Abstract: Meniscal extrusion can occur due detachment of the knee capsule from structures of the knee. Disclosed herein are methods to repair the meniscal detachment. Additionally, cadaveric and synthetic models can be used to teach said methods of repair.

Abstract: An anchoring system comprises a first anchoring device comprising a first plug and a second anchoring device comprising a first anchor, wherein each of the first anchoring device and the second anchoring device is configured to enter a tissue wall at a proximal side of the tissue wall, the first plug is configured to exit the tissue wall at a first point of a distal side of the tissue wall, the first anchor is configured to exit the tissue wall at a second point of the distal side of the tissue wall and attach to the first plug outside of the distal side of the tissue wall at a first entry point of the first plug, and the first plug is configured to at least partially cover the second point of the distal side of the tissue wall.

Abstract: Methods for tissue repairs with mattress stitch are disclosed. A mattress stitch is created with a suture passer and a suturing construct using only one portal and without shuttling steps. The suture passer is provided with two sharp teeth or tines that pierce tissue (or tissue and associated graft) at two different locations. The suturing construct can be a loop terminating in a tail. The tail is passed from one tooth to another and then secured into a securing mechanism of one of the two sharp teeth. The tail is passed through the loop to form a cinch loop around and through the tissue (or the tissue and the graft).

Abstract: A method and apparatus for securing separate loops of suture with a coaxial mechanical fastener. Separate loops of suture extend from opposite ends of the mechanical fastener. A wire snare facilitates pulling the suture through the fastener. A suturing instrument provides for the infusion of pressurized physiologic solutions into the left ventricle so that the proper replacement suture length can be demonstrated real time prior to crimping the fastener. The instrument incorporates a slotted release site so that the fastener and suture can be released from the device tip once the fastener is secured. A method of securing suture coming from cardiac valve leaflets and or other structures like papillary muscles permits a more atraumatic orientation of the fastener coaxial with the suture strands.

Abstract: The present invention refers to a continuous meniscus suture, the chain method, performed with a suture device comprising a cannula having a pointed end and a slidable inner rod with a hook at the end, with the steps of: a) accessing the joint; b) perforating the meniscus with the suture device in a first region of the injury; c) capturing a suture thread with the hook of the suture device; d) pulling the suture thread forming a loop inside the joint and positioning the loop in a second region of the injury on the side opposite the prior perforation site of the meniscus; e) releasing the thread of the hook of the device; f) perforating the meniscus with the end of the device in the second region of the injury, passing the cannula of the suture device inside the loop positioned in step d); g) capturing again the suture thread outside the joint; h) recoiling the device inside the joint, bringing the new loop into the joint; i) positioning the new loop in the desired position, crossing the injury about 4 mm prio

Abstract: A medical/veterinary suture crimp tool includes a stationary jaw at a distal end of a fixed shank and having across its width and extending at least partially along its length spaced fixed crimp members including at least first, second, and third crimp members and a moveable jaw at a distal end of a linearly driven crossbar and having across its width and extending at least partially along its length, spaced crimp members including at least fourth, fifth, and sixth crimp members opposing, respectively, the first, second, and third crimp members of the stationary jaw. An alignment fiduciary is associated with said fifth crimp member of the stationary jaw for alignment with an alignment fiduciary of a crimp tube. A first handle is connected to the fixed shank and a second handle is pivotably connected to the fixed shank and configured to drive the crossbar linearly with respect to the fixed shank to fully crimp the crimp tube.

Abstract: A wound closure system and a method of reducing the size of an open wound are disclosed. A suture line is sutured through body tissue adjacent an open wound, the suture line sutured so as to pass into the body tissue at an entry point and exit at an exit point, the suture line including a plurality of barbs extending outwardly at an acute angle with respect to a surface of the suture line. A biasing member applies a continuous pulling force on the suture line for stretching the body tissue toward the open wound, wherein the biasing member is configured to take up any slack of the suture line during stretching of the body tissue and keep the suture line taut.

Abstract: Surgical fasteners for use with articulating surgical instruments are disclosed. In one embodiment, a surgical fastener may include a head, a shaft extending distally from the head, and a through bore extending through the shaft from a proximal surface of the head to a distal end of the shaft. A fastener carrier of a surgical instrument may be slidably received in the through bore, and the through bore may be sized and shaped to have two or fewer contact points with the fastener carrier when the fastener carrier is in a fully articulated configuration. In another embodiment, a fastener may include a head, a shaft extending distally from the head and including a distal tip, a sloped surface sloping toward the distal tip, and a through bore passing through the head, shaft, and sloped surface. The sloped surface may terminate at two shoulders located on opposing sides of the through bore.

Abstract: Devices and methods for closure of apertures in tissue (e.g., defects in fascial tissue) are generally provided. Closure of apertures in tissue, e.g., using sutures and patch closures, are common surgical operations. In some aspects, methods and devices for using tissue grippers to engage tissue portions, and subsequently biasing the tissue grippers and tissue portions towards one another by changing a configuration of a lock are generally provided. In other aspects, methods and devices for measuring a retraction force applied by tissue grippers to tissue portions are generally provided.

Abstract: The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed.

Abstract: The invention provides systems, devices, and methods for the delivery, deployment, and positioning of magnetic compression devices at a desired site so as to improve the accuracy of anastomoses creation between tissues, organs, or the like.

Abstract: A device and method for performing anastomosis is described. In one embodiment according to the present invention, the device comprises a ring that has a plurality of pins extending from various locations on the ring. During a procedure, the pins are passed through portions of tissue and the ring is everted or radially flipped inside out to connect the tissues together.

Abstract: A system includes a display and a processor. The display is configured to present a rendering of at least part of a septum and a left atrium of a heart of a patient. The processor is configured to (a) identify in the rendering (i) the septum and (ii) a target anatomical location to be reached by a probe via the septum, (b) calculate a trajectory for the probe between the septum and the target anatomical location, including identifying over the septum an entrance location for the probe to cross the septum and reach the target anatomical location, and (c) present the entrance location to a user for penetrating the septum therein.

Abstract: A system includes a coronary sinus occlusion device operable to occlude at least a portion of a coronary sinus of a heart of a patient, and a control system that activates the coronary sinus occlusion device and generates a user prompt on a user interface to terminate a coronary sinus occlusion treatment in response to a detected condition.

Abstract: The present disclosure relates to repair devices configured for use in fixing or approximating tissues, such as cardiac valve tissues and particularly the leaflets of a regurgitant mitral valve. The repair device includes a shaft, a pair of proximal elements pivotally coupled to the shaft and extending from the shaft, and a pair of distal elements pivotally coupled to the shaft and extending from the shaft. The proximal and distal elements are configured so that targeted tissue can be grasped therebetween. The distal elements and/or the proximal elements include adjustable arms that can be extended and retracted to adjust the length of the gripping elements to provide more effective grasping of targeted tissues.

Abstract: A junctional assistance device designed to apply uniform pressure to a person in conjunction with a tourniquet. The junctional assistance device is a singular piece including a larger oval top surface that is lofted into a smaller oval shaped bottom surface. The junctional assistance device is designed to allow pressure to be transferred from the larger top surface to the smaller bottom surface.

Abstract: An attachment device according to the present disclosure includes an attachment sheet including an attachment surface attachable to a living body surface; a device body fixed to the attachment sheet; and a plurality of release sheets attached to the attachment surface, in which the attachment sheet includes an outer edge portion to which the device body is not fixed and that is positioned at an outer periphery of the device body in plan view as viewed in a thickness direction of the attachment sheet, and the plurality of release sheets include a first release sheet that is attached to a first attachment region including an attachment surface of a part different from the outer edge portion in the attachment surface, and a second release sheet that is attached to a second attachment region including only an attachment surface of the outer edge portion in the attachment surface.

Abstract: An osteotomy procedure may be performed to correct a misalignment of a bone, such as a bunion deformity. In some examples, the osteotomy procedure involves making a spherical-shaped cut transecting a first metatarsal, thereby forming a first metatarsal portion having a spherical-shaped projection and a second metatarsal portion having a spherical-shaped recess. The method further involves moving the second metatarsal portion in at least two planes relative to the first metatarsal portion, thereby adjusting an anatomical alignment of the second metatarsal portion.

Abstract: Embodiments relate to treating a foot disorder associated with diabetes by realigning and rebalancing abnormal destructive forces on a patient's feet. The method includes screening a patient with a foot deformity for diabetes, optionally correcting an ingrown toenail on said patient's foot and debriding ulcerated skin on said patient's foot, performing a tenotomy on each of said patient's toes with the deformity, performing a capsulotomy on each of said patient's toes with the deformity if said tenotomy did not correct said deformity, and performing an osteotomy on each metatarsus corresponding to each of said patient's toes with the deformity if said tenotomy and said capsulotomy did not correct said deformity.

Abstract: A number of orthopaedic surgical instruments are disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed. In some embodiments, an orthopaedic instrument assembly may include a femoral cutting block configured to receive a portion of a distal femur of a patient and a ligament balancer secured to the femoral cutting block.

Abstract: A surgical rongeur device has an interchangeable, locking tip at a cutting end for engageable replacement with a variety of cutting tips for facilitating sterilization and blade changes. A detachable linkage between a handle portion and an interchangeable cutting tip (tip) provides a strong connection for actuation by the handle end but allowing for tip replacement via slidable, lateral displacement of the tip. The tip includes a blade and footplate formed from an amorphous metal for longevity and strength advantages. A handle provides a lever to actuate the tip from slidable communication via the detachable linkage. An interlocking member extends longitudinally from the handle into an internal slot on the tip for locking the tip by preventing lateral movement out of alignment with the handle. The aligned tip is responsive to actuation from the handle via a rail for disposing the blade longitudinally against the footplate.

Abstract: Methods and devices for delivering bone material are disclosed. The bone delivery device may include a cannula and a cartridge in fluid communication with the cannula, wherein the cartridge comprises a base containing one or more delivery channels configured to receive bone material. The bone material within the delivery channel(s) is compacted to a second diameter smaller than the first diameter. The method includes actuating the compacted bone material from the cartridge through the cannula to deliver the bone material to an implantation site.

Abstract: A combination device for use in preparing a bone to receive a prosthetic component includes a body section. A drill section configured to bore a hole in the bone and extending away from the body portion defines a first longitudinal axis and a first maximum radius perpendicular to the longitudinal axis. A plurality of reaming fins extend downwardly from the body portion and outwardly from the drill section. A first drill guide extends through the body at a location between two of the plurality of reaming fins, the first drill guide defines a second longitudinal axis parallel to the first longitudinal axis and a second maximum radius perpendicular to the second longitudinal axis. The first longitudinal axis is spaced apart from the second longitudinal axis by a distance which is greater than the first maximum radius plus the second maximum radius.

Abstract: Bone fusion system, devices, guides, implant and methods for using the bone fusion system, devices, guides and implant are disclosed. The fusion system includes a first alignment guide, a second alignment guide, and an implant. The first alignment guide couples to an intermediate portion of the implant and the second alignment guide couples to a distal portion of the implant. The implant includes a body portion, a first extension portion extending away from a first end of the body portion, a second extension portion extending away from a posterior of the body portion, and a third extension portion extending away from a distal end of the body portion. Finally, methods for using the bone fusion system, devices, guide and implant are disclosed.

Abstract: Apparatuses, systems and methods that provide to the neurosurgeon all of the features and functions needed for the entire surgical procedure in a fully integrated package that will allow for efficient and effective remove of the clot or tumor without the need for a craniotomy—from initial assessment of the clot or tumor, its size, location and status, to planning of the surgical procedure (from scalp incision to trajectory and depth of insertion of the cannula,) to controlled addition and removal of temperature-controlled fluid to the clot or tumor site, to precise and controlled removal of the clot or tumor, to confirmation of desired removal, to cauterization—and all done with real time visualization on adjacent video monitors or augmented reality displays that will allow the surgeon to “see” inside the brain.

Abstract: A system is provided which includes a cannula and a secondary device. The cannula includes an expandable member, a cannula lumen, and a cannula proximal end. The expandable member includes a proximal most end, a distal most end, at least two movable sections, with the space between the at least two moveable sections, and an impermeable membrane extending across the space between each of the at least two moveable sections. In addition, the impermeable membrane extends from the expandable member distal most end to the expandable member proximal most end. The secondary device is configured to be coaxially placed through the cannula lumen. The cannula proximal end is configured to operatively couple to a vacuum source configured to create a negative pressure to pull an undesirable material into the cannula lumen.

Abstract: A thrombectomy device (1) for removing matter from a body lumen comprising a handle (3), a catheter member (2) extending from the handle (3) having a distal control arm (5) and a proximal control arm (6), a radially expansible member (4) on the distal control arm radially expansible between a contracted position and an expanded, thrombus-capture, position in response to axial movement of the distal control arm (5); and a thrombus extraction mechanism (14) extending through the distal control arm (5) wherein the extraction mechanism (14) and the distal control arm (5) are coupled to enjoy a synchronised axial movement so that the extraction mechanism (14) is positionally axially fixed with respect to the distal control arm (5).

Abstract: A retrieval device may have a contracted state and an expanded state. The retrieval device may include a sheath and at least three support members. Each of the support members may have a first portion with a first cross-sectional shape and a second portion with a second cross-sectional shape different from the first cross-sectional shape. A proximal end fixed of each of the support members may be coupled to the sheath, and a distal end may be movable relative to the sheath. The retrieval device may further include at least three movable members movable relative to the support members. Each movable member may extend through a lumen of one support member of the at least three support members and through a lumen of a different support member of the at least three support members.

Abstract: An apparatus includes an end effector, a shaft assembly extending proximally from the end effector, an instrument base, and a knife driving assembly. The end effector includes a pair of jaws and a knife member capable of actuating between a proximal and distal position. The knife driving assembly can actuate the knife member between the proximal and distal position. The knife driving assembly includes a cable and a knife drive input assembly coupled only to a first drive input. The knife driven assembly is capable of rotating in first and second angular directions. The cable terminates into a first end and a second end, which are both attached to the knife drive input assembly. A portion of the cable is attached to the knife member. Rotation of the knife drive input assembly in the first angular direction drives the knife member distally. Rotation of the knife drive input assembly in the second angular direction drives the knife member proximally.

Abstract: A handheld medical device with a distal implement 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. The inner drive shaft may include one or more inner drive shaft bendable sections, and the outer housing may include one or more outer housing bendable sections. The inner drive shaft bendable section may be heated to anneal the material forming the inner drive shaft bendable section such that during use the inner drive shaft bendable section may be bent into a desired position and, once bent, the inner drive shaft bendable section remains in the desired position and does not bind against the elongated, tubular, outer housing.

Abstract: Contoured surgical instruments, including contoured forceps gripping surfaces, are presented. The instruments can have a first arm with a contoured surface and a second arm with a contoured surface to provide for rotation in the hand of a user. Instruments including the contoured gripping surfaces have an ergonomic shape, favorable weight distribution, improved tactile response, and a construction suitable for precise grasping and manipulation required in many surgical procedures. The contoured gripping surfaces are applicable to a variety of dental and surgical instruments.

Abstract: A surgical handpiece includes a torsional transducer and a surgical attachment having a first end detachably connected to the torsional transducer and a second end defining a working plane for engagement with biological tissue. The torsional transducer is configured to create a standing wave. The standing wave creates a torsional motion of the second end of the surgical attachment at the working plane.

Abstract: Surgical devices and/or methods for forming a pathway in the body of a patient.

Abstract: A uterine fibroid tissue removal device includes an inner tube disposed within an outer tube and configured to be translated and rotated relative to the outer tube, and a separately formed unitary distal tip member attached to a distal end of the inner tube, such that the distal tip member translates and rotates relative to the outer tube along with the inner tube, wherein a distal facing open cutting end of the distal tip member in fluid communication with an axial lumen of the distal tip member translates across a tissue resection window in a sidewall of the outer tube so as to sever tissue extending therethrough, the distal tip member axial lumen being in fluid communication with an axial lumen of the inner tube, wherein an outer diameter of the distal tip member is greater than an outer diameter of the inner tube.

Abstract: Aspiration medical device as well as methods for making and using aspiration medical devices are disclosed. An example aspiration medical device may include a tubular member having a distal end region and defining an inflow orifice adjacent to the distal end region. An aspiration member may be disposed within the tubular member. The aspiration member may have a plurality of axially-spaced fluid jets formed therein.

Abstract: The present technology is directed generally to devices, systems, and methods for capturing and cutting fibrous and trabeculated structures (such as synechiae) in vessel lumens. In one embodiment, the present technology includes an intraluminal tissue modifying system configured to capture the fibrous structures, put the fibrous structures in tension, and controllably cut through the fibrous structures without applying appreciable additional force to the vessel wall. The system may include an expandable capture device and a cutting device.

Abstract: A control handle for an atherectomy device comprising a housing and a drive module for rotating an abrasive head of the atherectomy device. The drive module is moveable relative to the housing in a longitudinal stroke motion. The control handle further comprises a rotary indexing mechanism connected to the drive module. The rotary indexing mechanism is configured to rotate the drive module by a pre-determined amount after a longitudinal stroke.

Abstract: A transseptal needle or punch. The transseptal punch includes a stylet with a tube with a side window and a cutting wire disposed within the tube, with a sharp cutting segment disposed proximate the window. The sharp cutting segment can be expanded radially outwardly from the window by translation of the cutting wire proximal end within the tube.

Abstract: Systems, instruments, and methods are described in which a scalpet device comprises a housing configured to include a scalpet assembly. The scalpet assembly includes a scalpet array and one or more guide plates. The scalpet array includes a set of scalpets, and in embodiments the set of scalpets include multiple scalpets. The guide plate maintains a configuration of the set of scalpets. The set of scalpets is configured to be deployed from and retracted into the housing, and is configured to generate incised skin pixels at a target site when deployed. The incised skin pixels are harvested.

Abstract: Guided percutanous device and method for providing visual representations of organ registration and tracking during a guided percutaneous procedure using an electromagnetic tracking (EMT) system comprising an EMT field generator and tracker defining an EMT coordinate system, a catheter with a EMT sensor for placing in the organ to indicate a percutaneous procedure target, a needle with an EMT sensor, an ultrasound (US) probe with an EMT sensor, and an electronic data processor configured for carrying out the steps of: loading preoperative imaging data; receiving 3D poses of the catheter, needle and US probe from the EMT; receiving intraoperative imaging data; calculating transformation matrices and multiplying said matrices to transform said imaging data and needle pose to a catheter pose; generating a visual representation of the transformed imaging data and needle pose for displaying on a user interface; generating a visual representation of the transformed registered preoperative imaging data for displayin

Abstract: An impact or extension handle for a needle assembly such as a jamshidi needle can include an attachment portion and a handle portion. The impact or extension handle can also include an impact strikeplate. The attachment portion is configured to couple to the jamshidi needle. A user can use the impact or extension handle to manipulate the position or angle of the needle assembly. A user can tap a mallet or similar instrument on the impact strikeplate to drive the needle assembly into a target location in a patient's body. The impact or extension handle can allow the user to hold his or her hands out of the way of equipment used during the procedure and away from potentially harmful radiation from imaging equipment used during the procedure.

Abstract: A needle assembly positionable under visual guidance from an ultrasound system. An elongate body extends distally from a hub along a longitudinal axis and defines a lumen. Reverberation features reverberate incident waves to produce reflected waves to be received by the ultrasound system. The reverberation features may be disposed within the lumen and axially spaced apart from one another along the longitudinal axis. The reverberation features may include opposing portions of an inner surface of a sidewall that define a gap that is smaller or shaped differently than an inner diameter of the lumen. The elongate body may include a solid section near a beveled tip, and the reverberation features are bores defined within the solid section and axially spaced apart from one another. The elongate body may be removably disposed within a sheath in which a distal end of the sheath is axially positioned proximal to the reverberation features.

Abstract: An access tool for piercing an airway wall including a dilating member (308) having a minimally traumatic tip formed on a distal end, a piercing member (302) having a piercing tip on a distal and a handle (304) formed on a proximal end, and a spring-loaded actuator (406) connecting the piercing member and the dilating member such that upon actuation the piercing member is urged in the direction of the dilating member.

Abstract: Tools and techniques for a flexible surgical halo are described. Flexible surgical halo tools and techniques are usable to impede a flow of a liquid and route the liquid away from a device attached to or beneath the flexible surgical halo. In one example, a flexible surgical halo includes an elastically deformable body including a tube portion and a canopy portion. The tube portion is configured for attachment to an outer surface of a device, and the canopy portion is configured to route liquids along an upper surface or an outer edge of the canopy. The canopy portion has a lower surface configured to ensure that liquid is unable to reach the tube portion. In this way, flexible surgical halo tools and techniques provide the ability to shield a surgical instrument from becoming soiled by liquid inside of a body cavity.

Abstract: An applicator for delivering a fillable balloon into a body cavity. The applicator has a tubular shaft and a tubular capsule attached or adapted to be attached to a distal end of the shaft. The capsule receives a balloon in an uninflated or unfilled or partially filled state.

Abstract: An intravaginal device for cervical ripening comprising an inflatable portion and a tube in fluid communication with the inflatable portion. The inflatable portion is configurable between a deflated and an inflated state, and the inflatable portion is configured to be inserted into a vagina when in the deflated state and to ripen a cervix when inflated with fluid. The tube is configurable between an extended state and a retracted state. In the extended state, the tube is configured to be located at least in part outside the vagina to deliver fluid to inflate the inflatable portion. In the retracted state, the tube is configured to be located within the vagina.

Abstract: The invention relates to an activation tool (3) comprising in particular: a coupling device (17) interposed between a first shaft (9) and a second shaft (15), which is configured to couple the first shaft (9) and the second shaft (15) in a first mode, referred to as the activation mode, when the first shaft (9) and the second shaft (15) exhibit the same rotational speed, and is configured to angularly decouple the first shaft (9) and the second shaft (15) in a second mode, referred to as the failure mode, when a rotational speed of the second shaft (15) is higher than the rotational speed of the first shaft (9), means (19) for detecting the switch from the first mode to the second mode. The invention also relates to a distraction assembly (1) having an activation tool (3) of the above-mentioned type, and a plate distractor (5).

Abstract: The present disclosure provides a transverse connecting device and a reduction and fixation system using the same. The transverse connecting device includes a connecting rod, wherein the connecting rod is provided with clamping heads, a lower end of each of the clamping heads is provided with two clamping arms, a clamping groove is formed between the two clamping arms, one of the two clamping arms is provided with a transverse through hole, the vertical through hole is internally threaded with a screw plug, a lower end of the screw plug abuts against a side of a first sliding block away from the clamping groove, when the screw plug is screwed into the vertical through hole, the screw plug pushes the first sliding block to slide into the clamping groove along the transverse through hole.

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: A pivotal bone anchor assembly includes a receiver having a base defining a cavity for receiving the capture portion of a shank and a first pair of upright arms defining a first channel for receiving an elongate rod, and a pressure insert with a second pair of upright arms defining a second channel. The pressure insert is configured for initial positioning into the receiver, with the first channel and the second channel in a malaligned orientation, and afterwards being rotated so that radially offset upward-facing surfaces of the insert rotate under downward-facing abutment surfaces of the receiver and outer rotation blocking surfaces of the insert engage inward-facing rotation blocking surfaces of the receiver, so as to resist the rotation between the pressure insert in the receiver, until the first channel and the second channel are in alignment and further rotation of the pressure insert is inhibited by abutment between the outer rotation blocking surfaces against the rotation blocking surfaces.