Abstract: Certain embodiments herein disclose a cannula assembly. The cannula assembly comprises a cannula, having a proximal end and a distal end. The cannula comprises a head at the proximal end, the head having one or more wings. The cannula also comprises a hollow rod extending from the head to the distal end. The cannula assembly also comprises a hub couplable to the head and having a housing with an inner wall. The inner wall comprises an undercut, and one or more distal ends of the corresponding one or more wings are configured to fit into the undercut and couple the hub to the head upon insertion of the head into the hub.

Abstract: A manual intraosseous (IO) device for introducing a bone portal to a predetermined depth relative to a surface of a target bone, and methods for using same. The device is manually actuated and configured to limit the depth of penetration of a bone portal into a bone cortex independently of an applied driving force and independently of subcutaneous tissue thickness surrounding the bone cortex, while providing terminal feedback that the bone portal has been penetrated to the predetermined depth. The device has transfusion facilitating components that remain fixed at the penetration site following penetration of the bone portal to the predetermined depth and releasable components that are separated from the transfusion facilitating components prior to a transfusion operation. The device may also include a stabilizer, or base, that allows a health practitioner to easily locate the insertion site and allows low profile fixation of the IO transfusion component (IO catheter).

Abstract: Systems for off-axis a vertebral body. A steerable assembly includes a steering instrument, a steering handle, and a trigger. A deflectable portion of the steering instrument and a distal portion of a deformable conduit are configured to be directed through and beyond the access cannula. A control surface of the trigger is configured to receive a pull or squeeze input to pivot the trigger to move the steering instrument to an operating mode in which increased tension on the steering instrument curves the deflectable portion of the steering instrument and the distal portion of the deformable conduit. A mounting block may be fixed within the steering handle, and a proximal end of the shaft may be fixed to the mounting block. The steering handle includes a guide movably supported within a void and coupled to the control element. A rear surface of the trigger engages the guide.

Abstract: A protective assembly for use during laparoscopic surgery, the assembly including: a thin membrane formed from non-toxic material, the membrane being sufficiently thin and maneuverable to be passed through a cannula of a trocar wherein the membrane includes opposed major membrane surfaces separated by thickness of the membrane, each membrane surface including rows of projections and recesses such that any two adjacently located projections are separated by a recess.

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: Provided is a fixture rod that is excellent in bonding strength between a core material and a reinforcing fiber layer and has high rigidity and high durability against a deformation load. A fixture rod according to one embodiment of the present disclosure comprises: a core member containing a resin; and a reinforcing fiber layer provided on the core member, and is configured such that the resin of the core member and a resin of the reinforcing fiber layer are the same resin, or the resin of the core member and the resin of the reinforcing fiber layer are different resins, and a critical surface tension of each of the resin of the core member and the resin of the reinforcing fiber layer is 20 mN/m or more.

Abstract: Modular connectors and methods are disclosed that provide two sides of a connector in modular and interchangeable fashion. The modular design can be enhanced to add various useful features to one or both sides of the connectors, including the use of rods, hooks, rod receivers of various configurations, etc. This modular approach can allow the assembly of various unique connectors from a pool of components that are interchangeable while minimizing manufacturing cost and complexity.

Abstract: Orthopedic fixation devices, assemblies, and methods for securing a spinal rod. The orthopedic fixation device may include a tulip head with one or more internal components configured to secure a bone fastener. The tulip head may house a breakable shear clip that has an initial solid form. When the bone fastener is loaded into the tulip head, the shear clip breaks forming a split ring that expands radially outward to accept the screw head. Then, the shear clip collapses around the screw head, thereby securing the bone fastener to the tulip head. A spinal rod may be secured in the tulip head, for example, with a locking cap.

Abstract: An anchor including shape memory metals, shape memory polymers or a combination thereof. The anchor has surgical and nonsurgical uses.

Abstract: Bone anchor assemblies and related instrumentation are disclosed herein. In some embodiments, a modular bone anchor assembly allows for a bone anchor to be driven into bone and a head or receiver member to be attached thereto at some later point in time. The bone anchor can have a smaller footprint than the complete assembly, which can improve visualization and anatomical spatial awareness during insertion of the bone anchor and during other surgical steps performed prior to attaching the head or receiver member to the bone anchor. A variety of modular head types are disclosed, as are various instruments for driving a bone anchor, attaching a head to a bone anchor, removing a head from a bone anchor, and making a unilateral attachment to a head of a bone anchor assembly. Drive interfaces for driving a bone anchor are disclosed, as are features that allow a bone anchor to act as a fixation point for soft tissue retraction, disc space distraction, derotation, and the like.

Abstract: A method of assembling a receiver assembly includes aligning an insert with a receiver such that a second channel of the insert is in non-alignment with a first channel of the receiver, followed by loading the insert into a through-space of the receiver that extends between a bottom opening and an upper opening. The through-space includes an internal recess beneath a helically wound guide and advancement structure and an internal ridge projecting inwardly below the internal recess. The insert includes side structures protruding laterally outward and spaced below top surfaces. The method further includes rotating the insert within the through-space of the receiver to align the second channel with the first channel so as to together receive an elongate rod, while also rotating the side structures of the insert into the internal recess of the through-space with the side structures being adjacent to and above the internal ridge.

Abstract: A system may be used to secure an ilium to a sacrum. The system may include an implant configured to pass through an access pathway to an implantation site between the ilium and the sacrum. The system may also include one or more anchors that are deployable outward from the implant and into the sacrum and/or the ilium proximate the implant to retain the implant relative to the ilium and/or the sacrum.

Abstract: An apparatus for sacroiliac fusion surgery is provided. The apparatus includes a tube that allows x-ray visualization of objects passing through the tube, the tube having a proximal end with an opening and a distal end with an opening. The tube further has one or more mounts on its distal end for attaching removable anchoring tips thereto. The apparatus further has one or more removable anchoring tips attached to the distal end of the tube with the one or more mounts. The tube is made of a material that is radiolucent and permits x-ray visualization of objects that are passed through the tube.

Abstract: Example rocker reducer instruments securely engage a receiver that is implanted in a vertebra of the spine and move a spinal fixation element, such as a rod, into a channel formed in the receiver. Example instruments pivot around their contact point with the receiver and a cross-pin or foot feature on the instrument makes contact with the spinal rod and applies a downward force to reduce the rod into the receiver. Further, example instruments can contain a stopping mechanism to limit the amount of compressing force applied to the receiver while maintaining the instrument in a rigid, closed position.

Abstract: Surgical instruments for interfacing with implants can include an inserter configured to dock to a unilateral portion of an implant. The inserter can include a control shaft that is configured to lock or unlock the inserter coupling with the implant. Actuation of the control shaft can occur by way of a knob that can control movement of the control shaft. The inserter can facilitate positioning of the implant relative to a surgical site and allow for application of counter-torque when imparting torque for tightening a set screw, etc. Additional instruments can also be used to manipulate the implant. For example, auxiliary instruments can be coupled to the inserter, such as a reducer instrument, to facilitate rod reduction, etc. Alternatively or in addition, a holder instrument can be used that has a threaded distal engagement feature for coupling to the implant to facilitate positioning thereof.

Abstract: A kyphoplasty system disclosed herein includes various instruments which can be selectively used to perform a kyphoplasty operation on a patient. For example, in some embodiments the kyphoplasty system includes an inflation plunger that is used to deliver a balloon inflation medium to enlarge an implantable balloon device. Further, some embodiments described herein include a connection system between the implantable balloon device and its delivery shaft that is simple to construct and easy to use. For example, in some embodiments one or more sutures are used to releasably connect the implantable balloon device to its delivery shaft.

Abstract: Internal bone fixation devices and methods for using the devices for repairing a weakened or fractured bone are disclosed herein. A device for use in repairing a fractured bone includes a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, wherein the delivery catheter has an inner void for passage of at least one reinforcing material and an inner lumen for passage of a light source; a conformable member releasably engaging the distal end of the delivery catheter, wherein the conformable member moves from a deflated state to an inflated state when the at least one reinforcing material is delivered to the conformable member; and an adapter releasably engaging the proximal end of the delivery catheter for receiving the light source and the at least one reinforcing material.

Abstract: An intramedullary nail may include a shank with a centerline defined along a length thereof. The intramedullary nail may also include a channel with a channel axis transverse to the centerline. The channel may have an obround shape in a first cross-sectional plane perpendicular to the channel axis at the centerline and a tapered profile in a second cross-sectional plane containing the channel axis. A proximal edge of the channel within the second cross-sectional plane may form a first angle relative to the channel axis and a distal edge of the channel within the second cross-sectional plane may form a second angle relative to the channel axis that is different from the first angle.

Abstract: The current invention features a rod screw for medical application that can be configured and used to fixate fracture of bones varying in shape and dimension, and treating maladies such as scoliosis, and securing an implanted device, to tissue such as bone. This is achieved by designing a flexible rod screw with a mechanism to lock the configuration in a rigid state. In an embodiment, a bone-fracture fixation device, such as a rod screw, includes a flexible body, a plurality of flexible members, and first and second interfaces. The flexible members are disposed longitudinally within the flexible body, such that the flexible body is rigid when the flexible members are fixed into position. And the first and second interfaces are respectively coupled to the flexible body, each of at least one of the first and second interfaces including a respective at least one hole each configured to receive a respective attachment member configured to engage a bone.

Abstract: A fracture fixation system includes an intramedullary nail having a proximal nail hole, wherein an inner surface of the proximal nail hole has a non-circular shape in a plane perpendicular to an axis along which the proximal nail hole extends; a plate having an inner surface for placement against a surface of a bone, the plate defining a proximal plate hole adjacent a proximal end of the plate extending through the plate; and a peg extending along a peg axis and configured for insertion into the proximal nail hole, wherein a body of the peg has an outer surface defining a non-circular shape in a plane perpendicular to the peg axis, the peg further including a lateral end adjacent to the body and configured to engage the proximal plate hole, the lateral end having a reduced cross-section that is smaller than a maximum cross-section of the body of the peg.

Abstract: The present invention generally relates to medical hardware for use in spinal stabilization, spinal fusion, spinal alignment and similar spinal surgical procedures. Specifically, the invention relates to a cervical plate with an integrated screw lock mechanism.

Abstract: Systems and methods for augmenting a vertebral body. An introducer device includes a shaft having a flexible distal portion with a pre-set curve in an unconstrained state. An input provided to an actuator to tension a pulling element to move the pre-set curve to a constrained state in which the distal portion and a flexible sheath conforming to the shaft at least partially straighten. The introducer device is removable from the sheath remaining offset from a longitudinal axis. A spacer hub facilitates proximal movement of the sheath relative to an access cannula expose a balloon through a syringe-style input. A hub of the access cannula may be adjustable to selectively adjust an interference surface relative to a datum. At least two radiopaque markers may be disposed on the sheath with relative positions between the markers viewable on lateral and A-P radiography to determine the location and/or curvature of the sheath.

Abstract: Disclosed herein is a method of alleviating symptoms of ocular surface discomfort, the method comprising: topically applying a cold slurry adjacent to a corneal limbus of an eye of a patient, wherein the cold slurry comprises water and a freezing point depressant, wherein the topical application of the cold slurry is configured to cause a degree of numbing of a cornea of the eye for a period of time, and wherein an ocular sensation of the eye is restored following the period of time.

Abstract: A vapor delivery system and method is provided that includes a number of features. In one embodiment, a method comprises inserting a vapor delivery needle into tissue of a patient, activating a flow of vapor from a vapor generator through vapor delivery ports of the vapor delivery needle to cause condensed liquid to exit vapor delivery ports of the vapor delivery needle, generating vapor in the vapor generator, delivering a dose of vapor through the vapor delivery ports of the vapor delivery needle into the tissue, and after the dose of vapor is delivered, re-activating the flow of vapor from the vapor generator through the vapor delivery ports of the vapor delivery needle to prevent a vacuum from forming in the vapor delivery needle.

Abstract: A vapor delivery needle and method is provided that is adapted for treating prostate cancer. The energy delivery probe can apply condensable vapor energy to tissue, such as a peripheral zone tissue in a human prostate. In one method, a needle is introduced into peripheral zone tissue of a human prostate, and vapor media is delivered through the needle to ablate peripheral zone tissue without ablating non-peripheral zone tissue. Systems for treating prostate cancer with vapor therapy are also provided.

Abstract: A tip portion for a cautery device defining a device axis is provided herein. The tip portion comprises a first electrode and a second electrode spaced apart from one another. The tip portion further comprises at least one wire comprising a first end in electrical connection with the first electrode, a second end in electrical connection with the second electrode, and a central portion in electrical communication with the first portion and the second portion. The central portion of the at least one wire defines a cautery shape comprising a continuous perimeter extending in a cautery plane, wherein the cautery plane is perpendicular to the device axis. A retrieval portion may be provided to retain a cut portion produced during use of the cautery device.

Abstract: In some instances, a generator includes a plurality of ports, each port able to individually couple with a separate radiofrequency probe; a touchscreen; and a control unit communicatively coupled with the touchscreen to cause the touchscreen to show a home display that includes a monopolar object and a bipolar object; operate the plurality of ports in a monopolar mode upon receiving a control signal from the touchscreen corresponding with actuation of the monopolar object or operate at least two of the plurality of ports as a coupled bipolar pair in a bipolar mode upon receiving a control signal from the touchscreen corresponding with actuation of the bipolar object; cause the touchscreen to continuously display a homing object while the generator is in either the monopolar mode or the bipolar mode; and upon actuation of the homing object, cause the touchscreen to show the home display again.

Abstract: The present invention relates to a conductive electrode of a monopolar handpiece, used in an electrosurgical handpiece. Specifically, the purpose of the present invention is to provide a conductive electrode for an electrosurgical handpiece and a manufacturing method therefor, in which during surgery, tissue carbonization and smog production nearly do not occur, and tissues do not adhere to the electrode.

Abstract: A surgical instrument includes an end effector, a handle assembly, and a knife drive assembly. The end effector includes a pair of jaws, a knife, and an RF electrode assembly. The knife actuates between a pre-fired position and a fired position. An arm of the handle assembly is configured to pivot the second jaw between the open position and the closed position. The knife drive assembly includes an input assembly, a rotary assembly, and an output assembly. The input assembly travels a first proximal distance to rotate the rotary assembly. The rotary assembly rotates in response to travel of the input assembly along the first proximal distance to drive the output assembly a first distal distance to thereby actuate the knife from the pre-fired position toward the fired position. The first distal distance is greater than the first proximal distance.

Abstract: An electrosurgical surgical instrument comprising an end effector, the end effector comprising an anvil; a cartridge operably configured to house a plurality of staples; a blade assembly comprising a blade; at least one electrode coupled to the blade, wherein the at least one electrode is in electrical communication with an electrosurgical power source generated from a controller; and at least one tissue sensor coupled to the blade; and a tissue monitoring system in electrical communication with the at least one tissue sensor, wherein the at least one tissue sensor provides feedback signals indicative of a property of the tissue to the controller, and wherein the controller signals the electrosurgical power source to adjust operational parameters of the electrosurgical surgical instrument based on the feedback signals.

Abstract: An electrosurgical instrument includes a jaw member having an electrically conductive tissue sealing plate configured to operably couple to a source of electrosurgical energy for treating tissue. A liquidphobic structure is added to at least a portion of the electrically conductive sealing plate to reduce tissue adherence during application of electrical energy to tissue.

Abstract: The embodiments disclosed herein relate to various medical device components, including components that can be incorporated into robotic and/or in vivo medical devices, and more specifically including end effectors that can be incorporated into such devices. Certain end effector embodiments include various vessel cautery devices that have rotational movement as well as cautery and cutting functions while maintaining a relatively compact structure. Other end effector embodiments include various end effector devices that have more than one end effector.

Abstract: A treatment tool includes: a first gripper; a second gripper configured to pivot relative to the first gripper to grip a living tissue between the second gripper and the first gripper; a support being provided with a pivoting shaft configured to engage with the second gripper and serve as a pivoting center of the second gripper; and a driver provided with a driving shaft configured to engage with the second gripper, the driver being configured to move forward and backward to pivot the second gripper.

Abstract: A rotary shaver component for a surgical instrument or an end effector for an electrosurgical instrument which has a thermally insulating component on an inner surface of a tubular member. The thermally insulating component is particularly useful for electrosurgical instruments which combine rotary shaver arrangements and RF electrode arrangements, where suction is used to remove RF heated saline from the surgical site. Without the presence of the thermally insulating component, there is a risk of burning the patient if the RF heated saline becomes too hot as the electrosurgical instrument may not be adequately insulated. The thermally insulating component prevents or reduces the effect of hot saline heating at least a portion of the inner tubular member, thereby preventing or reducing damage to non-target tissue during use of the radio frequency function.

Abstract: An apparatus for performing a medical procedure including an electrosurgical unit and an assembly including an elongated flexible conductive element, an interventional wire, a coupler, and an activator unit. The electrosurgical unit is configured to generate radiofrequency energy. The elongated flexible conductive element includes a proximal end connected to the electrosurgical unit, and a distal end. The interventional wire is configured to deliver radiofrequency energy. The coupler electrically couples the elongated flexible conductive element to the interventional wire. The activator unit is electrically coupled to the elongated flexible conductive element and is configured to selectively activate the delivery of radiofrequency energy from the electrosurgical unit to the interventional wire.

Abstract: Methods, systems and devices for endometrial ablation. In accordance with a method, a working end of an RF ablation device is positioned in a patient uterus to contact endometrial tissue, the working end comprising a dielectric wall capable of non-expanded and expanded shapes. An indicator mechanism is operatively coupled to the wall and configured to indicate non-expanded and expanded shapes of the wall.

Abstract: Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to the thrombectomy system. The system can include a signal generator having first and second terminals, and a treatment device with a conductive core member having a proximal end coupled to the first terminal and a distal end. An interventional element comprising the distal end of the core member can include an electrical engagement portion having a plurality of discrete electrodes spaced apart from one another and an expandable distal member disposed distal to the electrical engagement portion.

Abstract: The instant disclosure relates to electrophysiology catheters for tissue ablation within a cardiac muscle, for example. In particular, the instant disclosure relates to an electrophysiology ablation balloon catheter with a combination of coated and uncoated surfaces for focusing ablation energy at a desired portion of tissue.

Abstract: A catheter includes an elongated body, a distal end side of which is inserted into a body, and an electrode provided around an axis of the elongated body and expandable in a direction intersecting the axis. The electrode in an expanded state includes an intermediate portion at least partially including a portion in which element wires spread like a mesh, a proximal end portion located closer to a proximal end side of the elongated body than the intermediate portion and in which the element wires gather, and a distal end portion located closer to the distal end side than the intermediate portion and in which the element wires gather. The intermediate portion includes a maximum portion where an outer dimension of the electrode is maximized. The maximum portion is located closer to the proximal end side than a center of the electrode in an axial direction of the elongated body.

Abstract: A flexible circuit including a first segment including a base section of the flexible circuit; a second segment including a lateral wall section; a transition section between the base and lateral wall sections, the transition section being at least partially positioned adjacent a shared region of the base and lateral wall sections; and one or more electrode regions including a respective electrode, the one or more electrode regions being positioned at least partially in the transition section and the second segment.

Abstract: An ablation device and method for pulsed field ablation, the device comprising a catheter including an expandable basket, a set of electrodes formed on the expandable basket, and a pulse generator suitable for generating electric pulses wherein the pulse generator being in electrical connection with the set of electrodes. The expandable basket is formed of a braided mesh of filaments, wherein the filaments are made of nonconductive material, wherein at least portion of the filaments comprises a lumen, wherein the filaments further include electrodes and conductive wires. The conductive wires at least partially lead inside of the lumen of the filaments and are electrically connected to the electrodes.

Abstract: Described here are devices, systems, and methods for closing the left atrial appendage. The methods described here utilize a closure device for closing the left atrial appendage and guides or expandable elements with ablation or abrading elements to ablate or abrade the left atrial appendage. In general, these methods include positioning a balloon at least partially within the atrial appendage, positioning a closure assembly of a closure device around an exterior of the atrial appendage, inflating the balloon, partially closing the closure assembly, ablating the interior tissue of the atrial appendage with the inflated balloon, removing the balloon from the atrial appendage, and closing the atrial appendage with the closure assembly.

Abstract: Technologies are described for an endoscopic duct clearing system. A cannula can be shaped to pass through an endoscope within an esophagus, into a duodenum, and through an incision in a duodenal papilla. A capture basket may be deployed from a distal end of the cannula. A hand control at the proximate end of the cannula may be operable to position the distal end of the cannula from outside the endoscope into proximity of blockage material. A suction line may be coupled from a suction source to the proximate end of the cannula. A suction control may be coupled to the suction source. The suction control may be operable to adjust a level of suction drawn by the suction source through the distal end of the cannula. The suction control may be adjusted to draw the blockage material against or into the cannula for removal from the patient.

Abstract: A medical device is disclosed, including a handle assembly; an elongate body coupled to the handle assembly, the elongate body defining a guide wire lumen therethrough; and a substantially semi-circular electrode array coupled to the elongate body. The device may include a substantially rigid shaft extending distally from the elongate body and defining a lumen therethrough, the shaft including a substantially rigid segment, and a flexible coil coaxial with and extending distally from the shaft.

Abstract: The present invention relates to flexible sheath assemblies capable of maintaining a desired positioning at a desired tissue region during medical procedures involving use insertion and withdrawal of medical tools through the flexible sheath, and related systems and methods.

Abstract: A laser beam treatment system that delivers laser beam pulses to a dental treatment area according to a particular pattern is described. In various instances, the spacing of the pattern (e.g., locations at which pulses are delivered and the distances therebetween) and/or the timing of the pattern (e.g., amount of time between the delivery of pulses to a first location and a later location that abuts the first location) can have a demonstrable effect on ablation performance. The effects can include, for example: improved ablation efficiency, improved surface smoothness, improved material removal rate, and/or the absence of melt, carbonization or other negative surface features.

Abstract: An optical-fiber-based optical switch arrangement configured to redirect light from axial propagation to off-axis propagation due to axial repositioning of the optical fiber within the optical termination element and internally reflecting light in an annular fashion off the axis in one state of the switch arrangement and not in the other.

Abstract: A tubular optically-transparent device structured as a terminating cap for an optical fiber is configured to deliver laser radiation from the optical fiber substantially radially (generally—transversely to the axis of the cap) while at the same time spatially-redistributing the radiant intensity at a point of interaction of laser radiation with a wall of the cap to reduce material damage of the material of the cap thereby reducing tissue adhesion during surgery performed with the use of the device including such optical fiber and cap. A method for operating the same.

Abstract: Systems, methods, and computer-readable media are disclosed for patient-specific modeling of hemodynamic parameters in coronary arteries. Example methods may include performing computational fluid dynamics simulations using a patient-specific coronary artery anatomical model derived from medical imaging data and patient-specific boundary conditions derived from a continuously recorded blood pressure waveform to determine patient-specific hemodynamic parameters in a patient's coronary arteries.

Abstract: Devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display are disclosed.