Abstract: A clipping device includes a capsule including a longitudinal body and a cap mounted over a distal end thereof so that the cap is movable relative to the longitudinal body from a pre-deployed configuration to a deployed configuration in which the cap, is moved proximally relative to the longitudinal body to reduce a length of the capsule. A channel of the cap and a channel of the capsule are substantially aligned with respect to one another. At least proximal portions of a pair of clip arms are received within the channels of the cap and the longitudinal body so that the clip arms are movable relative to the capsule between an open configuration, in which distal ends of the clip arms are separated from one another, and a closed configuration, in which the distal ends of the clip arms are drawn toward one another.

Abstract: The present invention relates to a medical apparatus for closing an aperture, an incision, a puncture, a passage through tissue and/or a communication with a blood vessel or other body lumen (short: aperture) of a tissue of a patient, the medical apparatus comprising a closing device holder, for releasably receiving one or more closing devices; and a retracting unit to come into contact with opposite sides of the aperture and for retracting them and/or for spreading the aperture causing it to change its shape into a slit or a slit-like or a more slit-like aperture or to spread or to augment the dimension or diameter of the aperture in at least one or in exactly one dimension of the aperture.

Abstract: A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom.

Abstract: The endoscopy tool and methods of use disclosed herein are used to move gastrointestinal tissue. The endoscopy tool includes an auxiliary gastrointestinal device, or a catheter, having a proximal region and a distal region. The endoscopy tool includes a non-conductive, polymeric loop coupled to and extending distally from the distal end of the gastrointestinal device. The surfaces of the loop are smooth such that the loop can move intestinal tissue without causing lacerations.

Abstract: A method of performing brain surgery on a patient having a skull and brain tissue, that starts by creating an opening, having a rim, in the skull. The method uses an assembly for facilitating brain surgery that includes a curved frame, defining an inward dimension and an outward dimension; a plurality of spatula arm subassemblies, each including a spatula arm frame clamp, releasably attached to the frame, a spatula arm held and supported by the spatula arm frame clamp and a spatula extending from the inward end of the spatula arm of the spatula arm subassembly. The assembly is clamped to the rim and the spatula arms are positioned so that the spatulas engage the brain tissue in a manner that facilitates surgery.

Abstract: A suture device is provided comprising an elongate body having a longitudinal axis and opposite proximal and distal ends. The distal end inserts into a wound and the proximal end operates the device. A suture needle connects with the elongate body at or near the distal end and is movable relative to the elongate body in longitudinal direction along a needle trajectory having a suturing space. A spreader connects with the elongate body at or near the distal end and engages tissue to be sutured adjacent the needle trajectory and provides a pulling force on the tissue to pull a portion of the tissue into the suturing space; and/or comprises a spring. The device is configured to urge at least a portion of the suture needle from a first position to a second position along a needle trajectory past a suturing space by a spring action of the spring.

Abstract: Methods for repairing a meniscus, and particularly a torn meniscus. A method of repairing a meniscus may include using a suture passer to pass a suturing element from the region between the superior surface of the meniscus and the femoral condyle, through the meniscus tissue, into the region between the inferior surface of the meniscus and the tibial plateau, across the inferior surface of the meniscus, and back to the superior surface of the meniscus, without deeply penetrating the posterior capsular region of the knee. Equivalently, the suture element may be passed from the inferior surface of the meniscus to the superior surface and back to the inferior surface.

Abstract: A device for suturing tissue includes a handle and a suturing mechanism coupled to the handle and being configured to suture the tissue with a suture element. The device further includes a suture grasping mechanism coupled to the housing and being configured to move between an open position for receiving the suture element and a closed position for grasping and holding the suture element to permit manipulation of the suture elements, such as tying a knot.

Abstract: A surgical suture module for a machine constructed and configured for automatic, continuous suturing for reduced or minimized scarring and reduced suturing time. A surgical suture module for continuous, subcuticular suturing. The module includes a generally circular needle with a needle shaft; a supply of thread; a cutting mechanism; a biasing member; a hook with a hook shank, a holding arm mechanism; and a housing. The needle, rotationally movable between a first position and a second position, is configured to introduce the thread into a tissue. The hook is operable for hooking and lifting the thread in coordination with the needle and the holding arm mechanism is operable for pushing and catching the thread in automatic coordination with the hook. The needle, the hook, and the holding arm mechanism are contained within the housing and the cutting mechanism is able to cut the thread after engagement of the biasing member.

Abstract: A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.

Abstract: A surgical instrument that comprises an elongate shaft assembly that defines a shaft axis. A surgical end effector is pivotally coupled to the elongate shaft assembly for selective pivotal travel relative thereto about an articulation axis that is laterally offset from the shaft axis and extends transversely relative thereto. An end effector driver link is operably coupled to the surgical end effector and an articulation driver that is supported for longitudinal travel in distal and proximal directions upon application of articulation motions thereto. A flexible de-articulation member is coupled to the elongate shaft assembly and the surgical end effector to apply de-articulation motions to the surgical end effector.

Abstract: Disclosed in an orthopedic implant that comprises a spacer portion having a superior portion and an inferior portion, and a staple portion. The staple portion is integral with the spacer portion and comprises a crown portion and first and second leg portions, the first and second leg portions having distal end that converge from the crown portion and that are composed of a material that has superelastic properties at body temperatures, whereby the first and second leg portions are configured to impart a compressive biasing force when the implant is installed with the legs under tension.

Abstract: A surgical fastener applier having a handle and a fastener housing extending from the handle. The housing contains at least one anvil movable within the staple housing, the anvil has a proximal position and a distal position. When in the distal position a distal end of the anvil extends distal to the distal end of the staple housing. The housing contains a plurality of surgical fasteners each of which in the shape of a loop. At least one of the fasteners is placed around a portion of the anvil when in the distal position. The applier has a first mechanism for moving the anvil distally after a fastener has been deployed, and a second mechanism for moving the anvil distally after a fastener has been deployed. The second means is independent of the first means.

Abstract: A surgical instrument includes a body assembly, an end effector, and a shaft assembly. The body assembly includes at least one electrical connection. The end effector is operable to treat tissue. The shaft assembly extends between the body assembly and the end effector along a shaft axis. The shaft assembly includes a nozzle, a closure tube, and a fluid blocker. The nozzle includes at least one housing. The at least one housing includes a recess. The closure tube is configured to rotate relative to the body assembly about the shaft axis. The fluid blocker is disposed within the recess of the nozzle. The fluid blocker is configured to contact the closure tube to prevent fluid from entering the nozzle and reaching the at least one electrical connection disposed within the body assembly.

Abstract: A surgical instrument that includes a shaft assembly that defines a shaft axis and includes a proximal articulation joint that defines a first articulation axis that is transverse to the shaft axis and a distal articulation joint that defines a second articulation axis that is transverse to the shaft axis and the first articulation axis. The instrument further includes an anvil that is non-removably attached to the shaft assembly and a channel that is removably attachable to the shaft assembly and configured to operably support a surgical staple cartridge.

Abstract: A dissecting tip is provided for use with a surgical stapler or instrument. In one embodiment, the dissecting tip is secured to the end effector of a surgical stapler, e.g., to the anvil assembly or cartridge assembly. The dissecting tip extends distally from the end effector and is configured to dissect or separate target tissue from certain tissue, e.g., adherent, connective, joined or other tissue.

Abstract: An apparatus and its method of use in delivering surgical tissue connectors into an area of the body and removing the surgical tissue connectors from the body area. The tissue connectors are connected to a base which allows for easy adjustment of the tissue connectors along a cord. The base includes a locking mechanism which impinges a sliding knot in the cord, and, in alternate configurations of the locking mechanism and knot, impinges on the sliding knot to prevent sliding in a loosening direction but allow sliding in a tightening direction, or allows sliding in a loosening direction.

Abstract: A magnetic vascular anastomosis device for rapid liver transplantation includes a magnetic ring assembly and a base member assembly. The magnetic ring assembly includes an O-shaped magnetic ring and a C-shaped magnetic ring coupled at a donor liver blood vessel and a receptor liver blood vessel respectively. The base member assembly includes an O-shaped base member and a C-shaped base member. The base member is categorized into a slotted base member, a columned base member, and a hooked base member for different surgical suture methods. The magnetic vascular anastomosis device incorporates with the magnetic attraction between magnetic rings, such that the entire liver transplantation vascular anastomosis process is fast, safe, and reliable. The vascular anastomosis device is able apply for different operations involving vascular anastomosis such as kidney transplantation, lung transplantation, heart transplantation, and maxillofacial surgery.

Abstract: There is provided with a method. A cardia and a pylorus of a stomach of a patient is blocked. The stomach is inflated. The stomach is secured within an abdominal cavity of the patient.

Abstract: A device includes a clip including a capsule and a pair of clip arms, proximal ends of which are slidably received within a channel of the capsule to move the clip arms between an open configuration and a closed configuration. The clip arms are aligned relative to one another via a pin received within openings extending through proximal ends of the clip arms. A proximal portion includes a flexible shaft extending from a proximal end to a distal end including a bushing releasably coupled to the capsule. A control member extends longitudinally through the flexible shaft from a proximal end to a distal end releasably coupled to the proximal ends of the clip aims, the distal end of the control member including a pair of holding jaws, each of which include a pair of fingers extending about the pin along opposing sides thereof to grip the pin therebetween.

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: A method of preparing a ventricular partitioning device for implantation using a delivery system can include coupling the ventricular partitioning device to a delivery catheter, loading the ventricular partitioning device and a portion of the delivery catheter into a sleeve and creating a liquid-tight seal between a portion of the sleeve and the delivery catheter, coupling a distal end of the sleeve to a guide catheter, and delivering fluid through at least one of the first fluid delivery port or the second fluid delivery port. The method can be performed with the delivery catheter or the sleeve having a first fluid delivery port positioned thereon. The method can be with the guide catheter having a second fluid delivery port positioned thereon.

Abstract: A method of treating a vessel in a human or animal body, including the steps of: positioning an implantable device against a portion of tubular or sac wall of the vessel, whereby a load applied to the vessel is borne by the vessel wall and also by the device to transfer energy to an energy storage means, the vessel being assisted when the energy storage means returns the stored energy to the device. Further disclosed is a treatment or assistance device for operating in or with a tubular or sac wall of a vessel in a human or animal body, the device including a changeable volume portion which is adapted to interact with the vessel to modify the vessel's volume; and an energy storage means functioning with the changeable volume portion whereby a decrease in the volume of said changeable volume portion creates an energy charge in the energy storage means, the energy charge being able to be subsequently released to cause the changeable volume portion to increase in volume.

Abstract: The present disclosure relates to a self-expanding braided implant, including a distal implant end and a proximal implant end, the braided implant being invertible about the distal implant end. Translation of the braided implant distally causes the braided implant to invert and fold into itself thereby forming an occlusive sack configured to occlude the aneurysm.

Abstract: The present disclosure relates to a method of occluding an aneurysm, including expanding, in an aneurysm, a first radially expandable mesh segment of an expandable braid by distally moving the braid from a collapsed state within a microcatheter to a deployed state distal of the microcatheter within the aneurysm, the first radially expandable mesh segment comprising a proximal end and an open distal end, wherein in the deployed state the first radially expandable mesh segment comprises an outer occlusive sack in the aneurysm that is sealable against a neck of the aneurysm; and further distally pushing the braid, as the outer occlusive sack is forming, thereby expanding a second radially expandable mesh segment inside of the outer occlusive sack to form an inner occlusive sack in the outer occlusive sack in the deployed state.

Abstract: A modular wound treatment system includes a central modular hub having a modular connection for one or more pneumatically-actuated, modular components, such as a pneumatically-actuated soft robotic gripper component configured to curve and at least partially encircle the wound when actuated and thereby apply direct pressure to the wound, and a pneumatically-actuated tourniquet component configured to apply pressure proximal to the wound to limit the flow of arterial blood to the wound. The system also includes a pressurized gas supply in pneumatic communication with the modular connection, sensors for measuring the amount of pressure being applied by the pneumatically-actuated, modular components, a display for providing system information, and a controller for controlling the system. Methods of treating a wounded subject using the system are also provided.

Abstract: A bone resection apparatus may comprise a roughly planar blade body that has a tip saw blade and that carries out cutting of bone with which the tip saw blade makes contact as a result of high-speed oscillation; and a guide plate which has a roughly planar tip guide portion, which is located at a top side of the blade body, and which is connected in such fashion as to permit sliding in a front-and-back direction relative to the blade body, the guide plate being capable of sliding between a protruding guide state in which the tip guide portion is made to protrude toward the tip to a point beyond the tip saw blade of the blade body to cover the tip saw blade and to guide a location in a thickness direction at which cutting by the tip saw blade occurs, and a retracted guide state in which the tip guide portion is retracted to a point behind the tip saw blade.

Abstract: Embodiments of the present application provide technologies related to adaptive surgeon-specific instrumentation, unique preparatory tools and procedures for bone resection and implant devices, and systems for selection of implantation preparatory tools for implantation procedures. The embodiments described herein may, for example, be utilized in connection with knee arthroplasty procedures.

Abstract: A surgical system including a machining tool aimed at being manually displaced by an operator, a lockable unit including at least two linked and manually displaceable elements aimed at being manually arranged according to a least one calculated locked configuration, a sensor unit including at least one sensor aimed at following, in real time, a real time configuration of the lockable unit within an anatomical reference system, —where the at least two elements of the lockable unit cooperate with lockable element, the lockable element being configured to be activated by a control unit when the real time configuration of the lockable unit corresponds to the at least one locked configuration recorded inside the control unit.

Abstract: Aspects of the disclosure relate to surgical cutting systems having a surgical tool and a powered hand piece. The surgical tool can include a cutting tool having a coupling portion for selective connection to a drive pin of the hand piece. The coupling portion defines a tang that is configured to promote self-alignment of the cutting tool and the drive pin during connection of the cutting tool and the hand piece, thus promoting ease of use.

Abstract: The present application relates to systems, methods, and devices for performing drilling operations, such as in a surgical setting. The embodiments disclosed herein include handheld drill apparatus configured to be used with guides or robotics for completing a specific operation. The drill apparatus is capable of receiving instructions either through programming, from a memory device, or from scanning a device located on an external item, such as a guide.

Abstract: An acetabular reamer handle and a method of reaming an acetabulum. The handle includes a hollow shaft having a plurality of shaft sections including a distal shaft section having a distal end and a proximal end and an additional shaft section having a distal end that is pivotally attached to the proximal end of the distal shaft section to allow the additional shaft section and the distal shaft section to be adjustably oriented at an angle. The handle also includes a hollow neck part having a longitudinal axis. The handle further includes a drive line having a head part mounted for rotation about the longitudinal axis and connectable to a reamer. A distal end of the distal shaft section is pivotally attached to a proximal end of the neck part to allow the distal shaft section and the neck part to be adjustably oriented at an angle.

Abstract: There is provided herein and improved anterior cruciate ligament reconstruction technique which comprises drilling a guide wire straight through a tibial passage and then at an angle from an ACL insertion point straight through a femoral passage. A reamer is then attached to a proximal end of the guidewire. The reamer has a distal cutting head, a distal flexible shaft, a proximal cutting head and a proximal flexible shaft. The proximal cutting head has a greater diameter than that of the distal cutting head. The reamer is drilled to follow the guidewire until the distal cutting head passes through the femoral cortex. The reamer is then retrieved at a proximal end thereof, thereby having created a larger diameter medial passage portion and a smaller diameter lateral passage portion within the femoral passage in a single pass, thereafter being ready for insertion of a graft, including by endobutton fixation.

Abstract: A clot retrieval device is disclosed. In some embodiments, the device utilizes augmented radiopacity to improve imaging, an internal tensioning member, a plurality of connected components useful to engage larger clots, and/or a distal end configuration designed to enhance clot retention.

Abstract: A system includes a medical probe and a position-tracking system. The medical probe includes a distal end, and one or more distal magnetic position sensors. The medical probe further includes a proximal-end assembly, and one or more proximal magnetic position sensors. The position-tracking system includes a memory, which is configured to hold values indicative of known relative positions between the distal magnetic position sensors and the proximal magnetic position sensors. The position-tracking system includes a processor, which is configured to receive one or more signals indicative of estimated positions of the proximal magnetic position sensors and of the distal magnetic position sensors, as measured by the position-tracking system, and to initiate a responsive action in response to detecting a discrepancy between the known relative positions and the estimated positions.

Abstract: A medical tool includes a handle, a tubular member, and a bendable shape memory element (SME). The tubular member is attached to and extends from the handle and is configured to be inserted into an orifice of a patient. The tubular member has a distal-end section that is configured to be bent so as to perform a medical procedure in the orifice. The bendable shape memory element (SME) is coupled to the distal-end section of the tubular member, wherein the SME is configured to straighten when heated into a pre-formed shape, thereby straightening the distal-end section.

Abstract: A surgical instrument has an ultrasonic blade that connects to a distal end of an ultrasonic waveguide. A clamp arm assembly is moveable from an opened position for receiving a tissue, toward a closed position for clamping the tissue. A clamp arm actuator connected to the clamp arm assembly directs the clamp arm assembly from the opened position toward the closed position. An outer sheath surrounds at least a portion of the ultrasonic waveguide. The outer sheath includes a cover removably received against a sheath body, and a sheath securement feature able to detachably couple the cover to the sheath body such that the cover can be detached from the sheath body for accessing the ultrasonic waveguide within the outer sheath.

Abstract: The present disclosure relates to a dissecting tip for use in a surgical stapler or instrument.

Abstract: A tissue dissector includes a handle assembly including an actuator, a head portion including a blade member defining an aperture configured to receive tissue therethrough, and a lighting assembly configured to provide lighting to the aperture of the blade member. The blade member is operatively coupled with the actuator for rotation about the aperture.

Abstract: A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images.

Abstract: An apparatus for supporting an extremity during tissue debridement and capturing fluid and tissue resulting from tissue debridement includes an extremity-supporting base. The apparatus may further include a barrier shroud. The apparatus can be used in tissue irrigation and debridement procedures to contain and control drainage of fluid and tissue. The apparatus supports a patient extremity, such as an arm or a leg. The base has a length, proximal end (i.e., nearest the patient's body), and distal end (i.e., farthest from the patient's body). The shroud can have a top portion, bottom portion, and shroud drainage opening. A method includes debriding tissue from a patient extremity supported by the base and at least partially enclosed within the barrier shroud, which acts as a shield for fluid and tissue emanating from the extremity. Fluid and tissue exit the shroud through a shroud drainage opening.

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: A tissue dissector includes a handle portion and a head portion. The handle portion includes an actuation assembly having an actuator. The head portion includes an annular body having a blade assembly rotatably supported in the annular body. The blade assembly includes a blade member defining an aperture configured to receive tissue therethrough. The blade member is operatively coupled with the actuator for rotation about a central axis defined by the aperture. The handle portion and the head portion define a longitudinal axis that is disposed at an angle relative to the central axis.

Abstract: An ultrasonic surgical instrument includes a body, an ultrasonic supported by the body, a shaft extending distally from the body and defining a shaft axis, a waveguide extending distally through the shaft, and an end effector arranged at a distal end of the shaft. The end effector includes an ultrasonic blade coupled to a distal end of the waveguide and having a primary blade treatment surface configured to treat tissue, and a clamp arm coupled to the distal end of the shaft. The shaft and the waveguide are selectively rotatable relative to one another about the shaft axis through a predefined range of angular motion between an assembly state and an operational state. In the assembly state, the clamp arm and the primary blade treatment surface are rotationally offset from one another. In the operational state, the clamp arm and the primary blade treatment surface are rotationally aligned.

Abstract: A method of accessing a target site within the brain of a patient, through the skull of the patient, with an expandable cannula.

Abstract: A method and system for a dynamic external fixator. The fixator system includes an elongated frame plate with apertures configured to accommodate bone fasteners to secure the elongated frame plate to a bone at an injured site. The fixator system includes primary and secondary mounts configured to accommodate rods to form a force vectoring subsystem that allows for early mobilization with minimal risk of complications, while at the same time ensuring minimal interference with the wearer's daily activities.

Abstract: A spinal pedicle screw system includes distractions rods and has the ability to be distracted after the screws are inserted into the pedicle and maintain polyaxial motion via polyaxial joints.

Abstract: Provided is a spinal fixation device, which includes a cage which is placed between adjacent vertebrae to form a gap between the vertebrae, a middle plate which is detachably coupled to the cage, and deployment plates which are hinge-pivotably coupled to the middle plate at one side end, thereby stably fixing the cage in a correct position between the vertebrae.

Abstract: A spinal screw assembly providing an adjustable securement of a fixation rod across at least two vertebrae. The assembly includes a pedicle screw having a spherical head portion, a threaded shaft portion and a tool engagement surface in the head portion for use in driving the screw into a vertebrae. The head portion of the screw is positioned in a body member adjacent a curvilinear surface disposed about an aperture in the end of the body member such that the shaft portion of the screw extends therethrough and the curvilinear inner surface abuts and mates with the head portion of the screw so as to define a ball joint therewith. The body member additionally defines a pair of opposed parallel slots therein adapted to receive a portion of the fixation rod and a locking cap bears against the fixation rod to releasably secure the rod within the assembly.

Abstract: A spinal cross-connector comprises an elongated member, a first connector and a second connector. The first connector and the second connector are configured to receive spinal rods and adaptable to directly attach with pedicle screws. The first connector includes a first collet head, a first clamp and a first locking means. The second connector includes a second collet head, a second clamp and a second locking mans. The first locking means is configured to tighten over a first collet head and engage with the first connector. Similarly, the second locking means is configured to tighten over a second collet head and engage with the second connector. The engagement of the first locking means with the first connector and the second locking means with the second connector locks the spinal cross-connector.