Abstract: Methods for resetting a fuse in a surgical instrument are disclosed.

Abstract: An end effector is disclosed. The end effector can include a staple cartridge comprising a staple comprising a first leg. The end effector can also include an anvil comprising a tissue compression surface, wherein a plurality of pockets are defined in the tissue compression surface, wherein the plurality of pockets comprises a pocket comprising a first cup configured to form the first leg. The first cup can comprise a first lateral side, a second lateral side, and a bottom intermediate the first lateral side and the second lateral side, wherein the bottom defines a depth relative to the tissue compression surface, and wherein the depth varies longitudinally along the length of the bottom. The first cup can further comprise sidewalls extending from the respective lateral sides to the bottom, wherein the sidewalls are defined by entirely-curved surfaces.

Abstract: A trigger assembly of a surgical instrument includes a trigger, a first linkage, a second linkage, and a slider block configured such that moving the manipulation portion in a first direction relative to a housing of the surgical instrument translates the slider block along a longitudinal axis relative to the housing. Another trigger assembly of a surgical instrument includes a trigger and a coupling sphere rotatably captured within a cavity of a retention portion of the trigger such that movement of a manipulation portion of the trigger relative to the housing translates the coupling sphere along the longitudinal axis relative to the housing.

Abstract: A cartridge assembly includes a cartridge channel, a support plate, a staple cartridge supported within the support plate and the cartridge channel, and compression members. The compression members are supported on support flanges of the support plate between the staple cartridge and the cartridge channel to facilitate movement of the staple cartridge in relation to the cartridge channel to accommodate tissue of different thicknesses.

Abstract: An end effector for a surgical clip applier includes a housing, opposed first and second jaw members extending past a distal end of the housing and each comprising an independent structure movable relative to the other, a first cam track provided on the first jaw member and a second cam track provided on the second jaw member, and a cam providing first and second cam surfaces slidably engageable with the first and second cam tracks, respectively. A biasing device continuously urges the cam in a distal direction relative to the first and second jaw members, wherein the first and second cam surfaces and the first and second cam tracks are angled such that axial movement of the cam in the distal direction relative to the first and second jaw members causes the jaw members to close.

Abstract: Devices and methods for deploying self-cinching surgical clips. A device can access at least two layers of tissue or material from only one side of the tissue or material and puncture through the two layers of tissue or material. The various configurations of clips disclosed herein can be made of a superelastic material such as Nitinol, and have a constrained and a relaxed state, and no sharp edges or tips so as to reduce tissue irritation following deployment. The clip can be disposed within the housing of the delivery device and held in a constrained state until deployment wherein the clip assumes its relaxed state, where the ends of the clip can be brought into close approximation, thereby securing the layers of tissue or material together.

Abstract: A surgical stapling device includes an anvil assembly having a center rod and an anvil head that is pivotally coupled to the center rod. The anvil head supports a cut ring assembly that is movable between a pre-fired or retracted position in which the cut ring is positioned to retain the anvil head in an operative position and an advanced position in which the cut ring assembly is positioned to allow movement of the anvil head to a tilted position. The anvil assembly also includes at least one support member that is movable from a pre-fired position extending into the anvil head to an advanced position extending from the distal end of the anvil head to allow the cut ring assembly to move from the first position to the second position. The at least one support member can be returned to the pre-fired position after the stapling device is fired and the anvil head has tilted to reset the anvil head to the operative position.

Abstract: A device for delivering an implant (e.g., an embolic micro-coil) to a vascular disorder of a patient includes a delivery pusher, a moveable element, and first and second elongate members. The delivery pusher defines a lumen between its proximal and distal ends. The moveable element (e.g., a floating tube or a floating coil) defines a passageway therethrough and is disposed within the lumen of the delivery pusher. The first and second elongate members (e.g., core wires) are also disposed within the lumen of the delivery pusher. A portion of each elongate member passes through the passageway of the moveable element. Movement of the first elongate member in a first direction (e.g., retraction of the first elongate member from a locked to an unlocked configuration) causes a time-delayed or lost motion movement of the second elongate member in the same (i.e., first) direction, which releases the implant from the delivery pusher.

Abstract: Devices, systems, and methods for occluding cavities or passageways in a subject, such as the left atrial appendage of a subject's heart. The devices, systems, and methods can be used to decrease the rate of thromboembolic events associated with atrial fibrillation by occluding the left atrial appendage.

Abstract: A bristle device (8) for delivery into a body lumen comprises a longitudinally extending stem and a plurality of bristles extending generally outwardly from the stem for anchoring the device in a body lumen. There may beat least two bristle segments (96) and there are flexible sections (95) between the segments (96). The flexible sections (95) articulate to enable the device to pass through a catheter placed in a tortuous anatomy or to be deployed in a curved vessel, or across a bifurcation. In some cases at least some of the bristle segments (96) are spaced-apart to accommodate bending of the bristles.

Abstract: Delivery systems for liquid embolics and methods of using them are disclosed. The devices generally include a catheter and one or more retention elements to limit migration of the liquid embolic to non-target sites.

Abstract: A tourniquet includes: a baseplate with first and second ends; a strap having first and second ends, the strap having a first portion adjacent its first end, and a second portion adjacent its second end; a lever with proximate and distal ends, wherein the proximate end is pivotally connected to the baseplate, and the distal end is free; wherein the first end of the strap is pivotally connected to the lever intermediate to the proximal and distal ends; and a connector assembly operable to selectively connect the second portion of the strap to the baseplate, so as to form a closed loop, the connector assembly operable to permit a length of the closed loop to be adjusted; and wherein the baseplate includes an integral lever anchor disposed between the first and second ends of the baseplate, the lever anchor receiving the proximate end of the lever.

Abstract: The saw blade comprising a bar and a blade. The distal end of the bar formed with a distal end opening and a discharge port formed in at least one of the top and bottom faces that opens into the distal end opening, the discharge port for discharging debris. The bar is formed with a geometric feature for receiving a coupling member to hold the bar to the saw, the geometric feature being an opening that extends through the bar. The blade having a blade base disposed in the distal end opening of the bar and a blade crown that extends forward from the blade base and forward of the distal end of the bar.

Abstract: The invention relates to a medical sawing template system, comprising an aligning apparatus for aligning a medical sawing template relative to a human or animal bone, which aligning apparatus comprises at least one fastening element receptacle for a fastening element fixable in bone, a first coupling member which is coupleable or coupled to a sawing template, a distance-changing device for varying a distance between the fastening element receptacle and the first coupling member, and an angle-changing device for varying an angle between the fastening element receptacle and the first coupling member, wherein the distance-changing device comprises a distance-setting member which is rotatable about a distance-setting member rotational axis, and/or wherein the angle-changing device comprises an angle-setting member which is rotatable about an angle-setting member rotational axis.

Abstract: A cutting assembly (200) is configured for use with an electromagnetic tracking system (1). The cutting assembly comprises a bur assembly (10) and a sheath assembly (100). The sheath assembly comprises a sensor (135) configured to measure an electrical field around the cutting assembly, a wire (130) configured to operably connect the sensor and an external computing device (6), and a sensor mount (110) affixed to at least a portion of the sheath assembly, the sensor mount configured to house the sensor and at least a portion of the wire. The sheath assembly is configured to receive at least a portion of the bur assembly such that any impact from magnetic interference caused by, for example, a cutting device (40) within the bur assembly on the sensor is minimized when the cutting device is cutting a patient's bone.

Abstract: The invention relates to devices and methods for creating a curvilinear cavity within a vertebral body or other body structure. An example method of forming a void in bony structure includes accessing a bony structure with a cannula, inserting a distal end of a combined drill and reaming device through the cannula and into the bony structure, manipulating the distal end of the combined drill and reaming device to create a void in the bony structure, and removing the distal end of the combined drill and reaming device from the cannula.

Abstract: A targeting system (1) for the guided insertion of a guide wire (50) or a bone screw comprising: a stabilization body (2) fixed to the bone by means of stabilization screws (3); a guide sleeve (4) adapted to receive a guide cannula (5) for the insertion of the guide wire (50) or bone screw; articulated connection means (6) adapted to connect the stabilization body (2) to the guide sleeve (4) and allow the relative spatial position of the guide sleeve (4) to be varied with respect to the stabilization body (2).

Abstract: A minimally invasive surgical drill guide includes an elongated drill jig having at least one drill guide opening for defining a location and drill element guide axis for placement of a surgical drill element. The drill jig can have an engagement end with engagement structure. A positioning arm includes an elongated shaft with an axis and a locating end portion shaped to engage a bony part of a patient. The elongated shaft can have engagement structure for engaging to the engagement structure of the drill jig to support the drill jig crosswise relative to the position arm and to support the drill guide opening of the drill jig at a location remote from the axis of the elongated shaft of the positioning arm. The drill jig can be detachable from the positioning arm. A method for minimally invasive surgical drilling is also disclosed.

Abstract: An apparatus for extraction of osseous tissue is disclosed. The apparatus includes a fixed portion and a clamp oriented along a generally central area of the fixed portion. The apparatus includes a first bone cutting device and a second bone cutting device coupled to the fixed portion and oriented around the clamp. The first bone cutting device and the second bone cutting device are coupled to the fixed portion using respective joints that accommodate orientations of the first bone cutting device and the second bone cutting device relative to the fixed portion along different horizontal and vertical axes. The clamp is configured to engage a first bone portion during a surgical procedure. The first bone cutting device and the second bone cutting device are configured to remove a second bone portion.

Abstract: Disclosed are improved orthopedic tools and methods for use during orthopedic surgical procedures, including joint arthroplasty and joint replacement procedures. More specifically, disclosed herein are improved apparatus for preparing bone and/or soft tissue of the spine and/or other regions for implantation of intervertebral implants.

Abstract: Jigs for guiding femur and tibia resectioning in knee surgery contain bone-jig contact surfaces and a cutting guide as a single unitary piece. Contact surfaces are curvilinear surfaces formed into ends of projections from a jig base. Each jig has three pairs of contact surfaces selected to abut low-wear, lateral and medial, articular surface features, such that only one self-locking position against the bone (or cartilage) is possible and the integral cutting guide will define only one cut plane for the resectioning. An improved rotational transformation that converts scan views into desired proper axes is based on projections of rotated coordinates onto the plane of rotation to produce parameters that closely correspond to the joint surfaces in the desired jig coordinates.

Abstract: A method of restoring perfusion to a blood vessel with an obstruction. The method includes delivering an expandable member into the blood vessel, said expandable member having a tubular mesh defined between a proximal end and a distal end; causing the expandable member to expand and compress the obstruction; and dislodging the obstruction to restore blood flow through the blood vessel.

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: A medical device includes a handle with a proximal arm and a distal arm. The proximal arm and the distal arm are pivotable via a joint. The medical device also includes a tube coupled to the distal arm and a drive wire. A distal portion of the drive wire includes an expandable end effector. A portion of the drive wire is positioned within the tube, and a different portion of the drive wire extends proximally of the distal arm and is coupled to the proximal arm.

Abstract: A catheter including a mesh member having a tubular shape and being radially expandable and contractable, a first hollow shaft connected to a proximal end of the mesh member, a distal end tip, and a core wire. The first hollow shaft includes a distal end side shaft having a distal end connected to the proximal end of the mesh member and a proximal end side shaft having a distal end connected to a proximal end of the distal end side shaft. An opening is provided at the proximal end of the distal end side shaft in a connection portion between the distal end side shaft and the proximal end side shaft. A sealing member covering an outer periphery of the core wire and allowing the core wire to be slidable thereinside is arranged at the distal end of the proximal end side shaft in the connection portion.

Abstract: The invention provides a pair of dual-purpose forceps, comprising a first forceps body and a second forceps body. When the first forceps body is connected with the second forceps body by means of a first pressurizing connecting member and a second pressurizing connecting member, a first handheld member and a second handheld member move towards each other, and a first pressurizing functional member and a second pressurizing functional member also move towards each other to complete pressurizing; when the first forceps body is connected with the second forceps body by means of a first opening connecting member and a second opening connecting member, the first handheld member and the second handheld member move towards each other, and a first opening function member and a second opening function portion face away from each other to complete opening.

Abstract: A surgical instrument includes an articulation joint and end effector extending distally from the articulation joint, wherein the end effector comprises a drive pin movable between a first position and a second position. Furthermore, the surgical instrument includes a shaft extending proximally from the articulation joint, and an articulation driver configured to move the drive pin from the first position to the second position to transition the end effector from an unarticulated configuration to an articulated configuration. Also, the surgical instrument includes a pin slot extending from the articulation driver, wherein the pin slot is configured to movably accommodate the drive pin in the unarticulated configuration, and wherein the pin slot is configured to tightly accommodate the drive pin in the articulated configuration.

Abstract: A surgical instrument includes a shaft portion which at least partly houses an axially movable cutting element. A handle receives the shaft portion. A trigger element for the cutting element is movably arranged on the handle. The instrument also includes a coupling mechanism which converts a rotation of the trigger element into an axial movement of the cutting element with the interposition of a pinion. The coupling mechanism is designed such that the rotation of the trigger element produces a rotation of the pinion about the central axis thereof and additionally an axial movement of the central axis.

Abstract: A medical device has a rotatable drive shaft, a rotary body whose distal end includes a cutting edge for applying a cutting force to a stenosed site, and that is disposed on a distal side of the drive shaft so as to be rotated in conjunction with rotation of the drive shaft, and a distal member disposed in the rotary body. The distal member has a support portion extending to a distal side beyond a distal end of the rotary body, and configured to be capable of supporting the rotary body with respect to a blood vessel. The support portion is configured so that a distance from the rotary body is variable in a first direction (height direction) in which the rotary body is moved close to the stenosed site.

Abstract: The present disclosure relates to the field of endovascular treatment. More particularly, the present invention uses a modified hydrogel intrasaccular occlusion device designed to implement an endovascular treatment to ameliorating or eliminating aneurysm recurrence, which hydrogel may optionally be impregnated with pharmaceutical compounds. The present invention also teaches the use of thin hydrogel coatings to ameliorate endovascular treatment related difficulties.

Abstract: An atherectomy system includes a drive mechanism adapted to rotatably actuate an atherectomy burr and a control system that is adapted to regulate operation of the drive mechanism. The drive mechanism may include a drive cable that is coupled with the atherectomy burr and a drive motor that is adapted to rotate the drive cable. The control system includes a drive module adapted to provide an operational signal to operate the drive mechanism, a monitoring module adapted to monitor operation of the drive mechanism and to determine if the drive mechanism is operating within a predetermined range and an excitation module that is operably coupled to the drive mechanism and is adapted to provide haptic feedback to a user of the drive mechanism if the monitoring module determines that the drive mechanism is not operating within a predetermined range.

Abstract: An endoluminal punch system including a sheath and dilator. The endoluminal punch may include energy delivery system capable of being transmitted from the proximal end to the distal end of the endoluminal punch to assist with tissue crossing and incisions. The dilator may include selectively deployable cutting mechanism to create incisions in tissue that are larger than their basic external diameter. The system may also be configured to reduce the risk of generating plastic emboli during insertion of the endoluminal punch.

Abstract: A detachable handle assembly for a tool, the tool for creating a sub-sternal tunnel in a patient. The handle assembly includes a lock-and-release mechanism by which the tunneling assembly is attached to the handle, the mechanism being operable to detach the handle from the tunneling assembly. The handle assembly also may include a knob that interlocks with the tunneling assembly, the knob being configured for engagement by fingers of an adult hand to apply a force to rotate a boring tip of the tunneling assembly.

Abstract: A colpotomy system includes a colpotomy cup that extends to a distal surface and defines a longitudinal axis. The colpotomy system further includes a cutter operably coupled to the colpotomy cup and configured to travel along an arcuate path defined about the distal surface of the colpotomy cup. The cutter actuatable to separate a uterus from a vagina as the cutter rotates about the longitudinal axis of the colpotomy cup.

Abstract: A uterine manipulator includes a handle assembly and a shaft extending distally from the handle assembly. An end effector assembly is disposed at a distal end portion of the shaft and includes a cervical cup and a distal tip extending distally from the cervical cup. A specimen containment system is supported on the shaft between the handle assembly and the end effector assembly. The specimen containment system includes a sleeve having a proximal end portion and a distal end portion, and a specimen containment bag having a first end portion and a second end portion. The specimen containment bag is supported within the sleeve and is movable from an initial position, wherein the specimen containment bag is disposed within the sleeve, to a deployed position, wherein the specimen containment bag is deployed from the sleeve.

Abstract: A fetus delivery assisting device (10) for assisting with the birth of a fetus. The device (10) comprises a shaft (16). At one end of the shaft (16) is a rigid base (18) to which an inflatable balloon (12) is mounted. The rigid base (18) and the inflatable balloon (12) are configured to accept a fetal head. The inflatable balloon (12) is configured to displace the fetal head from a pelvic cavity when inflated. The shaft (16) is configured for manipulating the inflatable balloon (12) to displace the fetal head from the pelvic cavity.

Abstract: An orthopaedic surgical instrument includes a customized patient-specific 5-in-1 cutting block having a plurality of ribs and cutting guide slots extending between each rib. A bone-facing surface of each rib has a customized patient-specific negative contour configured to receive a portion of a corresponding positive contour of the patient's femur.

Abstract: Disclosed herein are systems and methods for manipulating the orientation of a plurality of bone fragments with respect to one another. A bone transport frame including first and second rings, a plurality of elongate struts, and a plurality of ring transport assemblies for orienting a first bone segment with respect to a second bone segment is disclosed. A third ring may be included in the bone transport frame for orienting a third bone segment with respect to the first and second bone segments. Manipulation of an adjustable member of the bone transport frame can transport a ring in either a proximal or distal direction with respect to other rings of the frame. Manipulation of another adjustable member of the bone transport frame can translate a central axis of one of the rings either toward or away from the central axes of the plurality of elongate struts.

Abstract: Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element.

Abstract: A polyaxial bone anchoring device includes a receiving part with an upper member having a first end, a second end, and a recess at the first end for receiving a rod, and a lower member connectable around the second end of the upper member, and a pressure member positionable in the upper member to exert pressure on a head of a bone anchoring element. The lower member is movable from a first position where the head is pivotable, to a second position closer to the first end of the upper member where an angular position of the head is locked while the recess remains vacant or unobstructed. When the lower member is at the second position, at least part of the lower member is aligned axially with at least part of an end face at the second end of the upper member.

Abstract: A coupling assembly for coupling a rod to a bone anchoring element includes a receiving part with an accommodation space defining an opening for inserting and accommodating a head of the bone anchoring element, and a pressure element having a cap portion configured to hold the head. In an inserting position, the cap portion of the pressure element is expandable in the accommodation space of the receiving part, and a first retaining element is configured to prevent the pressure element from moving towards a first end of the receiving part. In a pre-locking position, the head is held in the cap portion of the pressure element and is pivotable in the receiving part, while the cap portion is restricted from expanding to prevent removal of the head, and where a second retaining element is configured to prevent the pressure element from moving from the pre-locking position towards the inserting position.

Abstract: A coupling assembly for coupling a rod to a bone anchoring element, including a receiving part having first and second ends, a recess at the first end for the rod, and an accommodation space for a head of the bone anchoring element, the accommodation space having an opening at the second end to permit insertion of the head into the receiving part, a retainer element configured to be arranged at least partially in the accommodation space and to hold at least part of the head, and a spring element configured to be arranged at least partially in the accommodation space and to be compressed in an axial direction. The retainer element and the spring element are separate parts. When the retainer element and the spring element are in the accommodation space of the receiving part in a first position, the spring element extends into the recess of the receiving part.

Abstract: A cannulated plunger assembly for setting a tether with anchors on both ends to extend between adjacent vertebrae. The cannulated form enables minimally invasive access to an evacuated space between the vertebral endplates. Each of the anchors are coupled to a respective one of a pair of plunger arms, the plunger arms being configured to deploy the anchors beyond an outer radius of a tubular housing. In some embodiments, in a retracted configuration, the pair of plunger arms are surrounded by the housing, and in a deployed configuration, the pair of plunger arms extend through an open distal end of and beyond an outer radius of the housing to drive the anchors into the vertebral end plates.

Abstract: Methods and apparatus for treating bones, including, in one or more embodiments, methods and apparatus for treatment of vertebral fractures that include a containment assembly for cement containment and/or a balloon assembly for maintaining vertebral height. A containment assembly comprising a containment jacket adapted to be deployed inside bone; and a dividing wall that separates the interior of the containment jacket into a proximal region and a distal region, the dividing wall having an opening for providing access to the distal region from the proximal region.

Abstract: A fastener, for example a bone screw, is sized to pass through a hole of an implant, for example a bone plate, the fastener having a shaft or anchor portion engageable with body tissue, and a head portion. A locking cap secures to the bone plate and covers the head to block the head and inhibit screw back out. Alternatively, or additionally, a locking disc located in the plate hole resiliently deflects downward to allow screw insertion, but is blocked to limit or prevent upward deflection so that screw back out is inhibited.

Abstract: A surgical implant system includes a surgical implant and at least one fixation device. The surgical implant includes a first side member, a second side member, a distal member and a proximal member. The first side member is disposed in opposed relation relative to the second side member, the first and second side members including distal and proximal ends. The distal member is disposed in opposed, spaced relation relative to the proximal member. The distal member extends across one end of the surgical implant between the first and second side member connecting distal ends of the first and second side members. The proximal member extends across a second end of the surgical implant connecting the proximal ends of the first and second side members. The fixation device is inserted in and advanced through osseous tissue and traverses the openings of the first and second side members.

Abstract: An orthopedic fixation system includes a sterile packaged implant kit and a sterile packaged instrument kit. The sterile packaged implant kit includes at least one surgical implant, an insertion device, and an implant package adapted to receive the at least one surgical implant and the insertion device therein. The implant package maintains the at least one surgical implant and the insertion device sterile after sterilization of the sterile packaged implant kit. The sterile packaged instrument kit includes one or more instruments necessary to use the sterile packaged implant kit and an instrument package adapted to receive the one or more instruments therein. The instrument package maintains the one or more instruments sterile after sterilization of the sterile packaged instrument kit.

Abstract: An instrument for bending a surgical rod includes first and second arm assemblies. The first arm assembly includes first and second arms having respective first and second receiving portions configured to receive the surgical rod therein. The second arm assembly includes third and fourth arms having respective third and fourth receiving portions configured to receive the surgical rod therein. The instrument is reconfigurable from an initial configuration in which the first and third receiving portions of the respective first and third arms engage the surgical rod such that transitioning the first and third arms towards each other bends the surgical rod in a first orientation and transitioning the first and third arms away from each other bends the surgical rod in a second orientation opposite to the first orientation.

Abstract: A surgical fastener applying device for releasable connection to an end effector is provided. The surgical fastener applying device includes an elongated body portion having an outer tube and an inner shaft assembly. The inner shaft assembly defines a non-circular bore in a distal end thereof. The inner shaft assembly is longitudinally movable through the outer tube. The outer tube and the inner shaft assembly define corresponding openings extending radially therethrough. The surgical fastener applying device includes a detent movable within the openings of the elongated body portion. The detent floats between the end effector and the elongated body portion to enable selective connection between the end effector and the elongated body portion.

Abstract: Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail.