Abstract: A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

Abstract: A biopsy device includes a housing containing an electric power source and a tension slide, wherein the tension slide is configured to be moved to a cocked position against the action of a first spring. A releasable locking mechanism is configured to lock the tension slide in the cocked position. A removable element is configured for insertion into the housing. The removable element has a cutting sheath configured to couple the electric power source to the tension slide. The electric power source is configured to rotate the cutting sheath to move the tension slide to the cocked position.

Abstract: A unitary multilumen cranial bolt for use in multimodal monitoring of a plurality of physiological parameters in brain tissue incorporates a plurality of lumens, each lumen directing a catheter borne sensor through a bore hole in the cranium and into brain tissue of a patient. The lumens are configured to cause the catheters to splay outward as they enter the cranial cavity and reach their intended depth of penetration. Each lumen is associated with a guide. The guides are adapted for use with introducers that enable fragile and/or flexible sensors to be introduced into brain tissue. Each catheter borne sensor can be positioned and repositioned within brain tissue independently of all other sensors.

Abstract: A puncture apparatus is disclosed, which can include a first puncture needle having a first needle tip and configured to puncture a living body tissue, a shaft interlocked to the first puncture needle, a second puncture needle having a second needle tip and configured to puncture a living body tissue, the second needle tip being oriented in a direction different from a direction in which the first needle tip is oriented, the second puncture needle being disposed so as to be movable relative to the first puncture needle in a proximal direction of the first puncture needle, and a moving section moving the second puncture needle relative to the first puncture needle in the proximal direction of the first puncture needle.

Abstract: A biopsy system comprises an introducer, a biopsy device having a needle, and a marker applier. The introducer may include a closed distal tip, a lateral aperture, a proximally facing interior wall, and a ramp that guides the closed distal end of a marker applier up and into abutment with the wall as the applier is fed into the introducer. The needle of the biopsy device includes a blunt distal end and features providing clearance for the ramp as the blunt distal end is brought into abutment with the wall when the needle is fed into the introducer. The introducer may alternatively include an open distal end having resiliently biased leaves that bear against an inserted biopsy device needle. In some other versions, a fin projects laterally from the closed distal end of a marker applier, spacing the distal end away from a sidewall region of the introducer cannula.

Abstract: The present disclosure provides a catheter tip comprising a flexible housing comprising a cavity extending between an expandable opening arranged at a first end of the catheter tip and a second end of the catheter tip, wherein the expandable opening is configured to increase in diameter from a first position to a second position in response to application of an external force to the second end of the flexible housing.

Abstract: The invention concerns a perfected device for the transosseous insertion of suture threads. This device comprises a main body (1) supporting a protruding cannula (3) provided with an active end (30); the device comprises a flexible threadlike element (4), on which there are fashioned a sharp tip (40) and an opening (41) that serves for the threading of at least one suture thread (5), said element (4) being housed in a coaxially sliding manner inside said cannula (3) and, on command, exiting from the active end (30) of the cannula, assuming a curved position; the device comprises first means for producing the coaxial movement of the threadlike element (4) in the two directions with respect to the cannula (3) and second means for producing a coaxial movement of the threadlike element in the exiting direction from the cannula (3); for a short tract, the movement produced by the second means is disengaged from the advancement of the threadlike element produced by the first means.

Abstract: A hand-held gripping device that allows a surgeon to reach interior portions of a person's anatomy, includes a gripping portion having a pair of jaws and/or nets movable relative to each other between fully clamped and fully opened positions thereof, a handle portion spaced apart from the jaw portion by a bendable central portion that is hollow and corrugated, with a cord extending therethrough.

Abstract: A soft tissue biopsy or material collection device may comprise a work element consisting of an outer tube with external sheath and formed from a tapered helical structure over an internal tube structure configured to open and close its distal end to perform penetration, coring, capturing, parting off and transporting multiple material samples in a single or multiple insertion procedure.

Abstract: An X-ray imaging apparatus according to the disclosure guides the patient posture using a visual and/or audible interaction device during execution of an X-ray imaging procedure such as mammography, and provides the patient with information about the procedure during the procedure's execution, thereby improving the patient experience while reducing the workload of an operator. The X-ray imaging apparatus may include an X-ray tube, an X-ray detector, and an arm including an upper end within which the X-ray tube is disposed, and a lower end within which the X-ray detector is disposed. An illumination unit may be configured to provide an indication of a movement direction of the arm, responsive to a user input for moving the arm in the movement direction. A controller may control the illumination unit.

Abstract: Disclosed is an instrument useful for taking tissue samples from human or animal patients that includes a cannula or other similar elongate body cooperating with a stylet or similar device coaxially positioned within the cannula such that the cannula and stylet are useful for capturing and excising tissue. The cannula body includes at least one flexing region having one or more slits disposed in a generally helical slit pattern arranged around and along the cannula. Methods for taking tissue samples from a patient are also disclosed including navigating the cannula and stylet through various internal structures of the patient's body where the flexing region aids to avoid binding between the cannula and the stylet during the procedure.

Abstract: A biopsy needle assembly includes a mandrel within a cannula, the needle assembly is fired into a target tissue to obtain a tissue sample using a force source imparting movement to the needle assembly. The mandrel and cannula design, and force source characteristics minimize needle deflection, and allow the needle assembly to excise extended length tissue samples. The mandrel forms tissue retention ridges within a tissue sample region to reduce fragmentation of the tissue sample.

Abstract: A surgical instrument is provided that includes a first input mechanism having axial slots formed in a periphery and a second input mechanism having helical slots formed in a surface. The instrument also includes an insert having pins extending from a surface thereof, the insert coupled to the second input mechanism such that the one or more pins extend into the helical slots, and a surgical device coupled to an end. The surgical device is moved in a first degree of freedom in response to a mechanical driving force applied to both the first input mechanism and the second input mechanism, respectively, and the surgical device is moved in a second degree of freedom in response to a mechanical driving force applied to the second input mechanism while the first input mechanism is held stationary.

Abstract: The present disclosure provides an adjustable delivery handle system for interchangeably delivering a needle to a biopsy site. The adjustable delivery handle system includes a delivery handle having an inner hub housing component configured to interchangeably receive a needle subassembly that can be inserted into and withdrawn from the proximal handle member. The needle subassembly includes a biopsy needle having a distinct tissue collection distal end configured to maximize tissue sampling yield and collect a cohesive unit of sampled tissue. The distal end of the needle includes first and second tip portions extending therefrom and radially opposing one another. The first tip portion has a length greater than the second tip portion, thereby resulting in an increased surface area of a curvilinear cutting edge extending from the first tip portion to the second tip portion.

Abstract: A method of operating a biopsy device includes providing a hollow needle having a longitudinal axis; moving a sample-receiving device received in the hollow needle from a retracted position to an extended position to expose a cavity in the sample-receiving device, the cavity configured to receive a tissue sample; displacing the hollow needle in a distal direction relative to the sample-receiving device to sever tissue received by the cavity of the sample-receiving device; moving a toothed flexible member along the longitudinal axis to move the sample-receiving device in the hollow needle from the extended position to the retracted position, the toothed flexible member having a proximal portion that extends proximal to the proximal end of the hollow needle; and receiving the proximal portion of the toothed flexible member in a helical coiling-up groove of a housing element when the sample-receiving device is moved to the retracted position.

Abstract: A surgical device includes a first cable portion that engages a first component such that a first friction exists between the first cable portion and the first component. The surgical device includes a second cable portion having a first end operatively coupled to a first end of the first cable portion. The second cable portion engages a second component such that a second friction exists between the second cable portion and the second component, such that the second friction is greater than the first friction.

Abstract: Devices and methods for obtaining a plurality of skin tissue particles for use in skin grafting.

Abstract: A high aspect ratio biopsy needle achieves reliable performance with large solid sample size by means of a variety of features and combinations thereof, including support to prevent bending, reinforcement of the needle, and cutting edges arranged to resist deformation.

Abstract: The electrophysiological diagnostic catheter obtains an endomyocardial biopsy of heart tissues. The catheter includes a manipulation handgrip, main channel, distal ring and diagnostic rings connected with electrical connections. There is a centrally located, open internal channel, wherein inlet/outlet of internal channel is located in the distal ring, or is guided and monitored using a system for 3D electroanatomical mapping.

Abstract: A medical instrument assembly including a handle assembly having a first handle portion and a second handle portion proximate the second end, wherein the second handle portion is slidably engaged with the first handle portion. A first localization element is attached to the first handle portion and a second localization element is attached to the second handle portion. A medical instrument is mechanically coupled to the second handle portion and a translation of the second handle portion with respect to the first handle portion causes a coincident and coextensive translation of the medical instrument. The amount of translation of the medical instrument is adapted to be determined by calculating the distance between the first localization element and the second localization element. The first and second localization elements may be electromagnetic sensors which positions may be determined by a navigation system.

Abstract: A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. A delivery sleeve may be selectively provided that is configured to be disposed about the outer cannula for delivery of a variety of devices.

Abstract: A biopsy device comprises a probe body, a needle portion, a hollow cutter, and a tissue sample holder. The needle portion extends distally from the probe body and comprises a transverse tissue receiving aperture. The hollow cutter is translatable relative to the needle portion to sever a tissue sample from tissue protruding though the aperture. The hollow cutter defines a cutter lumen. The tissue sample holder comprises a body and a tissue sample tray. The tissue sample tray is removably engaged with the body and comprises a downwardly extending lumen. The downwardly extending lumen includes a pair of lower openings which are in communication with a chamber defined by the tissue sample tray.

Abstract: The invention relates to a medical device for obtaining a material sample from a material. The medical device comprises a first member comprising a receptacle for receiving the material sample; and a second member having a hollow region for accommodating at least a portion of the first member such that the at least a portion of the first member is movable within the second member. The first and second members are arranged such that when the material sample is received in the receptacle of the first member, the material sample can be obtained by moving the first member within the second member. The medical device further comprises an optical element arranged to receive electromagnetic radiation that can be used to determine information in relation to the material. The medical device has a distal end for inserting the medical device into the material.

Abstract: A biopsy system driver includes a motor having a rotatable output shaft, a support structure, a drive shaft, an elongate lead screw and a biopsy instrument drive member. The drive shaft is rotatably coupled to the support structure and includes or is otherwise operatively connected to the motor output shaft such that activation of the motor rotates the drive shaft. The elongate lead screw is coupled to the drive shaft such that rotation of the drive shaft rotates the lead screw about an axis of the lead screw. The lead screw is axially translatable relative to the drive shaft and to the support structure. The biopsy instrument drive member is threadably coupled to the lead screw such that rotation of the lead screw causes axial translation of one of the lead screw and biopsy instrument drive member relative to the other one and to the support structure.

Abstract: An image-guided system and method for performing needle biopsy on a moving lung nodule of a body is provided. CT images of the lung nodule are obtained to generate a motion model, based on which an optimal needle advancing path is determined. The motion of the lung nodule and the motion of a fiducial marker attached to the body are correlated. The motion of the fiducial marker is tracked and monitored by a camera to determine a position of the lung nodule based on the correlation. A time for advancing the needle is determined based on a motion attribute of the reference. The needle is advanced by a robotic needle manipulator at the predetermined time along the path to accomplish the needle placement.

Abstract: A cannula insertion system configured to divide a cannula insertion process into a two-step process. The first step advances a needle portion a first distance and the second step advances the needle portion a second distance. The first step and the second step may be at different angles. At least one of the angles may be less than 90°. At least one of the steps may be mechanically assisted.

Abstract: A precision depth guided instrument, such as a Jamshidi needle, is provided for use in various surgeries related to the vertebrae. The instrument includes an outer cannula, an inner cannula and a stylet. After the cortical bone of a vertebra is penetrated by the outer cannula of the instrument, the depth of penetration of the inner cannula is adjusted by rotation of the inner cannula. The inner cannula is then moved further into the vertebrae, and a stop mounted on the outer cannula controls the depth of penetration of the inner cannula. The correct depth of penetration is determined by radiography prior to the procedure.

Abstract: These are site marking devices for marking a selected site within tissue of a patient. More particularly, the devices include an elongated body of gel and a metallic band disposed at least partially surrounding the body of gel. The body of gel is recognizably artificial when the marker is subject to ultrasound or x-ray imaging. Therefore, it is readily distinguishable from biological features within the tissue site.

Abstract: A portal for accessing a desired lamina portion of a desired cervical vertebra to perform a laminoplasty. In one aspect, a laminoplasty portal is presented that defines an interior conduit and has a first sidewall section and a second sidewall section.

Abstract: A notched tissue-collection needle configured similarly to a fine-needle-aspiration needle is provided with a cutting edge disposed in the notch and configured to excise tissue into the notch for collection. A stylet may be provided through a lumen of the needle during introduction into a patient body. The needle may be provided with echogenicity-enhancing features.

Abstract: A biopsy device may be used to obtain and store multiple tissue samples. The device permits the tissue samples to be stored in a sequenced fashion within a generally transparent tissue storage chamber disposed at a proximal end of the biopsy device. The tissue samples can be stored on flexible tissue sample strips arranged around the circumference of a rotating vacuum manifold disposed within the chamber.

Abstract: A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member having a plurality of recesses to receive tissue samples. The rotatable member can be operable to successively index each recess relative to a lumen defined by the cutter. A cover portion may be associated with the rotatable member and permits one or more recesses to be viewable through the cover. The recesses may be configured to carry one or more tissue samples as the rotatable member is rotated.

Abstract: A biopsy device includes a cutting cannula mechanism having a cutting cannula and an inner stylet mechanism having an inner stylet coaxial with the cutting cannula. A cocking mechanism is configured to cock the cutting cannula mechanism and the inner stylet mechanism by retracting each of the cutting cannula and the inner stylet in a proximal direction to a cocked position. A trigger device is configured to fire at least one of the inner stylet mechanism and the cutting cannula mechanism to advance a respective at least one of the inner stylet and the cutting cannula from the cocked position in a distal direction. A selector assembly includes a selector switch having an exterior tab accessible by a user. The selector assembly is configured to select between at least two user selectable operating modes and at least two user selectable firing distances.

Abstract: A cutting device is provided that includes an outer tube. The outer tube includes an inner surface defining a passageway. An inner tube is movably disposed in the passageway such that a distal end of the inner tube extends beyond a distal end of the outer tube. The distal end of the inner tube includes a first cutting element. An inner surface of the inner tube defines a lumen. A shaft is slidably disposed in the lumen. The shaft has a distal end including a second cutting element. A deployment mechanism is coupled to a proximal end of the outer tube. The deployment mechanism includes a body, a push button disposed within the body and a collar disposed about the body. The shaft is fixed relative to the collar and the inner tube is fixed relative to the push button. Systems and methods are disclosed.

Abstract: An improved handheld instrument assembly for penetrating into a patient's spine, the instrument assembly has a needle, an outer sleeve, and a removable handle. The needle has a shaft with a bone penetrating tip at a distal end and an enlarged head rotationally fixed to the needle shaft at a proximal end. The outer sleeve is for receiving the needle. The removable handle is configured to removably attach to and engage the handle attachment from the distal side or the proximal side at the discretion of a surgeon. The removable handle has a “T” shaped body. The removable handle has a slotted opening on a frontal side, the slotted opening being sized to pass over the outer sleeve between the distal end and the handle attachment when the needle is inserted into the patient.

Abstract: A needle tube includes: a tubular main body section; a distal opening section; a needle tip; a side hole disposed closer to the proximal end side of the main body than the tip; a side hole inner circumferential edge extending around the longitudinal axis of the main body where the side hole and the inner circumferential surface intersect; a side hole outer circumferential edge extending around the longitudinal axis of the main body where the side hole and the outer circumferential surface intersect; and an engaged surface formed between the side hole inner circumferential edge and the side hole outer circumferential edge to be directed toward the proximal end of the main body section and configured to lock biological tissue entering from the distal opening section, wherein the side hole forms an opening area smaller than that of the distal opening.

Abstract: Multichannel systems for engaging a bodily tissue and methods of using the same. In at least one embodiment of an exemplary multichannel system for engaging a tissue of the present disclosure, the system comprises an engagement catheter comprising a proximal end, a distal end, and defining a first lumen and second lumen extending between the proximal end and the distal end, an inducer sheath having a proximal portion and a distal portion, and defining a lumen extending therethrough, the inducer sheath configured for insertion into the second lumen of the engagement catheter, and a dilator defining a first channel and a second channel extending therethrough and a tapered tip at the distal end of the dilator, the dilator sized and shaped for inserted into the lumen of the inducer sheath.

Abstract: The present disclosure provides a modular instrument system for accessing a site within a patient's body, such as for example, to inject or remove material. In one exemplary embodiment, an access device is coupled to an adapter and power drilled into a site within a patient. Once the access device is in position, the adapter may be further attached to other instruments, or to an injection or extraction system. The adapter may accommodate various other connectors to make the instrument system compatible with a variety of other surgical instruments and tools.

Abstract: An apparatus for guiding a biopsy instrument into tissue of a patent comprises a cannula, a guide device, a support structure, and a locking assembly. At least a portion of the biopsy instrument is insertable into the cannula. The guide device comprises at least one guide hole. The at least one guide hole is configured to receive the cannula. The support structure is configured to position the guide device relative to a breast of a patent. The locking assembly comprises a lock arm that is configured to engage the cannula to restrict translational movement of the cannula within the guide hole of the guide device.

Abstract: A surgical instrument is provided that includes a first input mechanism having axial slots formed in a periphery and a second input mechanism having helical slots formed in a surface. The instrument also includes an insert having pins extending from a surface thereof, the insert coupled to the second input mechanism such that the one or more pins extend into the helical slots, and a surgical device coupled to an end. The surgical device is moved in a first degree of freedom in response to a mechanical driving force applied to both the first input mechanism and the second input mechanism, respectively, and the surgical device is moved in a second degree of freedom in response to a mechanical driving force applied to the second input mechanism while the first input mechanism is held stationary.

Abstract: A bone harvester and bone marrow removal system. The bone harvester can include a body defining a channel extending longitudinally therethrough from a distal to a proximal portion of the body. The distal portion can include a cutting tip. Bone marrow may be drawn through the channel.

Abstract: A needle tube includes: a tubular main body section; a distal opening section; a needle tip; a side hole disposed closer to the proximal end side of the main body than the tip; a side hole inner circumferential edge extending around the longitudinal axis of the main body where the side hole and the inner circumferential surface intersect; a side hole outer circumferential edge extending around the longitudinal axis of the main body where the side hole and the outer circumferential surface intersect; and an engaged surface formed between the side hole inner circumferential edge and the side hole outer circumferential edge to be directed toward the proximal end of the main body section and configured to lock biological tissue entering from the distal opening section, wherein the side hole forms an opening area smaller than that of the distal opening.

Abstract: The invention provides for an improved medical device used to remove gas and liquid from the plural cavity between the lung and the chest wall in both stationary and mobile applications. The present invention generally comprises a hollow needle with a hollow closed end stylet slidably received in the needle. The stylet is spring-biased to extend out of the needle end as a safety tip but when pressured is moved to a retracted position to allow for insertion through the chest wall. The pressure needed to insert the needle/stylet combination through the chest wall is applied by a housing at the end of the needle which is contoured for easy grip. While not being applied to the chest wall, the stylet comprises a safety tip, which makes the device safe to handle and apply in stationary or mobile applications. Further, the housing includes a one-way valve is configured permit only the passage of air and bodily fluid out of the pleural cavity without a secondary structure needed.

Abstract: Methods and devices for providing a biopsy device with a modified handle and stylet that provides a vacuum to be delivered to the targeted tissue for removal. The vacuum may draw the tissue into the notch where the tissue may then be severed via the cannula. Alternatively, the tissue may be drawn into to the notch after being severed via the stylet and/or cannula. The vacuum may be used to bring a larger amount of tissue into the notch than would otherwise be brought in the notch if no vacuum was used, providing a larger sample through the same size access point.

Abstract: This invention relates to a device (10) for taking at least one sample of soft tissue from an organ, said device comprising a body (11) and a needle (12) formed by a stylet (13) and a cannula (14) coaxial with said stylet, said device comprising a mechanism for arming the needle, designed for sequentially moving the cannula (14) and then the stylet (13) from a rest position wherein the stylet and the cannula are extended towards the outside of the body, to a shooting position wherein the stylet and the cannula are retracted towards the rear of the body, and a triggering mechanism designed to release the stylet then the cannula and to allow their displacement from the shooting position to the rest position, the cannula being coupled kinematically to a cannula slider (24) comprising at least one retaining element (26) for maintaining the cannula slider in a shooting position, the stylet being coupled kinematically to a stylet slider (30) comprising at least one retaining element (32) for maintaining the stylet

Abstract: A system includes an introducer sheath having a sheath wall and a longitudinal axis, an electrode lead including a lead body and at least one electrode at a distal end of the lead body. The distal end of the lead body is received within the sheath. At least one anchor wire is within the sheath and has a proximal end attached to the distal end of the lead body. The a least one anchor wire moves through at least one opening in the sheath wall responsive to movement of the lead body relative to the introducer sheath.

Abstract: A tissue removal system includes an inner tubular member configured to rotate and oscillate axially relative to an outer tubular member, and a reversible motor comprising a rotatable output shaft operatively coupled to the inner tubular member. A proximal end of the inner tubular member is disposed within, and configured to rotate and oscillate axially relative to, a housing. A first control switch disposed within the housing is actuated when the inner tubular member is in a distal position relative to the housing, and a second control switch disposed external to the housing is actuated by a user. The system further includes motor control circuitry configured such that when the second control switch is actuated, actuation of the first control switch causes the motor output shaft to change direction, and when the second control switch is not actuated, actuation of the first control switch causes the motor to turn off.

Abstract: A needle for fine-needle aspiration includes an elongated body extending from a proximal end to a distal end along a central longitudinal axis and having a channel extending therethrough, a distal portion of the body being movable between a first configuration in which the distal portion extends parallel to the central longitudinal axis and the channel is unobstructed and a second configuration in which the distal portion is axially offset relative to the central longitudinal axis to seal at least a portion of the channel and an actuation mechanism controlling movement of the distal portion between the first and second configurations.

Abstract: A treatment device for use with an endoscope having a instrument channel for passage of an endoscopic instrument and a distal end is provided. The treatment device includes an end effector assembly with a base for placement at the distal end of the endoscope, an end effector rotatable relative to the base, and a mounting portion for attaching the base to the endoscope. The mounting portion is resiliently compressible and can be radially compressed for insertion into the instrument channel, whereby an expansion force of the resiliently compressed mounting portion retains the base relative to the distal end of the endoscope. The mounting portion also includes an opening longitudinally extending therethrough and communicable with the instrument channel and sized for receiving an endoscopic instrument therethrough.

Abstract: A tissue biopsy device comprising an inner needle loaded by a first spring and held in place by a first trigger; an outer needle loaded by a second spring and held in place by a second trigger; an outer housing that surrounds the first and the second needles; and a handle attached thereto.