Abstract: A suture passing device has a curved, slotted shaft with a piercing end and an integral suture grasper, allowing the surgeon to pierce through a first tissue portion with the device and extend a looped portion of monofilament loaded within the shaft into the repair site. The shaft is then rotated so that the monofilament is allowed to fall out of the shaft through the slot. The surgeon then pierces a second tissue portion with the device and extends the suture grasper to capture the looped portion of monofilament. The monofilament is retrieved through the second tissue portion and a suture is passed through the looped portion of the monofilament. Finally, the flexible member is used to pull the suture through the tissue and the suture can be tensioned to close the hip capsule.

Abstract: A trigger mechanism for a surgical instrument, particularly, a surgical stapling instrument provides significant mechanical advantages by increasing the length of the firing stroke of the surgical instrument while reducing the degree of movement of the trigger associated with the trigger mechanism. The trigger mechanism also reduces the forces required to actuate the trigger thereby enhancing usability and minimizing operator fatigue.

Abstract: A surgical stapling apparatus is provided and includes a housing having an actuator; an elongated member extending from the housing; an end effector disposed on an end of the elongated member, the end effector having a first jaw and a second jaw, the first jaw having a staple cartridge and the second jaw having a plurality of staple forming recesses; the staple cartridge having at least a first segment and a second segment, the first segment and the second segment each having a tissue contacting surface and staple receiving slots defined in the tissue contacting surface, the first segment and the second segment being biased toward the second jaw and movable; a biasing members for each of the first segment and the second segment; and a pressure sensor for each of the first segment and the second segment.

Abstract: Devices for use with combined external fixation and negative pressure wound therapy systems are disclosed. These devices include a clamping grommet for disposal about a percutaneous device and a wound dressing. Systems and kits including these devices, as well as methods of production and use thereof, are also disclosed.

Abstract: A wound closure device includes an elastic substrate and one or more microstructure arrays coupled to the elastic substrate via an adhesive layer. The device is long enough or wide enough to treat large wounds.

Abstract: An end effector for use with a surgical apparatus. The end effector comprising a staple cartridge having a tissue contacting surface defining a central longitudinal slot and an anvil plate having a tissue contacting surface defining a central longitudinal slot. A folded surgical buttress configured to overlie each of the tissue contacting surfaces of the staple cartridge and anvil plate and configured to retain the surgical buttress to the tissue contacting surfaces of each of the staple cartridge and anvil plate. The surgical buttress having a first longitudinal portion, a second longitudinal portion, and middle longitudinal portion between the first and second longitudinal portions, wherein the middle longitudinal portion is folded and configured to fit within the central longitudinal slot of each of the staple cartridge and anvil plate.

Abstract: A surgical device, or a portion of a surgical device, that places purse string sutures in tissue within a body (e.g., intra-peritoneal space). The surgical device includes, or an end effector for a surgical device includes, a jaw assembly, staple cartridges, and a suture.

Abstract: A surgical stapler includes an anvil half and a cartridge half. The anvil half includes an anvil channel member and an anvil surface. The cartridge half releasably couples with the anvil half and includes a cartridge channel member having a distal portion that receives a staple cartridge, and a latching member coupled to the cartridge channel member and movable between open and closed positions. A resilient member is arranged at a proximal end of one of the anvil half or the cartridge half, and a projection is arranged at a proximal end of the other of the anvil half or the cartridge half. The resilient member is configured to contact and releasably couple with the projection to thereby couple the proximal end of the anvil half with the proximal end of the cartridge half while the latching member is in the open position.

Abstract: A stapling device includes a handle assembly and an adaptor assembly extending from the handle assembly and including a sealed trocar assembly. The trocar assembly includes a trocar housing defining a lumen, an annular seal having an inner annular surface defining an inner opening, and a trocar disposed within the lumen of the trocar housing, through the inner opening of the annular seal, and movable through the lumen of the trocar and the inner opening of the annular seal, and a seal retainer operably coupled to the trocar housing and the annular seal. The trocar includes an elongate body portion having a distal end and a trocar member extending distally from the distal end of the elongate body portion.

Abstract: An endoscope clip can include an arm portion that can move into the following configurations: a closed configuration, a first open configuration in which the pair of arms are separated at a first distance, and a second open configuration in which the pair of arms are separated at a second distance larger than the first distance. The endoscope clip can also include an operation wire and a restriction portion configured to restrict movement of the operation wire to fix the arm portion in one of the possible configurations.

Abstract: One disclosed embodiment comprises a method for treating lesions in the carotid artery of a mammalian body. The method comprises transcervical access and blocking of blood flow through the common carotid artery (with or without blocking of blood flow through the external carotid artery), shunting blood from the internal carotid artery and treating the lesion in the carotid artery.

Abstract: An example system for deploying an intrasaccular implant to occlude an aneurysm can include the intrasaccular implant with a securing ring thereon, a pusher, a securing wire with an extended securing feature thereon, and a pull wire. The system can be sized to be delivered intravascularly within a microcatheter. During delivery and manipulation of the implant, the securing ring can be held between the pusher and the securing feature of the securing wire with the securing wire and pull wire extended through securing ring. To deploy the implant, the pull wire can be retracted proximally to thereby allow the securing feature to pass through the securing ring and release the implant. The pusher can include a hypotube and/or an extended pushing feature on the securing wire.

Abstract: The present application discloses various embodiments of a hemostasis device in the form of a kit having a compression element and a plurality of adjustable straps that permit for a customized fit of the hemostasis device on varied anatomy.

Abstract: A surgical saw apparatus, includes: A) a housing; B) a drive unit with a drive axle having a central axis; C) a deflection device, including: a connecting rod that is arranged movably in the housing, with a longitudinal axis, with a rear section and with a front section with members for a fixation of a sawblade; an eccentric shaft with at least one first section, which is arranged coaxially with the central axis of the drive axle and is connected with the drive axle, and with a second section which is eccentric relative to the first section, wherein the rear section of the connecting rod is a bearing for the eccentric second section of the eccentric shaft, and the front section of the connecting rod is a fixation device for a sawblade; and a guiding device for the connecting rod, wherein D) the guiding device includes first members for a limitation of a movement of the connecting rod, which are movable relative to the housing and which force a translational movement of the connecting rod coaxially with the lo

Abstract: A method of fusing a first bone and a second bone. An abrading and harvesting device is provided that includes a needle portion having a sharpened tip. The needle portion has a central bore extending therethrough. The needle portion has a proximal end and a distal end. The sharpened tip is attached to the distal end of the needle portion. A probe is provided having an unsharpened tip portion. The probe is extended between the first bone and the second bone. The needle portion is extended over the probe by passing the proximal end of the probe through the central bore. The first bone and the second bone are abraded with the sharpened tip to cause bleeding bone to be exposed on the first bone and the second bone. A device is placed along a path formed by the needle portion between the first bone and the second bone.

Abstract: An instrument for use in cartilage removal comprises an elongate body having a first end and a longitudinal axis having a longitudinal direction. A cartilage removal portion is coupled to the elongate body at the first end. The cartilage removal portion includes a plurality of serrated blades substantially perpendicular to the longitudinal axis and adapted for removing material while moving in the longitudinal direction. Each serrated blade has a centroid located along the longitudinal axis.

Abstract: The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

Abstract: A surgical device for removal of dorsal nasal hump, comprising: a handle (1) 30 mm broad, 100 mm long and 10 mm thick; connected to a rounded neck (2), 40 mm long and 5 mm thick; a working end (3), 8 mm broad, positioned at the distal part of a handle (1) where a working end (3) is semicircular from top and flat on the under surface. Under surface of a working end (3) contains two parts: a wrasping part (3A) 30 mm thick, tapered and blunt at tip and a cutting part (3B), 30 mm thick where the cutting part is positioned between a neck (2) and a wrasping part (3A). The cutting part (3B) comprises a collecting chamber (3B1), 10 mm long, 6 mm wide and 3 mm deep and a sharp blade (3B2), 6 mm wide positioned at proximal edge of collecting chamber. A metallic lid (3B3), 20 mm long and 7 mm wide disposed longitudinally where a knob (2A) positioned on the metallic lid (3B3), slides the metallic lid back and forth to cover and uncover the blade simultaneously.

Abstract: Various implementations described herein relate to a minimally invasive auxiliary tool for knee surgery. The tool comprises a handle in proximal position, a shaft defining an axis, and a shaped tip in distal position. In the tool: the handle, the shaft, and the shaped tip define a channel that connects the proximal end with the distal end of the tool; and the perimeter of the shaped tip comprises a plurality of sectors, wherein each sector is defined by a respective circular arc centred on the axis and wherein the circular arcs that define the various sectors have respective radii that are different the one from the others. Various implementations also include a kit comprising a tool and a bone reamer.

Abstract: Various embodiments disclosed herein relate to a humeral resection guide. The humeral resection guide can include a cutting block having a side surface and a cutting surface. The cutting surface can be configured to constrain at least one degree of freedom of movement of a cutting instrument during surgical alteration of the humerus. The humeral resection guide can include a boom extending away from the cutting surface of the cutting block, the boom comprising a cut depth adjustment feature disposed along at least a portion of a length of the boom. The humeral resection guide can include a cut depth indicator disposed at a population derived location along the length of the boom. The cut depth indicator can be configured to indicate that the cutting surface is at a target cut depth for the alteration of the humerus when the cut depth indicator is aligned with a support.

Abstract: A system and method for operating an ultrasonic treatment device includes generating an ultrasound electrical signal using an ultrasound signal generator; supplying the ultrasound electrical signal to an ultrasonic transducer to generate ultrasonic vibratory motion of an ultrasonic vibration transmission member; monitoring an electrical characteristic associated with the ultrasonic transducer; processing the monitored electrical characteristic to determine at least one of a type of material encountered by a distal end of the ultrasonic vibration transmission member and a type of vascular pathway that the ultrasonic catheter is traversing; and controlling at least one of a modulation frequency and a waveform of the ultrasound electrical signal based on the determined at least one of the type material encountered by the distal end of the ultrasonic vibration transmission member and the type of vascular pathway that the ultrasonic catheter is traversing.

Abstract: A system for clearing a blockage from an esophagus of a patient can include a sheath assembly that includes a sheath configured for insertion into the esophagus and an imaging device coupled to a distal end of the sheath. The sheath can have a sufficient length to be advanced sufficiently far through the esophagus to permit the imaging device to detect the blockage. The sheath assembly can further include a positioning element that is capable of transitioning from an undeployed state to a deployed state to contact the esophagus to space the lumen from the esophagus. The system can further include a catheter assembly that includes a catheter sized to pass through the lumen of the sheath and a cutting tip for cutting a morsel from the blockage as suction is applied to the blockage via the lumen of the catheter.

Abstract: Prostate treatment using fluid stream to resect prostate tissue, thereby relieving symptoms of conditions such as BPH, prostatitis, and prostatic carcinoma. A device having a fluid delivery element is positioned within a lumen of the urethra within the prostate. A fluid stream is directed outwardly from the fluid delivery element toward a wall of the urethral lumen. The fluid delivery element is moved to scan the fluid stream over the wall to remove a volume of tissue surrounding the lumen. The fluid may be combined with therapeutically active substances or with substances that increase resection efficiency. Fluid force may be adjusted to provide selective tissue resection such that soft tissue is removed while harder tissue is left undamaged. In order to gain a working space within the urethra, another fluid may be introduced to insufflate the urethra in the region of treatment.

Abstract: Devices and methods for collecting tissue fragments of variable sizes from a surgical site are described herein. The devices can include at least two filters having a different pore size for the collection and sorting of tissue fragments by size.

Abstract: Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing an intravascular device having a distal portion with a side port, inserting the device into the vascular lumen, positioning the distal portion in the vascular wall, directing the distal portion within the vascular wall such that the distal portion moves at least partially laterally, and directing the side port towards the vascular lumen.

Abstract: Disclosed herein is a system, method, and apparatus for harvesting follicular units from an epidermis. The disclosed apparatus includes a hollow tubular structure having a central axis and an end structure that is attached to an end of the hollow tubular structure. The end structure terminates distally at a substantially flat annular face that is substantially in a plane perpendicular to the central axis. The flat annular face has a sharp outer edge.

Abstract: Disclosed is an ultrasonic surgical system, comprising: an ultrasonic transducer used for converting an alternating current signal into vibration; and an ultrasonic amplitude transformer used for amplifying the amplitude of the vibration generated by the ultrasonic transducer, wherein the product L1×C1 of a dynamic equivalent inductance L1 and a dynamic equivalent capacitance C1 of the ultrasonic surgical system in a no-load state and the product L?×C? of a dynamic equivalent inductance L? and a dynamic equivalent capacitance C? of the ultrasonic surgical system in an on-load state satisfy the relational expression ? 1 - L 1 × C 1 L ? × C ? ? = ? , such that a resonance frequency fs of the ultrasonic surgical system in the no-load state and a resonance frequency fs? thereof in the on-load state satisfy the relational expression ? 1 - f s ? f s ? = ? , wherein a is less than or equal to 0.1%, and preferably ? is less than or equal to 0.05%.

Abstract: A thrombectomy device includes a handle at a proximal end portion of the device, a first arm connected to the handle, and a second arm extending to a distal end portion of the device. The device may also include a cage at the distal end portion of the device, the cage being adjustable between a contracted orientation and an expanded orientation, the cage including a cutting element disposed between a proximal end portion of the cage and a distal end of the cage, the cutting element including one or more of a round wire, a flat wire, or a blade configured to remove matter from a body lumen when the cage is in the expanded orientation, and a macerator extending within the first arm and the second arm, the macerator including a helical element.

Abstract: A cutting balloon catheter including a balloon mounted on a distal portion of a catheter shaft. The balloon includes a cutting member mounted on an exterior surface of the balloon which includes one or more features for providing the cutting member with enhanced flexibility for navigating tortuous anatomy and more closely conforms to the expansion characteristics of the balloon to which the cutting member is mounted.

Abstract: An atherectomy system includes an electric drive mechanism that is adapted to rotatably actuate an atherectomy burr and a controller that is adapted to regulate operation of the electric drive mechanism. The controller regulates operation of the electric drive mechanism in accordance with a power input limit value that limits how much power can be put into an atherectomy burr and an energy input limit value that limits how much energy can be put into the atherectomy burr. The controller may also regulate operation of the electric drive mechanism in accordance with a dynamic torque limit.

Abstract: Various venting attachments or leak devices can be removably or permanently coupled to a surgical cannula to allow a user to vent gases, in particular smoke, from a surgical cavity. The venting attachment can be configured to vent the smoke at a predetermined rate and filter out the smoke prior to venting to atmosphere. The substantially constant venting flow rate can promote clearing of the smoke in the surgical cavity while helping to maintain a substantially constant pressure, and thus stability, in the surgical cavity.

Abstract: An instrument access device of a teleoperated surgical system includes an envelope, a clamp, and a plurality of ports. The envelope includes a distal opening and a cavity. The clamp is in the distal opening of the envelope. The plurality of ports are coupled to the envelope. The plurality of ports are proximal to the clamp and the distal opening of the envelope. Each of the plurality of ports includes a seal, which is sized and shaped to seal an outer surface of a cannula and to fix a position of the cannula relative to the port and the envelope.

Abstract: A tissue containment system includes a bag body, a member extending from the bag body and defining a channel, and a viewing window. The bag body at least partially defines an interior region configured to contain a loose tissue specimen and defines an opening sized to receive the loose tissue specimen. The bag body is configured such that a first portion of the bag body can be disposed in an abdominal cavity of a patient while a second portion of the bag body extends outside of the patient. The viewing window is at least partially transparent and provides a seal between the interior region of the bag body and an ambient environment. The channel of the member is configured to receive a tissue visualization device that can be used to view the interior region of the containment bag through the viewing window.

Abstract: An end effector assembly of a tissue-resecting device includes an outer shaft, a drive wire, the distal cutting tip, a hub housing, and a driver. The outer shaft includes a distal end portion defining a window therethrough. The drive wire extends through the outer shaft. The distal cutting tip is disposed within the outer shaft and engaged with the distal end portion of the drive wire. The distal cutting tip at least partially overlaps the window. The hub housing is engaged with the proximal end portion of the outer shaft. The driver is disposed within the hub housing and engaged with the proximal end portion of the drive wire to driver rotation of the drive wire and distal cutting tip within and relative to the outer shaft. The driver defines an internal lumen and at least one lateral opening disposed in communication with the internal lumen.

Abstract: A device for clearing an obstructed airway of a subject comprising: an airway interface adapted for positioning over a mouth and/or nose of the subject; and a pump in fluid communication with the airway interface and being activatable to generate suction at the airway interface, wherein the device is adapted for activation of the pump to generate the suction when the airway interface is pushed against the mouth and/or nose of the subject.

Abstract: A technique for correcting a bone deformity, such as a bunion, may be performed using a fulcrum. In some examples, the fulcrum includes multiple members that are joined together at one end and spaced apart from each other at an opposite end. The fulcrum members can be manipulated to adjust the distance separating the fulcrum members from each other and, correspondingly, an amount of force separating the multiple members from each other. The force can be controlled to press against opposed bones, such as first and second metatarsals in an intermetatarsal space.

Abstract: Provided is an apparatus and component parts of a system for the external fixation of bones. The component parts include fixation plates such as a C-shaped Plate, an N-shaped Plate, a J-shaped Plate, a K-shaped Plate, an I-shaped Plate, a Foot Plate, a Z-shaped Plate and a T-shaped Plate. Two or more fixation plates are configured along an axis, the two or more fixation plates; a plurality of telescoping adjustable struts that connect a first fixation plate along the axis with a second fixation plate of the plurality of fixation plates along the axis, wherein the first and second fixation plates are adjacent plates along the axis; and a plurality of posts, each post connecting two adjacent fixation plates of the plurality of fixation plates along the axis.

Abstract: There is disclosed devices and methods for providing continuous bone compression for bone healing. The devices can include both intermedullary and exoskeletal devices. The devices are “tunable”, or specific to, the quality of the bone.

Abstract: Bone anchor assemblies and related methods are disclosed herein that can provide for improved fixation of a primary bone anchor. A bone anchor assembly can include a base rotatably received within a rod-receiving member. The base can have a toroid body with a radially-extending portion including at least one auxiliary bone anchor opening that can receive an auxiliary bone anchor to augment fixation of a primary bone anchor of the bone anchor assembly. The base can be rotated relative to the rod-receiving member and the primary bone anchor such that the at least one auxiliary bone anchor opening can be placed in a desired position for supplemental fixation.

Abstract: A revision connector is configured to couple a new spine fixation rod to a previously implanted spine fixation rod that is secured to a plurality of vertebrae. The new spine fixation rod can be implanted and secured to vertebrae that are caudal and/or cranial with respect to the previously secured vertebrae.

Abstract: A method for planning an arthroplasty procedure on a patient bone. The method may include accessing generic bone data stored in a memory of a computer, using the computer to generate modified bone data by modifying the generic bone data according to medical imaging data of the patient bone, using the computer to derive a location of non-bone tissue data relative to the modified bone data, and superimposing implant data and the modified bone data in defining a resection of an arthroplasty target region of the patient bone.

Abstract: According to some embodiments, systems and methods are provided for non-invasively detecting the force generated by a non-invasively adjustable implantable medical device and/or a change in dimension of a non-invasively adjustable implantable medical device. Some of the systems include a non-invasively adjustable implant, which includes a driven magnet, and an external adjustment device, which includes one or more driving magnets and one or more Hall effect sensors. The Hall effect sensors of the external adjustment device are configured to detect changes in the magnetic field between the driven magnet of the non-invasively adjustable implant and the driving magnet(s) of the external adjustment device. Changes in the magnetic fields may be used to calculate the force generated by and/or a change in dimension of the non-invasively adjustable implantable medical device.

Abstract: A medical implant assembly having at least two bone attachment structures cooperating with a dynamic longitudinal connecting member, the improvement wherein the connecting member includes: a first end, a transition portion, and a second end; a substantially rod portion extending longitudinally from the first end to the transition portion, and including a longitudinal axis and a substantially rigid core running substantially parallel with the longitudinal axis; a substantially cord portion joined with the rod portion and extending from the transition portion to the second end; and a substantially flexible jacket portion covering the rod and cord portions.

Abstract: Various embodiments of bone ties, bone tie inserters, and methods for treating the spine are provided. The methods can include wrapping the bone tie around transverse processes of adjacent vertebrae to correct coronal plane deformity. The methods can include wrapping the bone tie around the spinous process of one vertebra and around the transverse process of a second adjacent vertebra to achieve rotational correction. The methods can include wrapping the bone tie around the lamina of adjacent vertebrae to achieve sagittal correction. The methods can include applying tension to the bone tie to set the sagittal correction. The methods can include passing the bone tie through a lumen in a vertebral body or a pedicle of the inferior vertebra and the lamina or articular process of the superior vertebra.

Abstract: A plate system includes a retention cap and a plate. The retention cap includes a head with tangs and a shank. The shank includes protrusions at an end of the shank and relief cut-outs clocked relative to the protrusions. The plate includes screw holes and a locking feature. The locking feature includes an assembly guide adapted to guide the shank and features thereof into the locking feature, locking detents distal to the top surface of the plate and adapted to receive the protrusions and interfere with rotational movement of the retention cap, and a retainer positioned axially between the assembly guide and the locking detents. The retainer is adapted to prevent axial movement of the retention cap. The locking feature is adapted to hold the retention cap with the tangs overlapping the screw holes and with the tangs not overlapping the screw holes.

Abstract: A method for coupling a prosthesis to a spinal segment in a patient includes the steps of selecting first and second reference points disposed along the spinal segment and pre-operatively measuring a target distance. The target distance extends between the first and second reference points while the patient is in a preferred posture such as the standing position. A prosthesis is coupled to the spinal segment and the prosthesis is then intra-operatively adjusted in order to set the distance between the first and second reference points based on the target distance.

Abstract: Systems, devices, and methods for performing Lapidus bunionectomy procedures are disclosed. An example method includes inserting a plurality of metatarsal pins into the first metatarsal at a first predetermined spacing relative to the first tarsometatarsal (TMT) joint, excising the first TMT joint by cutting the bases of the first metatarsal and the first cuneiform proximate the first TMT joint, inserting a plurality of cuneiform pins into the first cuneiform at a second predetermined spacing relative to the first TMT joint, compressing the first TMT joint using a compressor block such that a cut face of the first metatarsal contacts a cut face of the first cuneiform, and fixing the first TMT joint using a bone plate and a plurality of bone screws.

Abstract: Embodiments herein provide a chest wall repair plate device where a central portion of the device is comprised of an elastomer to allow for rapid resection using a standard surgical scalpel should there be a need to quickly re-enter the chest cavity. The elastomeric section adjoins two or more rigid plate sections creating a simple, easily removable sternal stabilization system.

Abstract: Systems, apparatuses and methods for bone fusion are disclosed. In particular, a fixation screw assembly is provided that comprises a bone engagement portion including a shaft and a head member. The assembly also includes a flexible washer member that can be operably attached and secured around the head member of the bone engagement portion. The washer member is polyaxial relative to the bone engagement portion, such that it can assume a variety of angles. The washer member can help prevent back out of the bone engagement portion when the bone engagement portion is implanted into a bone member. The design of the fixation screw assembly can be used in different fusion procedures, including fusion of the sacroiliac joint.

Abstract: A method for providing a tool system for removing prosthetic cement from a bone of a patient undergoing a joint prosthesis replacement operation, comprising the steps of: scanning the patient in the area of the joint prosthesis so as to obtain at least one profile of a line of intersection of a prosthetic cement/bone interface at its intersection with a generally longitudinally pre-selected plane; providing a guide member substantially shaped as a stem of the prosthesis in a prosthetic cavity located in said prosthetic cement; providing a cutting tool for forming a running cut substantially completely through the prosthetic cement along the line of intersection; wherein a stem of the cutting tool comprises two laterally extending protrusions, which protrusions are located along the length of the stem at a mutual distance apart; and wherein the guide member is provided with two longitudinally running grooves which each engage one of said protrusions of the cutting tool, wherein the grooves are profiled such th