Abstract: A fixing device and an installation tool and a fixing method of the cranial flap, wherein the installation tool comprises a driving part, a loading part and an over torque protection mechanism disposed between the driving part and the loading part, the driving part drives the loading part to rotate by the over torque protection mechanism, the loading part is used for tightening the cranial flap fixation device, when the torque of the driving part acting on the over torque protection mechanism is larger than the threshold value, the over torque protection mechanism will be separated from the driving part and/or the loading part. The present invention not only effectively improves the installation and disassembly efficiency of the installation tool, but also eliminates hidden safety hazards caused by uncertainties caused by human factors in the tightening process, significantly improves the safety of the installation process.

Abstract: A polyaxial offset lateral connector includes a body, an insert, and a connecting shaft. The body has a base that defines a receptacle and walls that extend from the base to define a saddle. The insert includes a cup and a pin that extends from a bottom surface of the cup. The connecting shaft has a connection portion and a neck extending from the connecting shaft to a ball. The ball is received within the receptacle of the body and defines a pin passage therethrough. The pin is the insert is received within the pin passage of the ball to prevent translation of the connecting shaft relative to the body.

Abstract: Correction of a scoliotic curve in a spine comprises the steps of implanting an expanding rod isolated completely under the skin and attached to selected portions of the scoliotic curve of the spine at opposing ends of the rod; and producing a controlled force by means of expansion of the rod over at an extended time period under external control until a desire spinal curve is obtained. An incremental force is generated to stretch the scoliotic curve of the spine between the selected portions where attachment of the rod is defined. The controlled force is provided steadily for at least one month or alternatively 1-3 months. Multiple rods may be employed each associated with a different scoliotic curve of the spine or a different portion of the scoliotic curve.

Abstract: A system for facet joint fusion includes a cannula having a body and a navigation arm mounted to the body. The navigation arm includes a base and a plurality of individual arms mounted to the base. The navigation arm also includes one or more markers mounted to the plurality of individual arms. The system also includes an imaging system configured to identify a position of the one or more markers relative to a facet joint of a patient. The system further includes a rotary tool that is configured to mount within the cannula. The rotary tool is configured to create a void in the facet joint by way of the cannula, and the void is configured to receive a bone graft or bone growth promoting material.

Abstract: A method comprises the steps of: fixing a distal end of a first member of a surgical instrument with tissue, the surgical instrument including a second member having a longitudinal passageway configured for disposal of the first member and being connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component, the navigation component being positioned relative to a sensor to communicate a signal representative of an orientation of the first member; removing the second member from the first member; and connecting a third member with the first member along the orientation such that a distal end of the third member is fixed with the tissue. Systems, spinal implants, constructs and instruments are disclosed.

Abstract: Briefly, the invention relates to a surgical tool and method for forming a pilot bore by inserting a guide wire into bone. More particularly, the device includes a cannulated hand grip and driving tool used for the rotation of a bone or pedicle screw into bone. The rear portion of the hand grip includes a slide assembly that is suited to grip a guide wire. The slide assembly includes a user adjustable stop to control the sliding movement of the guide wire. The rear surface of the slide is constructed to be impacted with a hammer or similar device, whereby the stop prevents the guide wire from penetrating the bone further than desired. A jack member is included to allow the wire to be precisely retracted.

Abstract: The disclosure provides systems and instruments that allow vigorous compression of two bone structures while minimally impeding visual access to the surgical site. This is achieved by use of a sleeve member that connects a stanchion to a lever. The system includes a stanchion member, a sleeve member dimensioned to at least partially encircle the stanchion member, and a compression lever including. The sleeve and the lever form a pivot point to allow the compression lever to rotate relative to the stanchion member when the sleeve is reversibly placed around the stanchion member.

Abstract: A femoral nail includes a proximal section, a distal section remote from the proximal section, and an intermediate section disposed between the proximal section and distal section and having first and second curved portions. The first curved portion is positioned closer to the proximal section than the second curved portion. The second curved portion is curved in a first plane, and the first curved portion is curved in the first plane and a second and third plane.

Abstract: An improved tibial plateau leveling osteotomy plate is disclosed. The plate is contoured in its proximal head portion to more closely resemble the structure of the tibial bone segment that is cut and rotated during the procedure. The plate also preferably has screw holes in the proximal head portion that are machined through the pre-contoured proximal head portion and are designed to angle the screw in a targeted screw path with respect to the osteotomy.

Abstract: The present invention discloses a blade structure, a hip screw and a femur fracture treatment device. The blade structure's body has a centrally radially symmetrical cross section. The centrally radially symmetrical cross section has a plurality of centrally radially symmetrical sections, on each of the section at least a cutting slot and two blades formed at corresponding top ends of two sides of the cutting slot respectively are defined, and a projection of a top end of each blade is located on a bottom wall of an interior of the cutting slot.

Abstract: A fusion device assembly for fusion of a joint, including a fusion device, including a distal end, a proximal end, a radially outward facing surface including threading, a bore extending from the proximal end, at least one flute arranged proximate the distal end, and at least one aperture arranged adjacent to the at least one flute, and a reversibly connected hollow drive shaft for insertion of said device which, in a some embodiments, is hollow to allow addition of supplementary bone graft materials or products, should this be desired, without altering the position of the deployed device.

Abstract: An inflatable bone tamp for performing a minimally invasive surgical procedure includes an outer shaft defining an internal lumen, an inflatable structure coupled to the outer shaft, and an inner shaft movably disposed within the internal lumen and coupled to a distal end region of the inflatable structure. The internal lumen is sized to receive the inflatable structure, such that by moving the inner shaft relative to the outer shaft, the inflatable structure can be retracted into the internal lumen (and likewise can be extended from within the internal lumen for deployment in bone). This retraction capability can beneficially protect the inflatable structure during positioning/removal, and can also enhance recovery from radial tears of the inflatable structure.

Abstract: An electrically driven orthopedic impactor may include an adapter for interfacing between the orthopedic impactor and a surgical implement. The adapter may have a first surface that transmits a forward impact energy and a second surface that transmits a reverse impact energy. The adapter can connect to the surgical implement and to the orthopedic impactor without the use of external tools. The adapter may connect to the orthopedic impactor via a pushing motion and may disconnect from the orthopedic impactor via a reciprocal sleeve. A sensor can communicate a spatial orientation of the adapter with respect to at least one reference point that is not located on the adapter or the orthopedic impactor. A communication device may transmit information to the orthopedic impactor related to frequency or impact energy settings based on a type of surgical implement attached to the adapter.

Abstract: A system including a controller to determine an in-body time of a medical device in a patient during a medical procedure. The controller to: receive signals from at least one temperature sensor; detect insertion of the medical device into the patient by one or more of determining the temperature of the medical device and determining the change of temperature of the medical device with respect to time; increment an in-body time counter to measure the in-body time of the medical device after detecting insertion of the medical device into the patient; detect that the medical device has been removed from the patient by determining that the change of temperature of the medical device with respect to time is negative; and stop incrementing the in-body time counter in response to detecting that the medical device has been removed.

Abstract: An apparatus for supply of coolant, particularly CO2 that is preferably provided in bottles, to cryosurgical instruments. The device may be a mechanical or thermal compression device. A pump may supply the CO2 taken from the bottle in a buffer container with a desired operation pressure. The pressure in the gas bottle can be less than the desired operation pressure. The apparatus includes a tempering device that is configured to bring the coolant to a desired temperature, particularly a temperature that is higher than the temperature in the gas bottle or in another storage container.

Abstract: Methods for at least partially eradicating a target tissue by apoptosis may include reducing the temperature of a device shaft on a tissue eradication device to a target temperature, vibrating the device shaft and inducing apoptosis in the target tissue by contacting the target tissue with the device shaft or injecting a cold fluid from the cannulated device shaft of the tissue eradication device into the target tissue. Tissue eradication systems are also disclosed.

Abstract: Exemplary embodiments of the present disclosure provide method and apparatus for effecting (e.g., lightening) an appearance of skin by cooling or freezing small separated surface regions of the skin to produce regions of local hypopigmentation. The width of the regions can be, for example, smaller than about 1 mm or 0.5 mm, and a distance between these frozen regions can be greater than about 3 times the width of the regions. An exemplary apparatus can be provided that includes a plurality of spatially-separated thermally conductive arrangements that can be affixed or otherwise coupled to a base. For example, the conductive arrangements can be regions of conductive material provided in or proximal to a thermal insulator, or thermally conductive protrusions affixed to the base. The conductive arrangements can be cooled and then contacted with the skin surface to produce the small regions of hypopigmentation.

Abstract: A vapor delivery needle is provided that may include any of a number of features. One feature of the energy delivery probe is that it can apply condensable vapor energy to tissue, such as a prostrate, to shrink, damage, denaturate the prostate. In some embodiments, the vapor delivery needle can be advanced a predetermined distance into the prostate by an actuation mechanism. The actuation mechanism can comprise, for example, a spring, or at least one magnet. Methods associated with use of the energy delivery probe are also covered.

Abstract: A portable wound treatment system that includes a treatment device and a portable generator that may be used for debridement of target tissue to remove devitalized tissue, manage bacterial biofilm, control the bacterial load, and facilitate wound closure and healing. The treatment device includes a handle, an interior cavity for receiving a conductive fluid, such as a saline solution, a conductive element disposed within the interior cavity, and a plurality of apertures configured to allow passage of the conductive fluid from the interior cavity. The portable generator generates and transmits energy to the conductive element, which is then carried by the conductive fluid passing through one or more of the apertures for coagulation and/or ablation of a target tissue.

Abstract: An electrosurgical system having an ultrasound generator, configured to emit a high-frequency electrical signal, and an ultrasound instrument, including an ultrasound transducer configured to convert the signal into an ultrasound oscillation, wherein the generator is further configured to determine a resonance frequency of the transducer and adapt a frequency of the signal to the resonance frequency, and wherein the generator is further configured to detect a phase position between the current and the voltage of the signal and based on the detected phase position to determine whether the frequency of the signal corresponds to the resonance frequency. To enable the resonance frequency of the transducer to be determined correctly irrespective of component tolerances, the electrosurgical system is characterized in that the generator is configured to consider, during determination of the phase position, correction values, which are or can be stored in a memory of the generator and/or of the instrument.

Abstract: Systems and methods for performing and controlling ablation therapy. Examples provide adaptive therapy outputs that allow a user to select among various feedback parameters, parameter limits, and therapy profiles, to be implemented by an ablation system. The ablation system adaptively issues therapy by monitoring one or more feedback parameters to determine changes to make to therapy outputs.

Abstract: A medical apparatus includes a probe configured for insertion into a body of a patient and comprising an array of electrodes disposed along the probe and configured to contact tissue within the body. An electrical signal generator applies sequences of bipolar pulses over one or more trios of the electrodes, each trio including first, second and third neighboring electrodes, such that the second electrode is disposed between and adjacent to the first and third electrodes. While the probe contacts the tissue, the electrical signal generator applies the sequences of the bipolar pulses between the first and second electrodes during one or more first time intervals, and between the second and third electrodes during one or more second time intervals, and between the first and third electrodes during one or more third time intervals, wherein the first, second and third time intervals are mutually disjointed.

Abstract: A method includes providing a graphical representation of a surgical site, grasping the tissue of the patient with first and second jaw members of an end effector including a location sensor, irradiating a laser onto the grasped tissue at the first jaw member, detecting laser speckle data from the grasped tissue at the first jaw member, processing the laser speckle data to identify a vessel which is encompassed within the grasped tissue by generating a laser speckle image, receiving location information of the end effector from the location sensor, synchronizing a location of the identified vessel within the graphical representation based on the location information, and displaying the identified vessel at the synchronized location in the graphical representation.

Abstract: An electrosurgical forceps includes first and second shaft members pivotably coupled to one another via a pivot member such that pivoting of the first and second shaft members between spaced-apart and approximated positions pivots jaw members thereof between open and closed positions. A knife is translatable between retracted and extended positions. A knife deployment mechanism is operably coupled to the first shaft member and includes at least one trigger and at least one linkage coupling the at least one trigger with the knife such that pivoting of the at least one trigger relative to the first shaft member translates the knife between the retracted and extended positions. A knife lockout biased towards a locked position inhibits distal translation of the knife. The knife lockout is movable from the locked position to an unlocked position upon approximation of the jaw members to permit distal translation of the knife.

Abstract: A surgical instrument with insulating grips is described. The grips can include internal metal frames that are arranged to limit electrical conductivity within the grips and to other components that attach to a grip, such as a ratchet. The internal metal frames can be constructed of multiple internal portions, spatially separated from one another to interrupt electrical conductivity between the internal portions, but coated with an insulating overmold to provide mechanical coupling between the portions. An internal metal frame can also include a notch, cut-out, or other region partially surrounded by the structure of the internal metal frame, which can be coated with an insulating overmold to define a region of the grip that does not have an internal metal frame therein but which can include an attachment point for mechanically coupling other components while limiting electrical coupling between the metal frame and the other components.

Abstract: A treatment tool includes: an elongated shaft; a probe that protrudes from a distal end of the shaft; a movable jaw that is mounted in a rotatable manner; and a swing arm that is mounted on the movable jaw. The swing arm is capable of gripping living tissue with the probe and swinging with respect to the movable jaw. The movable jaw includes a first regulating surface that can contact a proximal end portion of the swing arm to regulate swinging of the swing arm in one direction, and a second regulating surface that can contact another region in the proximal end portion of the swing arm to regulate swinging of the swing arm in another direction.

Abstract: The invention provides an innovative low cost, efficient, short duration, and painless minimally invasive device and method for tightening sagging skin through linear tensing and stimulation of collagen production. More particularly still, the device and method not only allow applying heat directly in the dermis layer of the skin, but also allows for administering an anesthetic and optionally additional ant-inflammatory or collagen induction fluids through the same apparatus.

Abstract: This invention relates generally to apparatus and methods for tightening tissue of the female genitalia by heating targeted connective tissue with radiant energy, while cooling the mucosal epithelial surface over the target tissue to protect it from the heat. Embodiments include a treatment tip that comprises both an energy delivery element and a cooling mechanism. As the treatment tip contacts the epithelial mucosa, the tip cools the mucosa by contact, and delivers energy through the epithelium to the underlying tissue, thereby creating a reverse thermal gradient. The effect of the applied heat is to remodel genital tissue by tightening it. Such remodeling may include a tighter vagina and a tighter introitus. The tightening may be a consequence of thermal denaturation of collagen as well as a longer term healing response in the tissue that includes an increased deposition of collagen.

Abstract: Methods and devices are disclosed for puncturing tissue, comprising a puncture device for puncturing tissue and a supporting member for supporting the puncture device. The puncture device is capable of being insertable within the supporting member and being selectively usable in co-operation therewith during a portion of a procedure for puncturing tissue and wherein the puncture device is usable independently therefrom during another portion of the procedure. The puncture device comprises visual or tactile markers for determining the relative positioning between puncture device and supporting member.

Abstract: Systems for controlling ablation procedures that include a user interface. The user interface can include a display; and a memory with a computer executable method stored thereon, the computer executable method adapted to cause to be displayed on the display a plurality of interactive elements for controlling one or more aspects of the ablation.

Abstract: Devices, systems and methods are provided for deployment of one or more functional devices, such as therapeutic and/or diagnostic medical devices and/or positioning devices, at various locations relative to a defined operative path. The devices, systems, and methods can include a guide system and a positioning element. The guide system defines the operative path when deployed within a patient's body. The positioning element cooperates with the guide system to define one or more positions relative the defined operative path from which the one or more functional devices are deployed. The present inventions allow for the accurate and reliable placement of the one or more functional devices at the one or more positions relative the operative path. In one embodiment, the functional device is an ablation device adapted to ablate cardiac tissue for the treatment of cardiac arrhythmias, such as atrial fibrillation.

Abstract: Various catheters with expandable and contractible fluid pathways extending therethrough, and methods of use, are provided herein. In an exemplary embodiment, a catheter is provided with an elongate body having an electrode at the distal end thereof. One or more expandable members or wings can extend between the electrode and the distal end of the elongate body. The catheter can also include an actuator extending therethrough and coupled to the electrode such that movement of the actuator is effective to advance and retract the electrode, thereby moving the one or more expandable members between a collapsed configuration and an expanded configuration. The catheter can also include a fluid sealed lumen formed therein and configured to receive fluid and to deliver fluid to one or more pathways formed in the electrode. The actuator can extend through the fluid sealed lumen, however it can be fluidly separated from the lumen.

Abstract: An ablation catheter including a tip coupled to a distal end of a shaft. The tip can include a displacement feature between a proximal portion and a distal portion of the tip. The distal portion can be configured to move with respect to the proximal portion based on the displacement feature. A first optical fiber can be coupled to the proximal portion. A second optical fiber coupled to the distal portion and optically aligned with the first optical fiber. The second optical fiber can be positioned at a distance from the first optical fiber and can be configured to move with respect to the first optical fiber according to a displacement of the distal portion of the tip. A fluid can be located between the first optical fiber and the second optical fiber.

Abstract: A beauty device (1, 2, 3) includes rollers (220, 226-1, 226-2), at least one part of which is in contact with skin and a center portion and an end portion of which have different diameters, an irradiation unit (212) that irradiates the skin with light, and a control unit (130, 315, 135, 316) that controls the irradiation unit based on the rotation of the rollers.

Abstract: A reverse retropulsion device can include a lithotripter, a collection passage, and an energy directing device. The lithotripter can be configured to deliver energy to tissue located at a tissue forming region. The collection passage can be positionable at or near the body lumen. The energy directing device can be positionable near the lithotripter and the collection passage. The energy directing device can be configured to propel the tissue toward the collection passage.

Abstract: A method, an apparatus, and a device for simulating a travel path of a catheter in a blood vessel. The method comprises: determining a preset path for the catheter to travel in a target artery segment based on extending direction of an artery, wherein the target artery segment refers to an artery segment which is subsequently subjected to catheter path simulation and includes an aneurysm (S101); simulating the travel path of the catheter in a lumen of the target artery segment (S102); and correcting the travel path based on the preset path to obtain a corrected travel path (S103); in this way, the resulting simulated and corrected travel path of the catheter may characterize the actual travel path of the catheter in the artery and may also reflect a substantial shape of the catheter indwelling in the lumen of the artery, wherein the corrected travel path highly agrees with the shape of the artery.

Abstract: The present invention is related to the medical field, especially to plastic, aesthetic, cosmetic, reconstructive, and any other procedure dealing with changes or improvements in physical appearance. More particularly, the invention pertains to applications of a community software platform for educating patients about the advantages and potential risks of surgical and non-surgical procedures in the field of cosmetic, plastic, or reconstructive medicine, and for obtaining patient consent. Additionally, the software platform provides enhanced methods for providing patient education and performing post-operation monitoring by generating computer simulations of outcomes and potential complications and providing augmented reality renderings of the simulations.

Abstract: Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing a shoulder surgery guide based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants in patients undergoing shoulder surgery.

Abstract: Examples of an orthopedic surgical device for use in operating on a target bone and methods for operating a system for use in orthopedic surgery on a bone are generally described herein. An orthopedic surgical device can include an primary positioning block, and a secondary positioning component removably coupled to the primary positioning block. The secondary positioning component can be configured to: engage a prepared engagement feature machined into the target bone, and guide the primary positioning block to a predetermined position on a target bone. The orthopedic surgical device can include a first cutting block configured to: removably couple to the primary positioning block, and guide a cutting tool to cut the target bone.

Abstract: Disclosed herein are device and methods for determining an orientation of an instrument for inserting a medical device in a bone. One such method includes simulating an insertion point and an orientation of a simulated surgical hardware installation on a diagnostic representation of the bone, and then using an electronic device to align an instrument for inserting a surgical hardware installation at a desired orientation through an insertion point of the bone by indicating when an orientation of the electronic device is within a threshold of the simulated orientation.

Abstract: A surgical instrument comprises a first member extending between a proximal end and a distal end configured for fixation with tissue. A second member defines a longitudinal passageway and is connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component. The navigation component is positioned relative to a sensor to communicate a signal representative of an orientation of the first member. A third member extends between a proximal end and a distal end. The third member is mountable with the first member along the orientation such that the distal end of the third member is engageable with the tissue. Systems, spinal implants, constructs and methods are disclosed.

Abstract: A surgical system includes a camera tracking system that determines a first pose transform between a first object coordinate system and the first tracking camera coordinate system based on first object tracking information from the first tracking camera which indicates pose of the first object. The camera tracking system determines a second pose transform between the first object coordinate system and the second tracking camera coordinate system based on first object tracking information from the second tracking camera indicating pose of the first object, and determines a third pose transform between a second object coordinate system and the second tracking camera coordinate system based on second object tracking information from the second tracking camera indicating pose of the second object. The camera tracking system determines a fourth pose transform between the second object coordinate system and the first tracking camera coordinate system based on combining the first, second, and third pose transforms.

Abstract: A computer-assisted medical system includes a user device wearable by an operator. The user device includes a display device configured to present imagery overlaid in an environment of a manipulator assembly, and a sensor configured to detect one or more landmarks in the environment. The medical system includes a controller configured to execute instructions to perform operations The operations include receiving, from the sensor, position or orientation information for the one or more landmarks in the environment, and directing a manual movement of a portion of the manipulator assembly by causing the display device to present the imagery overlaid in the environment based on the received position or orientation information.

Abstract: Methods and systems for outputting depth data during a medical procedure on a patient. Depth data is outputted, representing at least one of relative depth data and general depth data. Tracking information about the position and orientation of a medical instrument and depth information about variations in depth over a site of interest are used. Relative depth data represents the depth information relative to the position and orientation of the instrument. General depth data represents the depth information over the site of interest independently of the position and orientation of the instrument.

Abstract: An eye surgery surgical system includes a device for displaying a relative position of a section of a surgery object in a 3D reconstruction of a region of an eye, a device for continuously providing at least two data records relating to at least partly overlapping portions of the region of the eye and of the section of the surgery object to a computer, a computer program for continuously ascertaining the relative position of the section of the surgery object and continuously ascertaining the 3D reconstruction of the eye from the data records provided. The program includes a first routine for continuously ascertaining the relative position of the section of the surgery object and the 3D reconstruction of the region of the eye from the data records provided via a registration method and a second routine for adapting the registration method based on a criterion.

Abstract: Systems for detecting when catheter electrodes enter into and exit from an introducer are disclosed. In one form, a system detects a relative position of a catheter (comprising a marker band and an electrode) and an introducer (comprising a proximity sensor adapted to sense the marker band), while the catheter and introducer are in a human body. The system may comprise an electronic control unit to analyze signals from the catheter and/or the introducer, to determine whether the catheter electrode is within the introducer; and to disregard data collected from the electrode when that electrode is in the introducer. The sensor may be on the catheter and the sensed element may be on the introducer. The sensed element may comprise one or several marker bands. A marker band may be applied during the manufacture of a medical device or during its use and is any element capable of electromagnetic detection.

Abstract: A system and a method are used for assisting a user in a surgical procedure. Three dimensional (3D) positioning information about an anatomical structure of interest and 3D positioning information about a surgical tool are acquired. An augmented reality view of spatial relations between the anatomical structure of interest and one or more positions along a path of the surgical tool is created based on the 3D positioning information. The augmented reality view is displayed superimposed over a field of view of the user. The augmented reality view may be displayed on a head-mounted display. Fiducial markers may be placed near the anatomical structure to provide enhanced positioning information to the creation of the augmented reality view. Operation of the surgical tool may be controlled in view of relative positions of the surgical tool and of a given landmark indicative of the anatomical structure.

Abstract: A method includes providing a graphical representation of a surgical site, grasping the tissue of the patient with first and second jaw members of an end effector including a location sensor, irradiating a laser onto the grasped tissue at the first jaw member, detecting scattered laser that has passed through the grasped tissue, at the second jaw member, processing the scattered laser to calculate a first frequency shift and to identify a vessel which is encompassed within the grasped tissue, receiving location information of the end effector from the location sensor, synchronizing a location of the identified vessel within the graphical representation based on the location information, and displaying the identified vessel at the synchronized location in the graphical representation.

Abstract: An automated medical system and method for using the automated medical system. The automated medical system may comprise a robot support system. The robot support system may comprise a robot body. The robot support system may further comprise a selective compliance articulated robot arm coupled to the robot body and operable to position a tool at a selected position in a surgical procedure. The robot support system may further comprise an activation assembly operable to transmit a move signal to the selective compliance articulated robot arm allowing an operator to move the selective compliance articulated robot arm. The automated medical system may further comprise a camera tracking system and an automated imaging system.

Abstract: The systems and methods of the present disclosure are for use in a medical procedure, in which a connection mechanism is provided with a first end connected to a medical system interface at a first joint and a second end connected to an anatomic orifice device at a second joint. The anatomic orifice device is fixedly coupled to a patient. A flexible portion is provided between the first and second ends, the flexible portion being able to provide flexibility in at least one degree of freedom in response to movement of the anatomic orifice device.