Abstract: A surgical instrument includes a housing, a shaft, an end effector, and a cleaning assembly. The housing includes a proximal face. The shaft extends distally from the housing and defines a channel. The end effector is disposed adjacent a distal end of the shaft and is configured to manipulate tissue. The cleaning assembly is disposed at least partially within the housing and defines a fluid path extending between the proximal face of the housing and the channel of the shaft.

Abstract: A suture anchor system includes an anchor having an elongate cylindrical body extending between a proximal end and a distal end, and an eyelet traversing a portion of the elongate cylindrical body, a drill guide having an interior chamber in fluid communication with a distal opening, an elongate anchor inserter having a distal surface configured to interface with a proximal surface of the anchor, and an elongate drill member having a distal drilling tip. The interior chamber is configured to at least partially house the elongate anchor inserter and the elongate drill member.

Abstract: A method for attaching tissue to bone includes the steps of inserting a first anchor into bone, advancing a first limb of a first suture from the first anchor through the tissue and a scaffold, and advancing a second limb of the first suture from the first anchor though the tissue. Alternate methods for attaching tissue to bone are also disclosed.

Abstract: A suturing device includes a cannula, a needle pusher, an actuator mechanism and a brace. The cannula includes a proximal portion and a distal portion. The distal portion includes a more proximal section, a needle compartment and a curved section. The more proximal section is located nearest the proximal portion of the cannula. The needle compartment defines a needle passage terminating in a distal opening. The curved section is located between the needle compartment and the more proximal section. The needle pusher is provided at least in the distal portion. The actuator mechanism is operably connected with the needle pusher. The brace is on the distal portion connected with and spanning between the needle compartment and the more proximal section.

Abstract: An electromagnetic suturing device comprises a body, a coil in the body and a suturing element actuatable by a magnetic suturing track extending into the first end face, a second arm having a second end face opposing the first end face, a second suturing track extending into the second end face, a coil in the first arm, and a suturing element drivable by a magnetic field generated by the coil to move from the first suturing track to the second suturing track. An electro-magnetic hammer suturing device comprises a housing and a coil in the housing, a shuttle to reciprocate in the housing by an electromagnetic field generated by the coil and a suturing element to be actuated by the shuttle.

Abstract: A needle driver can include a first jaw hosting a first shaft and a second jaw hosting a second shaft. The first shaft hosts a first roller and a first set of teeth. The second shaft hosts a second roller and a second set of teeth. The second jaw moves relative to the first jaw between an open position and a closed position. The first set of teeth meshes with the second set of teeth when the second jaw is in the closed position such that (a) the first set of teeth can drive the second set of teeth and (b) the first roller and the second roller can drive a needle therebetween when the first set of teeth drives the second set of teeth.

Abstract: A suture scissor clamp has a first and second shanks having a first and second finger rings and connected to a first and second jaws, respectively. The first shank is connected to the second shank by crossing the second shank such that when the first ring and the second ring are moved towards each other, the first jaw and the second jaw move towards each other. A first blade is connected to the first jaw and a second blade connected to the second jaw. The first blade and the second blade are not operable until after the first jaw and the second jaw are brought together. The first blade is inside or about the first jaw and the second blade is inside or about the second jaw. The first blade exits the first jaw towards the second blade and the second blade exits the second jaw towards the first blade when the first jaw and the second jaw are completely brought together and the first ring and the second ring are moved further towards each other.

Abstract: A suturing device is provided including a cannula, a needle pusher, a plunger, a spring, a shuttle, a button and a tether. The cannula includes a needle compartment defining a needle passage terminating in a distal opening. The needle pusher is provided in the cannula. Movement of the plunger from the extended position toward the depressed position compresses the spring. The spring exerts a biasing force on the shuttle in the advance direction when the plunger is in the depressed position. The button operably engages with the shuttle, and the spring biases the shuttle in the advance direction after the button is depressed, which pushes the needle pusher in the advance direction. The tether connects the plunger with the shuttle.

Abstract: Provided herein are methods, constructs, and kits for positioning a first bone segment relative to a second bone segment within a subject's body, for example, in order to establish a reduced position of the first and second bone segments. The present disclosure provides, among other things, alternatives to traditional ligament reconstruction and tendon interposition (LRTI) and suture suspension arthroplasty procedures.

Abstract: Disclosed in an orthopedic implant that comprises a spacer portion having a superior portion and an inferior portion, and a staple portion. The staple portion is integral with the spacer portion and comprises a crown portion and first and second leg portions, the first and second leg portions having distal end that converge from the crown portion and that are composed of a material that has superelastic properties at body temperatures, whereby the first and second leg portions are configured to impart a compressive biasing force when the implant is installed with the legs under tension.

Abstract: The present disclosure includes an extender for a surgical stapler. An example extender includes a proximal end configured to removably couple to a surgical handle assembly, a distal end configured to removably coupled to a reloadable cartridge assembly, and an extender drive rod configured to transfer power from the surgical handle assembly to the reloadable cartridge assembly.

Abstract: A manually operated surgical stapling device includes an end effector and a firing mechanism that is configured to reduce the torque required to fire staples from the end effector of the stapling device. The firing mechanism includes a trigger, a thrust bar, and a firing link that is secured to the trigger and engaged with the thrust bar. The trigger is coupled to a handle assembly of the stapling device and to the firing link to minimize the torque required to move the trigger between unactuated and actuated positions.

Abstract: A surgical stapling device includes an end effector that has a cartridge assembly with a stopper of simple construction that prevents advancement of a pusher and a knife assembly within a cartridge body of the cartridge assembly until the stapling device is fired, and/or prevents readvancement of the knife assembly of the cartridge assembly after the stapling device is fired.

Abstract: A surgical stapler includes a first stapler half including an anvil surface having a plurality of staple forming pockets, and a second stapler half configured to releasably couple with the first stapler half. The second stapler half is operable to deploy staples toward the anvil surface. The stapler also includes a projection positioned on one of the stapler halves and extending laterally relative to a longitudinal axis of the stapler. The stapler halves are configured to pivot relative to each other about the projection. The stapler further includes a locking member positioned on the other of the stapler halves. The locking member is configured to translate along the longitudinal axis of the stapler between a locked state in which the locking member selectively captures the projection and an unlocked state in which the locking member selectively releases the projection. The locking member is biased proximally toward the locked state.

Abstract: The present disclosure relates to an end tool of a surgical instrument and a surgical instrument including the same, and more particularly, to an end tool of a surgical instrument that may be mounted on a robotic arm or operable manually to be used in laparoscopic surgery or other various surgeries, wherein the end tool is rotatable in two or more directions and is moved in a way that intuitively matches a motion of a manipulation portion, and a surgical instrument including the same.

Abstract: An auxiliary device for a surgical stapler includes a body, a mounting bracket, a drive plate, a rack, and a firing lever. The mounting bracket is supported on the body and configured to releasably couple the body to the surgical stapler. The drive plate is configured to couple to a firing actuator of the surgical stapler. The rack is mechanically coupled to the drive plate. The firing lever is mechanically coupled to the rack and pivotable to move the drive plate relative to the surgical stapler for firing the surgical stapler.

Abstract: A reload for a surgical stapling apparatus includes a shaft assembly and an end effector secured to the shaft assembly. The end effector includes an anvil assembly, a cartridge assembly, and a firing assembly including a drive beam and a carriage, the drive beam and the carriage coupled together by a firing cable and a retraction cable that move the drive beam through the end effector as the carriage moves through the shaft assembly.

Abstract: A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

Abstract: Jaws of a surgical clip applier with housings formed thereon and methods for manufacturing and use during a procedure to apply surgical clips to a vessel, duct, shunt, etc. are provided. In one exemplary embodiment, a surgical clip applier is provided having jaws on a distal end thereof with a rigid internal frame and an outer housing formed around the internal frame. The jaws of the surgical clip applier can include a variety of features to facilitate placement of surgical clips, including features to align a clip with the jaws and to prevent clip fallout during formation.

Abstract: A system is configured to bring about anastomosis between two lumens in a patient or between two sections of a single lumen in a patient. The anastomosis system includes a first tissue-compressing element, a second tissue-compressing element, and an energy source. The energy source can be a thermal energy source or laser energy source. Tissue is interposed between the elements. Magnetic material incorporated into the tissue-compressing elements facilitates the alignment of the elements as well as compression of the interposed tissue. The energy source can deliver energy to tissue. This delivery of energy can cause local changes to the tissue that can help maintain positional stability of the implants, can bring about immediate patency of the anastomosis and can otherwise facilitate achieving desired outcomes for the patient.

Abstract: Gastro-intestinal-tract endoluminal apparatus (10) for deploying markers (42, 44, 46) into a gastro-intestinal tract of a patient, the apparatus being retrievably insertable into the gastro-intestinal tract, comprising: a flexible tube (12) introducible into the gastro-intestinal tract of a patient, the tube having a stationary end (12d) and a mobile lumen (14), the tube being extendable within the tract by inflating an inflatable region (16) of the tube around the lumen, the inflation causing distal-most invaginated material (12c) to evert outwardly such that the everted material extends a deployed length of the tube distally along a path of the gastro-intestinal tract, invaginated material (12b) of the lumen being drawn distally within the deployed tube to feed the distal extension.

Abstract: The present disclosure provides a method and a kit for inducing growth or regeneration of a damaged nerve of a subject, or the treatment thereof by applying a clot of blood that is withdrawn from the subject. The blood that is withdrawn from the subject is introduced to a lumen of a nerve enveloping hollow element that envelopes the damaged portion of the nerve while controllably coagulating within the lumen to form a clot on the damaged portion of the nerve. The clot, while in physical contact with the damaged portion of the nerve, enhances the rehabilitation of the nerve and may partially or fully restore its functionality.

Abstract: A trocar member for a circular stapling instrument includes a tubular housing and a tip member moveable relative to the tubular housing between an extended position and a retracted position. The tubular housing includes proximal and distal portions and defines a longitudinal passage. The tubular housing includes a flange configured for operable engagement with an anvil assembly. The tip member is disposed entirely within the tubular housing when in the retracted position.

Abstract: An occlusion device includes a balloon and a catheter. The occlusion device is configured to allow blood to pass through the balloon, instead of around the balloon. By allowing the blood to pass through the balloon, constant traction against the vessel wall is achieved, regardless of flow rate, thereby mitigating distal migration. The balloon includes an orifice to allow blood flow through the balloon. The orifice is independent of the diameter of the vessel, therefore the effect of the diameter of the vessel changing during the procedure will not affect the flow rate of blood. The occlusion device enables finer titration of blood flow by varying the size of the orifice when compared to conventional solutions.

Abstract: A treatment device for use in a vessel includes a catheter and a microvalve. A flexible low friction reconfigurable cover is attached at or adjacent a distal end of the microvalve. The cover is deployed between the occluder and the vessel wall to intervene between the occluder and the vessel wall during movement of the occluder relative to the vessel wall to reduce occurrence of vascular spasm.

Abstract: A stent and methods for use of the stent are provided. The stent is positionable in a blood vessel adjacent an opening to an aneurysm. The stent is configured to deflect portions of blood flow away from the opening to the aneurysm to decrease the amount of blood flow entering the aneurysm and decrease the rate at which blood floor enters the aneurysm, and/or increase the amount and control the direction of the blood flow out of the aneurysm.

Abstract: Provided herein are catheter assemblies with detachment means for delivering implants. A method for coil embolization using a catheter includes: inserting a catheter into a patient intravenously or intraarterially; navigating the catheter to an aneurysm, the catheter defining an outer wall; placing a tip of the catheter at an opening of the aneurysm; delivering into the aneurysm, via pusher wire, through a lumen of the catheter, a coil; determining a user defined detachment point at which a distal coil segment of the coil should be detached from the coil; aligning the user defined detachment point of the coil with a designated detachment zone at the tip of the catheter; and toggling a laser source connected to the embedded optical fiber, thereby detaching the distal coil segment from the coil via an embedded laser beam emitted from the optical fiber at the designated detachment zone at the tip of the catheter.

Abstract: An implantable medical device such as a left atrial appendage closure (LAAC) device includes an expandable frame that is moveable between a collapsed configuration for delivery and an expanded configuration for deployment. One or more space filling elements that are adapted to facilitate thrombus formation are secured to the expandable frame. An expandable element spans at least part of the expandable frame.

Abstract: A treatment method according to one aspect of the present disclosure may include inserting a first closing member and a second closing member into a tubular organ having at least one concaved area, and closing a part of the tubular organ with the first closing member and the second closing member in a state where the at least one concaved area is located between the first closing member and the second closing member. The method may further include disposing a holding member between the first closing member and the second closing member, and suctioning gas within the part of the tubular organ between the first closing member and the second closing member and contacting the holding member with a portion of the at least one concaved area.

Abstract: In some examples, an intravascular medical assembly includes an elongated structure configured to deliver or retrieve a medical device within vasculature of a patient, wherein the elongated structure comprises an exposed metal surface treated with a plasma-treatment process configured to reduce friction associated with the metal surface, wherein the plasma-treatment process includes electrolytic-polishing of the metal surface in the presence of a reactive gas to reduce variability in the metal surface; and plasma-coating the metal surface with a hydrophilic substance formed from the reactive gas.

Abstract: Disclosed herein are systems and methods for forming and deploying an intrasaccular occlusion system which includes: a proximal neck bridge which expands within an aneurysm sac to span the aneurysm neck; a distal net or mesh which is expanded within the aneurysm sac between the proximal neck bridge and the aneurysm dome; and embolic members which are inserted into the net or mesh, wherein insertion of the embolic members expands the net or mesh.

Abstract: The present technology includes systems and methods for invasively adjusting implantable devices for selectively controlling fluid flow between a first body region and a second body region of a patient. For example, in many of the embodiments described herein, a catheter can be used to mechanically and/or electrically engage an implanted medical device. Once the catheter engages the medical device, the catheter can (i) increase a dimension associated with the medical device, such as through mechanical expansion forces, and/or (ii) decrease a dimension associated with the medical device, such as by heating a shape memory component of the medical device above a phase transition temperature.

Abstract: A passive implantable medical device for controlling a flow of fluid through a tube within a patient includes a first component and a second component movably coupled to one another and defining a central passage configured for receiving a portion of the tube therethrough. The passive implantable medical device is configured for moving between a first configuration and a second configuration to constrict a portion of the tube. An active implantable medical device for controlling a flow of a first fluid through a tubing includes a flow control cuff comprising a stiff outer wall and a deformable inner wall which defines a central opening sized such that the tubing can extend therethrough. A pump is configured to modulate a pressure of the second fluid within the interior space to apply a constrictive force to a section of the tubing.

Abstract: A bone cut guide includes a first portion having a first cut slot and having an aperture for receiving a wire to connect the first portion to a first bone. A second portion has a second cut slot and a second aperture for receiving a second wire to connect the second portion to a second bone. The first portion and the second portion are movably connected to each other to allow the first bone and the second bone to move relative to each other.

Abstract: A detachable rongeur has a main body, a slider and a movable handle. A front end of the main body has a cutting edge. The movable handle is hinged to both the main body and the slider. The movable handle can drive the slider to move along first sliding grooves. A cheek portion of the main body includes a trigger lock catch structure. The movable handle can be pulled back and forth. An upper portion of the movable handle includes a first feature portion and a second feature portion that are sequentially arranged from bottom to top. The trigger lock catch structure abuts against the first feature portion or the second feature portion.

Abstract: A reamer adapter may include a main body having a recess and a plurality of slots communicating with the recess. The reamer adapter may include at least a first spring coupled to the main body and positioned in one of the plurality of slots. The first spring can be configured to engage a cross-member of a reamer head and force the cross-member to engage with a part of the main body that forms the one of the plurality of slots.

Abstract: A system of modular reamers and broaches can include a reamer and a broach. The reamer can be configured to ream a portion of the bone. The reamer can include a cutting edge and a handle. The cutting edge can extend longitudinally. The handle can extend longitudinally and can be removably attached to the cutting edge. The handle can be configured to rotate the reamer about a central axis of the reamer. The broach can be configured to prepare a medullary cavity of the bone to prepare the bone to receive one of the plurality of different implants. The broach can include a stem and a plurality of different broach heads. The stem can extend longitudinally. Each of the plurality of different broach heads can be configured to prepare the medullary cavity for one of the plurality of different implants.

Abstract: Implants for the fusion or fixation of two bone segments are described. For example, the implants can be used for the fusion or fixation of the sacroiliac joint. The implants can include fenestrations, have a rectilinear overall cross-sectional area, and have a curvature. Some implants can also be used to rescue failed implants.

Abstract: Various embodiments disclosed herein relate to a humeral resection guide. The humeral resection guide can include a cutting block having a side surface and a cutting surface. The cutting surface can be configured to constrain at least one degree of freedom of movement of a cutting instrument during surgical alteration of the humerus. The humeral resection guide can include a boom extending away from the cutting surface of the cutting block, the boom comprising a cut depth adjustment feature disposed along at least a portion of a length of the boom. A method of using the humeral resection guide is disclosed. A method of manufacturing the humeral resection guide is also disclosed.

Abstract: The present invention is directed to a device having at least one port and at least three lumens, wherein the lumens are for visualization, irrigation and vacuuming. The device allows for vacuuming of debris from a subject, for example renal fragments, stones and dust up to at least 1 mm in size.

Abstract: A guide wire includes a core shaft including a distal end portion that is curved in a predetermined direction, a coil body covering the outer periphery of the core shaft, and a distal tip joining a distal end portion of the core shaft and a distal end portion of the coil body. The distal tip has a convex shape oriented toward a distal end side. In a cross section of the core shaft cut along a plane including the central axis, the distal tip includes a curve inner portion located on an inside of the curve of the distal end portion relative to the central axis of the core shaft and a curve outer portion located on an outside of the curve of the distal end portion relative to the central axis. A cross-sectional area of the curve inner portion is smaller than that of the curve outer portion.

Abstract: Methods for performing non-invasive thrombolysis with ultrasound using, in some embodiments, one or more ultrasound transducers to focus or place a high intensity ultrasound beam onto a blood clot (thrombus) or other vascular inclusion or occlusion (e.g., clot in the dialysis graft, deep vein thrombosis, superficial vein thrombosis, arterial embolus, bypass graft thrombosis or embolization, pulmonary embolus) which would be ablated (eroded, mechanically fractionated, liquefied, or dissolved) by ultrasound energy. The process can employ one or more mechanisms, such as of cavitational, sonochemical, mechanical fractionation, or thermal processes depending on the acoustic parameters selected. This general process, including the examples of application set forth herein, is henceforth referred to as “Thrombolysis.

Abstract: A guidewire loading system includes a catheter having a catheter body having an internal lumen and a snare. The snare is positioned at least partially within the internal lumen of the catheter body. The snare includes a snare body and a first capture flare extending from a first end of the snare body and configured to receive the guidewire. The catheter body compresses the first capture flare to form a friction grip around the guidewire when the snare, including the first capture flare, and guidewire are pulled at least partially through the internal lumen of the catheter body.

Abstract: A medical device including an actuator and a basket at a distal end of the actuator. The basket includes a plurality of wires and a plurality of eyelets extending from at least one wire of the plurality of wires, where the basket is configured to be transitioned from a collapsed configuration to an expanded configuration.

Abstract: Disclosed herein are catheters for use with clot treatment systems, and associated devices and methods. The catheter can include an outer sheath, an outer sheath drive component operably coupled to the outer sheath, a guidewire sheath slidably disposed within the outer sheath, a guidewire sheath drive component operably coupled to the guidewire sheath and slidably disposed within the outer sheath drive component, and a clot treatment component. During a clot treatment procedure, the outer sheath drive component can be moved proximally and/or the guidewire sheath drive component can be moved distally to cause corresponding movement of the outer sheath and/or guidewire sheath, respectively, and transition the catheter between a first configuration, in which the clot treatment component can be positioned within the outer sheath, and a second configuration, in which at least part of the clot treatment component can extend beyond the outer sheath.

Abstract: Systems, devices and methods for removing a blood clot (10) from a blood vessel (12). Various uses of suction pressure and positive pressure, proximal and/or distal to the blood clot (10) assist with clot dislodgement and removal. The pressure(s) may be constant and/or cycled/pulsed to assist with clot dislodgement and/or removal. Various further devices assist with separating the clot (10) from the vessel (12).

Abstract: A system for retrieving material or objects from a biological vessel is provided. the system includes an elongated braid structure configured for transitioning between collapsed and expanded states, the elongated braid structure surrounding a lumen having a distal opening when in the expanded state. The system further includes a closure wire positioned along a length of the elongated braid structure, the closure wire being actuatable to pull inward a distal portion of the elongated braid structure and thereby at least partially close the distal opening.

Abstract: A device for shock wave production to treat a patient's body comprises a base with a condenser as power supply, an applicator having a pad, at least one piezo-element configured to generate a shock wave in response to a pulse of electric current having a pulse width, an acoustic lens configured to focus the shock wave, and a coil configured to increase the pulse width of the pulse of electric current.

Abstract: An actuation mechanism including: first and second jaws rotatable about a jaw axis, having first and second slots, respectively; and a slider moveable along a slider axis. The slider includes first and second protrusions slidably receivable within the first and second slots, respectively, wherein each slot extends in a direction which is non-parallel to the slider axis when the respective protrusion is engaged with the slot. A return is attachable to the actuation mechanism and an actuation member is operably engageable with both the slider and the return. The actuation member includes first and second ends, a first portion that extends from the first end to the return, and a second portion that extends from the return to the second end. The first portion is fixable to the slider whereby individual movement of the first and second portions relative to the return causes the slider to move.

Abstract: An endoscopic system (10) comprises an actuator (12) at a distal end (14) of the system (10), a manually operable actuating unit (18) at a proximal end (16) of the system (10), for actuating the actuator (12) and choosing an actuator force (F) by means of which the actuator (12) is intended to act on an object (20), the actuating unit (18) being displaceable between a start position and an end position, an actuator motor (24) designed to drive the actuator (12), and a control unit (30) designed to drive the actuator motor (24) initially on the basis of a position sensor (38) without exceeding a limit value (FTH) and then on the basis of a force sensor (40). Further, a method for driving an actuator (12) of an endoscopic system (10) is disclosed.