Abstract: Systems and methods for coating surgical needles are provided.

Abstract: A surgical stapling instrument including a first jaw configured to removably support a surgical staple cartridge therein and a second jaw movable relative to the first jaw between an open position and a closed position. A firing member is configured to axially move between a starting and ending position upon application of a firing motion thereto. A firing member lockout interfaces with ae camming assembly in the surgical staple cartridge to lockout the firing member unless the camming assembly is in an unfired position. A cartridge verification member is configured to move the camming assembly out of the unfired position to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.

Abstract: A surgical stapling instrument including a first jaw configured to removably support a surgical staple cartridge therein and a second jaw movable relative to the first jaw between an open position and a closed position. A firing member is configured to axially move between a starting and ending position upon application of a firing motion thereto. A firing member lockout interfaces with ae camming assembly in the surgical staple cartridge to lockout the firing member unless the camming assembly is in an unfired position. A cartridge verification member is configured to move the camming assembly out of the unfired position to an intermediate position unless the cartridge verification member detects a verification feature on the surgical staple cartridge.

Abstract: A stapling device includes first and second jaws. The second jaw defines first and second threaded bores. A drive member has a distal end portion supporting a rack. An approximation drive assembly includes a first lead screw received within the first threaded bore. A second lead screw is received within the second threaded bore. A first pinion is supported on the first lead screw. A second pinion is supported on the second lead screw. Moving the drive member from the retracted position toward the advanced position advances the rack to rotate the first pinion and the second pinion, the first lead screw within the first threaded bore, and the second lead screw within the second threaded bore to move the second jaw in relation to the first jaw from an open position to a clamped position.

Abstract: A surgical stapler is described herein which includes a drive assembly. The drive assembly includes: a rotatable drive member defining a transverse axis; a linkage operably coupled to the rotatable drive member defining a longitudinal axis; and an I-beam operably coupled to the linkage, configured to be advanced along the longitudinal axis in response to a rotational motion of the rotatable drive member.

Abstract: A medical instrument having a tool assembly including a pair of opposing tissue engaging surfaces for clamping tissue therebetween. The medical instrument includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. The medical instrument includes a selectively activatable drive assembly including a power source and a motor which is operatively coupled to the movable handle, wherein upon actuation the motor actuates the pair of opposing tissue engaging surfaces. The drive assembly includes a controller configured to variably control the rate at which the motor actuates the pair of opposing tissue engaging surfaces in response to the force exerted on the movable handle.

Abstract: A system comprises a surgical instrument comprising an end effector comprising a first jaw member and a second jaw member, the second jaw member comprising or being configured to receive a plurality of staples; and an actuation mechanism operably coupled to the end effector to actuate the end effector to perform at least one of a clamping procedure or a staple firing procedure. The system further comprises a drive system configured to drive the actuation mechanism, a controller operably coupled to the drive system, and a user interface operably coupled to the controller, which is configured to determine the clamping procedure or the staple firing procedure has failed based on a magnitude of an actuation force applied by the drive system to the actuation mechanism; and cause the user interface to output a failure indication indicative of the failure.

Abstract: A surgical stapling device includes a tool assembly having an anvil assembly and a cartridge assembly. The anvil assembly includes a staple deforming surface and defines an elongate channel that supports a roller. The staple deforming surface defines a transverse slot. The roller supports a buttress material that can be pulled through the transverse slot to position the buttress material atop the staple forming surface.

Abstract: A circular stapling device is described that is particularly suited for creating stomas. The circular stapling device includes two tool assemblies. The first tool assembly is adapted to create a reinforced incision in tissue, e.g., the rectus sheath, through which a vessel portion, e.g., colon, small intestine, etc. can be pulled through during a surgical procedure. The second tool assembly is adapted to attach a stomal sleeve within the vessel portion such that the stomal sleeve extends from the stoma.

Abstract: A handheld electromechanical surgical device includes a handle assembly, an adapter assembly, a reload, and an electrical assembly. The handle assembly includes a connecting portion having an electrical connector supported therein. The adapter assembly includes an adapter housing selectively connectable to the connecting portion of the handle assembly and an outer tube extending distally from the adapter housing. The reload includes a housing selectively connectable to the outer tube of the adapter assembly and a circuit board assembly disposed within the reload housing. The electrical assembly includes a flex cable having an elongate body positionable against an outer surface of the adapter assembly. A proximal end of the flex cable is positionable within a cavity defined in the adapter housing and configured to electrically connect with the electrical connector of the handle assembly. A distal end of the flex cable is coupled to the circuit board assembly of the reload.

Abstract: A clip cartridge includes a clip unit having a pressing tube, an arm member and a connection portion. The connection portion can transition between a protrusion configuration and an accommodation configuration. The clip cartridge also includes a housing that can accommodate the clip unit. The housing has a stopper that restricts movement of the connection portion and a release mechanism or a groove that permits movement of the connection portion. The stopper is able to restrict movement of the clip unit by contacting the arm member or the pressing tube.

Abstract: A medical device, comprising a tube including at least one lumen, an absorbent located at a distal portion of the tube, the absorbent being configured to transition from a compressed state to an expanded state, and a structure fixed to the absorbent, wherein the structure is configured to flex into a compressed state and an expanded state simultaneously with the compressed state and the expanded state of the absorbent, and the structure exposes at least a portion of the absorbent.

Abstract: An endovascular occlusion device. The endovascular occlusion device (300) has a balloon (306) and a catheter (304). The catheter (304) has a distal end (308), a proximal end, and a lumen (318) extending therebetween. The balloon (306) is positioned proximate to the distal end (308) of the catheter (304) and has a deflated state and an inflated state. The catheter (304) further includes a plurality of ports (314) proximate to a proximal end of the balloon (306). Each port (314) extends through a wall of the catheter (304) such that surface (316) of the catheter (304) is in fluid communication with the lumen (318) of the catheter (304). A flow restrictor (324) is positioned within, and is in sliding relation with, the lumen (318) of the catheter (304). Movement of the flow restrictor (324) is configured to close one or more ports (314) of the plurality so as to limit blood flow through the lumen (318) of the catheter (304).

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, includes an occlusive device comprising a mesh having a low-profile state for intravascular delivery to the aneurysm and a deployed state, the mesh comprising a first end portion, a second end portion, and a length extending between the first and second end portions, and a first lateral edge, a second lateral edge, and a width extending between the first and second lateral edges. The mesh may have a predetermined shape in the deployed state in which (a) the mesh is curved along its width, (b) the mesh is curved along its length, and (c) the mesh has an undulating contour across at least a portion of one or both of its length or its width. The mesh is configured to be positioned within the aneurysm in the deployed state such that the mesh extends over the neck of the aneurysm.

Abstract: Methods and systems including an expandable stent and achieving, by the expandable stent, a reduction in odds of 12-month inpatient readmission and/or a reduction in total cost of care for a plurality of patients.

Abstract: One aspect of the present invention provides a method for the treatment of lithiasis, which mitigates the risk of damage to surrounding body tissue when removing a calculi (e.g., biological concretions, such as urinary, biliary, and pancreatic stones) that obstructs or may otherwise be present within a body's anatomical lumen. In one embodiment, the instant invention provides a method of using a polymer plug to occlude a lumen distal to a calculi, whereby calculi fragments resulting from lithotripsy are prevented from traveling up the lumen. In certain embodiments, a dual lumen catheter is utilized to inject two solutions proximal to the calculi, the mixing of said solutions causing a polymer plug to form.

Abstract: Disclosed is a fixing member in which adhesion of foreign substances to its surface is suppressed, and which hardly causes lateral displacement when such fixing members are attached together to form a joined state. The fixing member is formed from a cured product of a resin composition comprising a resin, a curing agent capable of curing the resin, and a silicone-based surface modifier, wherein a content of the curing agent in the resin composition is 6 parts by mass or more and 20 parts by mass or less per 100 parts by mass of the resin, and a content of the silicone-based surface modifier in the resin composition is 0.05 parts by mass or more and 1.7 parts by mass or less per 100 parts by mass of the resin.

Abstract: A blade mounting assembly for coupling a saw blade to a surgical saw. The blade mounting assembly including a blade clamp guard and a blade clamp moveably coupled to a drive hub of the surgical saw. The blade clamp guard defining a recess and a blade clamp at least partially disposed within the recess. The blade clamp further comprising a safety indicator. The blade clamp may be configured to move relative to the blade camp guard, the blade clamp moving between a first position where the safety indicator is exposed and a second position where the safety indicator is concealed by the blade clamp guard. The blade mounting assembly may also comprise a biasing mechanism disposed between the blade clamp guard and the blade clamp. The biasing mechanism configured to urge the blade clamp guard away from the blade clamp.

Abstract: A surgical guide assembly for performing a knee osteotomy procedure, the assembly comprising: a body for securing to a patient's tibia bone; and a plurality of guide modules removably attachable to the body, each guide module being adapted to receive a corresponding surgical tool and to guide the corresponding surgical tool along a predetermined path during the knee osteotomy procedure.

Abstract: A retrograde cutting instrument and method of retrograde drilling using such an instrument. A method of forming a socket includes providing a retrograde cutter, inserting the cutter into a joint with a blade of the cutter in a straight position, pivoting the blade to a non-straight flip position, locking the blade in the flip position, and retrograde drilling a socket using the blade in the flip position.

Abstract: A device for cutting bone tissue and, more particularly, a sonotrode suitable for use with an ultrasonic surgical instrument. The sonotrode has a head and a distal end piece, the distal end piece being equipped as a rectangular blade for cutting bones using mechanical vibration. The sonotrode has at least one structural element and the structural element is selected from the group including: a support structure, a lateral depression on each side, an increased width of the blade together with a slit at the distal end of the blade, or at least one lateral rib.

Abstract: Disclosed is a system to engage a plurality of tools. In the system a drive shaft and collet may be assembled to engage and disengage, selectively, a plurality of tools. User selection may allow use of a plurality of tools during a procedure or during a plurality of procedures.

Abstract: Embodiments of a device for forming incisions and extracting osseous tissue are disclosed. The device includes a body defining a channel. A blade is oriented in linear sliding engagement within the channel of the body. The device includes a stopping mechanism for restricting movement of the blade relative to the body. The device is engageable to an apparatus. The apparatus includes a fixed portion that defines a first end and a second end. A clamp is oriented along the fixed portion of the apparatus adjacent the device. The clamp and the device are collectively configured to remove bone tissue from a patient.

Abstract: A syndesmotic reconstruction guide assembly is disclosed. The syndesmotic reconstruction guide assembly includes a medial arm, a medial foot, and a lateral arm. The medial foot is rotatably connected to the medial arm with at least one degree of freedom. The lateral arm is slidably connected to the medial arm at an end opposite the medial foot. The lateral arm includes a lateral foot. The medial foot and the lateral foot are adapted to clamp bones of a syndesmotic joint therebetween.

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: The invention relates to a surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure, comprising: (i) a robotic device (100) comprising: —a cutting tool, —an actuation unit (4) having a serial architecture comprising from three to five motorized degrees of freedom, at least two of said motorized degrees of freedom being rotational degrees of freedom about respective rotation axes that are substantially orthogonal to each other, configured for adjusting a position and orientation of the cutting tool relative to each target plane, —a planar mechanism connecting the last segment of the actuation unit to the cutting tool; (ii) a passive articulated lockable holding arm (5) supporting the actuation unit (4); (iii) a tracking unit (200) configured to determine in real time the pose of the cutting plane with respect to the coordinate system of the anatomical structure, (iv) a control unit (300) configured

Abstract: A guide for guiding drill bits to form holes in a bone in a predetermined pattern for receiving fasteners to secure an implant to the bone is provided. The guide includes a guide body having a bone interface side opposite an operative side, the bone interface side having a bone contacting surface engageable with a surface of the bone. The guide also includes a plurality of drill guides extending from the operative side of the guide body for guiding corresponding drill bits, wherein the bone contacting surface of the guide body is configured to substantially conform to surface contours of the bone at a predetermined position on the bone. A method of designing the guide is also provided.

Abstract: Resection guides include a body a plurality of alignment pin through-holes and a plurality of guide through-holes so that the pattern of guide through-holes is operable for receiving a drill for use in resecting the at least a portion of the anatomical structure of the patient. Sweeping reamers include a body having a plurality of alignment pin through-holes and an elongated opening, and a reamer extendable through the elongated opening of the body. Decoupled resection guides include a first body having a plurality of alignment pin through-holes and a second body having a plurality of fixation pin through-holes and at least one guide aperture operable for guiding a cutting tool for use in resecting a portion of the second anatomical structure of the patient. Methods employing the same are disclosed and operable in, for example, total ankle replacement.

Abstract: An aspiration system comprises an aspiration catheter, an aspiration source fluidly coupled to the aspiration catheter to create an aspiration flow path between the aspiration catheter and the aspiration source, a pressurized fluid source, and a passive pressure oscillation assembly fluidly coupled between the pressurized fluid source and the aspiration flow path. The passive pressure oscillation assembly is configured for being operated between a normal mode that prevents fluid communication between the pressurized fluid source and the aspiration flow path, and an oscillatory mode that pulses fluid communication between the pressurized fluid source and the aspiration flow path. The passive pressure oscillation assembly is configured for being triggered to switch from the normal mode to the oscillatory mode in response to a clog in the aspiration catheter.

Abstract: A tissue specimen retrieval device includes an outer shaft including a proximal portion and a distal portion. The distal portion of the outer shaft includes a first jaw defining a first side of a lumen in the distal portion of the outer shaft. A second jaw defines a second side of the lumen in the distal portion of the outer shaft. The first and second jaws are actuatable between a closed configuration and an expanded configuration in which the first and second jaws are spaced relative to each other. A tissue specimen bag is supported by the first jaw and the second jaw. A bag brim of the tissue specimen bag defines a collapsed configuration when positioned in the lumen defined by the first jaw and the second jaw and an open configuration when the first and second jaws are in the expanded configuration.

Abstract: Inverting tube thrombectomy apparatus for removing clot that are configured to prevent compression of the apparatus that may separate the distal end of the apparatus from the clot and may make it difficult to advance the apparatus to engage with the clot, particularly in a tortious vessel. The apparatuses and methods of using them described herein may be adapted to prevent tension in the flexible tube that is rolling and inverting over the distal end of the inversion support catheter when capturing a clot. Also described herein are inverting tube thrombectomy apparatus that are configured to reload either automatically or manually within the vessel to capture additional clot material.

Abstract: A design bringing together mechanical thrombectomy and stenting for more efficient treatment of occlusions and stenotic lesions in the cerebral vasculature features a dual-layer setup. The outer layer consists of an expandable stent cage with large cell openings which can allow thrombus to pass through the openings into the inner expandable capture section layer. The clot capture section can be configured to grip and extract the occlusion. The outer cage is configured to be detached from the remainder of the device and left implanted as a stent to exert an outward radial force to support and/or dilate the region of stenosis. The device can have a distal fragment protection element to prevent the distal migration of elements liberated during the procedure.

Abstract: A system for removing an obstruction from a blood vessel. The system can include a catheter with a proximal section with a proximal section lumen diameter and a distal section with a distal section lumen diameter less than the proximal section lumen diameter. The system can include a clot retrieval device with a clot engaging element. The system can include a shaft advanceable through the lumen of the catheter to the obstruction in the vessel. The shaft can include a shaft proximal section, a shaft distal section attached to the clot engaging element with a diameter less than that of the shaft proximal section and configured to cross the obstruction. The shaft proximal section diameter can be larger than the diameter of the distal section lumen diameter of the catheter, thereby inhibiting the shaft proximal section from distally advancing through the catheter distal section.

Abstract: Various methods and systems are provided for a transducer for a deployable catheter. In one example, a method for forming the transducer includes coupling an acoustic stack to a shape memory material while in a planar configuration to form a transducer and exposing the shape memory material to a curling stimulus to adjust the transducer to a curved configuration.

Abstract: The present invention relates to a reflector for an acoustic shock or pressure wave head, wherein the reflector comprises an acoustically reflective surface formed by a body of rotation, said body of rotation being formed by rotation of an elliptical segment about a rotation axis which extends through a focal point of the ellipse and encloses an angle ? between 0.1° and 30° with the main axis of the ellipse.

Abstract: Determining orientation of cutting windows of a mechanical resection instrument. At least some of the example embodiments are methods including: sensing a location of a cutting window through an outer tube of the mechanical resection instrument, the sensing based on a magnetic field strength of a first magnet; sensing a location of a cutting window through an inner tube concentrically disposed within the outer tube, the sensing based on a combined magnetic field strength of the first magnet and a second magnet; and stopping a rotation of the inner tube relative to the outer tube with the cutting window through the outer tube and the cutting window through the inner tube in a predetermined orientation, the stopping based on the combined magnetic field strength.

Abstract: Devices and methods for exploiting intramural (e.g., subintimal) space of a vascular wall to facilitate the treatment of vascular disease, particularly total occlusions. For example, the devices and methods disclosed herein may be used to visually define the vessel wall boundary, protect the vessel wall boundary from perforation, bypass an occlusion, and/or remove an occlusion.

Abstract: An aspiration thrombectomy system, comprising an aspiration catheter having a proximal end and a distal end, wherein the proximal end of the aspiration catheter comprises a lumen configured to accommodate fluid, a vacuum source comprising a controllable vacuum valve, and a controller configured to detect a change in a connection between the aspiration catheter and the aspiration thrombectomy system, wherein the controller is further configured to change a pulsation protocol associated with the aspiration catheter responsive to the change in the connection between the aspiration catheter and the aspiration thrombectomy system, wherein the pulsation protocol specifies pressure variations and pressure patterns to modulate the vacuum valve to change a level of vacuum at the distal end of the aspiration catheter.

Abstract: A surgical instrument includes a housing having an elongated body extending distally therefrom. The elongated body defines a first articulating portion and a second articulating portion. The elongated body defines a lumen therein. An end effector is supported at a distal end portion of the elongated body. A flexible waveguide extends through the lumen of the elongated body. A proximal end portion of the flexible waveguide connects to an ultrasonic transducer. A distal end portion of the flexible waveguide is connected with the end effector. the flexible waveguide defines a first articulating portion having a narrower thickness than a thickness of other portions of the flexible waveguide and a second articulating portion having a narrower thickness than a thickness of other portions of the flexible waveguide.

Abstract: A surgical instrument includes a housing having an elongated body extending distally therefrom. The elongated body defines a first articulating portion and a second articulating portion. The elongated body defines a lumen therein. An end effector is supported at a distal end portion of the elongated body. A flexible waveguide extends through the lumen of the elongated body. A proximal end portion of the flexible waveguide connects to an ultrasonic transducer. A distal end portion of the flexible waveguide is connected with the end effector. the flexible waveguide defines a first articulating portion having a narrower thickness than a thickness of other portions of the flexible waveguide and a second articulating portion having a narrower thickness than a thickness of other portions of the flexible waveguide.

Abstract: An ultrasonic surgical apparatus including a first signal generator outputting a drive signal at a predetermined voltage and frequency, a first oscillating structure receiving the drive signal and oscillating at the frequency of the drive signal, and a bridge circuit, detecting the mechanical motion of the first oscillating structure and outputting a signal representative of the mechanical motion.

Abstract: A handheld rotary medical device with a shaver configured to remove cartilage is disclosed. The handheld rotary medical device may include an inner drive shaft, an elongated, tubular, outer housing encapsulating the inner drive shaft such that the inner drive shaft is positioned within the outer housing and a shaver at a distal end of the inner drive shaft. The shaver may include a plurality of teeth extending radially outward from an outer surface of the inner drive shaft. The medical device may include slots or grooves in the outer housing useful for cleaning the tissue from the teeth of the shaver.

Abstract: Some embodiments relate to a method for accessing a treatment zone through the vagina, comprising: selecting an entry angle; positioning a surgical port adjacent the vaginal opening; introducing a trocar through the surgical port; introducing a cannula through the trocar and advancing the cannula such that the cannula enters through a posterior wall of the vagina; externally supporting the port, trocar and cannula assembly using an extension, the extension attached on one end to at least one component of the assembly and on the other end to a fixed, stable reference; the extension holding the assembly at a fixed position in which the trocar and cannula are slanted at the selected entry angle. In some embodiments, one or more surgical mechanical arms are introduced through the cannula for performing surgical acts inside the patient's body.

Abstract: The present invention comprises systems, methods and devices for the delivery of compositions for occluding or of means for opening conduits. The implantable occlusive material may be delivered pre-formed or in situ cured and, may be a resorbable material that supports tissue ingrowth that eventually replaces the material leaving little or no original material in place. The delivery system is positioned to allow for placement of the occlusive material into the body conduit. Use of delivery systems, methods and devices for re-opening an occluded body conduit are also included.

Abstract: A uterine manipulator includes an elongated shaft assembly, a colpotomy cup supported on the elongated shaft assembly, and a tip assembly. The tip assembly extends distally from the colpotomy cup and has a piercing tip configured to pierce tissue.

Abstract: A uterine manipulator includes an elongated shaft, a colpotomy cup supported on the elongated shaft, a distal shaft extending distally from the colpotomy cup to a distal tip, and a rollable sleeve supported on the distal tip.

Abstract: Bone and joint stabilization devices or systems are described that include multiple-layer bodies. The approach offers dramatically improved fatigue life as compared to one-piece spring members that are otherwise similar or comparable. Coordinated improved-strength anchor embodiments, anchor loading tools and methods of use are also described.

Abstract: An integral dual rod spinal construct for immobilizing and stabilizing vertebral bodies of the spine is described.

Abstract: Methods for clamping a tether about a spinal or other anatomical feature. In some implementations, a tether may be extended in a loop around an anatomical feature of a spine. A spinal fixation rod may be coupled with an inner coupling piece of a clamping assembly, such as by way of a slot formed in the inner coupling piece. The inner coupling piece may be nestably coupled within an outer coupling piece of the clamping assembly. A first end of the tether may be passed through a passage of the clamping assembly, the passage being is at least partially defined by an outer surface of the inner coupling piece and an inner surface of the outer coupling piece. The loop may be tightened about the anatomical feature with the tether clamped between the inner coupling piece and the outer coupling piece.

Abstract: A coupling assembly for coupling a rod to a bone anchoring element is provided, wherein the coupling assembly includes a receiving part having a first end, a second end, a central axis extending through the first end and second end, an accommodation space for accommodating a head of an anchoring element, a bore extending from the accommodation space to the first end, and a recess for receiving a rod. The accommodation space has an opening at the second end sized to permit insertion of a head of the bone anchoring element. The coupling assembly further includes a retainer element configured to be positioned at least partially in the accommodation space and being radially expandable and/or compressible to allow retaining a head inserted through the opening. The retainer element is held in position adjacent the opening by an engagement structure provided at or in the accommodation space.