Abstract: An implant is suitable for treatment for nerve tissue injuries of various types in any period of the severe injury to the nerve tissue, in particular, of the spinal cord, immediately after relief of disturbed vital functions for the early and stable restoration of its conduction in the acute period, prevention from or reduction of the demyelination processes. The technical result is to ensure the possibility to restore the injured nerve tissue in volume. The implant is the body made from porous material, such as the porous PTFE having three-dimensional structure containing the open through pores and dead-ended pores uniformly distributed over inner surfaces of the open pores and connected with the inner surfaces; pore sizes are randomly distributed within the range of 150-300 ?m. The method of treatment for nerve tissue injuries and use of the porous PTFE for manufacture of the implant are also claimed.

Abstract: A stapling apparatus includes a cartridge assembly, an anvil assembly, and a buttress material. The cartridge assembly includes pushers configured to eject the respective surgical staples from the cartridge assembly, and an outer wall defining a cavity and having a finger deflectably extending over the cavity. The buttress material includes an annular body and a tab extending proximally from the annular body such that at least a portion of the tab is wrapped around the finger of the outer wall of the staple cartridge assembly. The pushers are movable between a first position in which one of the pushers engages the finger such that the tab is secured against the one of the pushers, and a second position in which the one of the pushers is disengaged from the finger such that a portion of the tab is released from the one of the pushers.

Abstract: A reload assembly includes a shell housing, a knife carrier, and at least one engagement member. The shell housing includes an inner housing portion and an outer housing portion that is spaced from the inner housing portion to define an annular cavity. A catch is supported within the annular cavity. The knife carrier defines a longitudinal axis and supports a knife. The knife carrier also supports a resilient locking member that is positioned to engage the catch when the knife carrier is in its retracted position after the reload assembly has been fired to retain the knife carrier in the retracted position.

Abstract: An adapter assembly for connecting a loading unit to a handle assembly is provided. The adapter assembly includes a sleeve, a removable trocar assembly releasably securable with the sleeve, and a locking assembly configured to releasably secure the trocar assembly within the sleeve. The locking assembly includes first and second button members and corresponding first and second locking members for releasably securing the trocar assembly.

Abstract: A surgical clamp for clamping an organ comprising: a first clamping member and a second clamping member each having a distal end and a proximal end; the first clamping member and second clamping member being connected to each other at their respective proximal ends and pivotally movable relative to each other between an open configuration and a closed configuration of the clamp; each of the first and second clamping members having one or more regions of curvature along its length; the first clamping member comprising a first tissue engaging portion having a first tissue engaging surface and the second clamping member comprising a second tissue engaging portion having a second tissue engaging surface; each of the first and second tissue engaging portions comprising an arrangement of teeth for engaging with the organ; wherein the first tissue engaging surface and the second tissue engaging surface are concave and oppose each other such that in the closed configuration, a gap is defined between the first and the

Abstract: Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.

Abstract: A medical device is disclosed, which is capable of preventing a maintenance treatment element imparting energy to biological tissue from being displaced from a treatment target site and a treatment method performed on a heart failure patient. A medical device is disclosed, which includes a shaft portion, an expandable and contractible expansion body provided on a distal side of the shaft portion, and a maintenance treatment element disposed in the expansion body and imparting energy to biological tissue. The expansion body includes a concave portion recessed in a direction intersecting with an axial direction of the shaft portion. The maintenance treatment element is disposed in the concave portion.

Abstract: Implant for insertion into body cavities, in particular blood vessels, preferably aneurysms, comprising at least one fibre (2) by means of which a coagulation of blood can be brought about, wherein the implant comprises at least one driving element (1) which can be formed into a first shape and which can be converted from the first shape automatically into a second, in particular relaxed shape by a mechanical stress which is applied to the element in the first shape, and the implant comprises at least one driven fibre (2), in particular a multiplicity of driven fibres (2), and a respective driven fibre (2) with regions which are spaced apart in the direction of extent of the fibre is attached to the at least one driving element (1) in regions which are at a different position with respect to one another, in particular at a larger distance from one another, in the first shape than in the second shape, and the at least one driven fibre (2), preferably the multiplicity of driven fibres (2), is driven by the driv

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, is directed toward an occlusive device that includes a first mesh having an expanded state in which it curves about a first axis to form a first band, and a second mesh having an expanded state in which it curves about a second axis different than the first axis to form a second band. The second band may be positioned radially inward of the first band such that the device includes first and second overlap regions in which the first band overlaps the second band.

Abstract: An occlusion device with particular utility in occlusion of left atrial appendages is described. The occlusion device embodiments utilize an inflatable balloon or expandable element used to occlude the treatment site.

Abstract: A medical gas blending system includes a first syringe configured to be connectable to a supply of a first gas, and a second syringe configured to be connectable to a supply of a second gas. A three-way valve is provided between the first syringe and the second syringe. The three-way valve is operable in a first configuration to selectively isolate the first syringe from the second syringe, in a second configuration to allow communication between the first syringe and the second syringe, so that the first gas present in the first syringe and the second gas present in the second syringe may be selectively blended in the first syringe and/or the second syringe to form a blended gas mixture, and in a third configuration so that the blended gas mixture may be transferred from the first syringe and/or the second syringe to an external syringe connectable to the three-way valve.

Abstract: Devices, systems, and methods used to seal a treatment area to prevent embolic agents from migrating are described. The concept has particular benefit in allowing liquid embolic to be used with a variety of intravascular therapeutic applications, including for occluding aneurysms and arteriovenous malformations in the neurovasculature.

Abstract: A reciprocating surgical saw blade includes a distal portion, a proximal portion, and a main body extending between the distal portion and the proximal portion. The main body includes an upper surface and a lower surface, and a first outer edge extending from the upper surface to the lower surface of the main body, and a second outer a second outer edge extending from the upper surface to the lower surface of the main body. A biocompatible polymer is provided along at least one of the upper surface, the lower surface, the first outer edge, or the second outer edge of the main body.

Abstract: A bone saw cutting guide block includes a body and a bone saw guide assembly. The body includes a proximal surface and a distal surface. The bone saw guide assembly includes a first guide slot defined by the body. The first guide slot extends through the proximal surface and the distal surface along an insertion and retraction path. The first guide slot may accommodate lateral movement of a bone saw while guiding the bone saw along the insertion and retraction path. The first guide slot includes a first interior surface and a second interior surface. The first interior surface is spaced a first distance transversely away from the insertion and retraction path. The second interior surface is spaced a second distance transversely away from the insertion and retraction path. The first distance is smaller than the second distance.

Abstract: A front end attachment for a powered surgical tool comprises a nose and an irrigation fitting. The nose extends forward from a proximal end of the nose. The nose defines a bore and an enclosed channel. The bore is for receiving a shaft of a cutting accessory connectable to a motor of the powered surgical tool for rotation thereby. The enclosed channel is separate from the bore. The channel extends longitudinally and helically along the nose such that, as the channel extends longitudinally, the channel curves around the nose so as to curve around the bore. The irrigation fitting is in fluid communication with the enclosed channel in the nose. The irrigation fitting is adapted to receive an irrigating fluid and to flow the fluid through the enclosed channel.

Abstract: System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a distal opening at or near the distal end of the trocar. The system includes a curved cannula sized to be received in the central channel, and having a curved distal end configured to be extended laterally outward from the distal opening in a curved path extending away from the trocar. The curved cannula has a central passageway having a diameter configured allow a probe to be delivered through the central passageway to a location beyond the curved path.

Abstract: A surgical tool for use in gaining access to the spine and including a part which is arranged to avoid other anatomical structures when the tool is in use; the tool comprising: a distal working end formation, a proximal end and intermediate said ends a formation displaced from a longitudinal axis and extending between said distal and proximal ends wherein the displaced formation is arranged to avoid said other anatomical structures anatomy during use of the working end of the tool.

Abstract: An alignment guide is provided for aligning a cannulated intramedullary reamer shaft with a guidewire. The alignment guide includes a tray, a guidewire alignment flange extending from a rear portion of the tray, and a reamer shaft alignment flange extending from a front portion of the tray. The guidewire alignment flange includes a sidewall curved to form a first recess within the sidewall. The reamer shaft alignment flange includes at least one tab having a curved portion to form a second recess within the at least one tab. The first and second recesses are aligned along a longitudinal axis to position the reamer shaft and guidewire along the longitudinal axis.

Abstract: A surgical cutting tool guide (20, 320, 420, 520) includes a target arm (30) and primary and secondary sight arms (32A, 32B), which are pivotably attached to the target arm (30) so as to be rotatable with respect to one another about primary and secondary target pivot points (34A, 34B), respectively. A sight (40) includes a sight housing (42), which defines a sight passage (44) for aligning a surgical cutting tool (22) with a sight target axis (46), and is attached to the primary and the secondary sight arms (32A, 32B) such that the sight housing (42) and the primary and the secondary sight arms (32A, 32B), respectively, are rotatable with respect to each other about the primary and secondary sight pivot points (34A, 34B), respectively.

Abstract: The present invention provides a catheter device. This novel catheter device comprises: a catheter, a catheter sheath, a guide wire, a tapered head, a helical structure, and a rotary member. When the catheter is inserted through a blood vessel and stopped by a plaque, it is able to operate the rotary member to rotate the catheter, such that a blockage region of the plaque for the catheter is formed with a through hole therein. Therefore, the guide wire can pass through the through hole of the blockage region, and then the front-end of the catheter can subsequently pass through the blockage region with the forward movement of the guide wire. Consequently, a balloon angioplasty or a stent implantation can easily be conducted in the blockage region of the artery.

Abstract: An infusion catheter system may deliver a therapeutic agent to a desired location in the body. The system may include an elongate catheter shaft having a proximal end region, a distal end region, a distal opening, and a lumen extending between the proximal end region and distal opening. The distal end region may include a coiled portion having a preformed coiled configuration including a plurality of helically wound rings. A plurality of apertures may be formed through a sidewall of the coiled portion. A guidewire may be configured to be slidably disposed within the lumen of the catheter shaft. The guidewire may include a proximal end region having a first cross-sectional dimension, an enlarged distal end region having a second cross sectional dimension greater than the first cross-sectional dimension, and an intermediate region disposed between the proximal end region and the distal end region.

Abstract: A system for removing embolic material from an intravascular site is disclosed. The system includes an elongate, flexible tubular body, having a proximal end, a distal end, and a tubular side wall defining at least one lumen extending axially there through; an axial restraint carried by the side wall and exposed to the lumen; a rotatable core wire extendable through the lumen, the core wire having a distal end; a limit carried by the core wire, the limit having a bearing surface for rotatably engaging the restraint; and an agitator tip on the distal end of the core wire. The limit and the restraint are engageable to permit rotation of the core wire but limit distal advance of the tip relative to the tubular body.

Abstract: An apparatus for spreading tissues. The apparatus includes a sheath member including an open end, a closed end, and a barrel extending between the open end and the closed end; and at least one flap-tip for engaging with tissues, wherein the at least one flap-tip is attached to the sheath member, each flap-tip projecting from the sheath member, wherein the at least one flap-tip is moved in response to movement of the sheath member.

Abstract: A medical hand-held instrument includes two handle elements that can swivel relative to one another, and a spring element having two spring element ends. The spring element ends are each connected to one of the two handle elements such that, when swiveling at least one of the two handle elements out of an initial position, a swiveling back into the initial position can be achieved by the spring element At least one of the two spring element ends is connected to the corresponding handle element via form-fit which is generated by reshaping the spring element. A method for producing a medical hand-held instrument includes connecting two handle elements such that they can swivel relative to each other.

Abstract: An electromechanical surgical system having an instrument housing for connecting with a shaft assembly, a shaft assembly, and an end effector. The end effector is an articulating end effector and the system includes a cable tensioning system for tensioning the articulation cables. The system includes a clutch mechanism for preventing slippage of a drive cable.

Abstract: Embodiments include a method comprising determining histological factors at a target site of a subject, and determining parameters of a fractional resection based on the histological factors. The parameters include dimensionality of a fractional field, orientation of the fractional field, resection depth, and a vector of directed closure. The method includes configuring a cannula assembly for the fractional resection that includes a procedure to generate a fractional field at the target site by fractionally resecting tissue according to the parameters. The fractional resection includes applying a cannula array of the cannula assembly to the target site, and rotating at least one cannula of the cannula array to circumferentially incise and remove a plurality of skin plugs in the fractional field.

Abstract: Embodiments include a system comprising a cannula assembly configured for rotational fractional resection (RFR). The cannula assembly includes at least one cannula configured for rotational operation and enclosed in a depth guide configured to control an insertion depth of the at least one cannula. The depth guide includes a vacuum chamber configured to maintain vacuum to evacuate resected tissue generated by the RFR.

Abstract: Methods for accessing a disc space of a patient as a part of an interbody fusion, as well as the tools employed therewith. An exemplary method may include inserting a leading end of a tool into the patient's back at a location on the posterior surface that is laterally offset from a patient's spinous process and disc. The tool's initial entry into the patient may be from a posterior approach. As the tool is advanced along its designated path, it begins to deviate from the posterior approach towards a lateral approach. When the leading end reaches the disc, it may access the disc from a lateral or substantially lateral location. The tool may be used to access the disc location, to remove disc material, to deliver a cutting tool for removing the disc material, and other steps associated with the spinal interbody fusion procedure.

Abstract: Embodiments include a system comprising a carrier and a cannula assembly. The carrier includes a proximal end and a distal end, and the proximal end is configured to removeably couple to a remote console. The cannula assembly, which is configured to removeably couple to the distal end of the carrier, is configured for rotational fractional resection (RFR) and includes at least one cannula rotatably coupled to the carrier and enclosed in a depth guide configured to control an insertion depth of the at least one cannula. The depth guide includes a vacuum chamber configured to form vacuum to evacuate resected tissue generated by the RFR.

Abstract: An apparatus includes a body assembly, an acoustic waveguide, an ultrasonic blade, a liquid dispensing feature, and a control module. The liquid dispensing feature is positioned distally relative to the body assembly. The liquid dispensing feature is positioned adjacent to the ultrasonic blade. The liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade. The control module is operable to regulate fluid flow through the liquid dispensing feature.

Abstract: An ultrasonic vibration transmittable probe includes a probe body configured to transmit ultrasonic vibration generated by an ultrasonic transducer. A treatment section is provided on a distal end side of the probe body along its longitudinal axis and is configured to cut a treatment object with the ultrasonic vibration. The treatment section includes first to third cutting surfaces disposed at progressively proximal positions. A portion of the first cutting surface has a dimension along a first orthogonal direction orthogonal to the longitudinal axis that is smaller than a dimension of the second cutting surface along the first orthogonal direction.

Abstract: An ultrasonic vibration transmittable probe includes a probe body configured to transmit ultrasonic vibration generated by an ultrasonic transducer. A treatment section is provided on a distal end side of the probe body along its longitudinal axis. The treatment section includes multiple cutting surfaces having different dimensions in a first orthogonal direction orthogonal to the longitudinal axis.

Abstract: An ultrasonic vibration transmittable probe includes a probe body configured to transmit ultrasonic vibration generated by an ultrasonic transducer. A treatment section is provided on a distal end side of the probe body along its longitudinal axis and is configured to cut a treatment object with the ultrasonic vibration. The treatment section includes at least two cutting surfaces and an edge portion having a different shape than an outermost edge of the treatment section.

Abstract: An apparatus includes a body, a shaft assembly, an end effector portion, a data storage component, a reader, and a use control. The shaft assembly extends distally from the body and includes a support portion. The end effector portion is configured to selectively couple with the support portion of the shaft assembly. The data storage component is associated with the end effector portion and contains data uniquely associated with the end effector portion. The reader is adapted to read the data from the data storage component. The use control is adapted to enable operation of the end effector portion if the data meets at least one usage parameter.

Abstract: A surgical instrument is disclosed comprising a shaft assembly comprising a shaft, a housing coupled to a proximal end of the shaft, a button, a driver, a motor configured to actuate the driver, and a controller for translating displacement of the button to a velocity of the motor. The controller is configured to detect a displacement of the button, wherein the displacement is manifested as a frequency and magnitude over a period of time, compare the detected frequency to a frequency threshold, compare the detected magnitude with a magnitude threshold, determine that the detected frequency exceeds the frequency threshold and the detected magnitude exceeds the magnitude threshold, and smooth the velocity of the motor over the period of time based on determining the detected frequency exceeds frequency threshold and determining the detected magnitude exceeds the a magnitude threshold.

Abstract: Rotational atherectomy devices and systems can remove or reduce stenotic lesions in implanted grafts by rotating one or more abrasive elements within the graft. The abrasive elements can be attached to a distal portion of an elongate flexible drive shaft that extends from a handle assembly that includes a driver for rotating the drive shaft. In particular implementations, individual abrasive elements are attached to the drive shaft at differing radial angles in comparison to each other (e.g., configured in a helical array). The centers of mass of the abrasive elements can define a path that fully or partially spirals around the drive shaft.

Abstract: A wire for use with a vascular treatment device may have a proximal end, a distal end, and a main shaft extending therebetween. The distal end may have a distal free end and a first segment. The first segment may extend from the main shaft and may be biased to a first included angle that is defined between the main shaft and the first segment and less than 180 degrees.

Abstract: Disclosed is an artificial intelligence-based cannula surgery diagnostic device. The device includes a cannula stroke sensing unit for sensing a stroke of a cannula generated in a surgical procedure of a patient; a surgical data processing unit for receiving surgical data generated based on a stroke of the cannula; and a surgical prognostic information-generating unit for analyzing the received surgical data based on the existing learned surgical data to generate surgical prognostic information for the patient.

Abstract: A minimally invasive fat cell removal system and method is provided using a numbing component, a laser component, and a NIL component. A cannula and fiber of the laser component are insertable into a body of a patient at a biopsy punch to liquefy a fat cell via a tumescent fluid and/or a laser. A NIL cannula of the NIL component is insertable into the body to remove the fat cell via suction and/or nutation. An anesthetic device of the numbing component may reduce sensation of the body where the cannula is insertable. The fat cell may be harvested and implanted at another location of the body.

Abstract: A cannula may include a cannula bowl having an opening to receive an instrument configured to be advanced through the cannula, and a cannula tube extending distally from the cannula bowl. The cannula tube may have a proximal end opening, a distal end opening disposed at an opposite end of the cannula from the proximal end opening, and lateral wall defining a passage extending from the proximal end opening to the distal end opening. The lateral wall can have outer dimensions defining a waisted portion with smaller outer dimensions than a region disposed proximally or distally to the waisted portion along a length of the cannula tube.

Abstract: External fixator assemblies, systems, and methods thereof. An external fixator system may include a plurality of fixator assemblies configured to connect a plurality of pins, for example, positioned on opposite sides of a fractured bone, with one more rods. The fixator assemblies may include a plurality of clamp assemblies that are configured to clamp onto the rods. A distractor/compression instrument is used to adjust the location of a clamp assembly along the length of its rod.

Abstract: A surgical derotator instrument comprises a shaft, a handle and an articulating coupler. The shaft comprises a first end portion having a bone anchor coupling and a second end portion opposite the first end portion. The handle comprises a body portion and a slot extending in the body portion. The articulating coupler connects the shaft and the handle. A method for coupling a plurality of derotator instruments into a series of derotator instruments comprises: attaching a plurality of derotator instruments to a plurality of adjacent bone anchor housings, each derotator instrument comprising: a shaft for connecting to a bone anchor housing, a handle having a slot, and an adjustable coupler connecting the shaft and the handle; adjusting one or more of the adjustable couplers to align at least one of the slots of the series with other slots of the series; and inserting an elongate member through the at least one slots that are aligned.

Abstract: A tethering screw system includes a bone screw, a fastening member, and a securing member. The bone screw includes a threaded shank and a head portion. The head portion includes inner walls defining a slot and a recess distal of the slot. The fastening member is received in the recess of the head portion of the bone screw. The securing member has an engaging portion and a set screw rotatably coupled with the engaging portion. The engaging portion is configured to secure the fastening member in the recess of the head portion. The set screw is configured to threadably engage the inner walls of the head portion of bone screw, wherein when the set screw threadably engages the inner walls of the head portion of the bone screw, the engaging portion advances relative to the fastening member to secure the fastening member in the recess of the head portion.

Abstract: A dynamic fixation medical implant having at least two bone anchors includes a longitudinal connecting member assembly having at least one transition portion and cooperating outer sleeve, both the transition portion and sleeve being disposed between the two bone anchors. In a first embodiment, the transition portion includes a rigid length or rod having apertures therein for tying or otherwise attaching the rigid length to a second rigid length or to a flexible cord. Slender ties or cords extend through a plurality of apertures in the rigid lengths or are threaded, tied or plaited to the larger flexible cord or cable. In a second embodiment, a transition portion includes slender ties of a cord that are imbedded in a molded plastic of a more rigid member. The outer sleeve may include compression grooves. The sleeve surrounds the transition portion and extends between the pair of bone anchors, the sleeve being compressible in a longitudinal direction between the bone anchors.

Abstract: This disclosure presents a polyaxial pedicle screw system. The system may comprise one or more of a screw body, a screw insert, a head component, a bushing, and/or other components. The screw body may have a major diameter. The screw insert may comprise a spherical head having a head diameter. The head component may have an axial bore forming an interior surface which defines a bore diameter of the axial bore. The interior surface may define a narrowest part of the bore diameter of the axial bore at a first end of the head component. The head diameter of the spherical head of the screw insert and/or the major diameter of the screw body may be larger than the narrowest part of bore diameter of the axial bore.

Abstract: A surgical instrument enables dispensing of a series of fasteners within a patient's body. The device includes a magazine sized and dimensioned to hold a series of fasteners, the series of fasteners insertable through an opening at the end of the magazine. A splined guide bore is rotatably supported within the magazine, and slidingly supports a shaft having an external surface mateable with the splined guide bore to restrict radial rotation of the shaft with respect to the support about said longitudinal axis. A biasing element is connected between the support and the shaft, to urge the shaft along a longitudinal axis towards a distal end of the instrument. A ratchet is connected to the shaft and engages the magazine to permit sliding of the shaft in a direction for dispensing fasteners only, unless disengaged with the magazine.

Abstract: An improved sacroiliac (SI) joint implant device that comprises a compression screw and an additively manufactured bone matrix that promotes osteointegration between the device and a patient's bone. Specifically, the SI joint implant device will compress the patient's SI joint with the differential between the thread pitch of a distal portion of the device and a proximal portion of the device. As the SI joint implant device is advanced across the patient's SI joint, the smaller pitch on the proximal threads will compress the joint with every turn of the screw. The center section of the SI joint implant will also be sheathed in the additively manufactured bone matrix sleeve that has both the porosity and the structure to promote boney ingrowth.

Abstract: Embodiments of the invention relate generally to tissue anchors and methods of delivering same to the intervertebral disc or other sites within the body. In some embodiments, the anchors provide pull-out resistance, stability and/or maximize contact with tissue involving a minimum amount of penetration. In some embodiments, delivery methods are minimally invasive and include linear, lateral, and off-angle implantation or driving of anchors along, against or within tissue surfaces.

Abstract: Disclosed are laminoplasty devices and systems, kits that include such laminoplasty devices or systems or components thereof; and methods of assembling and using such laminoplasty devices and systems. In particular, articulating laminoplasty devices are provided that allow lamina plates to be adjusted angularly and transitionally with respect to a cage connecting the lamina plates. Also provided are laminoplasty plates that are configured so as to be assembled with a bone graft housing, and which provide an opening configured to facilitate bone graft insertion into the housing. Further provided are expandable laminoplasty fixation systems that include a lateral mass plate, a lamina plate and a set screw that when screwed and unscrewed, allows one to contract and expand the plates with respect to one another.

Abstract: Methods, systems, and devices are provided for the alignment of implants or fastener members. For example, a surgical driver device is provided that has a driver head with a sidewall, a bore extending into a distal end of the driver head that is configured to receive an implant therein, and an alignment post that is disposed within the bore and extends distally beyond a distal opening of the bore. A retention member is disposed along a perimeter of the driver head and is configured to provide an interference fit between the driver head and an implant. A surgical caddie is also provided that has a housing, a plurality of implants on a mounting station, and a removal post that external threads that are matable with internal threads on each of the plurality of implants.