Patents Issued in August 13, 2020
  • Publication number: 20200253605
    Abstract: Methods for selectively attaching a shaft assembly to a handle of a surgical instrument and an arm of a surgical robot are disclosed.
    Type: Application
    Filed: April 22, 2020
    Publication date: August 13, 2020
    Inventors: Jeffrey S. Swayze, Robert L. Koch, JR., Mark D. Overmyer, Frederick E. Shelton, IV, Jason L. Harris
  • Publication number: 20200253606
    Abstract: A system and method for end-to-side anastomosis to an anatomical passageway is disclosed. The system and method are particularly useful in coupling an LVAD pump to an aorta. The system and method include using a tubular graft member having a skirt flange that engages the side of the aorta, a seating assembly and a flanged stent for securing the tubular graft to the side of the anatomical passageway. An assembly for creating an opening in the side of the anatomical passageway and an assembly for delivering the tubular graft is also disclosed.
    Type: Application
    Filed: January 10, 2020
    Publication date: August 13, 2020
    Inventor: Max Bannister Mitchell
  • Publication number: 20200253607
    Abstract: Implementations of the present disclosure relate to apparatuses, systems, and methods for anastomosing vascular systems in medical procedures. A pair of similar or identical coupling devices may be disposed at the ends of two vessels, either natural or synthetic. The coupling devices may be capable of hermaphroditically connecting to one another to provide a simple and secure connection which promotes growth of the vessels between the bio-absorbable coupling devices.
    Type: Application
    Filed: April 29, 2020
    Publication date: August 13, 2020
    Inventors: Jayant P. Agarwal, Bruce K. Gale, Huizhong Li, Himanshu J. Sant
  • Publication number: 20200253608
    Abstract: The present invention relates to a joining member for an anastomosis system for realizing anastomosis between first and second hollow structures, such as end-to-side anastomosis. The joining member is annular and is adapted for joining the first and second hollow structures. The joining member includes a plurality of interconnected loops forming the annular body and a plurality of joining elements for joining the hollow structures connected to the annular body at locations where adjacent loops are interconnected to each other, and wherein the loops are configured to permit radial expansion of said annular body to expand said joining member from a first position to a second position having a second, larger diameter than the first position.
    Type: Application
    Filed: May 1, 2020
    Publication date: August 13, 2020
    Applicant: Innovative Interventional Technologies, B.V.
    Inventors: Paulus Thomas Wilhelmus Suyker, Wilhelmus Joseph Leonardus Suyker
  • Publication number: 20200253609
    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 outer housing portion to define an annular cavity. The knife carrier defines a longitudinal axis and supports a knife. The knife carrier also defines a stepped central bore having a distal portion and a proximal portion and has a shoulder positioned between the distal and proximal portions. The at least one engagement member is supported on the knife carrier and is positioned to engage the inner housing portion of the shell housing when the knife carrier is in its retracted position to retain the knife carrier in the retracted position.
    Type: Application
    Filed: January 10, 2020
    Publication date: August 13, 2020
    Inventor: Anthony Sgroi, JR.
  • Publication number: 20200253610
    Abstract: Methods, devices, and systems are provided herein for loading a band ligation barrel onto a surgical instrument. For example, a surgical system is provided for loading a band ligation barrel onto a surgical instrument that has a loading tube with a lumen to receive one or more band deployment cords of a band ligation barrel. The loading tube can be inserted through a first lumen of a surgical instrument. The system can also have a loading cap that receives a distal end of the loading tube, and a distal portion of the loading cap can be inserted into a distal-most opening of the band ligation barrel to secure band deployment cords therein. The system can also have a loading key that can be inserted into a second lumen of the surgical instrument, and a distal end of the loading key can engage with a proximal end of the loading tube.
    Type: Application
    Filed: February 12, 2020
    Publication date: August 13, 2020
    Inventors: Frederick Barclay Haller, Melissa Hagerman Haller
  • Publication number: 20200253611
    Abstract: Systems, devices and methods for occluding the left atrial appendage (LAA). The device excludes the LAA from blood flow. The implantable device is delivered via transcatheter delivery into the LAA and secured within the LAA. The implant comprises an expandable and compliant frame and an expandable and conformable tubular foam body. A delivery and tether retraction system includes a handle for controlling a pusher and tether. The pusher may be moved a distance away from the implant without changing the orientation of the implant, while the tether is still attached to the implant. Severing the tether and proximally retracting a control on the hand piece by a distance causes the severed end to advance distally by at least about twice that distance. A loader includes a conical portion with guides and a reservoir for submerging the foam prior to loading and delivery.
    Type: Application
    Filed: February 18, 2020
    Publication date: August 13, 2020
    Applicant: Conformal Medical, Inc.
    Inventors: David A. Melanson, Andy H. Levine, James H. Loper, Michael T. Radford, Carol Devellian, Aaron V. Kaplan, Ronald B. Lamport
  • Publication number: 20200253612
    Abstract: A medical flow restrictor that may be used to exclude a saccular aneurysm from the circulatory system. The device, a thin walled, foil-like shell, is compacted for delivery. The invention includes the device, electroforming fabrication methods, delivery assemblies, and methods of placing, and using, the device. A device with an aneurysm lobe and an artery lobe self-aligns its waist at the neck of an aneurysm as the device shell is pressure expanded. Negative pressure is used to collapse both the aneurysm lobe and the artery lobe, captivating the neck of the aneurysm and securing the device. The device works for aneurysms at bifurcations and aneurysms near side-branch arteries. The device, unlike endovascular coiling, excludes the weak neck of the aneurysm from circulation, while leaving the aneurysm relatively empty. Unlike stent-based exclusion, the device does not block perforator arteries. This exclusion device can also limit flow through body lumens or orifices.
    Type: Application
    Filed: April 30, 2020
    Publication date: August 13, 2020
    Inventor: Richard A. Hines
  • Publication number: 20200253613
    Abstract: A replaceable left atrial appendage occluder includes a stepped balloon and an occlusion disc. The left atrial appendage orifice occlusion portion of the stepped balloon is configured to completely occlude the left atrial appendage orifice. The left atrial anchor portion of the stepped balloon is configured to be clamped on the left atrial wall to prevent the left atrial appendage occluder from shifting. The occlusion disc is released in the pericardial cavity, and is connected to the stepped balloon by the connecting column of the occlusion disc, so that the left atrial appendage is pressed and occluded between the stepped balloon and the occlusion disc. The stepped balloon occludes the left atrial appendage orifice. The surface of the stepped balloon is smooth and coated with an anticoagulant coating.
    Type: Application
    Filed: September 25, 2018
    Publication date: August 13, 2020
    Applicant: Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing.
    Inventor: Xiangbin PAN
  • Publication number: 20200253614
    Abstract: Systems, devices and methods for occluding the left atrial appendage (LAA). The device excludes the LAA from blood flow. The implantable device is delivered via transcatheter delivery into the LAA and secured within the LAA. The implant comprises an expandable and compliant frame and an expandable and conformable tubular foam body. A delivery and tether retraction system includes a handle for controlling a pusher and tether. The pusher may be moved a distance away from the implant without changing the orientation of the implant, while the tether is still attached to the implant. Severing the tether and proximally retracting a control on the hand piece by a distance causes the severed end to advance distally by at least about twice that distance. A loader includes a conical portion with guides and a reservoir for submerging the foam prior to loading and delivery.
    Type: Application
    Filed: February 5, 2020
    Publication date: August 13, 2020
    Inventors: David A. Melanson, Andy H. Levine, James H. Loper, Michael T. Radford, Carol Devellian, Aaron V. Kaplan, Ronald B. Lamport
  • Publication number: 20200253615
    Abstract: Systems, devices and methods for occluding the left atrial appendage (LAA). The device excludes the LAA from blood flow. The implantable device is delivered via transcatheter delivery into the LAA and secured within the LAA. The implant comprises an expandable and compliant frame and an expandable and conformable tubular foam body. A delivery and tether retraction system includes a handle for controlling a pusher and tether. The pusher may be moved a distance away from the implant without changing the orientation of the implant, while the tether is still attached to the implant. Severing the tether and proximally retracting a control on the hand piece by a distance causes the severed end to advance distally by at least about twice that distance. A loader includes a conical portion with guides and a reservoir for submerging the foam prior to loading and delivery.
    Type: Application
    Filed: February 18, 2020
    Publication date: August 13, 2020
    Inventors: David A. Melanson, Andy H. Levine, James H. Loper, Michael T. Radford, Carol Devellian, Aaron V. Kaplan, Ronald B. Lamport
  • Publication number: 20200253616
    Abstract: An embodiment of the invention is a shape memory polymer (SMP) foam designed to recover its original shape through exposure to a solvent. Thermo-responsive SMPs are polymers designed to maintain a programmed secondary shape until heated above their transition temperature, upon which the polymer recovers its original, or primary, shape. The thermo-responsive SMP foam is programmed to its secondary shape prior to use, typically compression of the foam to a small volume, and remains in this programmed shape until exposed to a selected solvent such as dimethyl sulfoxide or ethyl alcohol. Upon exposure to the solvent, the transition temperature of the SMP foam decreases below the temperature of the environment and the SMP foam actuates to its primary shape. The SMP foam is tailored to actuate upon exposure to specific solvents while minimizing or preventing actuation when exposed to water or other solvents.
    Type: Application
    Filed: January 30, 2020
    Publication date: August 13, 2020
    Inventors: Anthony Boyle, Keith Hearon, Duncan J. Maitland, Landon D. Nash, Thomas S. Wilson
  • Publication number: 20200253617
    Abstract: Disclosed herein are tourniquet devices and systems. A fast-acting tourniquet device may include an inflatable band with a slap band segment having a spring mechanism wherein the slap band is the medium of application of the device to a limb member; an air bladder configured to provide inflation; an air canister chamber configured to inflate the air bladder; a latch configured to secure the air bladder around the limb member; and an optional air valve configured to control release of the device. Also disclosed herein are methods of using the disclosed devices and systems, for example to control local blood flow to a limb or wound.
    Type: Application
    Filed: February 7, 2020
    Publication date: August 13, 2020
    Inventor: Nathan Williams
  • Publication number: 20200253618
    Abstract: An orthopaedic surgical instrument comprising a metallic customized patient-specific surgical instrument is disclosed. The metallic customized patient-specific surgical instrument includes a base plate sized to be positioned on a resected surface of a distal end of a patient's femur, an anterior resection guide body attached to, and extending from, the distal surface of the base plate to a free distal end, a posterior resection guide body attached to, and extending from, the distal surface to a free distal end, and a pair of chamfer resection guide bodies attached to, and extending from, the distal surface.
    Type: Application
    Filed: April 28, 2020
    Publication date: August 13, 2020
    Inventor: Daniel D. Fritzinger
  • Publication number: 20200253619
    Abstract: A drill tap dilator comprises a dilator body having a central lumen extending therethrough, an elongate sleeve slidably received with the lumen, and a control knob coupled to the sleeve. The control knob is movable rotatably and axially relative to the dilator body. The sleeve includes docking teeth that are extendable from a retracted position within the body lumen to a deployed position outside the body lumen upon rotation of the control knob relative to the dilator body in one rotational direction. Adjustment of the length of drill tap dilator is allowed upon rotation of the control knob in an opposite rotational direction relative to the dilator body and manual axial movement of the control knob relative to the dilator body.
    Type: Application
    Filed: February 11, 2020
    Publication date: August 13, 2020
    Inventor: Zachary Gregory
  • Publication number: 20200253620
    Abstract: A device is provided, including a cutting rib, the cutting rib including an arcuate portion having an outer sharp edge and a centralizer configured to receive the cutting rib through a radial slot, the radial slot forming a gap with the cutting rib. The arcuate portion of the cutting rib is formed into a profile that follows a surface of the centralizer, the outer sharp edge of the arcuate portion of the cutting rib has a wavy profile that forms a tunnel in the gap between the centralizer and the cutting rib, and the outer sharp edge of the arcuate portion of the cutting rib protrudes outwardly from the surface of the centralizer. A method for using the device to cut bone in a surgical configuration is also provided.
    Type: Application
    Filed: April 27, 2020
    Publication date: August 13, 2020
    Inventors: Farid Bruce KHALILI, James T. CAILLOUETTE
  • Publication number: 20200253621
    Abstract: A posterior cervical fixation system includes a facet lock comprising an elongate member having distal and proximal ends. A tapered wedge projects axially from the distal end and defines a wedge axis, the wedge being sized and configured for insertion into a facet joint of a cervical spine. The facet lock includes opposing first and second dovetail recesses. The system further includes a tubular guide having distal and proximal ends and a lumen extending therethrough along a central axis. The tubular guide has a plurality of dovetail projections extending exteriorly outwardly, each dovetail projection terminating in an engagement surface that is spaced respectively at a different radial distance from the central axis. Each dovetail projection is configured for individual releasable attachment to one of the facet lock first or second dovetail recesses to selectively space the wedge axis and the central axis at different distances for lateral mass screw placement.
    Type: Application
    Filed: February 11, 2020
    Publication date: August 13, 2020
    Inventors: Pedro Ramirez, Zachary Gregory
  • Publication number: 20200253622
    Abstract: A medical device includes a guide unit having a guide tube with a longitudinal axis, a proximal first coupling part fixedly connected to the guide tube, and a distal pivoting head with a cylindrical surface. An actuating tube is axially movable in the guide tube and is connected to the pivoting head. The actuating tube causes a pivoting movement of the pivoting head via a proximal operating element. In the device, in order to orient a distal guide element for a rotatable surgical tool more precisely and thus angularly orient the working head of such a tool, the operating element is pivotable about the longitudinal axis and causes the pivoting movement of the pivoting head by the axial displacement of the actuating tube.
    Type: Application
    Filed: August 23, 2018
    Publication date: August 13, 2020
    Inventors: Wolfgang RIES, Lars SCHENDZIELORZ, Rainer STEEGMÜLLER
  • Publication number: 20200253623
    Abstract: The present invention relates to an apparatus for affixing intramedullary devices in a body. In particular the apparatus comprises a jig affixable to an intramedullary nail. There is also provided a method of determining the position of holes to be drilled through a bone which align with holes in the nail.
    Type: Application
    Filed: November 18, 2016
    Publication date: August 13, 2020
    Inventor: Alan Johnstone
  • Publication number: 20200253624
    Abstract: A containing element is used to capture material in a blood vessel for removal. The containing element is positioned within a constraining catheter while it is advanced through the blood vessel. A filament is coupled to the containing element which assists in opening and/or closing the containing element.
    Type: Application
    Filed: February 13, 2020
    Publication date: August 13, 2020
    Applicant: Xtract Medical, Inc.
    Inventors: Jorge Gamba, Eric Sauvageau, Michael Schaller
  • Publication number: 20200253625
    Abstract: The application relates to a medical instrument with a hollow shaft, at the proximal end a handle is arranged, and at the distal end a tool with two jaw parts is arranged, of which at least one jaw part is pivotable, wherein the distal end is configured as a tool tip that can be deflected, and the tool tip is rotatable, wherein the rotation of the tool tip is effected via a first actuation element which is operatively connected at the proximal end to the handle, and wherein the deflection of the tool tip is effected via a second actuation element which is operatively connected to the handle, and wherein the at least one pivotable jaw part is adjustable between a closed position and an open position via a pull/push element. The pull/push element is mounted eccentrically in the tool tip and parallel to the longitudinal axis.
    Type: Application
    Filed: February 4, 2020
    Publication date: August 13, 2020
    Inventors: Bastian BLASE, Simon ALBRECHT
  • Publication number: 20200253626
    Abstract: The application relates to a medical instrument with a hollow shaft, with a handle at the proximal end and a tool with two jaw parts at the distal end, of which at least one jaw part is pivotable, wherein a distal end region of the shaft is configured as a deflectable, rotatable tool tip, and wherein the jaw parts are adjustable between closed and open positions, wherein rotation of the tool tip and actuation of the jaw parts take place via actuation elements coupled at the proximal end to the handle. The distal end of the shaft and the proximal end of the tool tip are arc-shaped, and roll on each other for the deflection of the tool tip, and are conveyed from the shaft into the deflectable tool tip via at least two identical joints, which are connected in series and which can transmit rotation and translatory movements.
    Type: Application
    Filed: February 4, 2020
    Publication date: August 13, 2020
    Inventors: Martin HOFFMANN, Jonas FORSTER, Simon ALBRECHT, Gordon BÖSE
  • Publication number: 20200253627
    Abstract: An endoscopic instrument is provided and includes a housing including an elongated shaft assembly extending distally therefrom. The elongated shaft assembly includes inner and outer shaft members. The inner and outer shaft members are removably coupled to the housing and the outer shaft member is movable with respect to the inner shaft member. An end effector is operably supported at the distal end of the outer shaft member and includes a pair of jaw members configured for treating tissue. A bushing operably couples to the inner and outer shaft members of the shaft assembly and selectively and releasably couples to the housing. The bushing includes one or more mechanical interfaces configured to engage one or more slots defined through the inner shaft member and one or more slots defined through the outer shaft member to release the inner and outer shaft members from the housing.
    Type: Application
    Filed: April 27, 2020
    Publication date: August 13, 2020
    Inventors: Robert B. Stoddard, James S. Cunningham, William J. Dickhans, Russell D. Hempstead, Eric R. Larson, Duane E. Kerr, William H. Nau, JR., Anthony B. Ross, John J. Kappus
  • Publication number: 20200253628
    Abstract: Systems and methods discussed herein relate to surgical systems including tissue resecting devices where the handset has a disposable portion detachably coupled to a reusable portion. The reusable portion may be a housing where a motor and electronics are stored that may be used to drive a shaft inserted into the disposable portion. The shaft may be coupled to a fluid pathway through the disposable portion that is fluidly isolated from the reusable section. After use, the disposable section is detached from the reusable section and disposed, and the reusable section may be cleaned and sterilized, or may be cleaned only.
    Type: Application
    Filed: April 28, 2020
    Publication date: August 13, 2020
    Inventors: Ashlie M. Brown, Tejas S. Inamdar, Bradley R. Heil, Subhrangshu Datta, Jeremy A. Van Hill, Sylvain B. Jamais, Martin J. Dinnage, Derek W. Henderson
  • Publication number: 20200253629
    Abstract: A treatment tool includes an long member; a treatment portion rotatable about a longitudinal axis of the long member; a twisting wire one end of which is connected to the treatment portion, the other end extending toward a proximal end side of the long member; an operating portion, at the proximal end side, that includes a body fixed to the long member, and an operating member configured to rotate around and move along the axis; and a mechanism configured to couple the operating member with the wire and convert a rotation of the operating member into traction of the wire. The body includes a portion configured to come into contact with the operating member to prevent the rotation in a case where the operating member is urged in a direction toward a distal end side of the long member together with the mechanism by a restoring force of the wire.
    Type: Application
    Filed: April 30, 2020
    Publication date: August 13, 2020
    Applicant: OLYMPUS CORPORATION
    Inventor: Masahiro FUJII
  • Publication number: 20200253630
    Abstract: A surgical instrument includes a shaft defining an axis, an end effector coupled to a distal portion thereof, a fixed handle coupled to a proximal portion thereof, a drive bar, a movable handle, and a linkage. The drive bar is disposed within the shaft and operably coupled to the end effector. The movable handle is movable relative to the fixed handle between open and closed positions and is coupled to the drive bar via a first pin on the axis. The linkage includes a first end portion coupled to the movable handle via a second pin and a second end portion coupled to the shaft via a third pin on the axis. In the closed position of the movable handle, the second pin is disposed in a near-over-center position relative to the axis to reduce a force necessary to maintain the movable handle in the closed position.
    Type: Application
    Filed: April 28, 2020
    Publication date: August 13, 2020
    Inventors: Scott E. Frushour, Eric R. Larson
  • Publication number: 20200253631
    Abstract: A control system for an ultrasonic surgical device has a console operatively connected to a power source and configured for detachable connection to the ultrasonic surgical device. A control circuit of the console is configured to regulate an operating signal to correspond to the operating characteristics of the ultrasonic surgical handpiece in response to a loading signal. An operator input of the console operatively connects to the control circuit to provide a control signal.
    Type: Application
    Filed: October 4, 2019
    Publication date: August 13, 2020
    Inventors: Steven J. Apperson, David G. Wuchinich
  • Publication number: 20200253632
    Abstract: An actuation device includes a lancing device held by and moveable relative to a distal end portion of a housing. A drive member is supported by the housing and arranged to engage the lancing device to move the lancing device in the first direction from a retracted position to an extended position upon movement of the drive member in a first direction. A piercing member of the lancing device is arranged to extend from the distal end portion of the housing by a first distance when the lancing device is moved to the extended position, the first distance being adjustable by adjusting the retracted position of the lancing device relative to the distal end portion of the housing.
    Type: Application
    Filed: April 28, 2020
    Publication date: August 13, 2020
    Inventors: Colin A. Chong, Eric M. Lorenzen, Rafael Bikovsky, Arsen Ibranyan
  • Publication number: 20200253633
    Abstract: A device, system, kit, and method for managing the passage of fluid through an opening in the body of a patient that includes a fluid-containment receptacle including a collapsible sidewall, the fluid-containment receptacle having a first receptacle opening and a second receptacle opening positioned at opposite ends of the sidewall, the fluid-containment receptacle. The device also including a first flange extending radially outward from the sidewall and positioned at or adjacent to the first receptacle opening and a second flange extending radially outward from the sidewall at or adjacent to the second receptacle opening. The device is configured to be applied to the opening in the body of the patient such that the first opening and the first flange contact the body of the patient and form a fluid barrier around the opening.
    Type: Application
    Filed: February 13, 2019
    Publication date: August 13, 2020
    Inventors: Andrew Thomas Obst, Maryanne Ruth Obst
  • Publication number: 20200253634
    Abstract: Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. In embodiments, the seal assembly includes a plurality of seal sections that are movable from an unfolded configuration to folded configuration in which the seal assembly forms a hexagonal member defining an opening to facilitate sealed passage of a surgical instrument. The seal sections may include a tapered inner edge for engaging a surgical instrument inserted through the instrument valve housing.
    Type: Application
    Filed: February 11, 2019
    Publication date: August 13, 2020
    Inventors: Roy J. Pilletere, Matthew A. Dinino, Garrett P. Ebersole, Kevin Desjardin, Justin Thomas, Jacob C. Baril, Nicolette R. LaPierre, Eric Brown
  • Publication number: 20200253635
    Abstract: An instrument for facilitating transseptal delivery of a cardiac therapeutic device is positionable in a left ventricle. The instrument includes an elongate shaft having a tubular lumen, the shaft having a proximal portion and a distal portion actively steerable between a generally straight position and a curved position. An external pull wire and an internal pull wire are each actuatable to move the distal portion to the curved position. The external pull wire extends internally through the proximal portion of the shaft and longitudinally along the exterior of the distal portion of the shaft, while the internal pull wire extends internally through the proximal portion of the shaft adjacent to the external pull wire, and extends internally through the distal portion of the shaft.
    Type: Application
    Filed: September 22, 2019
    Publication date: August 13, 2020
    Inventors: Richard S. Stack, William L. Athas, Kevin Johnson, Emer M. Feerick, Matthew Moran, Damian Muldoon, Liam Ruddy
  • Publication number: 20200253636
    Abstract: Method and system for treating a patient using a compressible, pressure-attenuating device. According to one embodiment, the system is used to treat urinary tract disorders and comprises an access device, a delivery device, a pressure-attenuating device, and a removal device. The access device may be used to create a passageway to an anatomical structure, such as the patient's bladder. The delivery device may be inserted through the passageway created by the access device and may be used to deliver the pressure-attenuating device to the anatomical structure. The removal device may be inserted through the passageway created by the access device and may be used to view the bladder and/or to capture, to deflate and to remove the pressure-attenuating device.
    Type: Application
    Filed: January 13, 2020
    Publication date: August 13, 2020
    Inventors: Kevin G. Connors, Ryan J. Cahill, Peter Dayton, John Gillespie, JR.
  • Publication number: 20200253637
    Abstract: Therapeutics and methods of treatment to repair, preserve and grow cartilage are presented. In addition, systems and methods for delivering a therapeutic to a hard to reach anatomical area, such as, for example, the BCI, are presented. A cannulated delivery device provided with a cutting tip, cutting flutes and threads on its distal end can be provided. Using such an exemplary device, various novel therapies for joint and cartilage repair, preservation and generation can be implemented. Alternatively, for disc repair, a delivery device directed to percutaneous intradiscal annular repair, or “PIARES” device can be used to introduce therapeutics intradiscally. The device may have two-needles, with a first cannula/needle, with a finger grip at its distal end, and a longer inner needle to penetrate through the outer needle into the disc, and introduce therapeutics, for example, via a syringe.
    Type: Application
    Filed: April 29, 2020
    Publication date: August 13, 2020
    Inventors: Vijay Vad, Raghav Barve, Paul Mulhouser, Karl D. Kirk, III
  • Publication number: 20200253638
    Abstract: Access assemblies include an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. The guard assembly includes a support ring and a plurality of guard sections disposed distally of the support ring.
    Type: Application
    Filed: December 4, 2019
    Publication date: August 13, 2020
    Inventors: Roy Pilletere, Matthew Dinino, Garrett Ebersole, Kevin Desjardin, Justin Thomas, Jacob Baril, Nicolette LaPierre, Eric Brown
  • Publication number: 20200253639
    Abstract: Components, systems and kits for capturing and removing tissue from mammalian bodies include a tissue container that may be introduced into a body cavity and within which a tissue specimen may be placed, cut and removed from the body cavity. Methods of using these components, systems and kits are also described.
    Type: Application
    Filed: October 22, 2018
    Publication date: August 13, 2020
    Inventors: Steven W. KIM, Joseph N. JONES, Alexey SALAMINI, Scott ANDERSON, Ronald G. French
  • Publication number: 20200253640
    Abstract: The present disclosure provides methods for determining an adjustment prescription of an external fixation device affixed to anatomical structures. The methods include obtaining at least two digital radiographic images of differing orientations of the external fixation device and anatomical structures in an initial arrangement. The methods also include identifying fiducial markers of the external fixation device and an axis of the anatomical structures in the at least two radiographic images. The methods include providing a virtual manipulatable three-dimensional model of the external fixation device and the anatomical structures. The methods include providing an adjustment prescription of strut assemblies of the external fixation device based on a user determined desired arrangement of the anatomical structures that rearranges the anatomical structures from the initial arrangement to the desired arrangement via at least one user selected waypoint.
    Type: Application
    Filed: February 18, 2020
    Publication date: August 13, 2020
    Applicant: AMDT HOLDINGS, INC.
    Inventor: Michael MULLANEY
  • Publication number: 20200253641
    Abstract: A compressor-distractor device may be used during a surgical procedure, such as a surgical procedure to correct a bunion deformity. In some examples, the compressor-distractor includes first and second engagement arms having first and second pin-receiving holes, respectively. The first and second pin-receiving holes may be angled relative to each other. The compressor-distractor may also include an actuator operatively coupled to the first and second engagement arms. In some example uses, a clinician may pin a first surgical device to a patient's bones use a pair of parallel pins. After removing the surgical device over the parallel pins, the clinician may thread the parallel pins through the angled first and second pin-receiving holes of the compressor-distractor, causing the bones to move relative to each other. Thereafter, the clinician may actuate the actuator on the compressor-distractor to move the bones towards and/or away from each other.
    Type: Application
    Filed: February 7, 2020
    Publication date: August 13, 2020
    Inventors: John T. Treace, Joe W. Ferguson, Carlos Eduardo Gil, Sean F. Scanlan
  • Publication number: 20200253642
    Abstract: A pedicle screw system applicable to affixation medical systems is provided. The system comprises a screw tulip comprising a rod receiving channel configured to receive a spinal rod, a shank configured to anchor the screw tulip and spinal to a pedicle. A bushing disposed between an interior surface of the screw tulip and a first end of the shank, wherein the first side of the bushing channel is defined by a top edge of a first wall of the bushing, a second side of the bushing channel is defined by a top edge of a second wall of the bushing, and the bushing channel is set at an angle defined by the top edge of the first wall and the top edge of the second wall.
    Type: Application
    Filed: April 2, 2019
    Publication date: August 13, 2020
    Inventor: Daniel Zatta
  • Publication number: 20200253643
    Abstract: An external adjustment device for non-invasively adjusting an implant, the external adjustment device including a controller in communication with an actuator associated with the adjustable implant and a sensor configured to receive information from or about the adjustable implant. The external adjustment device may further comprise a power source and a display.
    Type: Application
    Filed: February 6, 2020
    Publication date: August 13, 2020
    Inventors: Shanbao Cheng, Everett Van Zuiden, Luke Bilger
  • Publication number: 20200253644
    Abstract: An anchoring assembly for anchoring a rod to a bone or vertebra includes a shank and a receiving part pivotably connected to one another, the receiving part defining a channel for the rod, a pressure element for locking the shank with the receiving part, first and second rods with different diameters configured to be interchangeably received in the channel, and first and second closure elements configured to interchangeably cooperate with the receiving part. The first closure element acts on the selected rod in the receiving part such that the rod exerts pressure on the pressure element to simultaneously lock the shank with the receiving part and fix the rod in the channel. The second closure element cooperates with the receiving part to act on the pressure element to lock the shank with the receiving part, and to act separately on the selected rod to fix the rod in the channel.
    Type: Application
    Filed: February 12, 2020
    Publication date: August 13, 2020
    Inventor: Timo Biedermann
  • Publication number: 20200253645
    Abstract: Orthopedic plates (including anterior cervical plates), plate systems, and methods of use allow orthopedic screws to be placed with full visualization. This allows screw placement without use of specialized locating instruments or pins. The new plates are introduced to the surgical wound after the screws are placed and are secured by a press or interference fit. Because the screws are placed before the plates are introduced, the screws function as attachment points for distraction implements. The new plates and plate systems obviate the need to achieve a particular position and angulation of screws. The screws allow more angulation, and plate eyes adjust to screw position. Plate eyes translate to match the effective plate size to the screw placement, thereby allowing each plate to fit multiple screw spacings. Plates are adapted to adjust to bone remodeling or subsidence. Screw eyes can slide to maintain graft contact and compression.
    Type: Application
    Filed: February 10, 2020
    Publication date: August 13, 2020
    Inventors: Daniel Manwill, Peter Halverson, David T. Hawkes
  • Publication number: 20200253646
    Abstract: An apparatus and method for joining members together using a self-drilling screw apparatus or stapling apparatus are disclosed. The screw apparatus includes a worm drive screw, a spur gear and superior and inferior screws which turn simultaneously in a bi-directional manner. A rotating mechanism drives the first and second screw members in opposite directions and causes the screw members to embed themselves in the members to be joined. The screw apparatus can be used to join members such as bones, portions of the spinal column, vertebral bodies, wood, building materials, metals, masonry, or plastics. A device employing two screws (two-in-one) can be combined with a capping horizontal mini-plate. A device employing three screws can be combined in enclosures (three-in-one). The stapling apparatus includes grip handles, transmission linkages, a drive rod a fulcrum and a cylinder.
    Type: Application
    Filed: January 16, 2020
    Publication date: August 13, 2020
    Inventors: Nathan C. Moskowitz, Mosheh T. Moskowitz, Daniel Glozman
  • Publication number: 20200253647
    Abstract: Methods and apparatus provide for: (i) coupling a spinous process plate to one lateral side of a spinous process of a spine of a patient, the spinous process plate extending substantially parallel to a sagittal plane (anterior-posterior plane) through the spine of the patient, the spinous process plate including a first fixation element facilitating a connection of the spinous process plate to the one lateral side of the spinous process; (ii) coupling a laminar plate to a laminar on the one lateral side of the spinous process of the spine, the laminar plate extending transversely from the spinous process plate and transversely to both the sagittal plane and a coronal plane (lateral plane) through the spine of the patient, the laminar plate including a second fixation element facilitating a connection of the laminar plate to the laminar on the one lateral side of the spinous process; (iii) engaging a sub-laminar hook to the laminar on the one lateral side of the spinous process, the sub-laminar hook extending
    Type: Application
    Filed: February 4, 2020
    Publication date: August 13, 2020
    Applicants: Altus Partners LLC
    Inventors: Patrick M. White, Jordan Bucher, Carl P Giordano, Michael Fitzgerald
  • Publication number: 20200253648
    Abstract: An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.
    Type: Application
    Filed: October 17, 2019
    Publication date: August 13, 2020
    Inventors: Evan Langdale, Stephanie Wolfe, Peter Evans, Barclay Davis
  • Publication number: 20200253649
    Abstract: An intramedullary nail implant for positioning in a bone having a head and a shaft defining an intramedullary canal. The implant includes a distal portion having a shaft extending along a central axis and configured for positioning within the intramedullary canal. A proximal portion extends proximally from the distal portion. The proximal portion defines a contact surface which extends at least in part medially of the central axis such that it is configured to extend within a medial portion of the bone head. A method of implanting the nail is also provided.
    Type: Application
    Filed: February 13, 2019
    Publication date: August 13, 2020
    Inventors: Evan Langdale, Stephanie Wolfe, Peter Evans, Barclay Davis
  • Publication number: 20200253650
    Abstract: A minimally invasive method of correcting a bunion includes performing an osteotomy to divide the metatarsal into first and second portions, implanting a nail in the first portion, securing a suture to the joint capsule, tensioning the suture to align the great toe with the metatarsal, attaching the suture to the nail, and fastening the nail to the second portion. A first guide block includes a plurality of coplanar passages to guide an instrument to create one or more holes in the metatarsal in advance of the osteotomy, and a second guide block includes a guide slot for another instrument to complete the osteotomy. The method can be performed through an incision of .5 inches or less. The nail includes an anchor portion for anchoring in the first portion, a head for attachment to a second portion, and can include a passage for attachment of the suture.
    Type: Application
    Filed: April 27, 2020
    Publication date: August 13, 2020
    Inventors: Bradley Lamm, Michael Chad Hollis, Daniel Sayger
  • Publication number: 20200253651
    Abstract: A device and method for treating a hone includes a bone plate including first and second portions joined to one another via a connecting portion, a rigidity of the connecting portion being less than rigidities of each of the first and second portions in combination with a first sensor mounted on the first portion measuring strain on the first portion and a second sensor mounted on the second portion measuring strain on the second portion.
    Type: Application
    Filed: April 29, 2020
    Publication date: August 13, 2020
    Inventors: Carl Deirmengian, George Mikhail, Glen Pierson
  • Publication number: 20200253652
    Abstract: Devices, systems, and methods of bone stabilization. The bone stabilization system includes a bone plate having an upper surface and a lower surface configured to be in contact with bone, the bone plate having an opening extending from the upper surface to the lower surface. The opening is configured to receive a fastener, which may be either a locking fastener or a compression fastener. The locking fastener has a threaded head portion configured to engage and lock to the bone plate, and the compression fastener is configured to dynamically compress the bone.
    Type: Application
    Filed: April 27, 2020
    Publication date: August 13, 2020
    Inventors: Evan Langdale, Henry Rutledge, James A. Gault, Andrew Davison, Barclay Davis, Kevin Gahman
  • Publication number: 20200253653
    Abstract: A fixation plate includes a head section, a curved section, and a tail section. The head section includes one or more head apertures formed therethrough. The head apertures are configured to allow screws to respectively pass therethrough at varying angles to attach the head section to a first bone segment. The head section has a bottom surface that is configured to sit flush with the first bone segment. The curved section extends from the head section. The tail section extends from the curved section. The tail section includes one or more tail apertures formed therethrough. The tail apertures are configured to allow screws to respectively pass therethrough at varying angles to attach the tail section to a second bone segment.
    Type: Application
    Filed: February 8, 2019
    Publication date: August 13, 2020
    Applicant: STERIS Instrument Management Services, Inc.
    Inventors: Harold M. Wotton, III, Andrew James Kazanovicz, Matthew Dubois Barnhart
  • Publication number: 20200253654
    Abstract: Components and associated methods of manufacture or assembly and/or use for bone and joint stabilization devices or systems are described. Details hereof focus on features of the subject anchoring heads, spring members and associated handling features, delivery devices and/or kitted systems.
    Type: Application
    Filed: December 27, 2019
    Publication date: August 13, 2020
    Inventors: Kathryn A. Stecco, John Kent Ellington, Carlos Castro, Frank P. Becking