by the patient, nurse or doctor to render accurate and timely care.

Abstract: Sensing technology methods related thereto for determining cut through of bone and a depth of penetration of a working portion of a surgical instrument (e.g., an oscillating saw blade in a cut). A first sensor outputs a first signal representative of a displacement of the cutting edge of the saw blade in the cut. A second sensor outputs a second signal representative of a force applied to the cutting edge of the saw blade. As such, monitoring the first and/or second sensor may allow for the saw to be stopped upon completion of a cut (e.g., when the saw passes completely through a medium to be cut or upon reaching a predetermined depth for the cut).

Abstract: An endoscopic pedicle probe for use during spinal surgery to form a hole in a pedicle for reception of a pedicle screw has an enlarged proximal end for cooperation with the hand of the surgeon and an elongate shaft terminating in a distal tip that may be pushed through the pedicle to form the hole. The tip may be detachable for replacement. An endoscope extends through the shaft and is connected with a monitor to enable the surgeon to visually observe the area being treated. In a preferred form a light means extends through the shaft to illuminate the area being treated, and in a further preferred form a conduit extends through the shaft to convey a fluid to flush the area being treated. In a further embodiment, two endoscopes are associated with the probe.

Abstract: Described herein is an anti-skid surgical instrument for use in preparing holes in bone tissue. The disclosed surgical instrument provides the ability to prepare a precise hole in bone tissue during surgery (e.g., spinal surgeries and pedicle screw placement, intramedullary screw placement). The disclosed surgical instrument accomplishes precise hole placement regardless of whether the angle between the drill axis and surface of the bone tissue is perpendicular. The disclosed technology includes a flat drilling surface which is perpendicular to the surface of the body of the surgical instrument. This reduces the likelihood of the surgical instrument skidding on the surface of the bone tissue and thereby increases the precision of the hole.

Abstract: A surgical instrument for cutting a first tissue and detecting a second tissue includes a shaft, a cutting member, and a tissue monitor system. The shaft extends along a longitudinal axis and includes a shaft lumen and a shaft opening. The cutting member is disposed within the shaft lumen and configured to cyclically move from a first position to a second position relative to the shaft. The cutting member is further configured to cut a tissue portion of the first tissue for removal therefrom. The tissue monitor system is associated with at least one of the shaft or the cutting member configured to detect the second tissue distinct from the first tissue for selectively cutting and removing the first tissue relative to the second tissue.

Abstract: The present invention is directed to systems, methods, tools and surgical procedures that provide for improved, faster and/or more efficient methods for cleaning bone of soft tissue in preparation for use in bone grafting and surgery, including specific applications particularly useful in fusion procedures and/or other surgeries of the lumbar, cervical, and/or thoracic spine and/or other anatomical locations, desirably allowing for faster and complete healing.

Abstract: An orthopaedic surgical instrument system for use in preparing a patient's bone is disclosed. The surgical instrument includes a cutting guide block configured to be secured to a surgically-prepared surface of the patient's bone, and a cutting tool to be used in conjunction with the cutting guide block to resect a section of the patient's bone. A method of performing an orthopaedic surgery is also disclosed.

Abstract: A surgical device has a shaft including a proximal portion and a distal portion being disposable with a surgical robot guide to engage vertebral tissue. The proximal portion defines a detectable marker and is connectable with at least one surgical instrument for manipulating the vertebral tissue. Systems, surgical instruments, spinal implants, constructs and methods are disclosed.

Abstract: Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using a cut guide assembly and referencing a provisional proximal tibial resection at the base of the tibial eminence are disclosed.

Abstract: A surgical device includes a body having a first side with a first surface that is complementary to a surface of a foreign object disposed within a patient based on preoperative imaging of the patient. The body defines at least one hole positioned relative to the body to facilitate insertion of an elongate device at a predetermined location relative to the foreign object.

Abstract: A system for removing a kidney stone from a ureter may include: an elongate, flexible, outer shaft having a distal end configured to be advanced into the ureter and a proximal end; an elongate, flexible, inner shaft extending through at least part of the outer shaft; an expandable stone retention member extending through at least part of the inner shaft and moveable along the longitudinal axis relative to the inner shaft; an elongate, flexible camera positioned coaxially within the retention member shaft, such that a distal end of the camera is located at or near a distal end of the inner shaft; and a handle coupled with the proximal end of the outer shaft, a proximal end of the inner shaft, and a proximal end of the retention member shaft.

Abstract: Methods for restoring blood flow in occluded blood vessels using an apparatus having a self-expandable distal segment that is pre-formed to assume a superimposed structure in an unconstrained condition but can be made to take on a volume-reduced form making it possible to introduce it with a microcatheter and a push wire arranged at the proximal end, with the distal segment in its superimposed structure assuming the form of a longitudinally open tube and having a mesh structure of interconnected strings or filaments or struts. In a preferred embodiment, the distal segment has a tapering structure at its proximal end where the strings or filaments or struts converge at a connection point.

Abstract: To provide suction forceps for endoscopic surgery which are capable of quickly aspirating a fluid such as blood or another body fluid without requiring reinsertion of a dedicated aspiration tube even when there is leakage of blood or another body fluid during surgery, and consequently, also make it possible to prevent the duration of surgery from lengthening. Thus, suction forceps for endoscopic surgery are provided which are equipped with: a hollow section formed in a body section; a gripping part which manages tissue during surgery, and is formed at the tip end of the body section on one side thereof; and a suction port which is formed so as to be connected to the hollow section, and aspirates body fluid that has leaked from the tissue or blood that was effused during the surgery.

Abstract: An apparatus for removing a hook embedded within a tissue is presented. The hook has a barb extending from a point section of the hook. The apparatus includes a clamping device configured to secure the hook. A probe is coupled to the clamping device. The probe has a tip portion configured to fit within a space between the barb and the point section of the hook to allow the hook to be removed from the tissue.

Abstract: An apparatus and method for an articulating microsurgical instrument is disclosed herein. The articulating microsurgical instrument may be configured to be operable with a Doppler probe, bone grasper, soft tissue grasper/dissector, scissors, flexible forceps, or a suction/irrigation line configured to provide tools within a surgical location that can be adjusted to a desired angle of operation. A tip assembly may comprise an articulating portion at a distal tip and the articulating portion may be configured to deflect upon actuation of an articulation control. The articulation control may be a trigger assembly or a roller wheel. A bayonet-style handle may include a set of posts configured to interact with the one or more control wires during actuation of the articulation control. One or more control wires may be housed in a lumen and actuated using a articulation control of a handle assembly.

Abstract: Systems and method for delivery and positioning of a sheet-like surgical implant to a target site including a means of deploying and orienting the sheet-like implant within the body.

Abstract: A suction-irrigiation aspiration device may be provided with a tip capable of mechanical action to break up or emulsify material into smaller particles during a suction or irrigation procedure. The mechanical action in the tip may the in the form of a rotational or linear reciprocating motion to cut or emulsify the blood or tissue and thereby prevent or reduce clogging of the suction-irrigiation aspiration device.

Abstract: A tissue harvesting and wound closing device includes first and second actuator strip guides of a strip that are slideable along first and second panel guides of a panel, respectively. A first section of a base of the actuator strip has a substantially uniform width between the first and the second actuator strip guides. A second section of the base has a gradually decreasing width between the first and second actuator strip guides. A third second section of the base has a substantially uniform width between the first and second actuator strip guides that is smaller than the first width. When the actuator strip is pulled, the first and second actuator guides slide along the first and second panel guides, respectively, to cut a strip of tissue strip creating an open wound, and a panel pulls proximal tissue on opposite sides of the open wound to close the wound.

Abstract: A circumcision device is provided by the present invention and includes a body and a glans penis locating and protecting member permanently or releasably associated with the body. The body and glans penis locating member between them support a foreskin crushing assembly that includes a crushing surface that includes an axis extending in the general direction of a penis being circumcised in use, a cooperating crushing member, and a mechanism for operating the foreskin crushing assembly. A cutting assembly is also provided that is rotatable about said axis relative to the crushing surface so as to be capable of severing a foreskin adjacent the foreskin crushing assembly. The cutting assembly includes a cutting blade movable between a withdrawn position and an operative extended condition in which the blade may be rotated about said axis to cooperate with the crushing surface or a foreskin located thereon.

Abstract: A prepuce extruding, cutting, hemostasis, and healing assembly using ultrasonic wave. Ultrasonic wave is applied in extruding, cutting, hemostasis, and healing of prepuce at a conjunction of internal and external tissues of a distal part of a human body. The assembly includes an ultrasonic generating device, a transmission device and a circumcision device. The ultrasonic generating device is used for generating ultrasonic waves, is connected to the transmission device and can send the ultrasonic waves to the transmission device. The transmission device is connected to the circumcision device and can send the ultrasonic waves to the circumcision device. The circumcision device is used for extruding and cutting a prepuce and/or performing hemostasis and/or healing of wounds. In this way, circumcision can be completed within just several seconds, and immediate healing can be achieved, preventing bleeding during and after a surgery.

Abstract: An improved cutting tool is provided for cutting openings in a patient's jaw so that a dental implant may be inserted therein. The cutting tool includes a tapered pick portion that has a generally flat surface and a radiused surface. The pick portion further includes a cutting blade that extends along at least a portion of the generally flat surface of the pick portion so that the cutting blade is generally opposite from the radiused surface. When the pick portion is inserted into the patient's jaw and rotated, the radiused surface engages a first section of the patient's bone to create at least one micro fracture in the bone while the cutting blade engages a second section of the bone and removes a portion of the bone in the second section.

Abstract: The present disclosure relates to a surgical tool for cutting and hemostasis of biological tissues. The surgical tool includes a hollow blade comprising a cutting implement residing within a hollow cavity configured to provide high-pressure steam through an apical surface. The cutting implement can operate independently or in cooperation with the provided high-pressure steam. The surgical tool of the present disclosure applies a directionally-controlled, high-pressure steam flow to a tissue region of interest. A control unit provides temperature-controlled steam at a flow-rate determined in accordance with tissue type and intended procedure.

Abstract: An ultrasonic surgical device is disclosed including a surgical tool including a proximal transducer mounting portion defining a surface, a distal end effector end, and a waveguide disposed therebetween, the waveguide extending along a longitudinal axis. The ultrasonic surgical device further includes a transducer is in mechanical communication with the surface of the transducer mounting portion. The transducer is configured to operate in a D31 mode with respect to the longitudinal axis of the waveguide.

Abstract: An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.

Abstract: The application provides a unipolar cannula that can have a metal cannula tube, a body part made of an electrically insulating plastic, attached to the proximal end of the cannula tube, a connector disposed on the body part for the introduction of a liquid into the cannula tube, and a stimulation cable, an electroconductive wire of which electrically contacts the cannula tube in the region of the body part. The stimulation cable can be mounted laterally on the body part by a mounting part made of an electrically insulating plastic, where the mounting part has an electroconductive contact element which is connected conductively to the wire, and where the contact element engages into a recess of the body part and contacts the cannula tube when the mounting part is mounted on the body part.