Abstract: An intravascular delivery device is disclosed comprising a delivery wire having a proximal and a distal end and an interior lumen extending there between and wherein said distal end comprises a connection interface adapted to matingly interlock with a proximal end portion of a medical implantable device, wherein said delivery device comprises a locking unit arranged to secure said connection interface in a locking position in which said medical implant is pivotably locked before a controlled release.

Abstract: The invention relates to a surgical retractor (E) comprising: —a frame (100) having a central opening (110), —arms (210, 220, 230) movable in translation, —a blade (310, 320, 330) associated with each arm, characterized in that it comprises two independent wheel portions (410, 420) guided in rotation by the frame (100) and collaborating with different arms (210, 220, 230) in order to provide independent movements.

Abstract: A syndesmosis device inserter system includes a handle; a pusher assembly fit with the handle and including a body, a tube that is cannulated, and a rod fit into the tube; and a suture secured at a first end to a first half of the handle, threaded through a lateral button located in a groove of the handle and a medial button located at an end of the tube, and secured at a second end to a second half of the tube.

Abstract: A bone anchor for rotator cuff repair, comprising a solid cylinder extending in a proximal to distal direction and defining a longitudinal axis (L-L); a thread on the solid cylinder encircling the solid cylinder at least twice; a connection, at the proximal end of the solid cylinder, for connecting to a tool to drive the thread into bone; an unthreaded endpiece, extending from the distal end of the solid cylinder, having a distal end; and a tunnel across the unthreaded endpiece, wherein the thread is configured to define at least two straight longitudinal passageways from the distal end of the solid cylinder to the proximal end of the solid cylinder.

Abstract: The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed.

Abstract: The present disclosure relates generally to systems, devices, and methods for endoscopic suture termination. In some embodiments, a suture device may include an elongate member having a working channel and a suture channel, the elongate member having a proximal end and a distal end. The suture device may further include a suture extending through the suture channel, and a plurality of anchor components coupled to the suture, wherein the suture and the plurality of anchor components are deployable from the elongate member for engagement with a target tissue.

Abstract: A suturing system including apparatus and methods for disposing sutures in a substrate.

Abstract: The invention relates to a surgical device for felting an implant to soft tissue of a patient. The device comprises at least one felting needle that is configured to move reciprocally. The device comprises a needle protection mechanism to prevent the at least one felting needle from being damaged due to a contact with rigid structure during the reciprocal motion. The needle protection mechanism comprises a buckling wire that is configured to transfer the reciprocal motion from the actuator to the at least one felting needle. The buckling wire is configured to buckle if the at least one felting needle contacts the rigid structure such that the buckling wire axially compressed.

Abstract: An organization device for maintaining a suspensory graft fixation device (i.e., an implant and suture) in a desired position. The device includes a substrate having top and bottom edges with first and second panels extending therebetween. The device also includes a first central longitudinal axis extending in a direction from the top edge to the bottom edge between the first and second panels. The first and second panels are foldable about the axis between open and closed positions. The device also includes an opening extending through the bottom edge and into the first panel, and a plurality of top slits and bottom slits. The plurality of top slits includes at least one top slit which is aligned with the first opening. The device additionally includes a tabs adjacent the opening. The slits and tabs are configured to maintain suture of a suspensory graft fixation device in an organized manner.

Abstract: A device for use in laparoscopic surgery is provided. The device has a plurality of telescoping sections positioned in and movable relative to a protective sheath between an extended configuration, wherein a body section of a first one of the telescoping sections is spaced apart from a body section of a second one of the telescoping sections, and a retracted configuration wherein the body section of the first one of the telescoping sections is in contact with the body section of the second one of the telescoping sections. A tissue interaction portion is configured to interact with tissue in response to the manipulation of a device actuator.

Abstract: Systems, devices and methods described herein relate to endovascular devices for delivering sutures for securing grafts or other objects to patient vessels. In some embodiments, a suture includes a set of two legs having proximal ends joined to each other and elongate bodies that extend parallel to one another such that the set of two legs form a U-shaped structure. A suture delivery system can include a housing configured to contain a suture in a flattened configuration, and a deployment element having a ribbon-shaped distal portion disposed in the housing and including a set of formations, where the housing and the set of formations of the deployment element are configured to collectively constrain the suture in the flattened configuration until the suture is released through the opening of the housing.

Abstract: A staple cartridge comprising a cartridge body, a sensor array, and a thermal control system is disclosed.

Abstract: An adapter assembly includes a switch actuator, an actuation bar, and a latch. The switch actuator is movable between a proximal position, in which the switch actuator actuates a switch, and a distal position. The latch is movable between a first position, in which the latch permits proximal movement of the switch actuator, and a second position, in which the latch prevents proximal movement of the switch actuator. The latch is configured to move from the first position toward the second position in response to the actuation bar moving toward a proximal position.

Abstract: An endoscopic surgical instrument has a distal end configured to perform an action on tissue; a proximal end; a beam; a drive rod; and at least one rail supporting at least one bearing, the at least one bearing movable relative to the at least one rail. The distal end of the instrument is configured to receive at least a portion of the beam, the beam movable longitudinally in response to an action on the drive rod. The at least one rail is shaped and configured to contact the beam tangentially to prevent the beam from buckling as the beam is moved longitudinally.

Abstract: A device includes a capsule along with first and second clip arms, proximal ends of which are received within the channel so that the first and second clip arms are movable relative to one another between an open configuration and a closed configuration. A deployment mechanism includes a tension member connected to a proximal end of the first and second arms, a yoke releasably coupled to the tension member and longitudinally movable relative to the capsule to move the first and second arms between the open and closed configurations. The tension member and yoke are configured to separate from one another in response to a predetermined proximal force relative to the tension member. A locking mechanism is coupled to the deployment mechanism and is configured to engage the capsule to lock the one-piece clipping element in the closed configuration, when the yoke is separated from the tension member.

Abstract: The present invention relates to a complex surgical device for carrying out an anastomosis in the intestine including: a— a protective device (5) comprising an anchor element consisting of a stent (1) and a flexible outer sheath (2), and b— an introducer (10) comprising at least a first deformable guide tube (12), characterized in that the downstream end of said outer sheath is connected to said first guide tube (12) or to a first connecting piece (11), said outer sheath (2) being folded inside said first deformable guide tube (12), said stent being held in radial compression inside said first deformable guide tube.

Abstract: The present disclosure provides a system for injecting a drug eluting construct in a patient. The construct includes multiple cellular based microcaspules, wherein the multiple cellular based microcapsules create at least one of a plurality of layers or sections of microcapsules joined together to comprise an implant. There is a medicinal agent within the microcapsules. A syringe and needle inject the implant constructed of microcapsules into the patient at least one of during and after a surgical procedure. The medicinal agent controllably releases into the patient both immediately and at a delayed time.

Abstract: An elastic band ligation device enables a clinician to deploy multiple ligation bands without an assistant and without the need for an external aspirator. A ligation band may be loaded onto a distal end of the ligation device using a detachable loading device, and a pusher may be provided to advance the band from the loading device onto the ligation device. Kits may be provided, for enabling the loading of two or three or more successive ligation bands onto a common ligation device in a single procedure. Methods are also disclosed.

Abstract: A system includes an intravascular reperfusion therapy device positionable within a coronary vein to deliver reperfusion therapy to a myocardium of a heart. The intravascular reperfusion therapy device includes a catheter and a sensor. The catheter includes a plurality of arms configured to expand into the coronary vein to deliver the reperfusion therapy by obstructing blood flow in a first direction to generate back pressure in an opposite, second direction. The system includes a processor circuit that receives, from the sensor, physiological data associated with blood flow, determines, based on the physiological data, a progression of the reperfusion therapy, and controls, based on the progression of the reperfusion therapy, expansion of the plurality of arms while the intravascular reperfusion therapy device is positioned within the coronary vein such that the back pressure within the coronary vein is controlled.

Abstract: Devices, systems, and methods for treating aneurysms are disclosed herein. According to some embodiments, the present technology includes a treatment system comprising a delivery shaft, a manipulation shaft slidably positioned within the lumen of the delivery shaft, and an occlusive device configured for implantation within the aneurysm. The occlusive device can comprise a plurality of filaments that are secured to one another at a proximal end of the occlusive device by a cured material. The occlusive device can comprise inner and outer layers of braided filaments, wherein the proximal end region of the inner layer has an exposed portion that extends proximally beyond the proximal end region of the outer layer, and wherein the cured material extends into and fills interstices between the braided filaments at the proximal end regions of the inner and outer layers.

Abstract: Embodiments of the present disclosure relate to a wearable safety tourniquet apparel. The assembly provides a safety tourniquet that circumferentially integrates into a protective garment for applying pressure to an injured limb. The safety tourniquet has a resilient strap that circumferentially integrates into the limb sections of the protective garment. The strap is configured to wrap around the limb of the wearer directly, and without separation from the protective garment. The safety tourniquet also has one or more tensioning mechanisms that are operatively attached to the strap. In one possible embodiment, the assembly provides an eclectic assortment of tensioning mechanisms to tighten and loosen the strap around the limb.

Abstract: There are many inventions described herein as well as many aspects and embodiments of those inventions. A thigh compression device and technique to control, time, delay and/or prevent excessive early venous enhancement relative to arterial enhancement and thereby improve and/or enhance MRA images, including peripheral MRA images. In one embodiment, the present invention uses a curved strip of material which is longer on the superior edge and shorter along the inferior edge. When wrapped around the conical or conal-like shape of the thigh of a subject (for example, a human), the thigh compression device more uniformly conforms to and/or fits around the thigh, providing more even/uniform compression as well as reducing, minimizing and/or eliminating significant movement of the thigh compression device towards the knees of the subject.

Abstract: Devices and assemblies for transferring kinematic alignment references from the distal aspect of a femur to the proximal aspect of an adjacent tibia, while permitting adjustment of the anterior-posterior slope. An exemplary pivoting tibial resection guide comprises: a body, a pivoting recess extending laterally into the body, the pivoting recess further comprising one or more anterior openings, the one or more anterior openings communicating with the pivoting recess, a locking mechanism recess, and multiple pin holes extending anteroposteriorly through the body and a pivoting assembly disposed within the pivoting recess, the pivoting assembly comprising one or more complimentary tibial engagement members disposed between the first end and the second end, wherein the one or more complimentary tibial engagement members communicates with the one or more anterior openings in the body, and wherein the pivoting assembly is closely dimensioned to rotate axially within the pivoting recess relative to the body.

Abstract: The present disclosure relates to a system for guiding a surgical tool (1) comprising an operative axis with respect to an anatomical structure according to a planned trajectory defined by a target axis (T), comprising: —a robotic device (100) comprising: o an end effector (10) comprising the surgical tool or configured to be coupled to the surgical tool; o an actuation unit (11) comprising at least three motorized degrees of freedom; o a planar articulation (12) coupling the end effector (10) to the actuation unit (11), the planar articulation being configured to constrain movement of the operative axis (R) of the surgical tool inside a single plane; —a localization device (200) configured to determine in real time a position and orientation of the operative axis (R) with respect to a coordinate system of the anatomical structure; —a user interface (300); —a control unit (400) coupled to the localization device (200), the actuation unit (11) and the user interface (300); wherein the control unit (400) is con

Abstract: A surgical tool comprises a dilator, a cutter, a retractable brush, and at least one retractable drill. The dilator is configured to dilate tissue of a patient and can be positioned in an undilated configuration or a dilated configuration. The cutter is configured to cut the tissue and is disposed at a distal end of the dilator. The cutter is configured to move between a cutting position when the dilator is in the undilated configuration and a non-cutting position when the dilator is in the dilated configuration. The retractable brush is configured to brush a surface of an anatomical element of the patient to remove matter from the surface. The at least one retractable drill is configured to drill into the anatomical element.

Abstract: A powered surgical tool system. The system includes a handpiece having a motor and a front end attachment removably coupled to the handpiece. The attachment has a nose defining a bore for receiving a shaft of a cutting accessory connectable to a motor of the powered surgical tool for rotation. The nose also defines an enclosed channel separate from the bore. The channel extends longitudinally and helically along the nose such that the enclosed channel curves around the nose to curve around the bore. The channel has a variable pitch as the enclosed channel extends longitudinally. An irrigation fitting is in fluid communication with the enclosed channel in the nose and is adapted to receive an irrigating fluid and flow the fluid through the enclosed channel.

Abstract: A computer visual guidance system for guiding a surgeon through an arthroscopic debridement of a bony pathology, wherein the computer visual guidance system is configured to: (i) receive a 2D image of the bony pathology from a source; (ii) automatically analyze the 2D image so as to determine at least one measurement with respect to the bony pathology; (iii) automatically annotate the 2D image with at least one annotation relating to the at least one measurement determined with respect to the bony pathology so as to create an annotated 2D image; and (iv) display the annotated 2D image to the surgeon so as to guide the surgeon through the arthroscopic debridement of the bony pathology.

Abstract: The invention is directed to a surgical device which is externally used as aiming device that permits accurate placement of surgical wire to mend a supracondylar fracture. The device of the invention decreases operative time, risks of the re-dislocation through continuous manipulation, radiology exposure for both the patient and operation room staff, and to decreases anesthesia duration. It is also directed to surgical use of the device for repair of a supracondylar fracture and to methods for making it.

Abstract: A system and method is provided for generating ultrasound at the tip of an intravascular catheter. This may be used for the treatment of vascular occlusions, including chronic total occlusions (CTOs) and thrombotic occlusions (e.g., deep vein thrombosis, stroke, myocardial infarction). For instance, the systems and methods may be used to induce cavitation to enhance the enzymatic degradation of a vascular occlusion. In some configurations, the approach employs a hollow cylindrical transducer, electrically stimulated in the radial direction at a frequency corresponding to the length mode excitation, thereby projecting ultrasound forwards past the catheter tip. This design overcomes electrical impedance issues for the generation of low frequencies with a smaller diameter transducer capable of negotiating a coronary artery. The hole within the transducer may accommodate a guidewire to facilitate its placement adjacent to the proximal portion of the occlusion.

Abstract: Systems and methods for removal of clot material from vessel lumens are disclosed. A medical device assembly can include a catheter having a lumen and a distal portion configured to be positioned at or adjacent a treatment site within a vessel. An expandable member has a first portion coupled to the distal portion of the catheter, and a second portion extending away from the catheter distal portion. An elongate shaft extends through the lumen of the catheter, and the second portion of the expandable member is releasably coupled to the shaft. When the shaft is slidably moved relative to the surrounding catheter, the second portion of the expandable member can be released from the shaft, and the shaft can be withdrawn or removed.

Abstract: Medical devices, such as forceps including a handpiece having a housing and an inner shaft that extends out of the handpiece along a longitudinal axis to transfer motion to an end effector. The inner shaft being rotatable with respect to the handpiece. An outer shaft that is rotatable with respect to the housing is loated around the inner shaft. The medical device further including an end effector coupled to the inner shaft and the outer shaft. The outer shaft rotationally constrained to the inner shaft at a first longitudinal location and at a second longitudinal location.

Abstract: Provided is an end tool including: a first jaw configured to rotate independently; a J11 pulley coupled with the first jaw and configured to rotate around a first axis formed at an end tool hub; a J16 pulley formed at one side of the J11 pulley and configured to rotate around a second axis formed at one side of the first axis; a J12 pulley and a J14 pulley formed at one side of the J16 pulley, and configured to rotate around a third axis formed at a predetermined angle with the first axis. The end tool may further include: a first jaw wire configured to at least partially contact the J12 pulley, the J11 pulley, the J16 pulley, and the J14 pulley; a J16 pulley formed between the J11 pulley and a J12 pulley/a J14 pulley; and the first jaw wire is located on an internal tangent of the J11 pulley and the J16 pulley.

Abstract: Systems and methods for aesthetic treatment of skin including an apparatus that applies or a method involving separating tissue to eliminate or reduce the appearance of unwanted features. In one approach, an interventional tool is placed between tissue layers to engage and treat connecting tissue layers. Focal fat tissue collection is conducted as needed independently or supplemental to the treatment of targeted septa.

Abstract: Methods and apparatus for end effector control and calibration are described. The method may include detecting a signal in response to movement of a first tube relative to a second tube, the first tube driving movement of a clamp arm of the end effector. The method may further include determining a clamp arm position of the end effector relative to a ultrasonic blade of the end effector based on the signal. The method may also include adjusting a power output to the ultrasonic blade of the end effector based on the clamp arm position.

Abstract: Disclosed is a system to power a tool. The tool may be powered in a selected manner that may have irrigation and/or coolant provided therewith. The irrigation and cooling fluid may be provided at substantially at a working end and/or distal end of the instrument assembly.

Abstract: Systems and methods are provided for performing a hair transplant using a hair transplant device. The hair transplant device includes a coring needle, a housing, and a user interface. The coring needle forms a coring lumen configured to extract a hair follicle from a donor site of a donor. The coring needle has a distal cutting end configured to move between an opened position and a closed position based on a heat memory of a material of the distal cutting end. The housing at least partially surrounds the coring needle, and the user interface extends from the housing and is movable relative to the coring needle to push the hair follicle from the coring lumen into a recipient site of a subject.

Abstract: Surgical instruments that facilitate articulation of a scraping tool within a surgical space (e.g., a vertebrae), and are configured to remain locked in position when scraping and removing tissue. The surgical instruments include a handle and a retention shaft that insertably engages the handle. The retention shaft includes a split distal end having flexible first and second portions that include means for securing a removeable tip therebetween, the tip being configured to scrape/remove tissue and insertably engage the split distal end between the first and second portions. A pivot lock mechanism engages the handle and receives the retention shaft therein with means for moving same axially. The surgical instrument is moveable between an unlocked state in which the tip is moveable relative to the split distal end when secured therein, and a locked state in which the tip is not moveable relative to the split distal end when secured therein.

Abstract: A medical device useful for cracking or cutting an intravascular lesion may include a monolithic blade or a blade assembly including a first terminal blade segment and a second terminal blade segment. The length of each of the first terminal blade segment and the second terminal blade segment, which may be defined at least in part by one or more flex points, may allow the first terminal blade segment and the second terminal blade segment to flex at least 30 degrees relative to a longitudinal axis when the monolithic blade is pressed against a lesion.

Abstract: A medical device configured to be positioned in a living body lumen, the medical device including: a rotatable shaft possessing distal and proximal portions; a plurality of struts that extend along a central axis of the rotatable shaft and arranged around the central axis with an interval, the plurality of struts having a distal end and a proximal end, and each of the plurality of struts bridging between the distal end and the proximal end; the plurality of struts being deformable in correspondence with two states, the two states being a contraction state and an expansion state; in the contraction state, the distal end and the proximal end of the plurality of struts are most distant in the axial direction; and in the expansion state, the distal end and the proximal end of the plurality of struts are brought closer in the axial direction.

Abstract: In one example, a method for performing a medical procedure includes receiving a command to initiate tissue sampling with a surgical instrument at a target location, retrieving a predefined dynamic trajectory for tissue sampling from a memory device, and moving the surgical instrument according to the predefined dynamic trajectory to sample tissue at the target location.

Abstract: A multi-portal method for treating a subject's spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient's spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments, and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

Abstract: Methods and devices for implanting spinal cord stimulation devices, including thin-film spinal cord stimulation devices. In some embodiments, the devices include an introduction needle and/or sheath, a stylet, and a pushing device for urging a stimulation device into the epidural space by controlling the proximal end of the device, including, in some cases, deformable thin-film spinal cord stimulation devices. Further implementations include a deployment device for ensuring deployment of the stimulation device in the epidural space. In other embodiments, the devices include sutures attached to a distal portion of the stimulation device, at least one introduction tube, a lead introduction device, and/or a suture introduction device for urging a stimulation device into the epidural space by controlling both the proximal and distal ends of the device, including, in some cases, deformable thin-film spinal cord stimulation devices.

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: The present invention comprises methods and devices for providing contrast medium for sonography of structures such as ducts and cavities. The invention provides for creation of detectable acoustic variations between two generated phases of a gas and a liquid to make a contrast medium. Sonography is the primary means of imaging but other conventional detection means may also be employed with the present invention.

Abstract: A tick removal and capturing device of embodiments of the disclosed technology includes a first end and a second end removably attachable to the first end, with a pivot point attached there-between. A removably attached combination of the first and second ends form a tick removal head and a tick encapsulation chamber, the chamber disposed between the tick removal head and the pivot point. The tick encapsulation chamber is adapted to substantially fully encapsulate a tick therein in the removably attached combination.

Abstract: A surgical device includes a carriage, a rack, a clamp, a lifter plate, and a ratchet. The rack passes through the carriage. The clamp secures the carriage to an object that passes through a passage of the clamp. The lifter plate is coupled to a first end of the rack. The ratchet provides ratcheted movement of the carriage along the rack. The ratcheted movement draws the lifter plate coupled to the first end of the rack toward the carriage.

Abstract: Embodiments of the present disclosure relate generally to systems and methods for stabilizing a fracture in a long bone, and more particularly, a fixation device configured to stabilize a fracture in a long bone. The fixation device includes a frame a frame including an elongate member, a first carrier configured to be coupled to a first fixator member and configured to be coupled to the elongate member, and a second carrier configured to be coupled to a second fixator member and configured to be coupled to the elongate member.

Abstract: A bone fixator as disclosed herein includes at least one removable portion, and is particularly suitable for external fixation of the bones of the femur and tibia (knee joint), the tibia to the foot (ankle joint), the lower leg, the lower thigh, or the forearm and hand. Embodiments allow multiaxial, multiplanar movement, as well as procurvatum and recurvatum, on the anatomy to achieve optimal placement. Embodiments of the fixator includes four fixator joints, each of which is articulating with multiple degrees of freedom. Some fixator joint(s) include a linkage bar connectable to a multi-pin clamp having a quick connect mechanism. The multi-pin clamp is configured for fixation to a bone. Other fixator joint(s) may be connected to the multi-pin clamp in a semi-permanent or non-detachable manner. A telescoping rod assembly allows adjustment of the length of the fixator by a single individual.

Abstract: Embodiments of the invention include an external fixation system that includes at least one external fixation strut that is both acutely adjustable and precisely adjustable and related methods of adjustment. Acute adjustment may be accomplished using one or more mobile jaws that may be engaged with or disengage from a threaded rod of each external fixation strut. Precise adjustment of each external fixation strut may be accomplished after releasing a lock biased toward a locked position. When each external fixation strut's lock is released, a portion of each of the precise adjustment mechanism of each external fixation strut may be activated to increase and decrease the length of each of the at least one external fixation struts.

Abstract: A method for coupling a first bone portion to a second bone portion includes coupling a first flexible connector having a first structural characteristic to the first bone portion at a first site, coupling the first flexible connector to the second bone portion at a second site, and coupling a second flexible connector having a second structural characteristic to the first bone portion at the first site, with the second structural characteristic being different than the first structural characteristic. The method also includes coupling the second flexible connector to the second bone portion at the second site.