Abstract: Described herein is a surgical instrument guide for use with a robotic surgical system, for example, during spinal surgery. In certain embodiments, the guide is attached to or is part of an end effector of a robotic arm, and provides a rigid structure that allows for precise preparation of patient tissue (e.g., preparation of a pedicle) by drilling, tapping, or other manipulation, as well as precise placement of a screw in a drilled hole or affixation of a prosthetic or implant in a prepared patient situation.

Abstract: Disclosed are improved orthopedic tools and methods for use during orthopedic surgical procedures, including joint arthroplasty and joint replacement procedures. More specifically, disclosed herein are improved apparatus for preparing bone and/or soft tissue of the spine and/or other regions for implantation of intervertebral implants.

Abstract: The present invention is directed towards a Jamshidi assembly which can be used for surgical procedures, such as inserting a pedicle screw within a patient. The Jamshidi assembly comprises an inner cannulated member sized and shaped to receive a sharp pointed medical device and slidably disposed within an outer sleeve member. When engaged with the inner cannulated member, the outer sleeve member is constructed to rotate and move about a longitudinal axis of the Jamshidi assembly. Coupled to the outer sleeve member is a working end adapted to contact and be driven into an anatomical structure, such as a vertebral body. Depending on the working end, configurations, such as threading may be formed within the anatomical structure.

Abstract: A number of low-profile metallic customized, patient-specific orthopaedic surgical instruments are disclosed.

Abstract: The present invention discloses a patella forming device and a using method thereof, the patella forming device comprising a connecting member, a base, a milling member and a central shaft pin, wherein the connecting member is disposed on the top of the base, and one end of the central shaft pin is disposed on the connecting member, The other end extends vertically downwardly and extends into the hollow structure of the base, the milling member is disposed on the surface of the base, and the base is rotatable around the central shaft to remove unwanted bone tissue through the milling member; The invention rapidly rotate on the surface of the patella which needs to be formed, and removes the skeletal hypertrophy bone and the bone tissue which is not matched with the femoral side prosthesis by cutting, honing, etc., forming a smooth and regular in a short time.

Abstract: Provided is an intraluminal foreign object capturing tool with which it is possible to cause a capturing member for capturing a foreign object to expand to an appropriate diameter. The foreign object capturing tool, in order to capture a foreign object in a lumen, includes: a core wire; a capturing member which is disposed movably outside the core wire, has a farthest tip-end which is movement-regulated at a predetermined position of the core wire, and expands in diameter by contracting axially; a tubular member which is disposed outside the core wire on a base end side of the capturing member, and which regulates movement of capturing member on the base end side; and control members which are disposed outside the core wire and inside the capturing member, and which regulate the amount of axial contraction of the capturing member. As the tubular member and the core wire are moved relative to each other, the capturing member contracts axially by a length regulated by the control member and expands in diameter.

Abstract: A cutting assembly for a surgical instrument. The cutting assembly comprises a tube assembly having an inner tube adapted to be rotated by a drive assembly, and an outer tube disposed over the inner tube. An aperture within each of the inner and outer tubes may define a cutting window adapted to be applied to a surgical site of a patient. A grip is coupled to the tube assembly and configured to be engaged by a hand of a user. A manually movable member for rotating the outer tube may be provided and rotated with an index finger or a thumb of the hand while the grip is engaged by a web of the hand. A web portion of the grip may be engaged by the web of the hand without being engaged by a palm of the hand. Methods of gripping a cutting assembly are also disclosed.

Abstract: An integrated hysteroscopic treatment system which includes an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems.

Abstract: A surgical instrument including a reusable and sterilizable hub assembly and a releasably connectable disposable blade assembly allows multiple reuse of the hub assembly in conjunction with single use disposable blade assemblies.

Abstract: An example medical instrument for creating larger voids within target tissue. Medicants could be injected into these larger voids for diffusion into the surrounding tissue. An exemplary medical device includes a tissue penetrating device, a pocket creation device and a handle. The handle includes a first component connected to the tissue penetrating device and a second component connected to the pocket creation device. When the second component is at a first position relative to the first component, the pocket creation device is in a non-pocket creation configuration. When the second component is at a second position relative to the first component, the pocket creation device is in a pocket creation configuration, wherein the pocket creation device is slidably received within the tissue penetrating device and the handle.

Abstract: The disclosed technology is directed to a probe unit of an ultrasonic treatment tool that comprises an ultrasonic probe having respective opposed distal and proximal end sides in a longitudinal direction and configured to transmit ultrasonic vibrations. A treatment portion is attached to the distal end side of the ultrasonic probe in the longitudinal direction. The treatment portion includes a cutting surface of a shape having directionality. A handle portion having a cutting portion identifier that is engaged with an outer circumference of the proximal end side of the ultrasonic probe. The cutting portion identifier is configured to indicate a position of a reference side representing a direction in which the cutting surface is oriented and/or included in the cutting surface.

Abstract: The disclosed technology is directed to a transducer unit used in a treatment instrument that comprises an ultrasonic transducer configured to generate ultrasonic vibrations. A cylindrically-shaped casing is configured to hold the ultrasonic transducer therein along a central axis. The cylindrically-shaped casing includes an outer circumferential portion having respective circular arc portions and extension portions formed thereon. A virtual polygon is formed by connecting together a plurality of virtual points located at positions outside of the outer circumferential portion and is separated by a predetermined distance from the central axis when a cross-section intersecting the central axis at right angles and a first virtual distance between the central axis and each side of the virtual polygon are defined. The circular arc portions each includes, as a radius from the central axis, a first length greater than the first virtual distance but smaller than the predetermined distance.

Abstract: The disclosed technology is directed to a treatment instrument having a vibration generating device and a handle for operation. The vibration generating device comprises a housing and a generator including a transducer disposed within the housing. The transducer generates vibration by using electric energy and a first electric contact disposed on the housing. A connector is rotatable about a predetermined rotational axis with respect to the housing of the generator. A coupler is disposed in the connector and having a second electric contact rotatable about the predetermined rotational axis with respect to the first electric contact in a state in which an electric connection of the second electric contact to the first electric contact is maintained. The connector further includes a conductive member forming a part of an electric path of a current that flows based on an operating input at an operating member provided on the handle.

Abstract: A device for intra-vascular embolic-thrombolic protection, as well as embolectomy/thrombectomy and atherectomy interventional procedures and methods. At least a portion of the working end of the device may be formed monolithically from a single hypodermic tube, or may be formed of monolithic inner and outer tubes with fixed or movable guide wire elements and imaging modalities. The device may comprise structures enabling coring, expansion within a vascular structure and vascular wall shaving, as well as filtration, stabilization and capturing of thrombotic or embolitic material during an intervention procedure.

Abstract: A device for introduction into a body vessel includes a shaft, a balloon positioned at the distal end of the shaft, a guidewire disposed longitudinally within the shaft to receive a guidewire during use, a balloon disposed at the distal end of the shaft, and longitudinal scoring wires to score a vascular lesion attached to the distal end of the shaft, disposed over the balloon and disposed within the shaft. The proximal ends are welded or otherwise affixed to a spring mounted in the handle. The balloon expands when fluid is delivered to the balloon through the inflation lumen. This expansion pushes the scoring wires against the vascular lesion.

Abstract: An improved catheter atherector for shaving, cutting, and emulsifying accumulated plaque into fine particles, and removing the particles from blood vessel walls without cutting or permanently stretching the walls, and without substantially blocking the blood flow through the vessel during plaque removal operation. The catheter atherector includes an emulsification reduction sphere and extraction wire that rotate and move axially inside the vessel to engage the occlusive material. Emulsified occlusive reduced plaque material and blood only flow in a proximal direction into a catheter lumen. The operation of the device does not substantially disrupt blood pressure within the blood vessel.

Abstract: The disclosure is directed a device and related methods for guiding medical injections. The device generally includes a disc portion and a handle portion extending therefrom. The disc extends from an aperture to a periphery, wherein dimensions of the aperture and periphery are selected to be useful for medical and cosmetic injections, such as administration of botulinum toxin and other applications. The device is used to identify and mark injection sites thereby planning the procedure and guiding the physician during administration of the injections.

Abstract: The invention relates to a surgical apparatus, in particular a navigation probe for localizing and treating lesions in a brain, comprising a telescopically expandable body member having an anterior end, a posterior end, and comprising a top part and a bottom part, the bottom part having at least one groove extending for a particular length in a longitudinal direction of the bottom part between said anterior end and said posterior end, the top part being placed on said bottom part and having at least one engaging element that extends into said at least one groove so as to mount the top part on the bottom part moveable in said longitudinal direction, wherein the body member has a substantially circular or polygonal cross-section in the assembled state of the bottom part and the upper part.

Abstract: In some embodiments, disclosed herein are systems and methods of treating a patient that can include the steps of accessing the sphenopalatine fossa, and cannulating the inferior orbital fissure from the sphenopalatine fossa to access the retro-orbital space. The sphenopalatine fossa can be accessed via various routes, including percutaneously. Accessing the sphenopalatine fossa can include the step of inserting a needle-catheter system into the sphenopalatine fossa. Integrated needle-catheter systems as described herein can also be configured to access the trigeminal ganglion, epidural space, intrathecal space, and other desired anatomical locations.

Abstract: An introducer system for use with a navigation probe. The introducer system has an introducer and a probe retainer configured to selectively connect to the introducer. The probe retainer includes a receiver configured to receive a navigation probe shaft and limit movement of the navigation probe shaft in the lateral direction. A first clamp and a second clamp are connected to the receiver with the receiver located between the first clamp and the second clamp. Each of the first clamp and the second clamp is selectively engageable with respective portions of the introducer sidewall to hold the receiver at a fixed location relative to the introducer. The receiver, the first clamp, and the second clamp are configured to provide a visual path through the probe retainer and into the introducer passage.

Abstract: An example introducer is disclosed. An example introducer includes an inner liner including a lumen, a distal region and at least one folded portion extending along the distal region. The introducer also includes a reinforcing member having a length and including at least one spine extending along the length of the reinforcing member. The introducer also includes a sheath disposed along at least a portion of the introducer, wherein the sheath includes at least one perforation, wherein material adjacent to the at least one folded portion is removed from a distal portion of the introducer to form a tip region. The introducer also includes a tip member disposed along the tip region.

Abstract: In one embodiment, the present disclosure relates to a probe for use in minimally invasive surgery. The probe includes a shaft and a tip extending from the shaft. The tip includes a bulbous shape with a smooth and rounded outer surface. In some embodiments, the shaft is separated from the tip by a neck such that both the shaft and the tip expand outward from a concave surface of the neck. In some embodiments, one or both of a neuromonitoring element and an ultrasound sensor are disposed on the tip. In some embodiments, a probe may include a surface feature that resists expulsion of the probe from a human body when the probe is disposed in the human body. In further embodiments, a probe may include insulated material over a first surface region and conductive material over a second surface region.

Abstract: A device and method for a guidance sheath is provided which is configured to prevent laceration or puncture of nerves, blood vessels and surrounding tissue, during positioning of a coaxially located needle employed for various medical procedures, such as, the administration of an anesthetic blockade, neuromonitoring, electromyography or a therapeutic intervention. The body of the sheath may be electrically conductive to allow communication of electric current to exposed portions of an exterior surface of the body of the device which are not coated with an insulation.

Abstract: A surgical device comprising a shaft comprised of a first end and a second end; a clamp configured to be locked or unlocked attached to the first end of the shaft; an actuator shaft that is removably coupled to the shaft and configured to open and close the clamp; and optionally an anchor.

Abstract: A system and method for internal pelvic fixation. Guide wires can be inserted through guides and opposing sides of a pelvic bone, and can indicate a depth for driving bone screws into the pelvic bone. Offset rod tools positioned about each guide can assist in determining an offset distance between an implant rod and the pelvic bone. A template rod may be coupled to the offset rod tools and used to select a length for the implant rod. Clamps can be coupled to the bone screws, the clamps having multiple axes of rotation, the angular positions of the clamps being secured by the tightening of a single nut of each clamp. Joysticks used to tighten the nuts can be coupled to a reduction holder mechanism that can decrease at least an axial distance between the clamps, and thus pelvic bones, before locking of the clamps via tightening of the nuts.

Abstract: Threaded joints for supporting and stabilizing a rear fracture of the pelvic ring or for stabilizing and stiffening the sacroiliac joint, either with a threaded bar in connection with threaded nuts or a screw in connection with the sacrum. The threaded joints are characterized by secure support and stabilization of a rear fracture of the pelvic ring or by secure stabilization and stiffening of the sacroiliac joint. The threaded joint as an implant is either a threaded bar in connection with threaded nuts for supporting the rear fracture of the pelvic ring or a screw in connection with the sacrum. There is a washer located between the ilium and the threaded nut or the screw head, the side of the washer that faces the ilium being mutually oblique in at least two planes and the oblique surfaces being arranged at an angle to each another.

Abstract: A cylindrical plug to close a femoral opening drilled in a femur to receive an intramedullary cutting guide, to prevent bleeding from the opening after removal of the intramedullary cutting guide from the opening.

Abstract: A medical implant assembly includes a polyaxial bone anchor having a shank, a receiver, a lower compression insert with planar surfaces for closely receiving an elongate connecting member with planar surfaces and a one-piece closure structure. The connecting member is made from a polymer. The closure structure engages both the connecting member and the insert with the engagement between the closure structure and the insert securely locking the polyaxial mechanism even if the connecting member exhibits creep.

Abstract: A bone fastener comprises a first member defining an implant cavity and a first groove. A first band is disposable in the first groove. A base is connectable with the first member and engageable with the first band. The base defines a second groove and a slot. A second band is disposable in the second groove and defines an opening aligned with the slot. A second member is connectable with the base and engageable with the second band. The second member is configured to penetrate tissue. The opening is aligned with the slot to facilitate an angular range of movement of the second member relative to the first member. Implants, spinal constructs, systems, instruments and methods are disclosed.

Abstract: The invention is directed in various aspects to a system including anchors, anchor components, and anchor assemblies and subassemblies that are adapted for attachment to a bony structure of a clinical subject. For example, two or more such anchors in the form of screws may be affixed to bones, for example, vertebral structures such as the pedicle, and each anchor is connected to a stabilizer such as a surgical rod that is inserted between the anchors. The anchors and assemblies are novel in many respects owing to their modular nature, which in contrast to conventional systems, allows the anchors to be provided to a surgeon in modular, subassembly and fully assembled form to enable a broad array of choices in devising the optimal plane for surgical bone fixation.

Abstract: A medical implant assembly includes a polyaxial bone anchor having a shank, a receiver, a lower compression insert with surfaces for closely receiving an elongate connecting member and a dual closure structure that may include a single flange or helical flange. The dual closure structure independently engages the connecting member and the lower compression insert. A threaded capture connection of the bone anchor includes a shank upper surface exclusively engaging the lower compression insert and a retainer threadably attached to the shank and spaced from the upper surface, the retainer configured for polyaxial motion with respect to the receiver prior to locking.

Abstract: Systems, devices and methods related to spinal stabilization are provided. A system can comprise a plurality of cross-links. Each of the cross-links can include a central rod holder that extends substantially along a mid-line of the spine and a pair of extension members extending from the central rod holder. The extension members can be secured to a vertebral body via a fixation device, such as a spinal screw or a hook member having serrations and/or side-cuts. One or more rod members can be extended across the central rod holders of the cross-links, thereby forming a stable spinal stabilization system providing bilateral stress distribution across different levels of the spine.

Abstract: A system is utilized, which comprises a cross connector for use in spinal fixation, further comprising multiple connection features configured to accommodate for direct attachment to multiple rods. Teachings are directed to a device that not only provides increased construct stiffness in flexion, extension and lateral bending, but also in torsion. The system adds stiffness in standard constructs. Joining multiple adjacent constructs with varying rod sizes for load distribution are also benefits of the system.

Abstract: Methods and devices are disclosed for treating the vertebral column. An implant for treating the spine is provided comprising at least two articulations between the spacer and the bone facing surface of the fixation plate. Another implant for treating the spine is also provided, comprising two or more fixation plates attached to a spacer with two or more articulations, wherein the fixation plates are independently movable.

Abstract: Expandable spinal fixation assemblies, systems, and methods thereof. An expandable spinal fixation system may include expandable barrel assembly including an upper barrel half and a lower barrel half and a fixed barrel assembly. The fixed barrel assembly is insertable between the upper barrel half and the lower barrel half such that the fixed barrel assembly is clamped between the upper barrel half and the lower barrel half. Each of the expandable barrel assembly and the fixed barrel assembly includes fixation plates adapted to secure spinous processes to the fixation system.

Abstract: A retractor apparatus for a surgical robotic system includes a frame defining a central open region, a connecting member that connects the frame to a robotic arm, a plurality of coupling mechanisms for attaching a set of retractor blades within the central open region of the frame such that blades define a working channel interior of the blades, and a plurality of actuators extending between the frame and each of the coupling mechanisms and configured to move the blades with respect to the frame to vary a dimension of the working channel. Further embodiments include a surgical robotic system that includes a robotic arm and a retractor apparatus attached to the robotic arm, and methods for performing a robot-assisted surgical procedure using a retractor apparatus attached to a robotic arm.

Abstract: A bone fixation system, device and method are provided herein. A system may include a bone plate. The bone plate is adapted to be affixed to a bone surface, and comprises a bioactive porous portion. The porous portion is adapted to, include bone healing-promoting substances, such as hollow microparticles containing the bone healing-promoting substances embedded in the porous portion. The bone plate father includes at least one attachment portion. In some embodiments, the attachment portion includes a face, which defines indentations, such as dimples, to retain an amount of adhesive.

Abstract: A targeting system (1) for the guided insertion of a guide wire (50) or a bone screw comprising: a stabilization body (2) fixed to the bone by means of stabilization screws (3); a guide sleeve (4) adapted to receive a guide cannula (5) for the insertion of the guide wire (50) or bone screw; articulated connection means (6) adapted to connect the stabilization body (2) to the guide sleeve (4) and allow the relative spatial position of the guide sleeve (4) to be varied with respect to the stabilization body (2).

Abstract: A graft or prosthetic element suitable, e.g., for replacing a tendon or ligament is fastened in a bone tunnel or blind opening with the aid of a fastener. In a first step, the graft or prosthetic element is press-fitted in the tunnel or opening by forcing the fastener into the opening or by positioning the fastener in the opening and then expanding it, wherein the fastener is in contact with the graft or prosthetic element and with the bone wall of the tunnel or blind opening. In a second step, the fastener is anchored in the bone wall of the tunnel or blind opening with the aid of a liquefiable material which is liquefied in the vicinity of the bone wall where it is in contact with the fastener and by making the liquefied material penetrate into the bone wall.

Abstract: The present invention provides, in one aspect, a bone fixation device, the bone fixation device having a shaft, the shaft including a drive end and a tip end, at least a portion of the shaft configured to anchor into bone. The shaft further includes a first non-resorbable section extending from the tip end of the shaft, a second non-resorbable section extending from the drive end of the shaft, and a resorbable section. The resorbable section includes a tip side and a drive side, the resorbable section is between the first non-resorbable section and the second non-resorbable section, with the tip side of the resorbable section coupling to the first non-resorbable section and the drive side coupling to the second non-resorbable section.

Abstract: An implant system, alignment guide, bone fusion system and surgical method for correction of a flat foot or rocker-bottom deformity, such as a Charcot foot. The implant system includes a bone implant and an elongate member. The bone implant includes a proximal end, a distal end, a hole along a longitudinal axis, and at least one opening intersecting the hole. The elongate member includes a first end with a head portion, a second end with a coupling mechanism, and an opening along a longitudinal axis. The coupling mechanism of the elongate member engages the at least one opening to couple the bone implant to the elongate member.

Abstract: A method for stabilizing a vertebral body is provided. The method includes creating one or more openings into a central region of the vertebral body and dispose at least one cannula in the one or more openings. The method includes forming an internal cavity within the vertebral body through at least one of the one or more openings. The method includes injecting bone particles into the internal cavity of the vertebral body through a bone particle catheter disposed within the at least one cannula. The method includes applying pressure to the bone particles within the internal cavity of the vertebral body, thereby compressing them against a sidewall of the internal cavity. The method includes removing the at least one cannula and closing the one or more openings, thereby sealing the bone particles within the internal cavity of the vertebral body. A system for stabilizing a vertebral body is also provided.

Abstract: A bone positioning guide may include a main body member, a shaft, and a bone engagement member. The shaft can be movably connected to the main body member and have the bone engagement member rotatably coupled to its distal end. The bone engagement member can have a surface configured to engage a bone. The main body member can also include a tip opposite the bone engagement member for engaging a second bone. In use, the bone engagement member may be positioned in contact with a medial side of a first metatarsal while the tip is positioned in contact with a lateral side of a different metatarsal, such as a second metatarsal. The shaft can then be moved to advance the bone engagement member toward the tip, causing realignment of the first metatarsal.

Abstract: The invention relates to a dispensing system for use in cryogenic skin treatment that is capable of targeted delivery of a cryogen at a high rate, thereby achieving rapid freezing of targeted skin tissue. The dispensing system of the present invention uses a cryogen that contains dimethyl ether and is designed to deliver the cryogen in an accurate and very effective manner.

Abstract: Method for treatment of the body with localized energy application in combination with other treatments to facilitate cluster tissue ablation and increase immune response including a method of treatment of a localized treatment area of a body including injection, IV or otherwise to entrap and/saturate a localized treatment area to be used singularly or in combination with: a high electric conductive material comprising a saline solution, hypertonic saline solution, a solution with metallic compounds, metals, nanoparticles, gel, polymers, high-polarity molecules, peptides, liposomes to treat and cause preferential heating and effect secondary conductive heating from cluster sites to adjacent tissues using external or intracavitary energy applicators.

Abstract: An energy source for use with an electrosurgical system is disclosed. In one embodiment, the energy source includes a power supply, one or more capacitors coupled to the power supply, and a switching component coupled to the one or more capacitors. The switching component is configured to output pulses of a biphasic waveform. The pulses are capable of treating undesired tissue by inducing a change in voltage potential across cell membranes of a plurality of cells in the undesired tissue to promote non-thermal cell death in the plurality of cells. The pulses are also capable of treating the undesired tissue with no or minimal muscle contractions in patient tissue within reach of the biphasic waveform during treatment of the undesired tissue.

Abstract: The present disclosure relates to devices, systems and methods for positioning a neuromodulation device at a treatment site and evaluating the effects of therapeutic energy delivery applied to tissue in a patient. Before, during and/or after therapeutic energy delivery, a system can monitor parameters or values relevant to efficacious neuromodulation by emitting and detecting diagnostic energy at the treatment site. Feedback provided to an operator is based on the monitored values and relates to a relative position of the treatment device at the treatment site, as well as assessment of the likelihood that a completed treatment was technically successful.

Abstract: Spinal tumor ablation devices and related systems and methods are disclosed. Some spinal tumor ablation devices include two conductors and one or more thermocouples. The thermocouple to measure a temperature at a location on one of the conductors. A generator can produce an electrical alternating current to be conducted between the first conductor and the second conductor via tissue within a desired ablation region. A processor may monitor temperature and impedance and control an output of the generator when the impedance of the tissue increases and stop the generator when the thermal energy delivered to the tissue reaches a target threshold.

Abstract: Tumor ablation devices and related systems and methods are disclosed. Some tumor ablation devices include an RF energy delivery probe with two conductors and one or more thermocouples. The thermocouple measures a temperature at a location on one of the conductors. A generator can produce a current to be conducted between the first conductor and the second conductor via tissue within a desired ablation region. The ablation regions created by the RF energy delivery probe are symmetric about poles of the first conductor and the second conductor. A distal portion of the RF energy delivery probe may articulate, enabling a user to position the RF energy delivery probe in a proper position to ablate the tumor. The thermocouples may be disposed on a flexible or wired thermocouple circuit that is disposed between insulators.

Abstract: An electrosurgical wand for treating tissue at a target site within or on a patient's body is described, having an elongate shaft with a handle and a distal end portion. The distal end portion has an active electrode, an insulative spacer body and a return electrode; the active electrode supported by the insulative spacer body and spaced away from the return electrode. The active electrode has both lateral and medial edge surfaces. The insulative spacer body has an aspiration cavity fluidly connected with an aspiration lumen, and at least one tapered aperture extending beyond at least one of the electrode medial edge surfaces and directed to the aspiration cavity.