Abstract: A ligation clip cartridge includes a housing and one or more retaining members. The housing defines a plurality of clip recesses that receive ligation clips. The retaining members are positioned on the housing to engage the clips within the housing in an unbiased state to minimize damage to the clip material caused by strain on the clip.

Abstract: An indwelling device for embolization comprises a coil portion (11) having a proximal side and a distal side and having a lumen extending in a longitudinal direction, a stretch-resistant member (20) disposed in the lumen, wherein the indwelling device has a fixing structure in which the stretch-resistant member (20) is knotted to the detachable portion attached in the lumen of a proximal end part of the coil portion (11) and extending proximally from a proximal end of the lumen, in order for the stretch-resistant member (20) to be more securely anchored to the coil portion (11).

Abstract: A hemostasis pressure device is disclosed. In one embodiment, the hemostasis pressure device includes a reusable component and a disposable cuff. The disposable cuff includes a pre-inflated pad configured to be placed at an access site on a patient. A knob secured to the reusable component is configured to control the pressure applied to the pre-inflated pad, providing incremental, fine-tuned control of pressure applied to the access site to achieve patent hemostasis.

Abstract: A system and method for harvesting autologous tissue, mincing it into fragments that are visible and measureable when filtered, and delivering a portion of the tissue back into the patient without the need to directly touch the tissue. During the same surgical procedure, the tissue can be mixed with a biocompatible agent before introduction into the repair site.

Abstract: A surgical instrument includes a first member defining an axis and having a scraping surface configured to scrape tissue. A second member includes a cutting surface that is rotatable relative to the first member. The second member has a maximum length defined by opposite end surfaces of the second member. The end surfaces are each disposed within the first member. A third member includes an outer surface defining at least a portion of a passageway configured for disposal of the scraped tissue. The third member is fixed with the first member. The cutting surface is rotatable relative to the third member to transfer the scraped tissue along the axis. Systems and methods are disclosed.

Abstract: An ankle arthroplasty system may have a talar prosthesis and a tibial prosthesis, each of which has an articular surface and a bone engagement surface. Each bone engagement surface may have an anterior-posterior curvature and a medial-lateral curvature with a convex shape. A burr with a rotatable cutting element may be used to form a prepared surface on the talus or the tibia to receive the corresponding prosthesis. A cutting guide may be used to guide motion of the burr; the cutting guide may include a base and an arm movably coupled to the base. One of the base and the arm may have a guide surface, and the other may have a follower that slides along the guide surface to constrain motion of the burr such that the prepared surface has at least one concave curvature and one convex curvature.

Abstract: A protective device and guide for minimal invasive osteotomy during surgical procedures is disclosed, protecting tissues, muscles, tendons, and peripheral blood vessels adjacent to the bone structure, while allowing a spatial fixation of the device in order to free both hands of the healthcare professional in order to carry out the osteotomy without requiring additional staff.

Abstract: A surgical guide device can be attached to a patient's bone for assisting an open wedge osteotomy. This device includes two parts which are joined together by way of removable securing unit, namely: a proximal part, including a lower border defining at least one portion of the upper edge of a guide window, and a distal part having an upper edge defining at least one portion of the lower edge of the guide window. The proximal and distal parts are each provided with a plurality of through holes adapted for receiving members temporarily implantable in the bone and/or adapted to guide a drilling of holes in the bone. The arrangement of the through holes of the surgical guide device advantageously takes into account the planned open wedge osteotomy and anticipates the final position of the screw locations of the reported osteosynthesis plate for freezing the two bone fragments.

Abstract: An obstruction removal device is described, having one or more engaging members which can engage portions of the clot. The one or more engaging members have a collapsed, delivery state, and an expanded, deployed state which in some embodiments can be locked to maintain its fixed configuration.

Abstract: An extractor includes a rigid outer cannula forming a lumen extending between a proximal end and an opposing distal end of the outer cannula. An inner cannula is slidably positioned within the lumen of the outer cannula. The inner cannula forms a central passage along a longitudinal axis of the inner cannula extending between a proximal end and an opposing distal end of the inner cannula. A plurality of secondary passages are positioned about the central passage and extend along at least a portion of a length of the inner cannula between the proximal end and the distal end of the inner cannula. An annularly expanding and retracting extraction mechanism at the distal end of the inner cannula is operable to capture and extract kidney stones from within a lumen of a patient.

Abstract: A clot removal device has a segment that has two main struts that serve as a frame for holding a plurality of secondary struts. Each of the two main struts has a proximal end that is connected at a proximal point of the segment and extends along a generally circumferential path, with each main strut terminating at a separate connecting point that is distal from the proximal point. The connecting points are connected to each other to form a generally tubular structure defining an inner lumen. The plurality of secondary struts forms a lattice of cells, with each cell surrounded by four secondary struts. Two generally straight distal struts are connected to the lattice of cells at a distal end of the segment, and are connected to each other to form a distal point. A distal opening is defined by the cells adjacent the distal struts, the distal opening communicating with the lumen and terminating at the proximal point.

Abstract: A remote operation-type surgery system is disclosed, which includes a multiple-degree freedom slave arm, which is able to be mounted with a medical instrument including a shaft portion and an end effector disposed at a distal end of the shaft portion; a first input device configured to receive a first input to operate the multiple-degree freedom slave arm; a second input device configured to receive a second input to operate the multiple-degree freedom slave arm and different from the first input device; a touch panel configured to set an operation mode for the multiple-degree freedom slave arm operated by the second input device; and a controller configured to control the multiple-degree freedom slave arm based on the first input or second input, wherein the controller is configured to: determine whether or not an in-operation signal is turned on.

Abstract: A process and system provides for atraumatic preparation of morselized Tissue Particles (TP)s, such as Full Thickness Skin Graft Particles (FTSGPs), cartilage particles and other organ tissue particles, in a liquid medium. The resultant tissue product may be a suspension of Tissue Particles in an aqueous solution and containing highly viable cells and may be rapidly prepared at bedside or in the operating room and conveniently delivered to a patient through a syringe or similar applicator. The morselized Tissues Particles may be used for surgical applications including wound healing, cosmetic surgery, and orthopedic cartilage repairs.

Abstract: Systems, instruments, and methods are described in which a scalpet device comprises a housing configured to include a scalpet assembly. The scalpet assembly includes a scalpet array and one or more guide plates. The scalpet array includes a set of scalpets, and in embodiments the set of scalpets include multiple scalpets. The guide plate maintains a configuration of the set of scalpets. The set of scalpets is configured to be deployed from and retracted into the housing, and is configured to generate incised skin pixels at a target site when deployed. The incised skin pixels are harvested.

Abstract: An epidural space is cleared of fat and scar tissue in preparation for implantation of a medical lead by utilizing a clearing tool. The clearing tool has an outer body and an inner body present within a lumen of the outer body. The outer body may be malleable and have a pre-set deflection or may be flexible and achieve deflection when being inserted into the epidural space. Once in the epidural space, the inner body is extended distally from the lumen of the outer body such that a distal tip on the inner body extends further into the epidural space to provide clearing to the target site without requiring further ingress of the outer body. The inner body is retracted and the clearing tool is removed. The medical lead is then inserted through the window and cleared epidural space until reaching the target site.

Abstract: The present disclosure relates to an ultrasonic surgical handpiece assembly comprising a surgical handpiece for use with an irrigation sleeve and ultrasonic tip. The surgical handpiece may comprise a piezoelectric transducer disposed within a housing and configured to manipulate the ultrasonic tip. One or more lumens and/or a flex circuit including an antenna may be disposed within the surgical handpiece housing. The lumen(s) may be configured to provide irrigation and/or aspiration to the irrigation sleeve and/or ultrasonic tip. The irrigation sleeve may comprise a second antenna configured to communicate with the ultrasonic handpiece antenna. The irrigation sleeve may further comprise and an alignment and/or coupling feature configured to removably secure the irrigation sleeve to the housing and orient the second antenna relative to the ultrasonic handpiece antenna. The irrigation sleeve may further comprise a lumen for supplying irrigation and/or aspiration to the ultrasonic tip.

Abstract: An ultrasonic surgical instrument includes a body, an ultrasonic transducer rotatably supported within the body and having a threaded distal end, a shaft extending from the body, a waveguide extending through the shaft and having a threaded proximal end configured to threadedly engage the threaded distal end to define a threaded coupling, and an end effector at a distal end of the shaft. An integrated torque wrench mechanism is arranged within the body and includes a first torque wrench member rotationally coupled with a proximal end of the transducer, and a second torque wrench member arranged proximally of the first torque wrench member. The torque wrench members are configured to selectively couple together and frictionally engage one another to facilitate application of a predetermined maximum torque to the threaded coupling. The torque wrench members are configured to automatically decouple upon application of the predetermined maximum torque to the threaded coupling.

Abstract: A positioning unit for guiding a medical object such as a needle includes a securing unit by which the positioning unit may be arranged on the medical object. In order to enable an improved guidance for the medical object, an indicating element with a plurality of indicators is provided. The indicating element is arranged in a fixed position relative to the securing unit. An acquisition unit acquires an item of movement information. The positioning unit is configured to control the plurality of indicators dependent upon the movement information.

Abstract: An impact or extension handle for a needle assembly such as a jamshidi needle can include an attachment portion and a handle portion. The impact or extension handle can also include an impact strikeplate. The attachment portion is configured to couple to the jamshidi needle. A user can use the impact or extension handle to manipulate the position or angle of the needle assembly. A user can tap a mallet or similar instrument on the impact strikeplate to drive the needle assembly into a target location in a patient's body. The impact or extension handle can allow the user to hold his or her hands out of the way of equipment used during the procedure and away from potentially harmful radiation from imaging equipment used during the procedure.

Abstract: Catheter exchange systems and methods may use a cutting tool to sever an encrusted catheter. The cutting tool may include a flexible cannula to encompass and move along the encrusted catheter. A sheath may selectively cover the cutting tool. The cutting tool may selectively transition between a first position in which the cutter is within the sheath and a second position in which the cutting tool is extended beyond the sheath to sever a suture of the catheter.

Abstract: A method of operating a surgical system including an endoscope, a treatment tool, an overtube, and a sheathing tube. The method includes the following steps: removing the treatment tool from the sheathing tube inserted into a body cavity through a body wall in a state where the sheathing tube is covering an outer circumference of the overtube into which an insertion part of the endoscope and an insertion part of the treatment tool are inserted, while keeping a state where the sheathing tube is covering the outer circumference of the overtube; removing the endoscope from the overtube while keeping a state where the sheathing tube is covering the outer circumference of the overtube; and removing the sheathing tube from the body wall while keeping a state where the sheathing tube is covering the outer circumference of the overtube.

Abstract: A surgical probe and a method for forming and enlarging an access opening through a psoas muscle to provide for minimally invasive lateral approach for surgical access to a lumber intervertebral disc. A distal end portion of the probe is equipped with an electrode useful for confirming proper location of the probe and includes an inflatable dilator body for enlarging an access opening through tissue adjacent to a spinal column. The probe includes a cannula through which a K wire can be extended to anchor the probe to a patient.

Abstract: A removable seal assembly configured to engage an access device includes a body including a proximal portion, a distal portion, and a passageway extending longitudinally therethrough. The proximal portion defines an annular distally-oriented surface and the distal portion defines an annular proximally-oriented surface. The body is configured for positioning within an access device such that the annular distally-oriented surface and the annular proximally-oriented surface engage opposing surfaces of the access device therebetween. An O-ring disposed about the body between the annular distally-oriented surface and the annular proximally-oriented surface. The O-ring is configured to establish a fluid tight-seal between the body and the access device.

Abstract: A sheath assembly includes a first sheath, a second sheath, and an attachment mechanism. The attachment mechanism secures the second sheath to the first sheath such that a first portion of a second sheath outer surface interfaces with a portion of a first sheath outer surface. The second sheath is configured to transition between an expanded state and a collapsed state such that the profile of the sheath assembly can be reduced when the second sheath is in the collapsed state. This can allow the sheath assembly to become more compact, for instance, during insertion, but yet expandable, for instance, once in place within a patient to suitably accommodate an instrument within the second sheath.

Abstract: The invention relates to a tissue receiving bag for use in surgery, especially laparoscopic surgery, wherein the bag comprises at least one tissue receiving opening for receiving tissue and/or an instrument opening, especially a morcellator opening, wherein the bag comprises at least one further opening into the bag, wherein a flexible tube extends from said further opening having a free end comprising an insertion opening for inserting an instrument into the bag, wherein the bag preferably is inflatable.

Abstract: Catheter-based delivery systems for delivery and retrieval of a leadless pacemaker include features to facilitate improved manipulation of the catheter and improved capture and docking functionality of leadless pacemakers. Such functionality includes mechanisms directed to deflecting and locking a deflectable catheter, maintaining tension on a retrieval feature, protection from anti-rotation, and improved docking cap and drive gear assemblies.

Abstract: Access assemblies include an instrument valve housing and a valve assembly disposed within a cavity of the instrument valve housing. The valve assembly includes a guard assembly, and a seal assembly disposed adjacent to the guard assembly. The seal assembly includes first, second, third, and fourth seal sections. The first seal section is nested within the second seal section, the first and second seal sections are nested within the third seal section, and the first, second, and third seal sections are nested within the fourth seal section.

Abstract: A method of reducing postpartum bleeding includes positioning a device comprising a vacuum element within the uterus; sealing the uterus; activating vacuum in the uterus with the vacuum element of the device while the uterus is sealed; and collapsing the uterus with the vacuum to reduce postpartum bleeding.

Abstract: A uterine manipulator can include a shaft including a first end, a second end, and embodiments of a cutting head configured and arranged to receive a cervix. The cutting head can be configured and adapted to be used to cut the tissue joining the vaginal wall to the cervix and uterus to facilitate removal of the uterus in a minimally invasive manner.

Abstract: A device for use with orthopedic surgical fixation devices, and more particularly, to an alignment gauge for use with an external fixation system comprising one or more support members (rings, plates, etc.) connected to one or more bone members wherein a plurality of struts of adjustable length support and/or connect the one or more support members. The alignment gauge indicating to a user, such as a surgeon, the degree of translational offset between one bone member and a center point of at least one of the support members in at least one of an anterior-posterior or medial-lateral plane.

Abstract: A method and apparatus of limiting at least one degree of movement between a superior vertebrae and an inferior vertebrae of a patient includes advancing a distal end of a stabilization device into a pedicle of the inferior vertebrae. A proximal portion of the stabilization device is positioned such that the proximal portion limits at least one degree of movement between a superior vertebrae and an inferior vertebrae by contacting a surface of the superior vertebrae.

Abstract: A method of conducting a surgical procedure including implanting an anchor into a bone, wherein the anchor comprises a receiving portion and a screw, the screw including a screw head contained within the receiving portion and pivotally engageable with a surface of the receiving portion, and wherein the receiving portion and the screw comprising a different material. The method further includes selecting a rod from a group of rod types and coupling the rod with the receiving portion to stabilize a position of a portion of the spine.

Abstract: A spinal construct comprises a body defining a first groove. A transverse rod is formed with the body. A first band is disposable in the first groove. A base is connectable with the body and engageable with the first band. The base defines a second groove and a slot. A second band is disposable in the second groove and defines an opening aligned with the slot. A shaft is connectable with the base and engageable with the second band. The shaft is configured to penetrate tissue. The opening is aligned with the slot to facilitate an angular range of movement of the shaft relative to the body. Implants, systems, instruments and methods are disclosed.

Abstract: A pivotal bone anchor assembly includes a receiver having an upper channel for receiving an elongate rod and an axial bore extending downward from the upper channel to a bottom opening, and a shank having an anchor portion and an integral upper portion that is positionable in the axial bore of the receiver with the shank extending downward through the bottom opening. In some embodiments an insert provides for a friction fit of the upper portion of the shank in the receiver, resulting in non-floppy placement of the shank with respect to the receiver. A pre-assembled receiver with the insert may be popped-on or snapped-on to the upper portion of the shank prior to or after implantation of the anchor portion into a vertebra. The receiver includes arm break-off extensions attached to a pair of upright arms, with the upright arms also having outer horizontally extending tool engagement grooves.

Abstract: The invention relates to a polyaxial screw including a screw anchor and a fork head which has two arms, is U-shaped in a lateral view and has a receiving opening for a correction element, and including a pressure piece which can be arranged in the fork head between the head of the screw anchor and the correction element, rests on the head of the screw anchor and can be loaded by the correction element.

Abstract: A band tensioner includes a shank, a head, and a tensioning mechanism disposed within the head. The shank is configured to secure the band tensioner to a first bony element and the head is secured to an end of the shank. The tensioning mechanism is configured to lengthen and shorten a flexible implant relative to the head of the band tensioner.

Abstract: The present invention provides for an improved implant, and surgical methods for installing same, that can securely fix the L5 vertebrae to the S1 sacrum within the disc space for patients exhibiting a wide range of anatomies. The present invention has at least one advantage of providing practical and advantageous spinal implants and implantation systems, methods and tools for accessing the spinal vertebrae to insert spinal implants in various manners that overcome the disadvantages of posterior and anterior lateral approaches thereto and minimize surgical trauma to the patient. Thus the present invention provides for the unmet need for an improved implant for performing spinal surgical procedures (e.g., spinal fusion and/or fixations) that can securely fix the L5 vertebrae to the S1 sacrum within the disc space for patients exhibiting a wide range of anatomies.

Abstract: Systems, instruments, and methods for attaching a head assembly to a fastener are provided. The systems, instruments, and methods may include a surgical instrument. The surgical instrument may include an elongated first member; a first tubular member, in which a portion of the elongated first member is positioned within the first tubular member; a second tubular member, in which the portion of the elongated first member and a portion of the first tubular member are positioned within the second tubular member; and at least one grasping member, in which a portion of the at least one grasping member is pivotably coupled to the first tubular member and another portion of the at least one grasping member is pivotably coupled to the second tubular member. In one or more cases, the at least one grasping member may actuate translation of the first tubular member and the second tubular member.

Abstract: An assembly includes a template and a bone plate. The template includes abase, a retaining mechanism provided on the base, and a plurality of openings formed through the base. The bone plate includes a body having a plurality of openings formed through the body. The retaining mechanism releasably connects the base of the template to the body of the bone plate such that the plurality of openings formed through the base of the template is aligned with the plurality of openings formed through the body of the bone plate. A method of securing adjacent portions of a fractured bone or adjacent bones using the assembly is also disclosed.

Abstract: Embodiments of the present disclosure are drawn to an apparatus, and related method, with an anti-backout feature. An exemplary apparatus described herein includes a block or plate formed with a cavity that is configured receive a device, wherein the block comprises at least two holes, and wherein each hole further comprises a first portion and a second portion; and an elongate lockout feature comprising first and second ends, wherein the first and second ends further comprise a cross-sectional profile, and wherein the first and second ends of the elongate lockout feature are seated within the respective at least two holes in the block to prevent the device from backing out of the cavity of the block.

Abstract: A patella fracture fixation system includes a bone plate that is configured to be implanted along an anterior approach. The bone plate has a fixation hub and a plurality of fixation nodes that are connected to the fixation hub. The fixation hub and the fixation nodes can define respective fixation holes. The bone plate can further include legs that are configured to be bent around respective inferior aspects of the patella.

Abstract: A central inflatable distractor and a perimeter balloon are inserted into the disc space in uninflated configurations. The central inflatable distractor is then expanded, thereby distracting the vertebral endplates to the controlled height of the central inflatable distractor. The perimeter balloon is then inflated with a curable substance. The perimeter balloon expands as it is filled with the curable substance and conforms to the void remaining in the disc space around the central inflatable distractor, thereby creating a horseshoe shape. Once the flowable material in the perimeter balloon has cured, the central inflated distractor can be deflated and removed. The remaining void (or inner space) is then packed with graft for fusion.

Abstract: Implantable fixation devices for rejoining opposed portions of a separated bone. The devices include plates that may be affixed to a rib and realign separated portions of the rib or other body part. The devices may also include various locking mechanisms that receive a cable that may be used to realign and bring together separated portions of a bone or other body part. The devices may further include plates that may be affixed to a sternum and realign separated portions of the sternum or other body part.

Abstract: Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.

Abstract: A surgical handpiece includes a shell, an energy applicator, a transmission component, a lid, a latch and a data tag. The shell defines a void for receiving a power module and an opening through which the power module is inserted into and removed from the void. The energy applicator is attached to the shell. The energy applicator, when actuated, outputs energy for application to a tissue to perform a medical/surgical task. The transmission component is disposed in the shell for transmitting energy output by the power module to the energy applicator. The lid moveably is mountable to the shell to cover the shell opening. The latch is moveably attached to the shell or the lid for holding the lid in a latched state. The data tag is mounted to the latch so as to move with the latch, the data element including data identifying the handpiece.

Abstract: Methods and systems are disclosed for removing a tattoo from a subject's skin by application of a cold plasma that is delivered via a liquid-gas mixture. The plasma can be delivered in the form of gas bubbles, in which at least a portion of gas is in the form of a plasma.

Abstract: A thermal resistance heater with a thermal conductive shell that is used to contact with tumor tissues and conduct heat therefor is provided. A thermal resistance is disposed inside the thermal conductive shell and is self-heated via current. The thermal energy is converted from the electrical energy according to Joule's Law. The heater includes a heat radiator disposed inside the shell and is used to disperse the heat generated by the thermal resistance and conduct the heat to the shell evenly. A thermal-conduction compensation arm and the heat radiator are contacted for achieving that a temperature of the shell is the same with a specific place or an error there-between is within a threshold. A temperature sensor is used to obtain a surface average temperature of the conductive shell by collecting temperatures over the thermal-conduction compensation arm.

Abstract: A combined isolator-diplexer device for supplying radiofrequency (RF) energy and microwave energy obtained from separate sources to a probe via a common signal pathway. The invention combines into a single unit all the necessary components to isolate a microwave channel from an RF channel whilst providing a high withstanding voltage (e.g. greater than 10 kV). The device comprises a waveguide isolator for isolating the microwave channel having a pair of DC isolation barriers arranged therein to provide a pair of series-connected capacitive structures between a ground conductor at an output of the combining circuit and a conductive input section of the waveguide isolator.

Abstract: A medical device equipped for switching the device on and off carries out at least one safety-relevant function in the operating state, using at least one operating parameter with a set target value. In order to ensure a reliable function of the device and not disturb a medical treatment, the device performs a first self-diagnosis following switch-on and before reaching an operating state and performs a second self-diagnosis following switch-off and before terminating the operating state, during which self-diagnoses the same operating parameter of the device is checked in each case for deviation from the target value. The technology also relates to a corresponding method for operating a medical device.

Abstract: Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.