Abstract: A laparoscopic device comprising: (a) a housing operatively coupled to a first control and a second control; (b) an end effector operatively coupled to the first control, the end effector comprising a first component and a second component selectively repositionable with respect to one another within an X-Y plane, the end effector also including a third component selectively repositionable with respect to the second component within an Y-Z plane; (c) a laparoscopic conduit extending between the housing and the end effector; and, (d) an occlusion clip deployment device operatively coupled to the end effector and the second control.

Abstract: Implants, devices, instruments, kits and methods for correcting bone deformities in the foot are disclosed. Specifically, implants, devices, instruments, kits and methods used for lower extremity osteotomy procedures are disclosed.

Abstract: A drill component is provided that enables determining the drill component's insertion depth into bone via direct measurements. The direct measurements help provide more consistently accurate insertion depth measurements as compared to typical insertion depth measurement methods that indirectly determine insertion depth using cannulas outside of the bone. The determined insertion depth corresponds to an implant size or length that a surgeon should select for a procedure. The drill component includes a shaft having an insertion end that includes multiple indications or markings that are visible on radiographic or fluoroscopic images. From one or more captured radiographic or fluoroscopic images of the drill component advanced into bone, a surgeon may count a quantity of indications or markings of the drill component on the one or more radiographic or fluoroscopic images to determine the drill component's insertion depth into the bone.

Abstract: Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.

Abstract: A catheter, a kit and a method of using the catheter for removing a thrombus from a blood vessel in a mammal. The catheter includes a tubular body with a hollow interior, an exterior surface, a proximal end, and a distal end and a plurality of protrusions extending upwardly from the exterior surface, wherein each protrusion has an aperture. The distal end of the catheter is inserted into the blood vessel and a suction is applied to the proximal end of the catheter to aspirate the thrombus from the blood vessel. The kit includes the catheter, a suction device and a mechanism for controlling the suction flow.

Abstract: A medical device for stone management comprises a catheter comprising a proximal end, a distal end, and a first lumen and a second lumen disposed therethrough. A handle assembly is interconnected with the proximal end of the catheter, the handle assembly comprising a body defining an interior cavity, a first section and a second section. An interior passageway is disposed within the interior cavity and in fluid communication with the first lumen of the catheter. A valve assembly interconnected with the interior passageway. An actuator assembly is engaged with the valve assembly, the actuator having a first position and a second position. A vacuum port is in communication with the interior passageway and positioned on the second section of the handle. The second section of the handle forms an angle with respect to the first section of the handle.

Abstract: The present disclosure includes a system for retrieving a blood clot in a blood vessel using a clot retrieval device having an expansile funnel that can engage with the blood clot. The present disclosure also includes a clot retrieval device having an expandable framework that can engage with the blood clot. The expansile funnel and expandable framework can expand from a collapsed delivery state to an expanded deployed state, increasing the cross-sectional area of the clot retrieval device engaging the blood clot. The increased cross-sectional area of the clot retrieval device can increase the suction force, providing effective removal of the clot from the patient.

Abstract: The present disclosure relates to a basket for a catheter designed to be deployed in complex vasculature to optimally treat vascular and arterial disease conditions such as blood clots, blood emboli, and deep vein thrombosis. The basket may comprise a shaft with a plurality of cuts along a portion of its length to form a plurality of tines that provide support for a plurality of porous tubes to form the limbs of the basket. The limbs of the basket expand radially away from the longitudinal axis of the basket when the longitudinal length of the basket is reduced. The limbs may also be connected to a drug delivery system, and in this manner, baskets of the present disclosure allow for the use of both mechanical and pharmaceutical means of thrombolysis.

Abstract: A device for capturing and removing an obstruction in a bodily duct of a patient. The device includes a cylindrical body having a circumference and a longitudinal axis. According to some implementations the cylindrical body is comprised of a plurality of closed cell structures arranged in diagonal rows around the longitudinal axis. At least some of closed cell structures have substantially the same shape and size. According to some implementations at least some of the closed cell structures of substantially the same shape and size occupy a same circumferential location in the cylindrical body and are longitudinally separated from one another by no less than two, three, four or more diagonal rows of closed cell structures. According to other implementations the closed cell structures include diagonally extending struts having at least a curve portion and a straight portion.

Abstract: A self-expanding intravascular medical device including a multi-component assembly with a self-expanding outer cage component comprising a plurality of struts; and a single cell wave-shape component disposed within the self-expanding outer cage component forming a channel therein. The proximal end of the single cell wave-shape component is connected to the self-expanding outer cage component at a proximal joint.

Abstract: An electromagnetic shockwave transducer includes a double-faced coil of wire wound around an insulator. The coil has a first coil face on one side of the insulator and a second coil face on an opposite side of the insulator. Coil ends of the coil are electrically coupled to a current source, which produces a current pulse in the coil so as to produce a force between the coil faces.

Abstract: A surgical instrument and related method includes an instrument body, a guide shaft distally projecting from the instrument body, and a first surgical tool. The guide shaft has a guide sidewall, a guide lumen, and a clearance opening radially extending through the guide sidewall in communication with the guide lumen. The first surgical tool has an elongate body and a distal head configured to deflect relative to the elongate body from a first position to a second position. The distal head in the first position is positioned within the guide lumen along the central axis. The distal head in the second position is deflected from the central axis and extends at least partially through the clearance opening thereby vacating at least a portion of the guide lumen for introducing a second surgical tool through the guide lumen.

Abstract: Surgical tool can include an outer shaft, a guide, an end effector, and a drive shaft. The outer shaft can extend along a longitudinal axis. The guide can be connected to the outer shaft. The end effector can include a first jaw connected to the outer shaft distal of the guide and a second jaw pivotably connected to the outer shaft distal of the guide. The drive shaft can be located within the outer shaft and can extend along the longitudinal axis. The drive shaft can be connected to the end effector and the drive shaft can be engageable with the guide to limit movement of the drive shaft with respect to the outer shaft in a direction not parallel with the guide. The drive shaft can be translatable along the outer shaft to operate the end effector.

Abstract: A surgical instrument configured for both grasping and cutting operations has a shaft with a push rod extending through it. An end effector on the shaft has a grasping jaw, a cutting jaw, and an intermediate jaw. The grasping jaw forms a grasping device with the intermediate jaw, and the cutting jaw forming a cutting device with the intermediate member.

Abstract: A surgical grasper includes jaws that are transitionable between spaced apart and approximated configurations. In particular, the surgical grasper defines an unobstructed lumen for passage of a surgical instrument therethrough.

Abstract: Examples herein describes a powered surgical end-effector that may include a controllable jaw configured to operate on a tissue, an updatable memory having stored therein a default actuation algorithm, and and a processor. The processor may be configured to operate in a first mode at a first time, wherein in the first mode the processor may be configured to operate an aspect of the controllable jaw according to the default actuation algorithm. The processor may receive data at a second time, after the first time, that may cause the processor to operate in a second mode, wherein in the second mode the processor may be configured to operate an aspect of the controllable jaw according to an alternative actuation algorithm.

Abstract: An arthroscopic cutting probe includes an outer sleeve having a longitudinal bore and an outer cutting window at its distal end. The outer sleeve has a metal body electrically insulated over its exterior except for a portion at least partially surrounding the outer cutting window which comprises an active electrode. An inner sleeve is rotationally disposed in a bore of the outer sleeve, and the inner sleeve has a distal end, a proximal end and a longitudinal passageway having an electrically conductive inner surface which comprises a return electrode. A dielectric cutting member is attached to the distal end of the inner sleeve and has a central passage extending from an inner cutting window at its distal end to an opening at its proximal end.

Abstract: Systems and methods are configured to treat a tissue by automatically linearly oscillating an instrument into a target site. A system may include a body having a length and configured to receive a portion of the instrument guide member having an exposed end and/or an instrument. The system may further include an actuator member disposed within the body and configured to linearly oscillate the instrument within the instrument guide member a fixed distance past the exposed end. The systems and methods can increase patient comfort while empowering clinicians by simplifying interventions for musculoskeletal disorders.

Abstract: A surgical instrument includes a transducer assembly with a housing having a conduit section and a base portion. A fluid passageway is defined through the conduit and base portion, an ultrasonic transducer including a plurality of piezoelectric elements and a plurality of electrodes are arranged in a stack configuration, where an electrode is located between each pair of piezoelectric elements. A first borehole is defined through the ultrasonic transducer and an end mass having a second borehole defined therethrough. A surface of the end mass is positioned adjacent a first end of the ultrasonic transducer, the end mass is configured to engage with the housing, and the conduit section of the housing is configured to pass through the second borehole of the end mass. The end mass is configured to compress the ultrasonic transducer against a surface of the housing when the end mass is engaged with the housing.

Abstract: A system and method for improving installation of a prosthesis. Devices include prosthesis installation tools, prosthesis assembly tools, site preparation systems, and improved power tools used in implant site preparation, the tools including a secondary motion that preferably includes an ultrasonic vibration.

Abstract: A surgical instrument for use during a surgical procedure includes an instrument body, an ultrasonic transducer assembly extending along a longitudinal axis, a power cord, and a transducer slip joint. The ultrasonic transducer assembly is rotatably mounted within the instrument body about the longitudinal axis and defines a first outer profile. The power cord projects from the instrument body to provide electrical power to the ultrasonic transducer assembly for operating an acoustic waveguide. The transducer slip joint is positioned between the power cord and the ultrasonic transducer assembly and electrically and mechanically connects the power cord to the ultrasonic transducer assembly. The ultrasonic transducer assembly selectively rotates relative to the power cord for inhibiting the power cord from winding upon rotation of the ultrasonic transducer assembly. The transducer slip joint also defines a second outer profile that fits within the first outer profile of the ultrasonic transducer assembly.

Abstract: A jaw member, end effector assembly including the jaw member and an ultrasonic blade, and an ultrasonic surgical instrument including the end effector assembly are provided. The jaw member includes a structural body and a jaw liner. The structural body includes a pair of proximal flanges and an elongated distal portion extending distally from the proximal flanges. The elongated distal portion includes spaced-apart side rails defining an elongated opening therebetween and interconnected at distal ends thereof via a distal cap. The jaw liner is engaged within the elongated opening and includes a base and first and second arms extending from the base. Each arm defines an inwardly-angled tissue contacting surface. The jaw liner defines a jaw liner compliance feature extending longitudinally therealong between the inwardly-angled tissue-contacting surfaces of the first and second arms to facilitate outward deflection of the first and second arms relative to one another.

Abstract: An ultrasonic surgical instrument includes a first modular assembly including at least one operator input feature an ultrasonic transducer supported by the first modular assembly, and a second modular assembly configured to be removably coupled with the first modular assembly. The second modular assembly includes at least a portion of an end effector extending distally from a distal end portion of the second modular assembly. The instrument includes a mechanical lockout assembly configured to switch between at least an unlocked configuration and a locked configuration. In the locked configuration, the first modular assembly and the second modular assembly are partially coupled together such that the operator is physically prevented from activating the instrument using the operator input feature. In the unlocked configuration, the first modular assembly and the second modular assembly are completely coupled together and the operator is able to activate the instrument using the operator input feature.

Abstract: Provided are methods and systems for transplanting follicles and other cells from one location on a patient to another location on the same or different patient without the need to shave or cut hair extending from the follicles or cells.

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: Example medical devices are disclosed. An example medical device includes a handle having a distal end region, a proximal end region and an inner chamber. The medical device also includes a guidewire brake including an actuation member coupled to a first gripping member and a second gripping member. The first gripping member and a second gripping member are disposed within the inner chamber of the handle and at least a portion of the actuation member is positioned along an outer surface of the handle. Further, the first gripping member and the second gripping member are configured to shift between an unclamped configuration and a clamped configuration.

Abstract: A tube can include an elongated cannulated member that has an external wall. The tube can be navigated during a selected procedure. The tube can be shaped to selected configurations.

Abstract: An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Abstract: The various embodiments herein relate to systems, devices, and/or methods relating to surgical procedures, and more specifically for accessing an insufflated cavity of a patient and/or positioning surgical systems or devices into the 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 dilator that includes a hollow shaft including a tapered section having a diameter increasing from a distal end toward a proximal end, and a spirally-arranged protruding portion provided on an outer peripheral surface of the hollow shaft and including spirally-arranged protruding sections and gaps between adjacent spirally-arranged protruding sections along an axial direction of the hollow shaft. The spirally-arranged protruding portion includes an apex section having the greatest height from the outer peripheral surface in a transverse cross-section thereof, and a side surface section facing outward and extending from the apex section toward the outer peripheral surface. The side surface section includes an inclined surface inclined substantially linearly toward at least one of the distal and proximal end direction between the outer peripheral surface and the apex section in the transverse cross-section of the spirally-arranged protruding portion.

Abstract: The surgical robotic access system provides access for robotic instruments and/or actuators including the introduction, operation and withdrawal of such robotic manipulators into a body cavity without permitting the escape of pressurized fluid or gas. The surgical robotic access system also provides a multi-faceted range of movement without touching or effecting pressure on the opening in the patient's body cavity.

Abstract: A medical device may include a shaft extending between a proximal end and a distal end. The shaft may include a lumen therein. The medical device may include a handle coupled to the proximal end of the shaft and may include a mode selector. The mode selector may be adapted to transition between a first mode and a second mode of the medical device. The medical device may further include a compressed fluid source. In the first mode, the compressed fluid source may be fluidly coupled with the shaft so as to impart a negative pressure in at least a portion of the lumen. In the second mode, the compressed fluid source may be fluidly coupled with the shaft so as to impart a positive pressure in the at least a portion of the lumen.

Abstract: An intraosseous device may include a chamber portion having a proximal end and a distal end, wherein the proximal end includes a base, a tensile puller configured to extend through the chamber portion and slidingly engage the base, the tensile puller comprising a proximal end and a distal end, an actuator on the proximal end of the tensile puller, and a connector on the distal end of the tensile puller adapted to engage a needle.

Abstract: An intraosseous access device can include a device body, a trocar needle, and an intraosseous catheter removably disposed on the trocar needle. The device body can be configured to enable a user of the access device to manually insert a distal tip of the trocar needle through a skin surface of a body of a patient to an external surface of a bone of the patient. The intraosseous access device can include a first advancement member configured to provide a first distal advancement force sufficient to distally advance a distal tip of the trocar needle and the catheter through a skin surface to an external surface of a bone of a patient, and a second advancement member configured to provide a second distal advancement force sufficient to distally advance the distal tip of the trocar needle and the catheter through the external surface of the bone.

Abstract: A medical device is provided that includes a fine needle aspiration device and an incision device, which are inserted into a body with an endoscope. The fine needle aspiration device includes an injection needle and an injection needle tube, which surrounds the injection needle. A first limiting unit limits the length of the needlepoint of the injection needle protruding from the injection needle tube. A syringe is connected to the injection needle for tissue collection and medicine injection. A second limiting unit limits the connection between the injection needle and the syringe. The incision device includes a knife and a knife tube that surrounds the knife. A third limiting unit limits the length of the cutting edge of the knife protruding from the knife tube.

Abstract: A kit and method for intrauterine insemination is provided. The steps of the method include self-monitoring of a menstrual cycle of a patient by said patient, making an abrasion on the endometrial lining of a uterus of the patient following menstruation by the patient, predicting timing of ovulation by using an ovulation monitoring system or inducing ovulation; preparing sperm for insemination during ovulation by the patient, guiding an intrauterine insemination catheter accompanied by a cervical shield into the patient, depositing a semen sample into the uterine cavity or cervical canal, removing the catheter from the body of the patient while using a holding tool to hold the cervical shield in place at the entrance to the uterine cavity, and leaving the cervical shield in place for a predetermined time period.

Abstract: The present invention is a hole extender, in which a hole transporter includes a transport beam having a first flange with a first flange pin and a first flange hole, and at the other end of the transport beam is a second flange with a second flange hole. Key features of the present hole transporter include that the main direction of each flange is perpendicular to the beam, and the direction of the second flange hole is parallel to the direction of the first flange hole.

Abstract: A correction clamp assembly that permits a physician to surgically correct a bunion or similar deformity is provided. The assembly includes an elongate bridge, as well as first and second blocks slidably or rotatably connected to the elongate bridge. More specifically, first block is configured to slide along a slot formed in the elongate bridge, as well as rotate relative thereto. Additionally, the second block is configured to rotate relative to the elongate bridge. First and second pins may be configured to extend through the first and second block, and then into various pieces of bone. Once a cut is made in a portion of joint or bone, the pins can thereafter be moved towards and away from one another to position the respective pieces of bone in a desired location. Locking screws may also be provided to releasably secure the blocks relative to the bridge.

Abstract: Intradiscal fixation device assemblies, systems, and methods thereof. An intradiscal anchor fixation device includes an anchor block and at least one anchor attached to or extending through the anchor block to anchor the device to a vertebral body.

Abstract: An embodiment includes a sacroiliac joint bone anchor system comprising: a bone anchor including an outer surface and an inner surface; wherein (a)(i) the outer surface includes a proximal third, a middle third, and a distal third, (a)(ii) the middle third of the outer surface includes at least one aperture that couples the outer surface to the inner surface; (a)(iii) the proximal third of the outer surface includes proximal threads, and (a)(iv) the distal third of the outer surface includes distal threads; wherein (b)(i) the bone anchor is cannulated, (b)(ii) a channel is located on the inner surface, (b)(iii) the channel extends from a proximal third of the inner surface to a distal third of the inner surface, and (b)(iv) the channel provides at least one half a rotation about a long axis of the bone anchor.

Abstract: An implant for fusing a joint between first and second bone portions. The implant includes a screw member, and a washer polyaxially rotatable relative to the screw member. The screw member includes a head, a lag zone, and a threaded engagement zone. The implant includes a fusion zone for joint compression, extending from the washer to the proximal end of the engagement zone. Fenestrations may be present in the fusion zone. The length of the fusion zone ranges from about 10 mm to about 37 mm. Different surface finishes including roughened and non-roughened may be applied selectively to selected portions of the implant. In an embodiment, the joint is a sacro-iliac joint, and upon implantation the implant extends from the exterior of the ilium, across the joint and into the sacral vertebral body. Instrumentation and methods for preparing the joint and implanting the implant are disclosed.

Abstract: A device configured to provide a faster and more accurate measurement of depths of holes for placement of bone screws and fastener for bone implant fixation procedures. The device includes a combination of a bone probe for physical examination of a hole drilled in a bone and a depth gauge member for determining a depth of the hole and providing digital measurement of the depth.

Abstract: Implants, systems, and methods of reverse dynamization. The implants, such as expandable spinal implants, bone plates, and intramedullary nails, are securable to bone. The implant may have a moveable component creating a semi-rigid configuration to allow for micro-motion of the bone for a period of time. The moveable component is changeable, for example, based on material properties, change of state, or mechanical or electrical operation, to a static condition creating a rigid configuration to prevent subsequent movement of the bone. The reverse dynamization implants may be used to accelerate bone healing and obtain superior bone fracture healing.

Abstract: A fastener with improved threading for resisting multi-axial forces and off-axis loading scenarios is provided. The fastener may include a shaft and a plurality of helical threads disposed about the shaft. The plurality of helical threads may include a first helical thread and a second helical thread adjacent the first helical thread. The first helical thread may include a first concave undercut surface and a first convex undercut surface. The second helical thread may include a second concave undercut surface and a second convex undercut surface. When the fastener is viewed in section along a plane intersecting a longitudinal axis of the shaft, the first concave undercut surface and the second convex undercut surface may be oriented toward the proximal end of the shaft, and the first convex undercut surface and the second concave undercut surface may be oriented toward the distal end of the shaft.

Abstract: Spinal bone anchor attachment device for improving the attachment of a bone screw to skeletal portions of a patient, the device reducing the risk of screw failure, and improving patient outcomes. The device is composed of a biomaterial compatible with bone and provides an enhanced surface area on outer surfaces of the device for engaging the bone, and an enhanced surface area within the device for engaging the bone screw. The device may also have a guiding slanted tip with a bias element for facilitating the placement of the device into bone tissue and rescuing an improper tract. The device may further be used to secure the placement of pedicle screws, and as a component of an intervertebral stabilization system commonly used in spinal fusion surgeries.

Abstract: A needle-mounted balloon system can include a cannula and a stylet. The cannula may include a handle and an outer sheath, and the outer sheath may be configured to retract and expose at least a portion of an expandable member. The stylet may include a stylet needle and a sharp distal tip portion. The stylet needle may be used to insert the system into a body structure, after which the stylet may be disengaged from the cannula. The expandable member may then be exposed and inflated to create a space in the body structure. Filler material may be injected through the cannula to the open space in an effort to stabilize an injured or otherwise destabilized portion of the body structure.

Abstract: At parties and other social gatherings, drinks are typically served in non-descript glassware. As a result, patrons may be unable to distinguish their glass from others once they are set down on a table. Unintentionally swapping glasses can be unsanitary and wasteful (increasing costs for the host of the event). To solve these problems, the inventors have created an easy way for people to mark their glassware with individualized stickers that are easy to remove at the conclusion of a gathering. The invention is water-soluble stickers that are designed around the theme of the gathering. Guests select from a set of unique stickers and adhere one to their glass—they work on all glassware (even without stems). At the end of the gathering, the host can easily remove the drink markers by running the glassware under water or by placing them in the dishwasher as they normally would.

Abstract: An endovascular near critical fluid based cryoablation catheter for creating an elongated lengthwise-continuous lesion in tissue can comprise an elongated shaft, a flexible distal tissue treatment section, and a distal tip. A plurality of flexible tubes can extend through the distal treatment section to transport a near critical fluid to and from the distal tip. The distal treatment section can also include a flexible fluid-sealed cover or barrier layer surrounding the delivery tubes. The cover and tubes can collectively define a space which is filled with a fluidic thermally conductive media. The thermally conductive media, fluid delivery tubes, and the cover can be arranged such that a flow of the near critical fluid through the tube bundle transfers heat between a target tissue and the distal treatment section of the catheter thereby creating the elongated lengthwise-continuous lesion in the tissue.

Abstract: Present disclosure provides a cooling device with safety features and methods for controlling temperature of the cooling device for safe cooling of target surface.