Abstract: A hemostatic device can perform hemostasis by compressing a puncture site on a hand of a patient, and can prevent a movable range of fingers from being narrowed or can prevent misalignment at a wearing position, when the hemostatic device is worn on the hand. The hemostatic device has a covering portion to cover a site where bleeding is to be stopped on a hand of a patient, and a pressing portion that compresses the site where bleeding is to be stopped, in a state where the covering portion covers the site where bleeding is to be stopped. The covering portion includes a securing portion that surrounds at least a portion of the hand while covering the pressing portion, and a restriction portion that restricts a movement of the securing portion in an axial direction. The restriction portion is disposed between adjacent fingers and of the hand.

Abstract: An hemostatic device, the hemostatic device comprising: a bracelet configurable between an open configuration and a closed configuration, wherein, in the closed configuration, the bracelet forms a loop and in the open configuration, the bracelet is linear; a compression element mounted to the bracelet and defining a compression surface for compressing against a patient, the compression element being movable relative thereto the bracelet so that a distance between the bracelet and the compression surface is varied when the bracelet and compression element are moved relative to each other, the compression element including a lock for selectively locking the compression element and bracelet relative to each other.

Abstract: An engagement mechanism for a driver instrument (24) can comprise a mobile shaft (121, 221), a collet (122, 222) and an angled engagement interface (124; 136A-D). The mobile shaft comprises a first shaft portion (128, 228) located at a proximal end of ON the mobile shaft, a driver portion (126, 226) located at a distal end of the mobile shaft, and an internal passageway (180, 280) extending from the proximal end to the distal end. The collet comprises a second shaft portion (134, 234) disposed within the passageway at co the first shaft portion, and flexible arms (132A-D, 232A-D) extending from the second shaft portion within the driver portion. The angled engagement interface is positioned between the driver portion and the flexible arms, and is configured to permit the driver portion to push or deflect the flexible arms radially inward when the first shaft portion is slid along the second shaft portion.

Abstract: A retrieval device attachable to a scope includes a handle which has an attachment portion configured to couple the handle to the scope; a shaft coupled to the handle having a wire immovably coupled to the handle; and a sheath movable relative to the handle over the wire between a distal position and a proximal position via an actuator of the handle. The actuator actuates a slider assembly of the handle. The slider assembly is coupled to the sheath and movable relative to the attachment portion to move the sheath and an expandable end effector coupled to the distal end of the wire. The end effector is movable between a collapsed configuration when the sheath is moved distally to the distal position to cover the end effector and an expanded configuration when the sheath is moved proximally to the proximal position, uncovering the end effector.

Abstract: An enucleator and method of use for resection of tumors, especially tumors of the bladder. The enucleator has a plurality of tentacles that are selective extensible and retractable from an elongate body. In a deployed, extended position, the tentacles may be positioned to surround the tumor and tumor stalk. The ends of the tentacles have a razor tipped edge that are oriented inwardly to surround. Utilizing the energy source at the tip of the razor ends, cut through the tumor stalk will finalize the enucleation en-bloc of the whole tumor in one piece.

Abstract: A medical system including a grasp device having a longitudinal portion and an end effector attached to the longitudinal portion; an overtube having a collection lumen and a water supply lumen through which the longitudinal portion is inserted and having a distal end opening positioned inside the collection lumen; and an aspirator connected with the collection lumen, wherein the end effector further has a first member; and a second member mounted so as to open and close the end effector by moving relatively to the first member, wherein the second member forms an interior space between the first member and the second member for accommodating the tissues and has an opening communicating with the interior space when the end effector is closed, and the proximal end portion of the second member is enterable into the collection lumen.

Abstract: An invasive electrohydraulic lithotripter probe may comprise a lithotripter tip that comprises a first electrode and a second electrode. The lithotripter tip has a length in excess of 250 cm and is dimensioned to be inserted into a long channel having a length in excess of 250 cm. The lithotripter probe may include a material that reinforces a linear strength of at least a portion of the lithotripter probe.

Abstract: Disclosed is an instrument assembly usable in a procedure. The instrument includes a connection for a working portion and to a tool handle. The assembly includes a method and system for interconnection and/or identification of the working portion and the handle.

Abstract: Disclosed is an instrument assembly usable in a procedure. The instrument includes a connection for a working portion and to a tool handle. The assembly includes a method and system for interconnection and/or identification of the working portion and the handle. The instrument may also include various trackable features to allow for a navigated procedure.

Abstract: A medical treatment tool of the present invention includes a supporting unit; a pair of grasping pieces, at least one of which is supported on the supporting unit so that the at least one grasping piece pivots on a pivot axis orthogonal to a longitudinal axis of the supporting unit; and a driving mechanism causes the grasping piece to pivot. The driving mechanism includes a cylindrical part disposed at a proximal end of the grasping piece and having the pivot axis; a driving member having an outer surface that makes rolling contact with an inner surface of the cylindrical part, the driving member being rotatably supported on an inner side of the cylindrical part so that the driving member rotates about an axis parallel to the pivot axis; and a force transmitting member transmitting a force applied to a proximal end of the supporting unit to rotate the driving member.

Abstract: In some examples, a tool for, e.g., creating a sub-sternal tunnel in a patient or other use, is described. The tool may include a handle and a tunneling shaft coupled to the handle. The tunneling shaft extends from a proximal end to a distal end, and at least a portion of the tunneling shaft extends in a curved orientation between the first end to the distal end. The distal end of the tunneling shaft includes a cutting tool having a sharp edge. The cutting tool is moveable from a recessed position in which the sharp edge of the cutting tool is recessed into the distal end of the tunneling shaft to a deployed position in which the sharp edge of the cutting tool extends beyond the distal end of the tunneling shaft in the deployed position, e.g., to cut pericardium, scar tissue, and/or connective tissue with the sharp edge.

Abstract: An assembly comprising a structural element with a bayonet having a universal blade fitting inserted into the interior of a tube and an electrical source pod is disclosed. The tube is releasably attached to a handle and a blade is attached to the universal blade fitting to form a terminal configuration, such as a surgical scalpel. The support element provides stability and support for pressure placed on the blade to minimize or prevent breakage of the bayonet during cutting. The support element also provides a lever support and function for the tube it is attached to and the handle that attaches to it. Finally, the support element also serves as a guide rail for all assembly components to adhere to and along upon assembly of all components such as tube, electrical source pod and battery cartridge.

Abstract: An apparatus with a deployable blade for probing and cutting can include an elongate member having a probe and a blade associated with a first end thereof. The probe can include a target interaction surface that is selectively movable between a retracted state and a target acquisition state. The blade includes a cutting edge and is selectively movable between a retracted position and an extended position. The handheld apparatus may additionally include a manually operated control that is operably connected to the probe and/or the blade to cause the retraction/extension of the probe and/or blade.

Abstract: Exemplary embodiments of method and apparatus are provided for resurfacing of skin that includes formation of a plurality of small holes, e.g., having widths less than about 1 mm or 0.5 mm, using a mechanical apparatus, thus avoiding generation of thermal damage as occurs with conventional laser resurfacing procedures and devices. The holes formed can be well-tolerated by the skin, and can exhibit shorter healing times and less swelling than conventional resurfacing procedures. The apparatus includes one or more needles adapted to remove a small portion of tissue when inserted into and withdrawn from the skin. The fractional surface coverage of the holes can be between about 0.1 and 0.7, or between about 0.2 and 0.5. The exemplary method and apparatus can produce cosmetic effects such as increases in collagen content, epidermal thickness, and dermal/epidermal junction undulations in the skin.

Abstract: An ultrasonic surgical instrument includes an elongated shaft having respective proximal and distal end sides. An ultrasonic transducer is secured to the shaft and is configured to transmit ultrasonic vibrations from the proximal end side toward a distal end side along a longitudinal axis of the shaft. A cutting portion includes an outermost shape-defining portion that when pressed at a tip of the block shape against a bone cuts the bone in a direction of a pressing force to form a bone tunnel and to produce small particle of bone. A burying portion is configured to direct a flow of the fluid, which contains the small particle of bone produced upon formation of the bone tunnel, toward a wall formed in the bone tunnel by the cutting portion along the direction of the pressing force and to bury the small particle of bone in the wall of the bone tunnel.

Abstract: An ultrasonic surgical tool system with a tip capable of simultaneously vibrating in plural modes. The system includes a console capable of supplying a drive signal to the tip that includes plural components. Each component has a frequency characteristic that is based in part on the equivalent of current through the mechanical components of the tip. The frequency components are different from each other. Based on the application of drive signal the tip undergoes non-linear vibrations.

Abstract: Disclosed are steerable needles having a shaft that can be controllably buckled, a steering head positioned at a distal end of the shaft, a transmission for controlling the orientation of the steering head, and a base at the end of the shaft, the base optionally comprising a controller for controlling the transmission. Also disclosed are methods of using the disclosed steerable needles.

Abstract: An invention provides a cardiovascular cannula for extracorporeal circulation that the insertion into a surgical site heals by first intention and leaves no visible scars on the tissue, and a method for use. The invention including: a holder, a plurality of ducts including a first end and a second end, the first end connected to the holder, wherein the holder and the plurality of ducts includes a blood passageway, is provided. The invention including: a holder adapted to connect to an extracorporeal circulation apparatus, a plurality of ducts connected to the holder, and an internal connection adapted to connect the plurality of ducts within the circulatory system of a patient, is provided. The invention includes other embodiments and a method for extracorporeal circulation without visible tissue scarring.

Abstract: A rapid exchange type medical elongated body is disclosed in which an outer diameter of a distal portion of a tubular member is set smaller than an outer diameter of a proximal portion of the tubular member, which prevents an occurrence of a kink in a physical property change region of the medical elongated body which has a relatively large change in physical property. A tubular member forming a second region of a distal member of a medical elongated body is integrally formed with a shaft portion. The distal member has a reinforcement layer containing a metallic material and formed between an inner layer and an outer layer from a first region to the second region. The reinforcement layer is disposed inside the tubular member in the second region. An outer diameter of the first region is set smaller than an outer diameter of the second region.

Abstract: A system for accessing arterial vasculature from a venous insertion site includes a first elongate tubular member, a second elongate tubular member configured to be disposed within a lumen of the first elongate tubular member, an elongate crossing member including a distal tip comprising a frusto-conical outer surface, and configured to be disposed within a first lumen of the second elongate tubular member, and a stylet configured to be disposed within a lumen of the elongate crossing member, wherein placement of the second elongate tubular member, elongate crossing member, and stylet together through the lumen of the first elongate tubular member does not substantially straighten a curved distal portion of the first elongate tubular member, and wherein the elongate crossing member and stylet are removable from the first lumen of the second elongate tubular member when it is within the lumen of the first elongate tubular member with at least its distal end extending out of the first elongate tubular member.

Abstract: Selectively lockable holding arrangements for a surgical access assembly are disclosed. One holding arrangement includes a body portion, an engagement barrel and a retaining member configured as a hook at a distal end of the body portion. The engagement barrel is position on a proximal end of the body portion and is configured to be selectively rotated about the body portion when operatively connected to a surgical holding arrangement. A rotation brake is mounted on the body section. The rotation brake is selectively operable to lock the engagement barrel against rotation.

Abstract: A surgical access port or trocar is provided. The trocar has a trocar seal housing and a trocar cannula with an optical obturator insertable through the trocar seal housing and the trocar cannula. The trocar is configured to access a body cavity, to maintain positive pressure and to prevent loss of surgical insufflation gas used in laparoscopic procedures. The trocar seal housing can be releasably attached to the trocar cannula. The trocar seal housing may also have a shield and/or alignment channel that provide protection or assist in operation of instrument and zero seals housed in the trocar seal housing.

Abstract: In some examples, a system includes a medical device comprising an elongate body configured to advance through layers of tissue of a patient, a lumen extending through the elongate body, a fluid line configured to supply fluid to the lumen, and a pressure sensor positioned within the lumen or the fluid line. The system may further include processing circuitry configured to receive, from the pressure sensor, a signal corresponding to the pressure of the fluid at each of a plurality of time points, determine, for each time point: a corresponding amplitude value of the signal, a difference between two amplitude values of the signal, an amplitude oscillation status of the signal, a position of the elongate body based on the difference and the amplitude oscillation status; and provide an indication of the position of the elongate body relative to the layers of tissue.

Abstract: Origami robots, and associated systems, methods of treatment, and methods of manufacture are provided. A system includes an origami robot encapsulated for ingestion by a patient, such as in a biocompatible material that is dissolvable or meltable within the gastrointestinal tract. A method of treatment includes delivering an origami robot in a folded position into a gastrointestinal tract of a patient, causing the origami robot to unfold within the gastrointestinal tract, and directing the origami robot to a site requiring treatment in the gastrointestinal tract.

Abstract: In an example, a clamping assembly includes a longitudinal member having a first end and a second end, the second end defining a first clamp, a second clamp configured to attach to the first end of the longitudinal member and connect to a rod assembly, a clamping member including a first end, a second end defining a spherical portion, and a third clamp, where the first clamp of the longitudinal member is configured to receive the second end of the clamping member.

Abstract: The present disclosure relates to an apparatus for closed reduction of a bone fracture. The apparatus includes at least: a pulling adaptor including: a handle configured to be gripped by an operator; an insertion rod that is extended from the handle in a longitudinal direction of the handle, and configured to be inserted into the bone fracture which is depressed in at least one area thereof; and a pulling lug that is bent and extended from an end of the insertion rod such that a longitudinal direction of the pulling lug is perpendicular to a longitudinal direction of the insertion rod or such that the pulling lug is inclined with respect to the insertion rod, the pulling lug being configured to be inserted into the at least one depressed area of the bone fracture, in order to pull the bone fracture.

Abstract: A bone anchor system may include a bone anchor assembly and a driver tool. The bone anchor assembly may generally include a bone screw, a collar member, and a tulip member. The collar member may include first and second retaining arms configured to receive a retaining feature of the driver tool. The driver tool may be removably couplable to the bone anchor assembly by inserting the retention feature between the first and second retaining arms of the collar member, such that the retention feature is retained by the first and second retaining arms of the collar member.

Abstract: A receiving part for receiving a rod for coupling the rod to a bone anchoring element includes a receiving part body including a first end and a second end, and having a substantially U-shaped recess at the first end forming a channel for receiving the rod, and an accommodation space for accommodating a head of the bone anchoring element, the accommodation space having an opening at the second end for introducing the head; and a pressure element arranged at least partially in the accommodation space, the pressure element including a first section having a second recess for receiving the rod, and a second section having a flexible portion to clamp the head, the first section and the second section being fixed relative to each other, wherein said pressure element is insertable from the opening.

Abstract: A coupling device for coupling a bone anchor to a rod includes a receiving part having a longitudinal axis, a channel for receiving a rod, and an accommodation space for holding a head of a bone anchor, a pressure member having a first portion for holding and clamping the head and a deformable portion with a free end, and a locking member. The pressure member is expandable for inserting the head and adjustable to lock the head. When the deformable portion is at a first configuration, the free end of the deformable portion is supported by the receiving part, and at least part of the locking member is movable to exert a force on the deformable portion for adjusting the deformable portion to a second configuration where at least part of the deformable portion is farther away from the longitudinal axis compared to the first configuration.

Abstract: A modular screw includes a first assembly and a second assembly. The first assembly includes a base portion having a head portion, a securing portion defining a first bore, and a receiving portion defining a second bore. The second assembly includes a first post, a second post including an engaging portion, and an elongate screw threadably engageable with the second post. The second post is dimensioned to be received through the second bore of the receiving portion of the first assembly such that when a first set screw is received in the first bore, the first set screw secures the base portion of the first assembly to the second post. The elongate screw received in the second post causes radial expansion of the engaging portion of the second post, which, in turn, causes the engaging portion to be affixed to the cavity of the first post.

Abstract: An anterior cervical plate system is provided. The plate is configured to receive bone screws for attachment to and immobilization of adjacent vertebrae of the spine. The system includes a cup retained inside a through hole of the plate by a cup retainer. A bone screw is retained inside the cup by a lock that is movable between a locked position and an unlocked position. The cup is permitted to angulate forward and backward with respect to the plate and the bone screw is permitted to angulate conically with respect to the cup to provide a plate system with extreme angulation for the bone screw.

Abstract: The dynamic implant fixation plate and implant configured to accept the disclosed fixation plate can, in some aspects, provide a means of fixing an implant relative one or more planes while allowing motion relative to one or more planes. The use of the disclosed fixation plate and corresponding implant can reduce the occurrence of stress shielding and permit enhanced loading of the implant site.

Abstract: An expandable facet joint fixation device, including a first collar, a central shaft including a first end and a second end, the first end rotatably connected to the first collar, a second collar including a radially inward facing surface, the second collar concentrically arranged around the central shaft, and one or more expandable members, each of the one or more expandable members including a first arm hingedly connected to the first collar, a second arm hingedly connected to the second collar, the second arm hingedly connected to the first arm, wherein when the second collar is displaced in a first axial direction relative to the first collar, the one or more expandable members displace radially outward in a first radial direction.

Abstract: An interspinous process device is configured for placement between adjacent spinous processes on a subject's spine. The device includes a housing configured for mounting to a first spinal process, the housing having a lead screw fixedly secured at one end thereof. A magnetic assembly is at least partially disposed within the housing and configured for mounting to a second spinal process. The magnetic assembly includes a hollow magnet configured for rotation within the magnetic assembly, the hollow magnet comprising a threaded insert configured to engage with the lead screw. An externally applied magnetic field rotates the hollow magnet in a first direction or a second, opposite direction. Rotation of the hollow magnet in the first direction causes telescopic movement of the magnetic assembly out of the housing (i.e., elongation) and rotation in the second direction causes telescopic movement of the magnetic assembly into the housing (i.e., shortening).

Abstract: Driver instruments and related methods are disclosed herein, e.g., for applying a fastener to a bone anchor. Various features are disclosed for retaining the fastener to the driver instrument, such as tapered drive tips, as are various features for impacting the driver instrument into the fastener, such as slidable slap-hammer type handles. Driver instruments with interchangeable handles or handle geometries that can be changed without separating the instrument from an attached fastener are also disclosed.

Abstract: A system and method for stabilizing a spine of an animal subject involving a transverse rod installation instrument assembly for inserting a transverse rod on the spine of a subject percutaneously comprising: a first rod clamp extender mounted on a ipsilateral rod clamp and a second rod clamp extender mounted on a contralateral rod clamp wherein the ipsilateral rod clamp and the contralateral rod clamp are secured to a vertebra at the ipsilateral and contralateral pedicle; and a pivoting installation instrument pivotably mounted to the first rod clamp extender and the second rod clamp extender to pass a transverse rod percutaneously through a head portion of the ipsilateral side rod clamp and to the head portion of the contralateral rod clamp after passing through a spinous process of the vertebra through pivot axis “A” such that the transverse rod is secured at the head portion of the ipsilateral rod clamp and the head portion of the contralateral rod clamp.

Abstract: The present disclosure relates generally to surgical instruments for spinal surgery. More specifically, the present disclosure relates to a bi-planar rod persuader for urging a spinal rod into a screw, and methods regarding the same. The bi-planar rod persuader may include an implant holder, which may also include a holding sleeve. A securing foot may be attached to the distal end of the holding sleeve, and the holding sleeve may also include a threaded opening at the proximal end for receiving a stem that drives the securing foot between a first position and second position. The implant holder may also include a threaded part to engage a reduction knob. A handle assembly may also be provided, which may include two pivotally attached arms. A rod hook may be connected to one of the arms and a guide attached to the other of the arms.

Abstract: A spinal fixation device is provided including a modular head assembly and a bone screw. The modular had assembly includes a housing, an anvil, an insert, and a snap ring. The housing defines a proximal surface and an opposite, distal surface, and the proximal and distal surfaces define a throughbore therethrough. The anvil is configured to be slidably received within a portion of the throughbore. The insert defines a proximal surface and an opposite, distal surface, and the distal surface defines a first counterbore therein that terminates at a first annular surface. The first annular surface defines a second counterbore that terminates at a second annular surface. The snap ring is configured to be disposed within the first counterbore of the insert when in a first configuration, and within the second counterbore of the insert when in a second configuration.

Abstract: An orthopedic implant includes an unconstrained shape and a constrained insertion shape. The orthopedic implant includes first and second legs and a body with a central axis and first and second ends. The body includes a first aperture therethrough positioned at the first end that receives a fixation device for securing the body at the first end with bone, bones, bone pieces, or tissue. The body further includes a second aperture therethrough positioned at the second end that receives a fixation device for securing the body at the second end with bone, bones, bone pieces, or tissue. The first leg extends from the body at a position interior of the first aperture, while the second leg extends from the body at a position interior of the second aperture.

Abstract: The present invention generally relates to medical hardware for use in spinal stabilization, spinal fusion, spinal alignment and similar spinal surgical procedures. Specifically, the invention relates to a cervical plate with an integrated screw lock mechanism.

Abstract: A bone stabilization implant includes a stabilization plate provided with anchor orifices intended to receive bone anchor screws and a locking element secured in rotation to a pivot shaft pivotally mounted in a bore of the plate and movable between a rest position and a locking position of the bone anchor screw. The locking element is integrally disposed inside a recess and its lower face has a central area bearing on a bottom wall of the recess and at least one peripheral area adapted to at least partially cover an anchor orifice in the locking position. The lower face has a convex shape according a radial axis extending radially to its peripheral area.

Abstract: An assembly for correcting unbalanced growth plate activity including: (a) an implant formed of wire having (i) a longitudinal central section (2), (ii) a first end (3) configured as a first loop (4) in a form of a first helical coil (9) having a central axis (5) that is transverse to a longitudinal axis of the central section, and (iii) a second end (6) configured as a second loop (7) having a central axis (8) that is transverse to the longitudinal axis of the central section; (b) a first bone screw having a shaft section that is insertable through the first loop; and (c) a second bone screw having a shaft section that is insertable through the second loop. A kit for correcting unbalanced growth plate activity and to a method for correcting unbalanced growth plate activity are also disclosed.

Abstract: Active compression devices, methods of assembly and methods of use are disclosed. A bone fixation device may include a first member, a second member shaped to engage the first member, and at least one deformable member. A bone fusion device including a female member with a proximal and distal end, a male member with a proximal and distal end, and at least one elastic element positioned between the female member and the male member. A bone plating device including a first member, a second member shaped to engage the first member, and at least one deformable member positioned between the first member and the second member. Methods of assembling and using the bone fixation devices, bone fusion devices, and bone plating devices are also disclosed.

Abstract: A medical apparatus including a bar with a first attachment loop, a second attachment and a plurality of hooks, wherein the medical apparatus is an arch bar.

Abstract: Fiber-reinforced polymer matrix composite material bone screws having threads surfaced with a metallic layer are described. In some embodiments, the metallic layer comprises a plurality of anchors placed to engage with the composite material and resist shearing when the bone screw is inserted or removed.

Abstract: A medical implant comprises a slurry of bone particles that are injected into a vertebral body under pressure. The liquid component of the slurry may be aspirated while the slurry is being injected so that the bone particles of the slurry pack into the central area of the vertebral body to provide structural support. The injected slurry may be agitated during the procedure to maximize the structural strength of the implant after the procedure.

Abstract: Disclosed herein are surgical tool systems and methods of using such to install a fixator in a biological tissue. The systems are capable of accurately measuring torque and rotational velocity and providing real time feedback to a user during surgery.

Abstract: Various torque-limiting screwdriver devices, systems, and methods are disclosed. The screwdriver can include a body, a motor that is configured to rotate a screw engaged with the screwdriver, and a processor configured to control operation of the screwdriver. The screwdriver can have torque-limiting functionality, such as by monitoring the amount of torque applied to the screw and reducing or stopping rotation of the screw when certain torque-limiting criteria are met. In some embodiments, the screwdriver can be switched between manual operation by a user, and automated operation by a motor within the screwdriver. In some embodiments, the screwdriver can be attached to a robotic arm.

Abstract: Medical methods and systems are provided for effecting lung volume reduction by selectively ablating segments of lung tissue.

Abstract: A cryogenic balloon catheter system for treating a condition in a patient includes a balloon catheter and an inter-balloon pressure control assembly. The balloon catheter includes a first balloon; and a second balloon that substantially encircles the first balloon to define an inter-balloon space between the first balloon and the second balloon, the inter-balloon space having an inter-balloon pressure. The inter-balloon pressure control assembly controls the inter-balloon pressure in the inter-balloon space. The inter-balloon pressure control assembly includes a vacuum pump that is configured to selectively evacuate fluid from the inter-balloon space to adjust the inter-balloon pressure; and a solenoid valve that is in fluid communication with the inter-balloon space, the solenoid valve selectively allowing the vacuum pump to evacuate the fluid from the inter-balloon space.