Abstract: An anvil for a circular surgical stapler includes an anvil surface and an anvil shaft. The anvil surface defines an inner annular array of staple forming pockets and an outer annular array of staple forming pockets. The inner annular array of staple forming pockets includes a plurality of staple forming pocket pairs. The outer annular array of staple forming pockets also includes a plurality of staple forming pocket pairs. The outer annular array of staple forming pockets is arranged in a mirrored symmetry with the inner annular array of staple forming pockets. The anvil shaft is configured to couple with a stapling head assembly of a surgical stapler.

Abstract: An electronic system for a surgical instrument is disclosed. The electronic system comprises a main power supply circuit configured to supply electrical power to a primary circuit. A supplementary power supply circuit configured to supply electrical power to a secondary circuit. A short circuit protection circuit coupled between the main power supply circuit and the supplementary power supply circuit. The supplementary power supply circuit is configured to isolate itself from the main power supply circuit when the supplementary power supply circuit detects a short circuit condition at the secondary circuit. The supplementary power supply circuit is configured to rejoin the main power supply circuit and supply power to the secondary circuit, when the short circuit condition is remedied.

Abstract: An electronic system for a surgical instrument is disclosed. The electronic system comprises a main power supply circuit configured to supply electrical power to a primary circuit. A supplementary power supply circuit configured to supply electrical power to a secondary circuit. A short circuit protection circuit coupled between the main power supply circuit and the supplementary power supply circuit. The supplementary power supply circuit is configured to isolate itself from the main power supply circuit when the supplementary power supply circuit detects a short circuit condition at the secondary circuit. The supplementary power supply circuit is configured to rejoin the main power supply circuit and supply power to the secondary circuit, when the short circuit condition is remedied.

Abstract: A surgical cutting and fastening instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train for powering the drive train and a plurality of series-connected DC power source connected to the motor for supplying electrical power to the motor. The handle also comprises a power source selection switch for connecting, when in a first state, all of the DC power sources to the motor, and, when in a second state, a subset of the DC power sources to the motor. Also disclosed are means for actuating a RF electrode in the end effector and means for indicating actuation of the RF electrode.

Abstract: A surgical stapling apparatus includes a jaw assembly including an anvil assembly and a staple cartridge assembly, at least one which includes a surgical buttress retention system, and a surgical buttress releasably secured to a tissue facing surface of the anvil assembly or the staple cartridge assembly via the surgical buttress retention system. The surgical buttress retention system includes proximal guide slots defined in opposed sides of the anvil assembly or the staple cartridge assembly that have a generally U-shaped configuration that are mirror images of each other, a plug coupled to a distal portion of the anvil assembly or the staple cartridge assembly, and a retention member including a central portion extending across a proximal portion of the surgical buttress, second portions positioned within the proximal guide slots, third portions extending across a distal portion of the surgical buttress, and end portions coupled to the plug.

Abstract: A surgical staple cartridge is disclosed comprising a plurality of staples removably stored within the surgical staple cartridge. The staples comprise staple legs which extend from a staple base portion. The staple legs comprise staple tips configured to pierce tissue and contact a corresponding forming pocket of an anvil of surgical stapling instrument. The staples further comprise zones having different hardnesses.

Abstract: A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. Various embodiments are configured to be operably attached to a robotic system to receive actuation/control motions therefrom.

Abstract: An end-to-end anastomotic connector is provided. The anastomotic connector includes solely an arterial connector and a venous connector. The inner diameter of the proximal end of the arterial connector is sized to directly receive the proximal end of the venous connector in an interference fit without the need for a graft material therebetween. The arterial connector and the venous connector are implanted in an artery and vein, respectively, to form a co-axial relationship with the respective vessel.

Abstract: The problem of attaching a donor nerve stump to a recipient nerve for an end-to-side coaptation is solved by the use of a tissue connector. The tissue connector can have a body for receiving the donor nerve stump and one or more overflaps for attaching the tissue connector with the donor nerve stump therein to the epineurium on the side of the recipient nerve. Sutures can also be used to secure the tissue connector and nerves in place.

Abstract: A method for resetting a stapling apparatus includes providing an apparatus with a cam member in a fired position. A circuit of the apparatus is then changed from a first polarity state to a second polarity state. A motor of the apparatus is then activated to rotate the cam member from a fired position back to a home position while the circuit is in the second polarity state.

Abstract: An implantable restriction device includes a plurality of beads and a plurality of links that join the beads together. The beads include a housing including a contact surface, a passageway extending through the hosing along an axis, and at least one magnet disposed around the passageway. Portions of the links are slidably disposed in corresponding passageways of the beads such that the beads are operable to transition between a constricted configuration and an expanded configuration. The contact surfaces of adjacent beads abut against each other in the constricted configuration. Adjacent magnets within adjacent beads generate an interactive magnetic field foxed on the abutting contact surfaces of adjacent beads.

Abstract: A clip applier includes a handle, an elongated shaft, an end effector, at least one surgical clip, a trigger, and an actuation mechanism. The trigger is configured to selectively translate at least a portion of the first jaw member relative to the second jaw member upon actuation thereof in a direction parallel to the longitudinal axis. The actuation mechanism is adapted to connect to a source of electrosurgical energy and is configured to selectively transmit energy to at least one of the at least one surgical clip.

Abstract: In an indwelling device for embolization comprising a coil portion (11) having a proximal side and a distal side and having a lumen extending in a longitudinal direction, and a stretch-resistant member (20) disposed in the lumen, a spring constant of the coil portion (11) is 1.0 N/mm or less, the stretch-resistant member (20) has a waveform, and a wave height, which is a distance between peaks on an inner side of the waveform of the stretch-resistant member (20), is 35 ?m or larger and smaller than an inner diameter of the coil portion (11), in order to provide the indwelling device for embolization that suppresses changes in dimension of the coil portion (11) during sterilization.

Abstract: Provided herein is an occlusion device comprising: (a) a substantially solid marker band having an inner and outer diameter, a proximal end, and a distal end; and (b) a resilient mesh body attached within the marker band, wherein the body is a length y, and wherein the body comprises a bolus of additional resilient mesh material of a length x, wherein y is greater than x, and wherein the body extends distally from the marker band having a first delivery shape and a second expandable deployed shape. Also provided herein is a kit comprising the occlusion device disclosed herein and a means for delivery thereof. Methods of manufacture and use of the occlusion device disclosed herein are also disclosed.

Abstract: [Object] To provide a hemostasis aid and a tourniquet by which a blood vessel at a puncture site can be more reliably distended. [Solving Means] A hemostasis aid 1 includes a tourniquet 10 including a plurality of pressurizing layers 11a to 11e divided in a width direction and a control device 20 that pressurizes the pressurizing layers 11a to 11e sequentially from the pressurizing layer 11a on one end side A in the width direction W to on the other end side B. Accordingly, a puncture site can be reliably distended by wrapping the tourniquet 10 such that the puncture site is positioned on a patient's distal side with respect to the other end side.

Abstract: Patient specific shoulder component implant instruments are described for hemi and total, normal and reverse shoulder arthroplasty.

Abstract: A surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure comprises: (i) a robotic device (100) comprising: —an end effector comprising a cutting tool or a cutting block, —an actuation unit (4) comprising from three to five motorized degrees of freedom, attached to the end effector, configured for adjusting a position and orientation of the cutting tool or cutting block relative to each target plane, (ii) a passive articulated lockable holding arm (5) supporting the actuation unit (4); (iii) a tracking unit (200) configured to determine in real time the pose of the cutting plane with respect to the coordinate system of the anatomical structure, the tracking unit comprising a tracker configured to be rigidly attached to the actuation unit and a tracker configured to be rigidly attached to the end effector; (iv) a control unit (300) configured to determine the pose of the cutting plane with respect

Abstract: Customized patient-specific instruments configured to be selectively attached at predetermined locations of a patient's bone are disclosed. The customized patient-specific instruments may include a polymeric body including a bone-facing surface having a customized patient-specific negative contour shaped to match and receive a corresponding positive contour of the patient's bone at the predetermined location. The customized patient-specific instruments also include a metallic coating that defines one or more cutting slots. A method of performing an orthopaedic surgical procedure is also disclosed.

Abstract: A power tool for removing an intervertebral disc and preparing vertebral endplates is described. The power tool may include a cutting element, and the height of the cutting element may be adjustable. The cutting element may be a braided cable and may include one or more beads to enhance the effectiveness of the cable. The cutting element may have a minimum height requirement, which may not be satisfied in patients with a collapsed disc due to degenerative disc disorder. For these patients, also described are bone tamps for increasing the intervertebral distance and providing access to tissues distal to the tamp. One type of bone tamp features an inflatable balloon with an inner lumen. Another type of bone tamp includes an expanding distal end and an inner cannula. Also described is a manual expander scraper tool that is compatible with both types of bone tamp.

Abstract: A handheld surgical instrument comprising an energy storage element, wherein the energy storage element is a spring coupled to the impacting mechanism, an impacting mechanism has a tip configured to impact a bone, wherein the tip includes a tapered point, a power transmission mechanism is configured to transmit energy from the energy storage element to the impacting mechanism, wherein the power transmission mechanism includes a semi-flexible metal wire guided by a hollow shaft, wherein the hollow shaft includes a distal end, the semi-flexible metal wire is includes a bend toward the distal end, a trigger mechanism is configured to release energy from the energy storage element, wherein the bend includes an angle between 14 degrees and 46 degrees, wherein the trigger mechanism includes a manual lever which, when actuated, simultaneously retracts the tip and charges the energy storage element.

Abstract: A burr attachment designed for use with a curved burr attachment or other chuck attachments that includes a tube with a wire shaft supported therein and a coil spring surrounding said wire shaft and having each of the coils touch the outer periphery surface of the wire shaft and the inner peripheral surface of said tube to enhance cooling of said outer periphery of said tube from the heat generated by said wire shaft and attenuate vibrations while allowing said burr attachment to be bent without kinking.

Abstract: A flexible auger design for low-torque transmitting drive shafts, which allows effective tissue material transport through curved, flexible tubes and channels. A hollow auger has a hollow center, so that the helical member hugs the inner wall of the tube and material is transported along the center axis and the inner wall of the tube. The hollow flexible auger allows for transportation of material from an operative location in the patient (material removal) as well as to operative location in the patient (material delivery).

Abstract: An osteotome guide is provided. The osteotome guide includes a handle, a shaft within the handle and slidable to a selected longitudinal position with respect to the handle, a tool coupler attached to a distal end of the shaft for receiving a working tool, and a lock assembly to lock the shaft into the selected longitudinal position with respect to the handle.

Abstract: Systems, devices and methods for removing a blood clot (10) from a blood vessel (12). Various uses of suction pressure and positive pressure, proximal and/or distal to the blood clot (10) assist with clot dislodgement and removal. The pressure(s) may be constant and/or cycled/pulsed to assist with clot dislodgement and/or removal. Various further devices assist with separating the clot (10) from the vessel (12).

Abstract: Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to the thrombectomy system. The system can include a catheter having a distal portion configured to be positioned adjacent to a thrombus in a blood vessel, an electrode disposed at the distal portion of the catheter, and an interventional element configured to be delivered through a lumen of the catheter. The electrode and the interventional element are each configured to be electrically coupled to an extracorporeal power supply.

Abstract: Described herein are methods using mechanical inverting tube apparatuses to remove clot (e.g., thrombectomy), the apparatuses including an inversion support catheter having an expandable funnel-shaped distal end, and a flexible tube that can be continuously rolled over the funnel-shaped distal end and invert into the inner lumen of the inversion support catheter.

Abstract: Apparatus, including a probe having a distal end insertable into a nasal sinus of a human patient, and a location sensor positioned within the distal end. A sinuplasty balloon is positioned on the distal end at a selected opening of the nasal sinus. A processor receives first signals from the location sensor while the distal end is inserted into the nasal sinus and prior to positioning of the balloon at the selected opening, and generates a first map of the sinus. The processor inflates the balloon when it is at the selected opening, so as to enlarge the selected opening, and subsequently deflates the balloon. The processor then receives second signals from the location sensor and generates therefrom a second map of the sinus. The processor registers the first map with the second map and generates from the registered maps a numerical increase in size of the selected opening.

Abstract: A surgical system includes a tubular shaft having a wall defining an outer surface and an inner surface disposed about an inner space, the tubular shaft having a proximal end and a distal end. The surgical system also includes at least one light emitter and at least one light sensor disposed at the distal end of the tubular shaft, and one or more leads or conductors electrically coupled to the at least one light emitter or the at least one light sensor. The one or more leads may be disposed in clearances defined by first and second jaws. Alternatively or in addition, the one or more conductors may be formed on a flexible substrate, and the flexible substrate may have a deformed state in which the substrate is disposed in the inner space.

Abstract: A surgical device comprising: (a) a stylet comprising: one or more support rods; (b) a hand piece comprising: one or more housing structures defining a cavity; and one or more actuating mechanisms comprising: one or more levers attached to one or more pivot axes in the hand piece and configured to form one or more slidable joints in communication with the one or more support rods; wherein the one or more levers are configured to be assembled by: being placed into the hand piece along the assembly direction before the stylet so the stylet may be placed into the hand piece over the one or more levers; or being placed into the hand piece along the assembly direction after the stylet so the one or more levers is placed into the hand piece over the stylet and in communication with the stylet.

Abstract: Provided is a forceps driving apparatus including a body, a gripper installed to be received in the body and formed to be open and closed, an opening and closing member rotatably installed in the body to press or release two sides of the gripper by rotation, an elastic member connected to one side of the opening and closing member to provide an elastic force to the opening and closing member, an actuator connected to the other side of the opening and closing member to rotate the opening and closing member by contraction or extension, and a force sensing module to measure a gripping force of the gripper during the rotation of the opening and closing member.

Abstract: Methods and systems for separating an object, such as a lead, from formed tissue are provided. Specifically, a tissue slitting apparatus is configured to engage formed tissue at a slitting engagement point. While the object is subjected to a first traction force, the tissue slitting apparatus is caused to move further into the engaged tissue and slit the tissue past the point of engagement. The slitting apparatus causes the tissue to separate along an axial direction of the length of the formed tissue and releases at least some of the force containing the object. The slitting apparatus is supported by a distal end support device configured to lock onto the lead. While supported, a slitting element of the apparatus places fibers of the formed tissue under tension and performs a lifting cut operation. The methods and systems are well suited for use in cardiac pacing or defibrillator lead explant procedures.

Abstract: The present disclosure relates to the field of medical devices generally and specifically, to endoscopic systems and methods for resection of malignant and pre-malignant lesions within the gastrointestinal (GI) tract. In particular, the present disclosure relates to systems and methods for delivering injectable compositions between tissue layers (e.g., between the muscularis and submucosa layers) to elevate and stabilize the lesion for fast and efficient resection.

Abstract: An accessory device may be used in combination with a thrombectomy catheter. The accessory device may be configured to deflect a distal portion of the thrombectomy catheter and/or disrupt a lesion in a vessel.

Abstract: A surgical system for transecting osseous tissue includes an ultrasonic waveform generator, a control unit, an ultrasonic instrument assembly including a electromechanical transducer and an ultrasonic blade, and a robotic system. The ultrasonic instrument assembly is attached to the robotic arm. The surgical system is configured so that the robotic arm moves the ultrasonic blade at a constant forward feed speed through the bone during a cutting operation and so that the forward motion is reduced, and preferably halted automatically upon a reduction in load per unit time or applied power, as monitored by a pickup or sensor.

Abstract: A multi-portal method for treating a subject's spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient's spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments, and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

Abstract: A surgical access system, includes a gas insufflation device, a multi-instrument access platform and a surgical smoke evacuation device, wherein the gas insufflation device is connected to a connector of the multi-instrument access platform, and an outlet and an inlet of the multi-instrument access platform are respectively connected to an inflow tube and an outflow tube of the surgical smoke evacuation device.

Abstract: This disclosure relates to apparatuses and methods for preventing the onset of surgical complications and improving patient recovery from surgeries such as mastectomies, herniorrhaphy or hernioplasty. The apparatuses and methods using the apparatuses leads to improved outcomes from chest surgeries to treat hemothorax and pneumothorax. and progression of complications following minimally invasive surgery such as laparoscopic surgery. In one example, a leaf-like polyurethane heat-sealed bilayer that surrounds a plurality of wedge-shaped foam strips that join at a collecting foam portion inside a trocar is subjected to negative pressure provided through silicone tubing which is sealed to the perforated collecting foam portion.

Abstract: A surgical port includes a shell and a seal assembly. The shell has a housing and a cannula that extends from the housing. The housing has a sidewall defining a window therethrough. The seal assembly includes one or more seals. The seal assembly is selectively receivable into the housing through the window of the housing of the shell.

Abstract: A lead removal system includes a lead removal device comprising a sheath. The sheath includes a distal separating member configured to separate an implanted lead from adjacent tissue. The sheath also includes a sheath lumen configured to receive a lead engagement device and the implanted lead. A traction applying device is coupled to the lead removal device. The traction applying device is configured to be secured to the lead engagement device and apply traction to the lead engagement device and the implanted lead as the distal separating member of the sheath separates the implanted lead from adjacent tissue.

Abstract: An implantation and/or retrieval device for a leadless cardiac pacing device may include a first elongate shaft including a lumen; a second elongate shaft slidably disposed within the lumen of the first elongate shaft; an end cap assembly fixedly attached to a distal end of the first elongate shaft; and a plurality of wires attached to the second elongate shaft and extending distally from the end cap assembly, the plurality of wires being movable relative to the end cap assembly. The plurality of wires is configured to engage a proximal hub of the leadless cardiac pacing device. The plurality of wires forms a plurality of wire loops extending distally from the end cap assembly.

Abstract: Growth directed correction of a spine via apical vertebral control includes securing a correction system to a first vertebra and a second vertebra of the spine, the correction system defining a correction axis extending between the first and second vertebra and securing the correction system to a third vertebra intermediate the first and second vertebra, the correction system securing the third vertebra at a fixed distance from the correction axis. The correction system is secured to the first and second vertebra such that the first and second vertebra are able to grow away from one another in a direction substantially parallel to the correction axis.

Abstract: The present application is directed to various spinal stabilization systems and methods. The systems can include a plurality of spinal screws each having a screw head. The systems can also include one or more wires directly or indirectly connected to the screw heads of each of the spinal screws. The systems can also include one or more towers that is configured to be removably advanced over the wires. The spinal implant of the system can be configured to be positioned within the screw heads of the plurality of spinal screws.

Abstract: A spine alignment system is disclosed. The spine alignment system includes a pedicle screw having a longitudinal axis, the pedicle screw having a screw head. The screw head includes a slot having a longitudinal axis that is substantially perpendicular to the longitudinal axis of the pedicle screw. An extension shaft is secured to the pedicle screw, such that a longitudinal axis of the extension shaft is substantially coaxial with the longitudinal axis of the pedicle screw. The spine alignment system also includes a cap having a slot that forms a substantially cylindrical passage with the slot of the pedicle screw head. The substantially cylindrical passage is configured to receive an alignment rod such that alignment of the spine occurs as the rod is translated along the extension shaft to the pedicle screw.

Abstract: Connectors are disclosed herein that can be used to attach a rod to a bone anchor assembly that is already occupied by a separate rod. Various ways of attaching the connector to the bone anchor assembly are disclosed, including arrangements in which the connector is locked to the bone anchor, arrangements in which the connector is constrained in one or more degrees of freedom relative to the bone anchor, arrangements in which the connector is adjustable in one or more degrees of freedom relative to the bone anchor, and arrangements that include a spherical articulation joint. In some embodiments, attachment of the connector to a bone anchor can be aided with the use of a positioner. The geometry of the connector can be selected to minimize the offset between a first rod received in the bone anchor assembly and a second rod received in the connector, for example using an angled or curved rod recess and/or a fastener, or set screw, that is offset from the center of the rod or angled relative to the bone anchor.

Abstract: Connector assemblies, systems, and methods thereof. A modular connector has a first end that clamps to a first rod in an existing construct and a second end having a modular connection point configured to connect a second rod in a new construct such that the new construct can be extended from the existing construct.

Abstract: Embodiments herein are generally directed to spinal implants for use in orthopedic stabilization assemblies. In some embodiments, these implants may be used in conjunction with laminoplasty or laminectomy procedures.

Abstract: A rod reducer assembly is provided and is selectively mountable to a pedicle screw assembly. The pedicle screw assembly includes a pedicle screw housing that defines a rod-receiving recess. The pedicle screw assembly includes an extension assembly that is coupled to the pedicle screw housing by a frangible member. The rod reducer is configured to reduce a spinal rod into the rod-receiving recess of the pedicle screw assembly. The rod reducer assembly may include a derotation sleeve configured to inhibit the frangible member from breaking while manipulating a spinal bone.

Abstract: The invention relates to the intramedullar nail fixation (13) of the femoral bone that is used in the field of orthopedics and traumatology, in particular, in the pediatric orthopedics field; Its features include the follows; Removal of many negativities in the treatments of femoral proximal area fractures seen in the child age group, young and old bone rotation surgeries, malunion, nonunion and deformities, and in order to make positive contribution to the healing processes of patients, the proximal femoral de-rotation nail (13), by which location can be fixed by turning in an angular way, and by which the operator can perform rotation as much as necessary by fixing rotation angle, and which is formed with the proximal component (1) and the distal component (2), which can perform rotational movement on each other and can fix its location, was developed.

Abstract: A compression device made of a superelastic material having a peripheral portion with an upper surface, a lower surface, and a central opening extending therethrough is provided. One or more resilient teeth project inward of the peripheral portion into the central opening and are configured to exert a biasing force in an axial direction when deformed in a direction opposite the axial direction.

Abstract: A load sharing bone plate has a plurality of directional apertures configured to effectively support and share the load with a fractured bone to promote healing. A load sharing bone plate may have a body portion that is thinner and be configured to be secured with smaller fasteners than conventional bone plates. A load sharing bone plate has a plurality of directional apertures, configured to direct a fastener is a specific orientation, such as in an oblique angle to the length and/or in an oblique angle to the width of the bone plate. A load sharing bone plate may be configured with a load sharing extension on at least one end that is configured to reduce stress concentration at the end of the bone plate. A load sharing extension may have a tapered thickness and/or width from the body portion to the extended end.