Abstract: A suture needle container includes a receptacle having a proximal end with an opening and a closed distal end. A hollow mandrel is disposed inside the receptacle. The mandrel projects from the closed distal end toward the opening at the proximal end of the receptacle. The mandrel includes a tubular wall having a proximal end aligned with the proximal end of the receptacle and a distal end connected with the closed distal end of the receptacle. An elongated slot is formed in the tubular wall. A suture needle is disposed within the elongated slot. A suture is secured to the proximal end of the suture needle and wrapped around the hollow mandrel. A cover closes the opening at the proximal end of the receptacle for sealing the suture needle and the suture inside the receptacle for maintaining a sterile environment inside the receptacle.

Abstract: A system for aligning a needle driver with a tip of a suture needle includes a suture needle package having a base, a needle driver alignment guide, and at least one connector for securing the suture needle. The needle driver alignment guide has first and second lateral guide walls that oppose one another for defining a needle driver guide channel. An end wall interconnects the first and second lateral guide walls for defining a distal end of the needle driver alignment guide. The at least one connector secures the suture needle over the base and controls the orientation of the suture needle so that a tip of the suture needle is located within the suture needle guide channel and is bounded by the end wall and the first and second lateral guide walls. A needle driver has a clamping assembly at a distal end that engages the end wall of the needle driver alignment guide for aligning the clamping assembly with the tip of the suture needle.

Abstract: A surgical system and method includes a surgical instrument configured to wirelessly transmit identifying data specific to the surgical instrument and a console configured to receive the identifying data. The console is configured to register the surgical instrument based on the identifying data, establish a wireless two-way communication link between the surgical instrument and the console, receive at least one of operational data and commands from the surgical instrument, and provide operational feedback data to a user of the surgical instrument during an operation of the surgical instrument based on the at least one of operational data and commands.

Abstract: Embodiments include an end effector including an anvil, the anvil having an anvil face, an anvil blade channel defined by the anvil face, a first pocket row of first row staple pockets, a second pocket row of second row staple pockets, a third pocket row of third row staple pockets, a fourth pocket row of fourth row staple pockets, a fifth pocket row of fifth row staple pockets, a sixth pocket row of sixth row staple pockets, a cartridge having a a cartridge face defining a cartridge blade channel, the cartridge being configured to retain a plurality of staples, and a blade, the blade having a cutting edge, where the blade is movable from a first position at a distal end of the cartridge to a second position at a proximal end of the cartridge.

Abstract: A surgical buttress for use in a surgical stapling apparatus is provided and includes an elongate rectangular body portion defining a width; a neck portion integrally formed with and extending from a distal end of the body portion, the neck portion defining a width; a head portion integrally formed with and connected to a distal end of the neck portion, the head portion defining a width; and a tail portion integrally formed with and extending from a proximal end of the body portion, the tail portion defining a width. The width of the tail portion is less than the width of the body portion.

Abstract: A surgical applicator is useful in forming a purse string suture and may be used to, e.g., close internal anal structure or to narrow a passage for performing transanal dissection to create total mesorectal excision. The surgical applicator includes an actuation assembly and a reload operatively coupled with the actuation assembly.

Abstract: A wound protector includes a tubular body that is configured to protect a cut site of an anastomosis. The wound protector can be secured to the anastomotic site after formation of the anastomosis or, alternatively, secured to the anastomotic site during formation of the anastomosis. The tubular body of the wound protector is positioned and configured to shield the anastomosis from waste material passing through a digestive tract of a patient.

Abstract: A plug assembly for an electromechanical surgical system includes: a housing defining a proximal facing bore; a pair of electrical contacts disposed within the housing, each electrical contact including a distal end portion projecting distally from a distal end of the housing; and a proximal end portion disposed within the proximal facing bore of the housing; a ribbon cable having a distal end portion electrically connected to the proximal end portion of each of the pair of electrical contacts, and being disposed with the proximal facing bore of the housing; and an encapsulating material filling the proximal facing bore of the housing.

Abstract: A plug assembly for an electromechanical surgical system includes: a housing defining a proximal facing bore; a pair of electrical contacts disposed within the housing, each electrical contact including a distal end portion projecting distally from a distal end of the housing; and a proximal end portion disposed within the proximal facing bore of the housing; a ribbon cable having a distal end portion electrically connected to the proximal end portion of each of the pair of electrical contacts, and being disposed with the proximal facing bore of the housing; and an encapsulating material filling the proximal facing bore of the housing.

Abstract: In a method for intermittently occluding the coronary sinus, in which the coronary sinus is occluded using an occlusion device, the fluid pressure in the occluded coronary sinus is continuously measured and stored, the fluid pressure curve is determined as a function of time, and the occlusion of the coronary sinus is triggered and/or released as a function of at least one characteristic value derived from the measured pressure values. The pressure increase and/or pressure decrease per time unit each occurring at a heart beat are used as characteristic values.

Abstract: An endovascular treatment system includes a delivery sleeve that is insertable into an intravascular catheter. A therapeutic device is housed coaxially within the delivery sleeve and both are advanced within the catheter in combination. An advancement mechanism is connected to the therapeutic device to advance the therapeutic device out of the delivery sleeve and into a patient. The delivery sleeve includes a stop positioned on the proximal end. The stop contacts the proximal end of the catheter, limiting the distance the delivery sleeve is inserted into a catheter.

Abstract: A system for driving an ultrasonic device for bone cement removal and/or osteotomy operations comprises a control unit, a memory unit, and connection means for connecting together the control unit and a handset of the ultrasonic device. The control unit is configured to send a signal to the handset, receive from the handset a response to the signal sent, and check an operating condition of the ultrasonic device based on this response. Related device, method and computer program are also disclosed.

Abstract: A method of adjusting velocity in a motorized surgical instrument is provided. The surgical instrument comprises a displacement member configured to translate within the surgical instrument over a plurality of predefined zones, a motor coupled to the displacement member to translate the displacement member, a control circuit coupled to the motor, a position sensor coupled to the control circuit, the position sensor configured to measure the position of the displacement member and a timer circuit coupled to the control circuit, the timer circuit configured to measure elapsed time. The method includes setting a directed velocity of the displacement member; determining an actual velocity of the displacement member; determining an error between the directed velocity of the displacement member and the actual velocity of the displacement member; and controlling the actual velocity of the displacement member based on the magnitude of the error.

Abstract: Methods and apparatus for performing a discectomy are disclosed herein. In some embodiments, a surgical tool for use in a therapeutic treatment of a patient includes a handle; an upper arm coupled to the handle; a lower arm coupled to the handle; a pivot arm coupled to one of the upper arm or the lower arm via a first pivot pin; and an end effector pivotably coupled to the pivot arm via a second pivot pin, wherein actuation of the handle causes movement of the pivot arm and articulation of the end effector.

Abstract: A tool set for preparing a joint, inserting an implant or removing an implant from a joint in an open or less invasive procedure generally comprises a set of nested tools, pin guides, jigs, and/or immobilization elements. The nested tool set comprises at least one pin and at least one cannulated tool. The cannula can comprise tangs that project from the distal end of the cannula. The tangs can be offset such that drilling removes different amounts of bone relative to drilling through a centered drill guide. The cannulated tool kit can comprise at least one tool guide/cannula, drill bits/reamer, syringe, and/or inserter. At least one cannula is positioned over and around the pin position into the joint. The channel of the cannula guides the other tools into the joint.

Abstract: A catheter device including an internal elongated and hollow body extending between a proximal end and a distal end along a longitudinal axis, the internal elongated and hollow body defining a longitudinal aperture that extends between the proximal and distal ends thereof, the longitudinal aperture being shaped and sized for receiving a guide wire therein, and at least one mechanical waveguide secured to the internal elongated and hollow body and extending longitudinally along at least a portion of the internal elongated and hollow body, with the at least one mechanical waveguide capable of propagating at least one mechanical wave therealong.

Abstract: Disclosed herein are devices and methods of percutaneously treating an ulcerated wound using ultrasonic energy. Some methods include delivering ultrasonic energy to a target tissue located at a position subcutaneous to the ulcerated wound. In some methods, the ultrasonic energy is delivered using an ultrasonic energy delivery device.

Abstract: The invention provides a haemostatic device adapted to apply direct pressure to alleviate post-operative haemorrhage, for example post tonsillectomy. The device comprises an anchoring structure configured to engage with a patient's teeth, and an arm mounted on the anchor with a wound contacting portion at an end of the arm.

Abstract: Disclosed herein is a medical device. The medical device includes a blade tube section, a solenoid, and a mechanical arrangement. The blade tube section includes an outer blade tube, an inner blade tube, and a cutting window at a distal end of the blade tube section. The solenoid is offset from a central axis of the blade tube section. The mechanical arrangement is between the inner blade tube and the solenoid.

Abstract: Disclosed herein is a medical device. The medical device includes a blade tube section, a motor, and a mechanical arrangement. The blade tube section includes an outer blade tube, inner blade tube, and a cutting window at a distal end of the blade tube section. The motor is offset from a central axis of the blade tube section. The mechanical arrangement is between the inner blade tube and the motor.

Abstract: Disclosed herein is a medical device. The medical device includes a blade tube section, a motor, and a cotch yoke or slotted link mechanism. The blade tube section includes an outer blade tube, an inner blade tube, and a cutting window at a distal end of the blade tube section. The motor is spaced from the blade tube section. The scotch yoke or slotted link mechanism is between the inner blade tube and the motor.

Abstract: A tissue resecting end effector includes a housing, a shaft extending from the housing, and a drive assembly operably coupled to the shaft such that a rotational input provided to the drive assembly effects the rotation and reciprocation of the shaft relative to the housing. The assembly includes a proximal portion translationally fixed and rotatably coupled to the housing and configured to receive the rotational input and to rotate relative to the housing in response thereto, a distal portion translationally and rotatably coupled to the housing and operably coupled to the proximal portion such that the rotation of the proximal portion relative to the housing effects rotation and reciprocation of the distal portion relative to the housing to thereby rotate and reciprocate the first shaft relative to the housing, and a seal member disposed on the proximal portion or the distal portion and configured to selectively establish a seal therebetween.

Abstract: A drive system for a tissue resection device that drives a cutting tube in a rotating and reciprocating motion simultaneously. The cutting tube moves within an outer tube having a window at a distal end thereof. When activation of the device ceases, the device remains powered until the cutting tube assumes an extended position, thereby closing the window.

Abstract: A tissue resecting device includes a handpiece assembly and an end effector assembly. The handpiece assembly includes a motor and a cooling assembly. The cooling assembly includes a housing, a fan assembly, and a fin pack. The fan assembly includes a tubular member configured to be received in the elongate cover, and a plurality of blades rotatably supported on the tubular member and operatively coupled with a drive rotor of the motor for concomitant rotation therewith. The fin pack includes a tubular base and a plurality of fins extending radially outward from the tubular base. The tubular base is disposed within the elongate cover and about the tubular member of the fan assembly. Actuation of the motor rotates the plurality of blades of the fan assembly to thereby advance air through a space between the fin pack and the elongate cover of the housing to facilitate cooling of the motor.

Abstract: An ultrasonic transmitter unit includes: a sheath that forms a cylindrical shape and is having a proximal end and a distal end; an ultrasonic transmitter configured to be inserted into the sheath; and a cover member that covers a part of the ultrasonic transmitter and has an inner surface and an outer surface. The ultrasonic transmitter includes: a first area surrounded by the sheath; a second area protruding from the distal end of the sheath; and a distal-end treatment portion provided in a distal end of the second area. The cover member covers the second area of the ultrasonic transmitter, and exposes the distal-end treatment portion of the ultrasonic transmitter to an outside, and is made of fluorine-based resin.

Abstract: An ultrasonic surgical instrument includes a handle assembly, a waveguide extending distally therefrom to an end effector, an ultrasonic transducer assembly supported by the handle assembly, and a drive signal antenna. The ultrasonic transducer assembly includes a transducer, a horn extending distally from the transducer, an electrode antenna disposed about and operably coupled to the transducer, and an outer casing enclosing the transducer, the electrode antenna, and a portion of the horn. Another portion of the horn extends distally from the outer casing to operably connect to the waveguide. The drive signal antenna is disposed externally of and adjacent to the ultrasonic transducer assembly and is configured to contactlessly transmit a drive signal through the outer casing to the electrode antenna to thereby energize the transducer such that ultrasonic energy is transmitted from the horn along the waveguide to the end effector for treating tissue therewith.

Abstract: Systems, devices, and methods are operable to track usage of a surgical instrument and modify the performance of the surgical instrument based on the prior usage of the surgical instrument. Some surgical instruments are designed to have a limited service life beginning at their first use, or a limit to their overall usage in order to ensure safe use of the sensitive instruments. However, a lack of ability to track usage characteristics when the instrument is separated from an external power supply allows for user abuse and avoidance of such safety mechanisms. Adding a battery or capacitor to the instrument may allow for an ability to track usage when the instrument is separated from an external power supply. Implementing special user prompts, device use ratios, and device use half-life upon powering down of an instrument may additionally be used to prevent circumvention of safety features.

Abstract: The invention relates to a trajectory guidance instrument that is securable to a surgical tool for use in conjunction with X-ray machines. More particularly, the device includes a radiolucent outrigger having radiodense indicia disposed on the outrigger so that the radiodense indicia is visible via an X-ray machine to provide an angular trajectory for the instrument. The outrigger is securable to various surgical tools for the purpose of providing real time trajectory guidance to surgeons during a procedure. In general, the precision trajectory guidance instrument comprises a substantially rigid outrigger device which it securable to a portion of the surgical tool for trajectory guidance. The trajectory guidance instrument may be attached with clips, fasteners, adhesives, hook and loop or the like.

Abstract: A workspace device comprising: (a) a workspace body having a workspace inner wall defining an internal volume, including one or more expandable segments, said workspace body is: collapsible to a collapsed state where said body fits through a laparoscopic passageway in an abdominal wall, which passageway extends to an abdominal cavity; and expandable, to increase said internal volume, to an expanded state within said cavity, where, in said expanded state said workspace body: has an opening to said internal volume; and extends axially from a proximal to a distal direction defining a workspace axis; (b) one or more channels sized and shaped to supply inflation fluid to said workspace body; (c) said workspace body including: a plurality of circumferentially extending inflatable segments; a fluid pathway connecting at least one of said one or more channels to at least one of said segments.

Abstract: A cannula assembly configured to receive a surgical instrument therethrough includes an elongated body portion, a housing coupled to a proximal end portion of the elongated body portion, and an annular-shaped light member. The housing defines a longitudinally-extending channel therethrough dimensioned for passage of the surgical instrument. The light member is disposed within the housing and about the channel.

Abstract: An access device configured for accommodating passage of an instrument with a curved end effector includes a housing assembly and a cannula member extending from the housing. The cannula member includes a length and a plurality of rigid portions alternating with a plurality of flexible portions. The cannula member is configured to maintain a circular cross-sectional profile when a force is applied to the cannula member from the outside and to flex to an oblong cross-sectional profile when a force is applied to the cannula member from the inside.

Abstract: A catheter placing instrument is provided. The catheter placing instrument includes an elongated body that extends in a longitudinal direction from a proximal end to a distal end. The elongated body has a top surface configured to receive a catheter extending from the proximal end to the distal end. The elongated body includes a catheter insertion section and a grip section. The catheter insertion section includes a catheter locking clamp located at the distal end of the elongated body, and the grip section includes a catheter guide. The catheter placing instrument can be used to place or implant any tubular medical device within a patient's body. A method of placing a tubular medical device at a deep location within a patient's body is also provided.

Abstract: A retrievable puncture anchor includes a fixator with a cylindrical structure, a retrievable thread secured to one end of the fixator, and a push cable flexibly connected to a middle part of the fixator. Via the retrievable puncture anchor, tissues may be connected, fixed and matched with each other, or the tissues may be auxiliarily fixed, so that endoscopic surgery may be facilitated with simplified surgical process, and the puncture anchor may be retrieved after the surgery.

Abstract: A multi head foot grinder includes a housing having a grip and a front frame at the front side of the grip, a rotary rack rotatably mounted on the front frame, a plurality of grinding heads mounted in the rotary rack, a driving device mounted in the housing, a transmission mechanism mounted on the front frame and the rotary rack and coupled to the driving device and the grinding head that is located at the front end of the front frame and drivable by the driving device to rotate the coupled grinding head, and a locking knob mounted on the front frame and movable between a locking position and a release position.

Abstract: A fastener device includes an anchor body that defines a through hole. The anchor body further includes an inner surface that defines a least a portion of the through hole. The fastener includes a head, a threaded shaft that extends out with respect to the head in a distal direction, and a neck between the head and threaded shaft. The head includes an outer surface configured to articulate along the inner surface when the fastener head is inserted in the through hole. At least a portion of the outer surface is convex and defines a portion of a sphere that defines a first diameter. The neck defines a second diameter and the fastener defines a ratio of the first diameter to the second diameter in a range between about 2 to 1 and about 3 to 1.

Abstract: The present invention generally relates to connectors that connect bone screws with fusion rods for use in stabilizing surgery such as spinal fusion surgery, and to bone screw systems comprising such connectors. In particular, the present invention relates to poly axial screw systems configured to attach the poly axial tulip head after the bone screw has been implanted. Furthermore, embodiments of the present invention relate to tulip connectors which have a hinged joint and a collet that are configured to rotatably and pivotably lock onto the ball head of a poly axial screw shaft. The poly axial tulip head features a collet which can attach to the rod prior to insertion onto the bone screw. The tulip head and rod are then affixed to the bone screw with a nut.

Abstract: A receiving part of a bone anchoring device is provided, where the receiving part includes a first end, a second end opposite to the first end, a central axis extending through the first end and the second end, and a substantially U-shaped-recess adjacent to the first end for receiving a spinal fixation element. The substantially U-shaped recess forms two free legs. The receiving part also includes a bore extending from the first end towards the second end and in communication with the substantially U-shaped recess. A groove is provided in an outer surface of each of the legs, where the groove has a first end and a second end and extends in a circumferential direction in an arcuate shape between the first end of the groove and the second end of the groove.

Abstract: A vertebral fixation plate assembly for securing adjacent vertebral bodies is provided that is configured to distract or extend along its length, as well as provide multiple degrees of freedom between the fixation points and the vertebral fixation plate in order to accommodate different installation locations, as well as different surgical approaches. Methods of using the vertebral fixation plate assembly are also provided.

Abstract: Various exemplary methods and devices are provided for the delivery of spinal screws to a spinal implant site. A variety of exemplary configurations and implementations are provided, but, in general, a handheld tool is provided having a guide member with a lumen formed therein that is configured to deliver a spinal screw to a cervical spine implant. The tool can include various features that facilitate the delivery of the spinal screw to the implant. The tool can include a storage component, such as a magazine, that is configured to hold a plurality of spinal screws for delivery of multiple spinal screws during a surgical procedure.

Abstract: Internal bone fixation devices and methods for using the devices for repairing a weakened or fractured bone are disclosed herein. A device for use in repairing a fractured bone includes a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, wherein the delivery catheter has an inner void for passage of at least one reinforcing material and an inner lumen for passage of a light source; a conformable member releasably engaging the distal end of the delivery catheter, wherein the conformable member moves from a deflated state to an inflated state when the at least one reinforcing material is delivered to the conformable member; and an adapter releasably engaging the proximal end of the delivery catheter for receiving the light source and the at least one reinforcing material.

Abstract: A plating system is described that uses various configurations of bone fixation implants that are configured to attach to one or more portions of a bone. An exemplary bone fixation implant includes a two-dimensional structure comprising a bone-engaging surface and a tissue-engaging surface. A plurality of openings is defined in the two-dimensional structure, and arranged across a length and a width of the bone fixation implant. At least some of openings are configured to receive an attachment member for securing the bone fixation implant to an underlying bone structure. The tissue-engaging surface is configured to engage an overlying tissue structure for encouraging incorporation of the tissue structure into the bone fixation implant to promote stabilization of the underlying bone structure during healing. In certain embodiments, at least 50% of the area defined by and/or between the length and the width of the two-dimensional structure is an opening.

Abstract: A screw and an anatomy buttressing adaptor are provided. The screw includes a head portion, a shaft portion, and a central axis. The anatomy buttressing adaptor includes a body portion including a first end, an opposite second end, a lower surface, and an internal cavity extending through the body portion. The lower surface of the body portion being formed at least adjacent the second end thereof, and including spikes formed thereon and spaced therearound.

Abstract: Various bone fixation wires and methods of making bone fixation wires are described. A bone fixation wire includes an elongate member defining an outer wall, a retaining member disposed on the outer wall between the elongate member first end and the geometric midpoint of the axial length of the elongate member on the lengthwise axis, and a stopping member disposed on the elongate member and contacting the retaining member. The elongate member comprises a first material and the stopping member comprises a second material that is different from the first material.

Abstract: An implant receiver comprises a body formed by a first manufacturing method, the body including an outer surface and having spaced apart walls defining a cavity configured for disposal of a spinal implant; and at least one layer being formed onto at least a portion of the outer surface by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: Disclosed are cable fixation devices. The fixation devices are configured to keep tension in a polymer cable to secure a fracture or for other medical uses. In an embodiment, a fixation device for securing a fracture comprises a body and a piercing element, wherein the fixation device is configured to pierce a polymer cable arranged in the body by engaging the piercing element. In an embodiment, the fixation device further comprises a retensioning member, which may be operated to increase tension in the polymer cable after the polymer has been pierced by the piecing element. In an embodiment, the polymer cable comprises a braid or a yarn.

Abstract: A driver assembly with a rotatable and interchangeable cannulated driver shaft for drilling a variety of fasteners. The driver assembly includes an elongated body having a proximal end and a distal end with a first channel extending from the distal end into the elongated body and a second channel extending from a first side of the elongated body into the elongated body. The driver assembly also includes a locking mechanism connected within the elongated body. The locking mechanism is rotatable between a first configuration and a second configuration. A cannulated driver shaft is removably attached to the locking mechanism and is rotatable between the first configuration and the second configuration via the locking mechanism.

Abstract: Minimally invasive percutaneous methods, devices, and systems for placing guide wires in bones in a desired position and orientation and for facilitating the treatment of fractures such as but not limited to intertrochanteric fractures or other applications such as osteotomies. The methods, devices, and systems may allow for rapid and reproducible placement of a guide wire in a bone. Each degree of freedom may be controlled independently.

Abstract: The present invention provides a medical device that may include a catheter body having proximal and distal portions, a fluid injection lumen disposed within elongate body, and a guidewire lumen disposed within the elongate body. A tip portion defining a cavity in fluid communication with the fluid injection lumen may be coupled to the distal end of the guidewire lumen, and an expandable element may be coupled to the distal portion of the catheter body and to the tip portion, such that the expandable element is in fluid communication with the fluid injection lumen. A shaping element may at least partially surround the expandable element, where the shaping element is configurable in a first geometric configuration and a second geometric configuration.

Abstract: A medical apparatus includes a first jaw; a second jaw that opens and closes with the first jaw; a shaft to which the second jaw is pivotably attached; and a sliding member provided between the second jaw and the shaft, abutted to each of the second jaw and the shaft, and configured to be slidable with respect to at least one of the second jaw or the shaft.

Abstract: The present invention relates to electrode arrays that find use for rapid ablation of a target area of tissue in an organ and in particular to use of the electrode arrays to resect organs to coagulate tissue so that resection can be performed with minimal loss of blood. The target area may include a bulk area of tissue (such as a tumor) or organ (such as a kidney) or a defined target area within a tissue or organ (such as a linear strip, curved strip, cylindrical area, or other shape).