Abstract: Various embodiments of a non-metal retractor device for retracting an incision and retaining a shunt are described herein.

Abstract: A knee gap tensioning apparatus includes: a gap tensioner including: a baseplate; a top plate; a linkage interconnecting the baseplate and the top plate and operable to move the gap tensioner between retracted and extended positions; and wherein the top plate is pivotally connected to the linkage so as to be able to freely pivot about a pivot axis.

Abstract: An instrument for crimping a suture fastener to a surgical suture is disclosed. The instrument has a shaft and an expanded receiving face configured to receive the suture fastener and to provide a smoothing radius for a distal end of the shaft. The instrument also has an anvil in the distal end of the shaft. The instrument further has a hammer in the distal end of the shaft and moveable relative to the anvil for crimping the suture fastener therebetween and received in the expanded receiving face. The instrument also has a pusher moveable in a direction substantially parallel to a longitudinal axis of the shaft and configured to engage at least one of the hammer and the anvil for urging the hammer and the anvil together.

Abstract: A button inserter apparatus for the insertion of a surgical button includes an inserter handle and an elongated inserter shaft connected at one end to the inserter handle. An inserter head is connected to the inserter shaft at an end opposite to the inserter handle. The inserter head includes opposing engagement projections for engaging and retaining a surgical button there between. One of the engagement projections is longitudinally movable relative to the other of the engagement projections. A button engage and release assembly extends from the inserter handle to the inserter head, and selectively prevents relative longitudinal movement between the engagement projections, and selectively permits relative movement of the engagement projections and thereby release of the surgical button. The engage and release assembly is operable from the inserter handle to cause relative longitudinal movement of the engagement projections and release of the surgical button.

Abstract: An adjustable motion limiter for a minimally invasive surgical device is disclosed. The adjustable motion limiter includes a cam surface and a positioning interface. Another adjustable motion limiter for a minimally invasive surgical device is disclosed. The adjustable motion limiter has a positioning interface comprising a grooved protrusion. The adjustable motion limiter also has a cam surface comprising an arcuate surface and facing a direction which is substantially perpendicular to a direction the positioning interface faces. The adjustable motion limiter further has an adjustment key and one or more locking teeth. A minimally invasive surgical device having an adjustable motion limiter is also disclosed.

Abstract: A suture management member including a body being elongate in a first direction and having a suture-receiving recess in a second direction transverse to the first direction. The suture-receiving recess extends partially through the body and separates the body into a first portion and a second portion. The first portion is being biased towards the second portion to securely retaining a suture within the suture-receiving recess.

Abstract: A tissue repair device including a handle, an elongated needle body defining an axial bore extending from the handle, first and second implants connected by a suture and disposed at least partially within the axial bore of the needle. A ratchet assembly includes a pusher member that incrementally advances through the needle body to urge the first and second implants therefrom in a predefined sequence, a proximally-biased rotatable ratchet coupled to the pusher member, and an axially translatable drive mechanism configured to provide axial and rotational driving forces causing the ratchet to alternately engage and disengage from successively more distal teeth of a toothed surface within the handle. One or more implant retention features impeded undesired expulsion of implants from the needle.

Abstract: A coupling system includes an applicator tool and an attachment ring mounted on the applicator tool. Clips are contained within the applicator tool and are deployed through the attachment ring in order to anchor the attachment ring to biological tissue. When deployed, tips of the clips follow a curved trajectory through an annular cuff of the attachment ring and through the underlying tissue. The tips loop back out of the tissue and to a location where they are later trapped or clamped by the attachment ring. While the tips are trapped or clamped, the applicator tool cinches the clips by pulling rear segments of the clips. Thereafter, the applicator tool disconnects from the attachment ring which remains anchored to the tissue and serves as a coupling for a cannula. The cannula can have movable lock members that secure it to the attachment ring.

Abstract: A patient's stomach may be secured to the patient's diaphragm. A method to accomplish this includes visualizing a wall of a patient's stomach adjacent the patient's diaphragm from within the patient's stomach, inserting a fastener deployment apparatus down the patient's esophagus and into the mammalian's stomach, and fastening the patient's stomach to the patient's diaphragm with the fastener deployment apparatus and from within the stomach. The procedure may be employed to advantage to treat a hiatal hernia, for example, either alone or in conjunction with the restoration of the patient's gastroesophageal flap valve.

Abstract: A surgical instrument assembly can comprise a handle including an electric motor, a shaft assembly including a drive member, and a magnet configured to generate a magnetic field. The surgical instrument assembly further comprises, one, a rotatable output shaft operably coupled with the electric motor and the drive member and, two, a wire coil wound around the output shaft which is positioned in the magnetic field. The wire coil is rotated within the magnetic field when the output shaft is rotated about a longitudinal axis which induces a current in the wire coil. The surgical instrument assembly further comprises a strain gauge mounted to the output shaft configured to detect strain created within the output shaft and, in addition, a circuit mounted to the output shaft, wherein the circuit and/or the strain gauge is powered by the current induced in the wire coil.

Abstract: A loading unit configured for engagement with a surgical instrument is disclosed. The loading unit comprises a proximal body portion and a tool assembly. The proximal body portion defines a longitudinal axis. The tool assembly is disposed in mechanical cooperation with the proximal body portion and includes a cartridge assembly and an anvil assembly. At least one of the cartridge assembly and the anvil assembly is movable with respect to the other between an open position and an approximated position to engage tissue therebetween. The cartridge assembly is configured to house a plurality of fasteners therein. The diameter of the tool assembly is less than or equal to about 8 mm.

Abstract: A surgical stapling device (10) is provided that includes a handle assembly (12), a movable trigger (26) and an elongated body portion (14). A staple containing shell assembly (22) is mounted on a distal end of the elongated body portion (14) and an anvil assembly (20) is movably mounted relative to the staple containing shell assembly (22). An auto-lock safety mechanism (40) is provided to prevent secondary actuation of the surgical stapling device after initial actuation. The auto-lock safety mechanism (40) includes a primary lock or slider assembly (42) for blocking movement of the trigger (26) and a secondary lock or stopper (44) for blocking movement of the slider assembly (42) prior to approximation of the anvil assembly (20) relative to the staple containing shell assembly (22). A slider (70) is urged to a locked or blocking position by a biasing member (72).

Abstract: A staple cartridge assembly comprises a connector, a cutter push rod and an elastic sheet, the elastic sheet having a first through groove and the cutter push rod being formed by laminating multiple sheets, wherein when the staple cartridge assembly is in an original status or a closed status, part of the cutter push rod is located in the first through groove, and the first through groove restricts detaching of the multiple sheets in a laminating direction of the multiple sheets; in a firing process of the staple cartridge assembly, the cutter push rod moves towards a distal end of the staple cartridge assembly to press the elastic sheet, such that the elastic sheet deforms and the cutter push rod is gradually detached from the first through groove; after the firing of the staple cartridge assembly is finished, the cutter push rod is detached from the first through groove.

Abstract: A surgical stapling anvil for use with a surgical instrument is disclosed. The anvil comprises an anvil body comprising a tissue-facing surface and a longitudinal cavity. The longitudinal cavity comprises a first cavity portion configured to receive at least a portion of a cutting edge of a firing member of the surgical instrument therethrough, a second cavity portion configured to receive an anvil-engaging portion of the firing member therethrough, and a third cavity portion comprising a first angular surface which flares outward relative to the second cavity portion. The anvil further comprises an anvil cap comprising a first section positioned within a portion of the second cavity portion and a second section positioned within the third cavity portion, wherein the second section comprises a second angular surface corresponding to the first angular surface, and wherein the first angular surface and the second angular surface are welded together.

Abstract: A drive shuttle is provided that includes a leader ramp mount that includes a longitudinal first axis; a first leader ramp that depends from (i.e. that physically couples to) a first side of the leader ramp mount; a pusher protrusion that depends from a second side of the leader ramp mount; a follower ramp mount; a follower protrusion that depends from the follower ramp mount; a first follower ramp that depends from the follower protrusion; wherein the first leader ramp, the pusher protrusion, the first follower ramp and the follower protrusion are disposed in relation to each another such that, in the first configuration, the pusher protrusion is spaced apart longitudinally from the follower protrusion by an offset amount and the first leader ramp is aligned longitudinally with the first follower ramp; and in the second configuration, the pusher protrusion contacts the follower protrusion and the first leader ramp is spaced apart longitudinally from the first follower ramp by the offset amount.

Abstract: The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices.

Abstract: A surgical stapling device is described having a tool assembly including an anvil assembly and a staple cartridge having a series of tri-staples which are supported and configured to be rotatably ejected from the staple cartridge into the anvil assembly to suture tissue. The manner in which the staples are supported and ejected from within the staple cartridge facilitates the use of a tool assembly of reduced diameter that includes staples capable of suturing thicker tissues than would normally be associated with tool assemblies with such a reduced diameter. A tri-staple is also described that can be ejected from the surgical stapling device. In embodiments, the tri-staple includes three legs of different lengths. Each of the legs is configured to provide a different degree of compression when applied to tissue. In addition, each of the staple legs has a D-shaped configuration when deformed.

Abstract: A nerve repair conduit configured to be secured on first and second portions of a selected nerve. The nerve repair conduit includes a polymeric body having a proximal end, a distal end, an exterior surface and an interior surface defining an interior lumen. In addition, the nerve conduit includes at least one drug reservoir to hold agent(s) that may, for example, facilitate nerve regeneration. The drugs diffuse from the drug reservoir(s) into the nerve repair conduit through an outlet (e.g., a semipermeable membrane) in proximity to the first and second portions of a selected nerve. The nerve repair conduit may be configured to deliver the agent(s) at a rate having substantially zero-order kinetics and/or at a constant rate over a selected period of time (e.g., at least 1 week).

Abstract: A ligature device and method of use are disclosed. More specifically, a ligature device capable of maintaining a ligature band in an elongated position, applying a preformed ligation band to an object to be ligated, manually releasing the ligation band from an elongated position, and securing a ligation band in a tensioned position is described. The ligation device may be used to apply ligation bands to various body parts of various animals.

Abstract: An occlusion assembly and its uses in a REBOA procedure is disclosed. The occlusion assembly includes a single elongate shaft having an inflatable balloon, a proximal neck portion, a distal neck portion. The shaft defines a single lumen through which a wire is positioned for support of the shaft and through which an inflation fluid is also passed to inflate the balloon.

Abstract: Atrial appendage occlusion systems are provided, such systems including a first device and a second device. The first device has a first tube sized and shaped for insertion into the heart and a balloon coupled thereto. The second device has a second tube sized and shaped for insertion into a pericardial space surrounding the heart, and has a lumen extending at least partially from a second tube distal end to a second tube proximal end. The second device also includes a loop sized and shaped to fit at least partially within the lumen of the second tube, with the loop configured for protraction from the second tube distal end and for placement, and to be tightened and secured around, the atrial appendage.

Abstract: Devices, methods and systems are provided for occluding an opening within the tissue of a body, such as a left atrial appendage. In one embodiment, a delivery system for use in occluding an opening in the tissue of a body includes an actuation assembly operatively coupled to a medical device including an anchor portion and an occluder portion. The actuation assembly is configured to move the anchor portion between a deployed state and retracted state while the occluder portion maintains a deployed state. With this arrangement, the deployed occluder portion can be visualized via imaging at a preferred position prior to deploying the anchor portion of the medical device.

Abstract: An occluding device for occlusion of fluid flow through a lumen of a body vessel is manufactured by wedging fibers between adjacent coil windings of a primary coil so that the fibers extend generally radially across the primary coil body between the primary coil windings and outward therefrom. An elongated adhesive applicator is inserted into the primary coil lumen and subsequently proximally withdrawn while simultaneously depositing along the primary coil windings. The fibers and the adhesive are placed in overlapping locations so that the fibers extend through the adhesive. The fibers are thus blocked from slipping along their length relative to the coil body by the adhesive adhering to the fibers inside the primary coil lumen. The adhesive extends radially outward from the coil lumen no farther than the outer primary coil radius. The adhesive adheres to the fibers and may or may not adhere with the primary coil windings.

Abstract: The present invention provides an osteotomy device with an extracorporeal alignment component comprising a first body component, a second body component and an extracorporeal alignment component. The first body component has an upper guide edge for forming a cutting track. The second body component has a lower guide edge disposed below the upper guide edge. A guide slot is formed between the upper guide edge and the lower guide edge for guiding the saw blade to cut. The guide slot has a connecting member for connecting the upper guide edge and the lower guide edge. The extracorporeal alignment component has an engaging member and at least one aiming hole. The engaging member is engaged with the connecting member. The aiming hole is used to confirm the direction of cutting.

Abstract: A measurement system for installation of a prosthetic component. The measurement system comprises a housing, a slide block, a medial plate, a lateral plate, a fixed plate, and a threaded shaft. The fixed plate couples to the housing. The threaded shaft couples to the slide block. The threaded shaft is rotated to move the slide block within the housing. The slide block includes a free wheel gear. A medial plate and a lateral plate respectively couple to a medial post and a lateral post. The medial post and lateral post each have gear teeth that is configured to couple the free wheel gear. The housing retains, aligns and supports movement of the medial and lateral post parallel to the slide block. A medial brake and a lateral brake is configured to couple to the medial post and the lateral post to prevent movement under user control.

Abstract: A surgical apparatus is configured to support at least one bone cut for installation of a prosthetic component. The installed prosthetic component will have reduced alignment error. The surgical apparatus is configured to distract a first compartment to a first predetermined load value while allowing a moving support structure to pivot freely. A distraction lock mechanism is then engaged to prevent movement of a distraction mechanism that raises or lowers the moving support structure relative to a fixed support structure. The moving support structure has M-L tilt angle that is measured. A M-L tilt mechanism is engaged to forcibly equalize the first and second compartments. Engaging the M-L tilt mechanism prevents the moving support structure from freely pivoting. The at least one bone cut relates to the first and second compartments equalized and the M-L tilt angle.

Abstract: A surgical instrument includes a housing, an elongated shaft extending distally from the housing, an end effector assembly, and a trigger assembly. The trigger assembly is disposed in mechanical cooperation with the housing and is configured to longitudinally translate a drive member. The trigger assembly includes a trigger, a gear assembly, a spool, a slider, and a flexible drive member. The trigger is disposed in mechanical cooperation with the gear assembly. The flexible drive member is configured to engage the gear assembly, the spool, and the slider. Movement of the trigger with respect to the housing results in movement of the flexible drive member with respect to the housing and longitudinal movement of the slider with respect to the housing.

Abstract: A device for simultaneously monitoring the health of surgical drills and detecting proximity to critical structures during surgery is described herein. By using various sensors (e.g. microphones, accelerometers, temperature sensors, etc.), signals from the drill can be measured and analyzed. The processed signals can then be used to indicate the proximity of the drill bit to critical structures, such as the patient's brain, and identify drill health issues (e.g. worn bearings, misaligned rotational axis, etc.).

Abstract: An aspiration system including a housing containing an aspiration pump, a chamber, a collection bag in fluid communication with the chamber, and a tubing assembly including a first tube portion connected to the chamber. The tubing assembly has a connector to split the first tube portion into a second and third tube portion, the second tube portion in fluid communication with a first catheter to aspirate particles through the first catheter and the third tube portion in fluid communication with a second catheter to aspirate particles through the second catheter.

Abstract: A method for treating tissue of at least one of an internal carotid artery, an ophthalmic artery, or an ostium between the internal carotid artery and the ophthalmic artery of a subject may include expanding a first expandable device of a first device in the internal carotid artery. The method also may include delivering a second device in the ophthalmic artery via the first device and expanding a second expandable device of the second device in the ophthalmic artery. Further, the method may include adjusting a radial position of the second expandable device relative to the first expandable device.

Abstract: A method for controlling a histotripsy using a confocal fundamental and harmonic superposition combined with hundred-microsecond ultrasound pulses, including: 1) positioning a target tissue by a monitoring and guiding system and adjusting a position of the target tissue to a focal point of a transducer; 2) first stage: controlling the confocal fundamental and harmonic superposition combined with hundred-microsecond ultrasound pulses to form a shock wave in a focal zone; wherein a negative acoustic pressure exceeds a cavitation threshold; an inertial cavitation occurs to generate boiling bubbles; the boiling bubbles collapse and achieve partial homogenization of the target tissue; 3) second stage: controlling the confocal fundamental and harmonic superposition combined with hundred-microsecond pulsed-ultrasound sequences to simultaneously irradiate a target zone and further mechanically disintegrate and homogenize the target tissue.

Abstract: A device for use within an occluded biological vessel and a method of using same to remove occlusion material from a vessel are provided. The device includes an elongated body configured for delivering extensions arranged around a distal portion thereof into the biological vessel. Each of the extensions includes an array of projections spaced apart to match openings in a biological mesh forming a part of the occlusion material.

Abstract: An endoscopic surgical device for retrieving severed tissue or foreign bodies from within a subject is disclosed. The device comprises a support unit and a tissue retrieving net system. The net system is carried by the support unit and may be inserted into the subject through an orifice or small incision and operated to retrieve tissue that has been severed by a conventional method. The net system comprises a net, a net actuator, a net deployment and retrieval assembly for transmitting motion between the net and its actuator. The net system further comprises at least one net connector disposed such that only one connector is within an articulation zone, defined by locations of severe bending of the device during operation.

Abstract: A clot retrieval device, for example to be used in a thrombectomy, is provided including a catheter, an elongated member, and a knitted basket with a proximal end coupled to the catheter and a distal end coupled to the elongated member. The elongated member is movable between an expanded position and a compressed position relative to the catheter and is configured so that the knitted basket expands radially and compresses as the elongated member is moved to the compressed position. The knitted basket is comprised of a plurality of wires coupled together by a plurality of windings. Each winding comprises one of the plurality of the wires twisted about another of the plurality of wires.

Abstract: The uncinectomy knife is a surgical knife for performing uncinectomies and other sinus or endoscopic procedures. The uncinectomy knife has a central elongated handle having opposing first and second ends. The knife has a horizontally oriented cutting blade extending orthogonally from the first end of the handle and a vertically oriented cutting blade extending orthogonally from the second end of the handle. Both of the blades may be double-edged so that they can cut when the handle is moved in opposite directions. Both ends of each blade may terminate in a bulbous tip having a smooth, blunted surface, such as a sphere or rounded ball to prevent tissue trauma when the blade ends contact tissue. Accordingly, the uncinectomy knife may be inserted into tight cavities for tissue augmentation or removal without damaging the surrounding tissue.

Abstract: A surgical instrument is disclosed comprising a shaft and an end effector rotatably connected to the shaft about an articulation joint. The surgical instrument comprises a plurality of rotation joints which can be simultaneously operated to maintain the alignment of a portion of the surgical instrument relative to the patient tissue.

Abstract: A surgical system can include a first instrument defining a first channel and a second instrument receivable by the first channel. The second instrument can include a second channel. A valve coupled to the first instrument controls fluid flow through the first channel. The valve has at least two positions and in one position, the impedance of fluid flow through the valve into the first channel (when the second instrument is not received in the first channel) is substantially the same as when the valve is the other position and the first channel partially blocked by the second instrument. In another aspect, a surgical system can include an outer member and the first instrument can be received within the outer member to define a second channel there between. The first instrument can include a visualization system and an illumination system.

Abstract: Disclosed is an infinitely adjustable depth stop for a laparascopic instrument having a shaft, the depth stop including a first component having a first annular space adapted to allow the shaft to be fitted therethrough. The first annular space has a reducible diameter and an interference surface against which the shaft may be fitted. Upon reduction of the reducible diameter, the interference surface frictionally engages the shaft to arrest relative movement of the depth stop along the shaft. The frictional engagement may be along a curve, a spiral curve, or an area. Means are also provided to reopen the reducible diameter to release the depth stop.

Abstract: A tissue resecting instrument includes a housing, a shaft rotatable relative to the housing and defining a proximal end portion disposed within the housing and a distal end portion distally-spaced from the housing, a cutting member operably associated with the distal end portion of the shaft, a turbine disposed within the housing and operably associated with the proximal end portion of the shaft, and a fluid outflow tube operably associated with the housing. The fluid outflow tube is adapted to connect to a suction source to enable the suctioning of fluid and resected tissue proximally through a lumen of the shaft, an interior of the housing, and into the fluid outflow tube. The turbine is configured such that proximal fluid flow across the plurality of fins of the turbine urges the turbine to rotate, thereby rotating the shaft relative to the housing to enable tissue resection with the cutting member.

Abstract: The invention relates to an interstitial ultrasound ablation device (5) for being inserted into tissue surrounding, for instance, a tumor. The interstitial ultrasound ablation device comprises an arrangement (7) of ultrasound units (17, 18) for a focal ablation treatment which is modifiable from a folded configuration, to be used while inserting the ultrasound ablation device into the tissue, to an unfolded configuration, to be used after the ultrasound ablation device has been inserted into the tissue, such that the unfolded arrangement of ultrasound units is next to the tumor. This ultrasound ablation device can be easily positioned close to the tumor, where the unfolded arrangement of ultrasound units provides a large ultrasound emission area allowing for a very good focusing of the ultrasound on the tumor. This can lead to a very effective ablation of the tumor with only very few or no unwanted side effects.

Abstract: An apparatus for operating on tissue comprises a shaft, an acoustic waveguide, and an end effector. The acoustic waveguide extends along the shaft and is configured to transmit ultrasonic vibration. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The clamp arm is pivotable toward the ultrasonic blade. The end effector defines a first longitudinal region and a second longitudinal region. The end effector is configured to clamp tissue between the clamp arm and the ultrasonic blade in the first longitudinal region. The end effector is configured to sever tissue with the ultrasonic blade in the second longitudinal region.

Abstract: A method and dissecting device are disclosed for treating a stenotic vessel. The method including inserting a dissecting device into a subintimal space of a blood vessel; dissecting an inner side of the subintimal space from an outer side of the subintimal space over an entire circumference of the blood vessel with the dissecting device, the dissecting device including a first dissecting member having a first cutting member; and removing the dissected inner side of the subintimal space and a stenotic region attached to the inner side of the subintimal space from the blood vessel.

Abstract: Systems, instruments, and methods for minimally invasive procedures including one or more of fractional resection, fractional lipectomy, fractional skin grafting, and/or fractional scar revision are described. Embodiments include instrumentation comprising a scalpet assembly coupled to a carrier, and the scalpet assembly includes a scalpet array. The scalpet array includes one or more scalpets configured for fractional resection, fractional lipectomy, fractional skin grafting, and/or fractional scar revision. The system includes a vacuum component coupled to the scalpet assembly and configured to evacuate tissue from the a site. The carrier is configured to control application of a rotational force and/or a vacuum force to the scalpet assembly.

Abstract: An intraosseous tack device is configured to puncture alveolar bone or other human or animal bone at a targeted site of the mouth or body to provide an access point for the delivery of local anesthesia or other medicament. The device includes a tack having a head member and an elongate member extending from the head member. The elongate member is inserted into a sleeve, and the sleeve is coupled to a handle. At least a portion of the sleeve is collapsible, so that when a compressive force is applied to the head member of the tack, the sleeve partially collapses to a shorter length, allowing the distal end of the tack to pass out of the opposite end of the sleeve for puncturing the alveolar bone at the targeted site.

Abstract: A medical puncture needle includes: a distal end portion including a needle point; and a rod-like main body portion continuous with the distal end portion, wherein: the distal end portion includes a blade surface, the blade surface includes: a first blade surface portion and a second blade surface portion on a front side of the distal end portion, the first and second blade surface portions intersecting each other at a ridgeline that forms a blade edge having the needle point at one end, and a third blade surface portion continuous with each of the first blade surface portion and the second blade surface portion on a main body portion side, and the third blade surface portion includes a protruding curved surface.

Abstract: A surgical access device that includes a seal assembly. The seal assembly includes an upper housing portion having a first seal and a lower housing portion including a second seal. The upper housing portion is rotatably connectable to the lower housing portion. The surgical access device also includes a rotation prevention mechanism configured to prevent inadvertent relative rotation of, and disconnection of, the upper housing portion and the lower housing portion. The rotation prevention mechanism is further configured to be selectively actuated by a user, such that, when actuated, the upper housing portion is selectively rotatable relative to, and disconnectable from, the lower housing portion.

Abstract: A surgical connector is provided. The connector includes a first member including a mating surface engageable with an implant and a locking element and a second member translatable relative to the first member to urge the locking element into engagement with the implant. At least one of the members is connectable with a surgical instrument. Systems and methods of use are disclosed.

Abstract: Surgical instruments and devices including drivers, inserters, and reducers. The driver includes a ratcheting mechanism configured to provide uni-directional motion when engaged. The inserter includes a rack, pinion, and cam system designed to secure an implant and release an implant in-situ. The reducer includes a geared system for persuading together surgical components and aligning misaligned vertebrae.

Abstract: Systems and methods for treating conditions and diseases of the spine are disclosed herein. A device includes a balloon catheter comprising at least one inner lumen incorporated within an elongated shaft; a distal end having an inner balloon positioned inside and completely surrounded by an outer balloon; and a proximal end having an adapter for passage of at least one of an inflation fluid or a medical instrument; and an optical fiber comprising an outer diameter sized to pass through the inner lumen of the elongated shaft; a nonlinear light-emitting portion of a given length, wherein a portion of a cladding material from the nonlinear light-emitting portion has been removed so that light energy may be emitted along the length of the nonlinear light-emitting portion; and a linear elongated portion for guiding light towards the nonlinear light-emitting portion.

Abstract: A bone plate includes an upper surface, an opposed lower surface configured to face a bone, and at least one aperture extending through the bone plate from the upper to the lower surface along a central aperture axis. The aperture is defined by an interior surface of the bone plate. The interior surface defines a plurality of columns sequentially located about a circumference of the interior surface and a plurality of recesses located circumferentially between the columns. Each of the columns is configured to undergo deformation at least in a radial direction perpendicular to the central aperture axis responsive to engagement with a head of a locking bone screw that is receivable within the at least one aperture so as to lock the head to the bone plate. The plurality of columns comprises at least five columns.