Abstract: Methods and devices for performing transjugular carotid flow reversal are provided. A flow reversal sheath is advanced through a transjugular carotid fistula. An occlusion balloon is inflated, causing carotid inflow to be diverted through the sheath and through a flow reversal region positioned in the jugular vein. After reversal of blood flow, a carotid intervention is performed.

Abstract: Radial artery compression devices with an inflatable chamber and a substantially rigid frame are disclosed. The inflatable chamber of the radial artery compression devices can be inflated and then deflated according to a predetermined protocol. Some substantially rigid frames can form a wall of the inflatable chamber. Some substantially rigid frames can include indicia to facilitate positioning of the inflatable chamber relative to a puncture site of a patient.

Abstract: An orthopaedic surgical instrument includes a polymer cutting block having a number of metallic cutting guides secured thereto. A pair of metallic bushings function as saw stops at the medial and lateral ends of the cutting slot during an orthopaedic surgical procedure.

Abstract: A surgical tool with a housing, and a cutter support shaft operably connected to a motor to effect rotation of the shaft with a drive transmission configured between the motor and the shaft to effect oscillating rotary movement of the shaft and cutter is disclosed.

Abstract: A surgical drill for drilling a hole in a workpiece includes a housing, a probe moveably mounted to the housing, and a transducer assembly. The transducer assembly includes a gear coupled to the probe and at least two rotational sensor devices coupled to the gear to determine an amount of movement of a probe relative to a housing to determine a bore depth of the hole. The gear has a reference point having an angular path of rotation about a gear axis subdivided into separate first and second arcuate regions. A first sensor device is configured to detect a rotational position of the reference point in the first arcuate region, and a second sensor device is configured to detect a rotational position of the reference point in at least the second arcuate region, with the first sensor device incapable of detecting the reference point in the second arcuate region.

Abstract: A method for penetrating bone and accessing bone marrow is provided. The method may include inserting a penetrator assembly with a powered drill to penetrate the bone into the bone marrow. The penetrator assembly may include a trocar having a stylet. The penetrator assembly may also include an outer penetrator having a hollow cannula and a luer lock attachment. The powered drill may include a housing enclosing a motor and a power supply and associated circuitry. The powered drill may also include a connector receptacle for receiving a penetrator assembly connector of the penetrator assembly. The connector receptacle may releasably lock the penetrator assembly connector into place with the powered drill. The power supply may include a rechargeable battery within the housing for supplying power to the motor. A battery indicator may be provided to indicate a level of the battery.

Abstract: Disclosed are aspects of a hybrid plastic and co-molded metal cutting head and a method of forming same. The method includes forming a metal rasp head having a fluid pathway there through and molding an elongated body with support into the rasp head via said fluid pathway wherein the fluid pathway branching into one or more sides.

Abstract: Examples of robotically controlled planar cutting systems and methods for controlling cutting systems to prepare bone tissue in surgical procedures, are generally described herein. Applicable surgical procedures for the robotically controlled cutting systems and methods include procedures involving the preparation (e.g., removal, surfacing) of bone tissue, such as is performed in knee arthroplasties. In an example, a robotically controlled planar cutting system can include a housing, a cutting element disposed in the housing, and a cutting control mechanism in communication with a robotic controller to control operation of the cutting element to machine a planar surface. The cutting element can be exposed and retracted relative to the housing and can include a plurality of cutting implements arranged to machine the planar surface.

Abstract: The invention is a drill guide assembly for a superelastic bone staple having a bridge member and opposing open legs and the drill guide assembly has a pair of legs that can be moved toward or away from each other and accepts a drill guide cartridge for the holes for the staple legs.

Abstract: A surgical guide system for guiding a surgical tool, comprising a body which comprises a first contact surface profiled to locate with a first anatomical surface of a first bone; and a second contact surface profiled to locate with a second anatomical surface of a second bone; wherein the body is configured, for a specified functional position of the first bone relative to the second bone, to simultaneously: locate the first contact surface with the first anatomical surface; locate the second contact surface with the second anatomical surface; and receive, or guide, a first fastener to fasten to the first bone, wherein at least one of the body and/or the first fastener forms a first reference to guide a first surgical tool to the first bone.

Abstract: A tissue specimen retrieval device includes a first shaft and a second shaft telescopically movable relative to the first shaft. The second shaft supports an end effector assembly at a distal end portion thereof and is movable relative to the first shaft between a retracted position, wherein the end effector assembly is disposed within the first shaft, and a deployed position, wherein the end effector assembly extends distally from the first shaft. The end effector assembly includes a tissue specimen bag supported by a first arm and a second arm. The first and second arms are configured to open the tissue specimen bag when the second shaft is deployed. A cut-off slider is operably associated with the distal end portion of the second shaft and is configured to sever the tissue specimen bag upon retraction of the second shaft.

Abstract: A method for application of laser energy to skin including applying a first pass of laser energy from a laser system to skin, placing a layer on the skin, and applying a second pass of laser energy from the laser system that impinges on the layer to create a shockwave on the skin.

Abstract: An ultrasonic surgical instrument includes a first shaft member, a jaw member extending distally from the first shaft member, a second shaft member, an ultrasonic blade extending distally from the second shaft member and positioned to oppose the jaw member, and a force-limiting hinge assembly operably coupling the shaft members with one another such that movement of the shaft members between a spaced-apart position and an approximated position moves the jaw member and the ultrasonic blade between an open position and a clamping position for clamping tissue therebetween. The force-limiting hinge assembly includes a hinge arm fixedly engaged to one of the shaft members at a first end thereof and pivotably coupled to the other of the shaft members at a second end thereof. The hinge arm is configured to flex to regulate a clamping force applied to tissue clamped between the jaw member and the ultrasonic blade.

Abstract: A method of removing tissue in a body lumen includes advancing a tissue-removing catheter over a guidewire in the body lumen to position a distal end of the catheter adjacent the tissue and a proximal end portion of the catheter outside of the body lumen. The catheter includes an elongate body, a tissue removing element mounted on a distal end portion of the elongate body, and an inner liner disposed within the elongate body. The inner liner defines a guidewire lumen in which the guidewire is disposed during the advancement of the catheter. The method further includes rotating the elongate body and tissue-removing element of the catheter to remove the tissue. Detecting wear of the inner liner caused by the elongate body contacting the inner liner during use.

Abstract: Assemblies and methods provide for implantation of multiple medical leads to a defined space within the body, such as the epidural space, through a single entry. A catheter having multiple lumens or alternatively a single oblong lumen may be used. A distal end of the catheter enters the defined space through the single entry such that the distal ends of the multiple lumens or the oblong lumen are present in the defined space. Medical leads are introduced through the multiple lumens or the oblong lumen into the defined space. In some cases, the distal end of the catheter may be deflectable to direct the medical leads within the defined space. In other cases, sheaths may be present within each lumen of the catheter where the sheaths may be extended into the defined space and deflect to direct the medical leads that are being passed through a lumen of the sheaths.

Abstract: An arterial access device has an internal lumen and a proximal port, the arterial access device sized and shaped to be inserted directly into an arterial access site in the common carotid artery such that the lumen provides a passageway for an interventional device to be inserted via the proximal port into the carotid artery. The arterial access device has a distal portion that is configured to be inserted into an arterial pathway through the access site, and a proximal portion configured to extend outward from the access site when the distal portion is in the arterial pathway.

Abstract: A single body port or body flange access device and method for performing laparoscopic surgery are disclosed. The device comprises a plurality of crisscrossing conduits through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient.

Abstract: An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Abstract: A cannula with a proximally mounted camera and proximally mounted light sources. The lighting sources have beam axes directed distally, toward a workspace at the distal end of the cannula. The light sources are coupled with focusing lenses, to reduce the beam angle of the lighting sources and reduce glare within the cannula tube.

Abstract: A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen, an obturator with a small diameter shaft and a large diameter tip which is optically transmissive. The obturator tip includes a ring seal to prevent blood from entering the cannula lumen during insertion into a bloody surgical site.

Abstract: An inserter apparatus (e.g., a continuous analyte monitoring inserter apparatus) includes an outer member; an inner member; a transmitter carrier configured to support a transmitter and biosensor assembly during insertion of a biosensor, the transmitter carrier including a bias member; and a pivot member configured to pivot at times relative to the transmitter carrier and support an insertion device during biosensor insertion. The outer member is configured to press the bias member against the pivot member during insertion of the biosensor. During a first stroke portion of the insertion apparatus, the pivot member is prevented from pivoting. In a second stroke portion, pivoting is allowed, and the bias member causes, pivoting of the pivot member and retraction of the insertion device. Other systems and methods embodiments are provided.

Abstract: A biosensor inserter includes a push member with a push element, a contact member including a latch, a transmitter carrier supporting a transmitter and sensor assembly, and a pivot member having a latch end, the pivot member supporting an insertion device during biosensor insertion. In operation, the push member is telescoped axially by the user relative to the contact member, which is provided in contact with a user's skin. This pushes the push element against the pivot member and translates the transmitter carrier during insertion of the biosensor. During a first portion of a stroke of the insertion device, insertion of the biosensor is accomplished, and the pivot member is prevented from pivoting. In a second portion of the stroke, after latch end moves past the latch, the pivot member is allowed to pivot and the insertion device is retracted. Other system and method embodiments are provided.

Abstract: An esophageal food bolus dislodger (EFBD) device and method of using same is disclosed. For example, an EFBD device is provided that may include an esophageal catheter that has a distal guidance member, and also including a cone member, an inflation member, and a boring member arranged along the esophageal catheter in advance of the distal guidance member. In EFBD device, the combination of the inflation member in a partially or fully deployed state, the cone member in a partially or fully deployed state, and the boring member may be used to dislodge food in a procedure for endoscopic removal of food bolus. Further, a method of using the presently disclosed EFBD device for dislodging food from the esophagus is provided.

Abstract: The present disclosure provides a recovery device and a method for recovering a magnetic particle. The recovery device includes a main pipe, a needle tube, and a suction power mechanism. The needle tube is connected to a first end of the main pipe, and a terminal of the needle tube is magnetic for adsorbing a magnetic particle to the terminal of the needle tube. The suction power mechanism is configured to absorb the magnetic particle attached on the terminal of the needle tube into the main pipe. The present disclosure utilizes a magnetic needle tube to implement adsorption of the magnetic particle while the magnetic particle is absorbed into the main pipe by an absorption power mechanism, thus achieving recovering of the magnetic particle.

Abstract: There is provided a pedicle screw assembly for dynamic and static fixation, which is able to be assembled during the operation and allows a doctor to make an emergency choice between fusion fixation and non-fusion fixation. The pedicle screw assembly is used for inner fixation in spine surgery. During the operation, a pedicle screw is firstly implanted in a pedicle, and then a spherical head of the pedicle screw is enclosed by a connecting claw. After a screw seat is connected to the connecting claw by means of threads, a connecting rod is inserted in a groove and finally a locking screw is tightened to complete the fixation.

Abstract: To provide a spinal fusion system that applies a stable fixing force to a spine. In a spinal fusion system 1A, a lamina having relatively high strength in an entire vertebra can be engaged to be held from a head side and a tail side by a pair of first and second hook members 3 and 4. Consequently, a fixing force to a spine can be improved and a stable fixing force can be applied to the spine.

Abstract: Systems and methods are disclosed for maintaining spacing between a superior spinous process and a superior lamina, and an inferior spinous process and an inferior lamina of adjacent vertebrae of a spine. A system may include an implant having a proximal superior surface with a superior concavity shaped to receive the superior spinous process, a proximal inferior surface with an inferior concavity shaped to receive the inferior spinous process, a distal superior surface, distal to the proximal superior surface, that faces the superior lamina, and a distal inferior surface, distal to the proximal inferior surface, that faces the inferior lamina. The implant may further have a threaded member extending along a proximal-distal direction, that rotates to urge the implant to move from a retracted configuration to a deployed configuration by urging the distal superior surface and the distal inferior surface to move apart.

Abstract: A trajectory guide is provided for determining the trajectory of a compression screw relative to a previously implanted screw located within an orthopaedic plate. The guide is adapted to releasably position a drill guide in spaced-apart relation to an orthopaedic plate having previously implanted first screws such that the guide defines a trajectory for a compression screw that is nonintersecting with the first screws.

Abstract: A method for configuring a surgical guide and an associated implant. The implant and surgical guide are for maxillofacial osteosynthesis. Three-dimensional models of the pre- and post-operative anatomy are used to define attachment points. These attachment points are used to determine a structure for the implant and surgical guide.

Abstract: Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. The bone plates can include features that accommodate the underlying anatomy of different types of bone, such as the condylar region of a femur.

Abstract: A surgical guidance system (SGS) for performing a cruciate pivot osteotomy in canines to treat cranial cruciate ligament disease. The SGS comprises a guide, a jig, and a plate. The guide is first placed over the tibia until it interacts with specific anatomical features of the tibia, thereby marking the proper position for the jig to be placed. After the jig has been secured, a blade defines an osteotomy within a proximal portion of the tibia. A portion of the jig is then cranially rotated providing a rotational correction of the proximal tibia. A compressive force is then applied to the osteotomy by the jig. Next the multiplane locking plate is placed over the osteotomy as dictated by the features of the jig. After initially securing the plate into its correct position, the jig is removed and the plate is then secured to the cranial surface of the tibia.

Abstract: Disclosed herein is an implant for bone fixation comprising an elongated member configured to be wound around bone parts that are to be fixed, an engagement member coupled to the elongated member and configured to engage a portion of the elongated member so as to secure the implant in a loop around the bone parts, and a fastening member arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least two separate pieces each comprising one opening for receiving a bone fastener, wherein the separate pieces are coupled to each other by a material having a lower material strength than a material from which the separate pieces are made.

Abstract: A surgical instrument comprises a shaft assembly comprising a shaft and an end effector coupled to a distal end of the shaft; a handle assembly coupled to a proximal end of the shaft; a battery assembly coupled to the handle assembly; a radio frequency (RF) energy output powered by the battery assembly and configured to apply RF energy to a tissue; an ultrasonic energy output powered by the battery assembly and configured to apply ultrasonic energy to the tissue; and a controller configured to, based at least in part on a measured tissue characteristic, start application of RF energy by the RF energy output or application of ultrasonic energy by the ultrasonic energy output at a first time.

Abstract: A system and method are presented for treating targeted tissue using cryoablation. An introducer canula and a cryoprobe are inserted the targeted tissue. The cryoprobe is cooled and an ice ball is formed. The cryoprobe is removed while the ice ball is still frozen, and an ultrasound catheter is inserted. Ultrasound generated within the ice ball is used to determine the distance from the ultrasound catheter to a perimeter of the ice ball. This is repeated at different angles to model a slice of the ice ball. The ultrasound catheter is moved radially, and the process is repeated to create a model of at least a portion of the ice ball. The ice ball model can be displayed on a registered set of images representing the targeted tissue to ensure that the tissue lies within the treatment zone of the ice ball.

Abstract: A device for vapor ablation may comprise a sheath extending from a proximal end to a distal portion. The sheath may include a lumen terminating distally at a lumen opening. The device may further comprise a vapor delivery member received in the lumen. The vapor delivery member may include a channel configured to receive vapor and at least one aperture configured to deliver the vapor to a body tissue. The device may further comprise an electrical component having a chip. The chip may be disposed proximate to the distal lumen opening.

Abstract: A system and method can be used to denervate at least a portion of a bronchial tree. An energy emitter of an instrument is percutaneously delivered to a treatment site and outputs energy to damage nerve tissue of the bronchial tree. The denervation procedure can be performed without damaging non-targeted tissue. Minimally invasive methods can be used to open airways to improve lung function in subjects with COPD, asthma, or the like. Different sections of the bronchial tree can be denervated while leaving airways intact to reduce recovery times.

Abstract: An electrosurgical instrument having a radiating tip with enhanced flexibility. In a first aspect, this is achieved by shaping the dielectric material in the radiating tip to facilitate bending of the radiating tip. In a second aspect, this is achieved by forming a dielectric body and outer sheath of the radiating tip as separate parts, to enable movement and flexure between the parts. By improving the flexibility of the radiating tip, maneuverability of the electrosurgical instrument may be improved.

Abstract: Disclosed embodiments relate to devices, systems, and methods of shaping, shrinking, opening, dilating, stiffening, or otherwise modifying a Eustachian tube and its surrounding tissue in order to improve the Eustachian tube's function. For example, patients with blocked, closed, or hypertrophic Eustachian tubes may be able to achieve improved function including easier equalization of pressure between the inner ear and environment.

Abstract: A surgical device comprising: a closure assembly including: (a) a movement unit configured to be connected to a movable member, the movement unit including: (i) one or more bars; (ii) one or more bar biasing members in communication with the movement unit and moving the one or more bars; (b) a latch unit configured to be connected to a ground member, the latch unit including: (i) one or more hook latches that selectively receive the one or more bars, and (ii) one or more latch biasing members in communication with the one or more hook latches to selectively move the one or more hook latches; wherein all or a portion of the latch unit is movable relative to the ground member and all or a portion of the movement unit is movable relative to the movable member, and the latch unit and the movement unit are movable relative to each other when the latch unit and the movement unit are in contact.

Abstract: Aspects of the present disclosure are directed toward systems and methods for detecting force applied to a distal tip of a medical catheter. In some embodiments, a medical catheter with a deformable body near a distal tip of the catheter deforms in response to a force applied at the distal tip, and a force sensor detects various components of the deformation. Processor circuitry may then, based on the detected components of the deformation, determine a force applied to the distal tip of the catheter.

Abstract: A catheter comprises a shaft, an extended shaft portion, and an electrode disposed on an outer circumferential surface of the shaft. The shaft has a first lumen and a second lumen that is arranged adjacent to the first lumen. The extended shaft portion is provided on a distal end portion of the shaft, has the first lumen, and has a distal end portion located on a distal end side of a distal end portion of the second lumen, in the shaft.

Abstract: A catheter enables real-time light measurements, for example, without limitation, diffuse reflectance, fluorescence, etc., from biological materials, such as tissue (including blood), while performing RF ablation. The catheter tip design isolates illumination and collection paths within the tip electrode such that light for illuminating the tissue of interest (e.g., cardiac tissue or blood) is isolated within the tip electrode from light that returns from the tissue to the catheter tip, and vice versa. Such a design advantageously avoids saturation of the optical detector, and ensures diffusion of the illumination light within the medium of interest. The catheter has a catheter body and a tip electrode with a shell wall and a hollow cavity. The shell wall has at least an illumination opening and a collection opening.

Abstract: A catheter with a variable circular loop responsive to a contraction wire for coiling is supported by a member having a tapered distal section that transitions from a circular cross-section to a generally rectangular cross-section while maintaining a uniform cross-sectional area along the entire tapered length for improved coiling characteristics. A radially constrictive sleeve prevents separation of the contraction wire from the support member to minimize misshaping of the loop during contraction.

Abstract: A catheter has a two-piece tip electrode with a shell and a support structure that are secured to each other by multiple redundant mechanisms in order to reduce the risk of tip detachment during a procedure. The tip electrode includes at least two different welds attaching the shell to the support structure to provide a dual failure mode. One weld includes a seam weld and another weld includes a penetration weld.

Abstract: Systems, devices, and methods for electroporation ablation therapy are disclosed herein, with a cinch device for positioning an ablation catheter relative to tissue during a cardiac ablation procedure. In some embodiments, a distal end of a first device may be advanced into a proximal end of a first lumen of a second device. The first device may be advanced from a distal end of the first lumen and the first device may be looped around tissue of a patient. The first device may be advanced into a distal end of a second lumen of the second device. The distal end of the first device may be advanced from a proximal end of the second lumen. The proximal and distal ends of the first device may be advanced away from a proximal end of the second device to increase contact between the first device and the tissue.

Abstract: A catheter kit includes a catheter having an optical fiber, and a catheter accommodating tool which accommodates the catheter. The catheter accommodating tool has a tubular hoop, and a protection cap which is provided to the hoop. The protection cap has a transmission window through which laser light L output from the catheter passes.

Abstract: A method for registering a bone is provided that includes the installation of two or more registration markers on an exposed portion of the bone as part of a first stage of a revision. An image data set of the bone is generated to create imaged registration markers. A surgical plan is generated for implanting one or more secondary implants in a second stage of the two-stage procedure based on the image data. The bone is registered to the surgical plan and a computer-assist device using the two or more registration markers by: digitizing a set of positions of the two or more registration markers to create digitized registration markers; and mapping the set of positions of the digitized registration markers with a corresponding set of positions of the imaged registration markers. A system for performing the method is provided. Implant revision is promoted through the use of the method.

Abstract: Disclosed are various embodiments for a dynamic flow apparatus for cardiovascular diagnosis and pre-procedure analysis of individual patients. The dynamic flow apparatus includes a three-dimensional (3D) cardiac model in an enclosed container. The 3D cardiac model can mimic an operation of an actual heart by pumping fluid through the 3D cardiac model and causing the model to expand and contrast. Data obtained from the operation of the 3D model can be used during a surgical procedure of an actual heart of an individual.

Abstract: A system is suggested comprises a main tracking device and a processing unit. The main tracking device includes a plurality of light sources and a plurality of light detectors. On the basis of light pulses, the main tracking device is configured to determine a current 3D position of a plurality of objects in a room. The processing unit is configured to process image information of each of the objects together with the position information so as to generate a visualization of the image information of the objects in spatial relation to each other.

Abstract: Apparatus and methods for imaging and tracking of nano- and micro-scale objects with acceptable latency for relevant medical procedures, such as delivery of therapeutic payload or minimally invasive surgery are disclosed, including the capability to superimpose accurate anatomical data over a tracking image. Software applications are provided for data logging via a remote-control station; and software interface with remote motion control mechanism, controlling the motion of internal device.