Abstract: A double edged blade assembly includes a double edged blade. Additionally, the double edged blade assembly includes two blade grips coupled to the double edged blade. The two blade grips are coupled to the double edged blade at opposite ends of the double edged blade.

Abstract: The present disclosure relates to exemplary embodiments of method and apparatus for harvesting, handling and implanting small tissue grafts obtained from a donor site. In some embodiments the apparatus includes hollow needles and base that can be formed of one or more biocompatible materials that are biodegradable and/or dissolvable.

Abstract: A catheter for insertion into vasculature of a patient to a target area in the vasculature includes a hollow inner shaft, a non-occluding self-expandable scaffold coupled to the distal end of the inner shaft and disposed at the distal end of the inner shaft, and a hollow outer shaft. The outer shaft is slidable over the inner shaft and scaffold such that the scaffold is in a non-expanded state when the outer shaft is around the scaffold. The outer shaft has a state where the distal end of the outer shaft remains near the target area without the inner shaft and the scaffold being within the outer shaft. The inner shaft and the scaffold are removable through the proximal end of the outer shaft while the distal end of the outer shaft remains near the target area.

Abstract: An expandable balloon, for insertion in a vessel of the human or animal body, is movable between a collapsed condition and an expanded condition. The balloon includes a plaque disrupting formation arranged to be on an outer surface of the balloon when in the expanded condition. When in the expanded condition, the balloon has a centre line which follows a substantially helical path.

Abstract: Medical systems and methods for making and using medical systems are disclosed. Example medical systems may include an atherectomy system configured to engage and remove plaque from walls in vessels of a vascular system. The atherectomy system may include a drive shaft, a rotational tip coupled to an end of the drive shaft, a drive mechanism coupled to the drive shaft to rotate the rotational tip, a control unit configured to control operation of the drive mechanism, and a knob assembly configured to facilitate longitudinal movement of the drive shaft, the rotational tip, and/or the drive mechanism. In some cases, the knob assembly may be configured to initiate adjustment of a mode of the drive mechanism in response to actuation of an actuator in the knob assembly.

Abstract: Systems and methods for assembling a plurality of tissue grafts are provided. A method includes harvesting the plurality of micro tissue grafts from a donor site, arranging the plurality of micro tissue grafts in a desired orientation, forming a tissue construct containing the plurality of micro tissue grafts arranged in the desired orientation, and applying the tissue construct to a recipient site.

Abstract: Disclosed are lighting and optical devices, systems, and methods for use in laparoscopic surgical procedures. The disclosed devices, systems, and methods advantageously do not require tethers in order to receive power or transmit data, such as camera images, to and from an external device. In addition, the disclosed devices, systems, and methods utilize improved camera mechanisms and reduce costs and improve accessibility with respect to laparoscopic surgical procedures.

Abstract: The present invention provides minimally invasive subdural evacuating systems and methods of use thereof. The subdural evacuating systems include a cutting component and a rod component, wherein the rod component provides an external physical indicator that the surface of the dura mater has been reached, permitting the cutting component to accurately pierce the dura mater with minimal to no risk of damaging any adjacent anatomy.

Abstract: An automatic hair implanter is capable of continuously performing hair transplantation work by applying a structure of a conventional manual hair implanter. The automatic hair implanter (hair transplantation device) comprises a rotating magazine therein, and several needle modules are stored in the magazine. Two pushrods, which are positioned on a rear portion of the device and capable of translational motion, play a role of pushing a needle and a shaft, which constitute a needle module, forward. The needle and the shaft may be moved backward by a spring positioned inside the magazine.

Abstract: A system for performing an endoscopic surgical procedure in a surgical cavity is disclosed which includes a primary gas circulation device housing a central processor and a primary pump, the primary pump controlled by the central processor and configured to deliver a flow of pressurized gas to a primary gas delivery lumen and to receive gas from a primary gas return lumen, and a plurality of subordinate gas circulation devices each housing a respective subordinate pump configured to deliver a flow of pressurized gas to a respective subordinate gas delivery lumen and to receive gas from a respective subordinate gas return lumen, wherein the subordinate pump in each subordinate gas circulation device is in networked communication with and controlled by the central processor of the primary gas circulation device.

Abstract: An instrument port for introducing instruments into a surgical site, including a port body having a channel running therethrough from a proximal end to a distal end, an instrument sleeve in slidable contact with the channel, creating a gap therebetween, and fluid flow for removing emboli efficiently from the instrument port, wherein the fluid flow includes the gap is provided. A fluid flow system for use in an instrument port is provided. A method of removably securing an instrument sleeve to a port body by anchoring the instrument port to heart tissue, making at least one flood line in a channel, flushing out emboli, and performing surgery with the instrument port.

Abstract: Spinal curvature modulation systems, methods and related devices and instrumentation are disclosed, which include a flexible tether, a tether tensioning unit and bone anchors for the flexible tether that allow the tether to be secured across multiple vertebrae in a region of treatment. When the flexible tether is attached to multiple vertebrae, it can be used to correct spinal deformities. Tension in the flexible tether is adjustable transcutaneously without invasive surgical procedures by use of remotely driven actuators, such as a magnet-driven motor, or by a small tool insertable through a small incision. Disclosed systems and methods thus allow for multiple adjustments of tether tension, and spinal curvature, over time without repeated, highly invasive, spinal surgeries.

Abstract: Various angularly-adjustable spinal fixation systems are provided and generally include an articulating connector having first and second elongate rods extending therefrom, and first and second polyaxial bone screw assemblies configured to seat the first and second rods therein. The rods are configured to be seated within receiver heads of the polyaxial bone screw assemblies when the screws are implanted in opposed lateral sides of a vertebra, thereby allowing the receiver heads to be manipulated relative to the rods to reduce one or more posterior fractures. A joint on the articulating connector can also be manipulated to reduce one or more anterior fractures. The entire construct can be locked to maintain the fractures in the reduced configuration.

Abstract: A spinal implant for implantation within a spinal facet joint is provided. The spinal implant may include a main body including opposing top and bottom surfaces, opposing front or distal and rear or proximal surfaces, and opposing side surfaces. At least one retaining feature may be associated with at least one surface of the main body to frictionally engage the implant within the spinal facet joint. At least one securement feature may be associated with at least one surface of the main body to selectively secure the implant within the spinal facet joint.

Abstract: An implantable device may comprise a barrel, the barrel having an upper portion and a lower portion. The barrel may be configured to transition from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height. The implantable device may further include an actuator assembly disposed in the barrel, the actuator assembly comprising a front ramped actuator in engagement with the barrel, a rear ramped actuator in engagement with the barrel, and a central screw that extends from the rear ramped actuator through the front ramped actuator. The implantable device may further comprise a first plate and a second plate.

Abstract: A device for bone adjustment in a mammal. The device comprising two or more anchoring devices adapted to implanted intramedullary and attached to a bone in said mammal and an adjustment device for exerting force on said anchoring devices, said adjustment device being adapted to postoperatively adjust at least one of the distance between or orientation of, at least two of said anchoring devices. The operation device further comprises a motor and said operation device is adapted to operate said adjustment device. The operation device further comprises a gearbox connected to the motor, wherein an outgoing speed from the gear box is lower than the speed by the motor alone, accomplished by the gearbox, and wherein the outgoing speed of the gearbox is less than 10 turn per second during normal operation.

Abstract: The present invention provides systems and devices for fixing the angle of instruments passing through a bone plate, as well as methods for using the same. The devices include bone plates and complementary guide blocks having features for secure attachment, as well as features for simple detachment.

Abstract: The present invention relates to an anterior cervical spine plate which is used to perform anterior fixation surgery on a cervical spine in orthopedic surgery and neurosurgery, which includes: a plate body formed to extend in a longitudinal direction thereof; two or more bone screw holes formed in the plate body to support head parts of bone screws; and a locking element configured to maintain the bone screws while being inserted into the bone screw holes, respectively. The locking element is rotatably coupled to the plate body, and the plate body has reinforcing parts formed at outer circumferences thereof.

Abstract: A surgical implant according to an exemplary aspect of the present disclosure includes, among other things, a body that extends along a longitudinal axis between a drive head and a tip. The body includes a cannulation disposed about the longitudinal axis and extending form the tip to the drive head, a solid thread that wraps around the body and a porous region circumferentially extending about the body between adjacent revolutions of the solid thread. In another embodiment, the surgical implant may include a wedge having at least one porous region that extends continuously around a wedge body between an inner wall and an outer wall.

Abstract: A device is disclosed for reducing a vertebral compression fracture, comprising a superior end plate and an inferior end plate disposed along a vertical axis. The superior end plate and the inferior end plate are slidably separable in a vertical direction along the vertical axis. An interior chamber is provided in fluid communication with a port extending from an exterior to the interior chamber. The device is deployable within a vertebral body and expandable within the vertebral body by injecting a flowable material into the interior chamber thereby displacing the superior and inferior end plates along the vertical axis.

Abstract: Methods of using hardware (e.g., bone screws, anchors or other devices) previously inserted within the body to facilitate energy delivery are disclosed. The energy delivery (e.g., thermal energy) may be used for neuromodulation (such as stimulation or denervation), tissue heating and ablation, curing, and other applications in the spine and non-spine orthopedic locations.

Abstract: Systems, devices, and methods for electroporation ablation therapy are disclosed, with a protection device for isolating electronic circuitry, devices, and/or other components from a set of electrodes during a cardiac ablation procedure. A system can include a first set of electrodes disposable near cardiac tissue of a heart and a second set of electrodes disposable in contact with patient anatomy. The system can further include a signal generator configured to generate a pulse waveform, where the signal generator coupled to the first set of electrodes and configured to repeatedly deliver the pulse waveform to the first set of electrodes. The system can further include a protection device configured to selectively couple and decouple an electronic device to the second set of electrodes.

Abstract: A flexible assembly of a motor driven surgical system may include a flexible shaft circuit strip and a knife bar having a first laminated plate disposed along a first side of the circuit strip and a second laminated plate disposed along a second side of the circuit strip. The knife bar may reciprocate along a longitudinal axis of the circuit strip. Each laminated plate may be composed of a pair of laminated plates. The flexible assembly may include a first leaf spring disposed between the first side of the circuit strip and the first laminated plate, and a second leaf spring disposed between the second side of the circuit strip and the second laminated plate. The flexible assembly may be disposed within at least a portion of a distal portion of an articulating shaft and at least a portion of an articulation connector of the surgical device.

Abstract: An end effector assembly of a forceps includes a first jaw member with a first sealing surface and a second sealing surface; a second jaw member with a first sealing surface and a second sealing surface, the first jaw member and the second jaw member being moveable relative to each other between an open position and a closed position, the first jaw member and the second jaw member including a blade slot defined therein and extending substantially along the first jaw member and the second jaw member, the first sealing surfaces being positioned on an opposite side of the blade slot than the second sealing surfaces; and a cutting blade that reciprocates in the blade slot. When the first jaw member and the second jaw member are in the closed position, the first sealing surfaces are separated by a first gap and the second sealing surfaces are separated by a second gap, the second gap being larger than the first gap.

Abstract: The embodiments disclosed herein relate to various medical device components, including components that can be incorporated into robotic and/or in vivo medical devices, and more specifically including end effectors that can be incorporated into such devices. Certain end effector embodiments include various vessel cautery devices that have rotational movement as well as cautery and cutting functions while maintaining a relatively compact structure. Other end effector embodiments include various end effector devices that have more than one end effector.

Abstract: A specimen retrieval device for extraction of tissue includes a port having a specimen bag attached thereto. The specimen bag includes two openings: one opening attached to the port, and the other opening spaced from the first opening, which may remain open in a patient's body to permit introduction of a tissue specimen therein. The second opening may be closed after introduction of a tissue specimen into the specimen bag, and the tissue within the specimen bag may be broken up as it is passes out of the specimen bag and through the port of the specimen retrieval device.

Abstract: A family of catheter electrode assemblies includes a flexible circuit having a plurality of electrical traces and a substrate; a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the electrode. A non-contact electrode mapping catheter includes an outer tubing having a longitudinal axis, a deployment member, and a plurality of splines, at least one of the plurality of splines comprising a flexible circuit including a plurality of electrical traces and a substrate, a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the ring electrode. A method of constructing the family of catheter electrode assemblies is also provided.

Abstract: A cable assembly includes a rigid portion, a flexible central portion, and a radiating portion. The rigid portion is configured to couple to a source of electrosurgical energy and to prevent fluid ingress towards the source of electrosurgical energy. The flexible central portion extends from the rigid portion and includes an inner conductor, a dielectric disposed about the inner conductor, and a conductive braid disposed about the dielectric. The radiating portion extends from the central portion and is configured to deliver electrosurgical energy to tissue.

Abstract: Surgical cutting apparatus having a treatment channel and a measurement channel for conveying microwave energy from a source to an antenna at a cutting edge. The measurement channel operates at lower power than the treatment channel for determining when higher energy can be safely applied. The apparatus may deliver microwave radiation at differing frequencies to one or more antennas at the cutting edge, e.g. to provide different treatment effects. The source may generate an output for an antenna whose frequency can be selected e.g. for most efficient operation. Selection may be automatic based on detected magnitude and phase of reflected signals during a frequency sweep of a forward signal. Power delivered to tissue via the cutting element may be manually boosted to deal with large blood vessels. The apparatus may include a reflected power monitor for recognising behaviour in reflected signals received from the antenna to trigger automatic pre-emptive action.

Abstract: The present invention discloses devices and methods for creating multiple lesions using ablation devices in anatomical regions such as the heart, for example to treat cardiac arrhythmias. The present invention discloses methods and devices to create continuous lesions using area ablation devices. The present invention discloses various embodiments of reference assemblies for accurately positioning ablation devices having ablating portions, especially deployable ablation portions adapted for area ablation. The ablation devices are positioned using the reference assemblies in the anatomy to create one or more lesions. The present invention also discloses several method embodiments for creating continuous lesions using deployable ablating portions to produce two or more overlapping lesions.

Abstract: A method of generating a computer-based observable model of an implantable repair material secured to a patient is provided. The method includes processing data corresponding to a patient using a computing device including a processor and a memory storing a software application executable by the processor. The method also includes indicating an implantable repair material and a fixation for securing the implantable repair material to the patient and indicating a distribution of the fixation about the implantable repair material. The method also includes generating an observable model of the implantable repair material secured to the patient on a display operably associated with the computing device. The observable model depicts the indicated distribution of the fixation about the implantable repair material.

Abstract: A method of reducing a fractured bone of a patient is disclosed. The method may include generating a fractured bone surface image from image data of the fractured bone structure of the patient. A reduced bone surface image of the fractured bone structure of the patient may be formed. In some embodiments, an implant image may be superimposed in an installation position on the reduced bone surface image. A patient specific jig image may be superimposed proximate the implant image and the bone image, according to the installation position of the implant. In some embodiments, control data from the patient specific jig image may be generated.

Abstract: Described embodiments include a system that includes a current source generator and a processor. The processor is configured to drive the current source generator to supply, for application to tissue of a subject, an electric current having an amplitude that varies in accordance with a predefined function of time, such that the amplitude initially monotonically increases to a maximum value. Other embodiments are also described.

Abstract: Methods and systems of registering a model of one or more anatomic passageways of a patient to a patient space are provided herein. An exemplary method may include accessing a set of model points of the model of the passageways, the model points being associated with a model space, collecting measured points along a length of a catheter inserted into the passageways of the patient, the measured points determined by a shape of the catheter, and assigning points of the first set to a plurality of subsets. The exemplary method may further include registering each of the subsets with the model points to produce a plurality of registration candidates, comparing the candidates to identify an optimal subset associated with an optimal registration of the plurality of candidates that translates the set of model points and at least one set of the sets of measured points into a common space.

Abstract: Systems are provided for generating data representing electromagnetic states of a heart for medical, scientific, research, and/or engineering purposes. The systems generate the data based on source configurations such as dimensions of, and scar or fibrosis or pro-arrhythmic substrate location within, a heart and a computational model of the electromagnetic output of the heart. The systems may dynamically generate the source configurations to provide representative source configurations that may be found in a population. For each source configuration of the electromagnetic source, the systems run a simulation of the functioning of the heart to generate modeled electromagnetic output (e.g., an electromagnetic mesh for each simulation step with a voltage at each point of the electromagnetic mesh) for that source configuration.

Abstract: Devices, systems and methods for performing image guided interventional and surgical procedures, including various procedures to treat sinusitis and other disorders of the paranasal sinuses, ears, nose or throat.

Abstract: A method for a medical procedure is provided and includes obtaining data from sensors disposed in a medical instrument. The sensors include at least one first sensor configured to measure acceleration, at least one second sensor configured to measure rotation, and at least one third sensor configured to measure direction of movement. The method further includes correlating the data from the sensors with time and storing the correlated data and time. A medical system, a method for imaging a medical procedure, and a method of processing sensor measurements are also disclosed.

Abstract: Methods, apparatus, and kits for applying thermal energy to tissue in a region of interest. Certain embodiments include registration of fiducial markers with an image guidance system and temperature monitoring via magnetic resonance imaging thermography.

Abstract: An apparatus, including a magnetic field generator, a first magnetic field sensor configured for attachment to a proximal end of a surgical tool configured for insertion into a body, and a calibration device that includes a second magnetic field sensor and a proximity sensor, wherein the field sensors generate respective location signals responsive to a magnetic field emanating from the generator and traversing the field sensors. The apparatus includes a control unit, which receives the signals from all the sensors, extracts respective location and orientation coordinates of the field sensors based on the signals, computes a conversion relation between the coordinates of the first sensor and a distal end of the tool that is brought into contact with the calibration device, and subsequently applies the conversion relation, together with the coordinates of the first sensor, in providing a visual indication of a location of the distal end inside the body.

Abstract: A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of a surgical driver; engaging the first member with tissue of the patient anatomy via the surgical driver according to the implant strategy; manipulating the patient anatomy; acquiring data points representative of a position of the first member relative to tissue; and retrieving the data points from a computer database for attaching a second member with the first member. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: A method for providing positional relationship data, which represent the position of a marker device relative to a bone which it is affixed to, to a medical navigation system, including receiving bone registration data which represent locations of points on the surface of the bone, calculating, from the bone registration data, the current relative position between the bone and a medical instrument which bears the marker device, determining an offset between the current relative position and a desired relative position; outputting indication information which is based on the calculated offset, receiving bone re-registration data which represent locations of points on the surface of the bone, and calculating the positional relationship data from the bone re-registration data.

Abstract: A robotic system for preparing a bone to repair a bone fracture, includes a controllable guide structure configured to guide preparation of at least one bone piece during execution of a surgical plan and a control system configured to define the surgical plan. Defining the surgical plan includes determining a desired relationship between at least a first bone piece and a second bone piece that are separated by the bone fracture and planning preparation of the first bone piece to include a prepared anatomical structure configured to align the first bone piece with the second bone piece such that when aligned, the first bone piece and the second bone piece will achieve the desired relationship. The control system is further configured to control the controllable guide structure according to the surgical plan.

Abstract: Systems, methods and apparatus are disclosed for improving medical procedures and medical procedure management, and, more particularly, for tracking medical instruments throughout a procedure and assisting medical personnel throughout the procedure or at least at the conclusion of the procedure. In one form, an apparatus for tracking medical instruments throughout a procedure is disclosed having a single camera for tracking movement and/or detecting position of a plurality of medical instruments during a medical procedure as at least one of the plurality of medical instruments is moved between multiple zones at least including a first prep zone and a second procedure zone. The apparatus having a controller connected to and collecting images from the camera, and a display in electrical communication with the controller and/or the camera for displaying medical instrument data pertaining to the movement and/or position of the plurality of medical instruments.

Abstract: A robotic system for performing spine surgery. The robotic system comprises a robotic manipulator and a navigation system to track a surgical tool relative to a patient's spine. The robotic system may be controlled manually and/or autonomously to place implants in the patient's spine.

Abstract: A robot system which includes a manipulator configured to receive a manipulating instruction from an operator, a slave arm having a plurality of joints, and a control device configured to control operation of the slave arm. The control device is configured, while the slave arm is operating at a speed equal to or higher than a first given the threshold, even when an operational instruction value for correcting the operation of the slave arm is inputted from the manipulator during an automatic operation of the slave arm, to prevent the correction of the operation of the slave arm.

Abstract: A medical manipulator system including: a placement table on which a patient is placed; at least one manipulator configured to support a treatment tool which is configured to treat the patient, the manipulator configured to adjust a position and an orientation of the treatment tool; a base portion configured to support the manipulator; a sensor configured to detect objects which are present in a predetermined area including the manipulator and the placement table; and a controller including at least one processor, wherein the processor is configured to: calculate degrees of proximity between the objects detected by the sensor and the manipulator, and generate, in case that the calculated degrees of proximity exceed a predetermined threshold, a control signal for preventing interference between the objects and the manipulator.

Abstract: A drive assembly of an instrument drive unit, is provided. The drive assembly includes a drive screw, a drive nut, a follower, a biasing element, and a drive element. The drive nut is threadedly engaged with a threaded portion of the drive screw such that rotation of the drive screw results in longitudinal movement of the drive nut. The follower is longitudinally slidable with respect to the drive screw. The biasing element is disposed in mechanical cooperation with the drive nut and the follower. The drive element is disposed in mechanical cooperation with the follower. Longitudinal translation of the drive element is configured to drive a function of the surgical instrument.

Abstract: Drape systems, apparatuses and methods are provided. In some aspects a drape may create an impervious barrier for preventing medical contaminants from contaminating a medical table and/or a medical table base. One drape embodiment includes a central portion, a first end cover and a second end cover, and first and second side portions having fold portions for forming troughs. A drape embodiment may include an absorbent surface having a discontinuous section and in inner perimeter for forming a barrier about a medical table base.

Abstract: A medical supply case or cabinet is provided having a case body. A first hinged door is providing access to a first compartment residing within the case body. A retaining mechanism has a peg spaced apart from the first hinged door such that the peg may receive an aperture of the first medical item when in a first configuration. When the retaining mechanism is in the second configuration the peg remains disposed through the aperture of the first medical item which is secured between the first hinged door and a securing member. The medical supply case can include a second hinged door that provides access to a second compartment. Additionally, the first hinged door may reside within the second hinged door.

Abstract: Systems and methods for an extended tissue expander according to various aspects of the present technology may function in conjunction with a graft material for temporary implantation into a patient to form a pocket for a permanent implant. Systems and methods may comprise an extended tissue expander comprising an extension portion that may be integral to a posterior section of a shell of the extended tissue expander, wherein the extension portion extends from the posterior section forming an at least partially continuous annular rim around the circumference of the shell. The graft material may overlay an anterior portion of the shell and may be coupled to the at least partially continuous annular rim with bioabsorbable sutures. Upon implantation, the shell may be partially filled with a filler material until the graft material is gently pressed against a posterior portion of the patient skin flap, promoting its integration.