Abstract: A surgical device including a cannula having a base member at a proximal end, a sidewall connected to the base member, and a bore defined by the base member and sidewall. The sidewall further has an opening into the bore between axially-extending edges of the sidewall. A configurable guide insert includes a combination track having a circular opening for insertion of a camera device and a slot opening for insertion of a cutting instrument. The configurable guide insert may be permanently or detachably coupled to the base member and is positionable in a right orientation for a procedure in a patient's right side or in a left orientation for a procedure in a patient's left side. The combination track slidably receives a camera device through the circular opening into the bore and slidably receives a surgical implement through the slot opening and into an action area outside the bore.

Abstract: Devices, systems, and techniques are described for creating pockets in tissue for accepting implantable medical devices. For example, a surgical tool includes a shaft defining a proximal end, a distal end, and a longitudinal axis, a handle coupled to the proximal end of the shaft, and one or more blades configured to move between a retracted configuration and a deployed configuration, wherein the one or more blades extend, in the deployed configuration, substantially perpendicular to the longitudinal axis at the distal end of the shaft. The one or more blades may be configured to separate tissue in the deployed configuration.

Abstract: Surgical instruments and methods for delivering bone anchor assemblies into bone are disclosed herein. Use of these anchors or instruments can eliminate one or more of the steps in a conventional bone anchor installation procedure, improving surgical efficiency and safety. In general, a surgical instrument can include a handle assembly having an elongate shaft extending distally therefrom. The handle assembly can be configured to axially translate a carrier assembly that secures a stylet extending therethrough. Translation of the stylet can be made relative to a distal end of the elongate shaft. The surgical instruments can include various carrier assemblies for positioning the distal end of the stylet relative to the distal end of the elongate shaft based on a length of bone anchor to be installed by the surgical instrument.

Abstract: Aspects of the present disclosure are presented for a surgical instrument for cutting and sealing tissue. In some embodiments, the surgical instrument includes a handle assembly, a shaft, and an end effector. The end effector may include: a blade that vibrates at an ultrasonic frequency, a shielded portion enclosing a back edge of the blade, a high-friction surface coupled to the shielded portion and positioned between the shielded portion and the back edge of the blade. A space is defined between the high-friction surface and the back edge of the blade when the end effector is in a cutting configuration. In a sealing configuration, the high-friction surface contacts the back edge of the blade, which generates heat based on ultrasonic vibrations of the blade rubbing against the high-friction surface. The shielded portion can coagulate bleeding tissue based on heat transfer from the high-friction surface to the shielded portion.

Abstract: A shield component for an endoscopic surgical blade is disclosed. An endoscopic surgical blade assembly is disclosed. The endoscopic surgical blade assembly contains an endoscopic surgical blade having a distal end, a proximal end, a top edge, a bottom edge and one or more cutting surfaces at the distal end, and a protective shield attached to the blade above the one or more cutting surfaces and extending away from the distal end of the blade. The blade is structurally configured for attachment to the distal end of an endoscope.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes. A tool is provided to aspirate excess fluid and tissue from the treatment area.

Abstract: It is an object of this disclosure to facilitate a series of puncture-related operations in a puncture instrument. In a main case of a puncture instrument, a main rod is provided. An injector rod is mounted to a main rod and includes a lancet holder on one end side. An actuating rod is mounted to the injector rod and has an engagement component on the other end side. A first biasing member biases the injector rod toward the first end side. A manipulation component is provided so as to be slidable in and out through an opening on the other end side of the main case. A locking member is axially supported rotatably by a portion of the main rod between the manipulation component and the injector rod. The locking member includes a first engaged part, a second engaged part and a second biasing member.

Abstract: Medical systems and methods for making and using medical systems are disclosed. Example medical systems may include an atherectomy system configured to engage and remove plaque from walls in vessels of a vascular system. The atherectomy system may include a drive shaft, a rotational tip coupled to an end of the drive shaft, a drive mechanism coupled to the drive shaft to rotate the rotational tip, a control unit configured to control operation of the drive mechanism, and a knob assembly configured to facilitate longitudinal movement of the drive shaft, the rotational tip, and/or the drive mechanism. In some cases, the knob assembly may be configured to initiate adjustment of a mode of the drive mechanism in response to actuation of an actuator in the knob assembly.

Abstract: A device for simultaneously monitoring the health of surgical drills and detecting proximity to critical structures during surgery is described herein. By using various sensors (e.g. microphones, accelerometers, temperature sensors, etc.), signals from the drill can be measured and analyzed. The processed signals can then be used to indicate the proximity of the drill bit to critical structures, such as the patient's brain, and identify drill health issues (e.g. worn bearings, misaligned rotational axis, etc.).

Abstract: This implantation device includes: a set of separable implants, a guide member defining a passage for guiding the set of implants in translation towards the outlet orifice, a transmission member for transmitting a pushing force in order to move the set of implants towards an outlet, the transmission member having several successive projections, and a pushing member to allow the practitioner to generate the pushing force. The pushing member includes a bearing part configured to bear against several of the projections during successive movements of the pushing member, the bearing part having in succession a bearing position and a clearing position, and a unidirectional stop element connected to the guide member and configured to have in succession i) a configuration of clearance by a projection and ii) a stop configuration so as to immobilize the transmission member in the inverse direction of the translation towards the outlet.

Abstract: A needle tip assembly for a pre-loaded syringe or a pen needle injection device, the needle tip assembly including a body comprising a double-ended needle and being installable and removable from the pre-loaded syringe or pen needle injection device. A needle cap is configured to cover a skin puncturing end of the double-ended needle and is removable to exposed the skin puncturing end. An outer safety member has a first portion that surrounds the body and a second portion that surrounds the skin puncturing end.

Abstract: The disclosed apparatus, systems and methods relate to devices, systems and methods for the collection of bodily fluids involving a single-use actuation and retraction mechanism disposed within a collector.

Abstract: Wound occlusion devices and methods for acute treatment of massively bleeding external wounds are described. The wound occlusion devices may include a base element, a sealing element, and a release mechanism. The sealing element may be configured to transform between a contracted configuration and an expanded configuration by the release mechanism. The expanded configuration of the sealing element may be adaptable to the shape of a wound W, forming a form-locked and/or force-locked connection with the wound W. The form-locked and/or force-locked connection of the sealing element with the wound W may provide an occlusion function.

Abstract: A tool for coring a hole in a patient's body. A housing includes a first opening and a second opening and has an axis extending therebetween. A shaft is movably positioned along the axis. A blade assembly is attached to one end of the shaft. The blade assembly comprises a cup having an open end and a closed end and a cutting edge formed around the open end. An interface is attached to the housing, which is shaped and dimensioned to communicate with a connector used to connect a medical device to a the patient's body.

Abstract: A tool and method of reaming one or more oblong cross-sectional sections of the femoral canal. The tool may include a reamer sized to be axially inserted into the canal and to be laterally pivoted within the canal. The tool may further include a guide to protect a proximal section of the femur. The guide also includes a channel through which the reamer is inserted to control an extent of movement of the reamer.

Abstract: In accordance with one embodiment, a device for performing an angled craniotome includes an elongate handle, a footplate, a stem, and an elongate cutting bit. The elongate handle extends in a vertical direction. The footplate is spaced apart from the elongate handle and defines a plane generally perpendicular to the vertical direction. The footplate is offset from the handle in a horizontal direction where the horizontal direction is perpendicular to the vertical direction. The stem has a proximal end and a distal end. The proximal end is coupled to the handle and the distal end is coupled to the footplate. The stem extends from the handle at an oblique angle in the horizontal direction relative to the handle. The elongate cutting bit is coupled to the handle and extends from the handle toward the footplate at the oblique angle in the horizontal direction relative to the handle.

Abstract: A method of penetrating an intravascular occlusion including the steps of: obtaining an apparatus with a sleeve assembly defining an elongate passageway having a lengthwise axis, a stabilizing assembly, and a blade assembly; directing the sleeve assembly into an operative position within a vessel passage wherein an outlet from the elongate passageway is adjacent an occlusion within the vessel passage; through the stabilizing assembly, stabilizing the sleeve assembly in the operative position; and with the sleeve assembly stabilized in its operative position advancing the blade assembly in a first lengthwise direction relative to the sleeve assembly to penetrate the occlusion.

Abstract: A set of safety scalpels includes a first subset having a first sized scalpel blade and a second subset having a second sized scalpel blade. The first sized scalpel blade shaped differently than the second. Each of the plurality of safety scalpels includes an identical safety scalpel support structure and a sheath configured to be coupled to the support structure to move between a safe position and an exposed position. The sheath has a transverse slot suitable for cutting suture and intersects the cutting edge of the first and second sized scalpel blade, respectively, when assembled therewith and in the safe position.

Abstract: A desiccation device for operation on a target tissue includes a handle, a shaft extending distally from the handle, and a head. The shaft defines a lumen therethrough, and the head has a loop configuration supported on a distal end of the shaft. The head is hollow and defines a lumen therethrough. The lumen is in fluid communication with the lumen of the shaft. At least a portion of the head is electrically connected to a source of electrosurgical energy. A fluid is circulatable through the lumen of the shaft and the head.

Abstract: A method of identifying and selecting welding electrodes and welding output parameters on a welding power source is provided. The method includes identifying electrodes and/or electrode packaging with distinct colors and/or patterns which correspond to properties of the electrode. The method also may include employing distinguishable identifying markings on a power supply which correspond to the electrodes to be used to allow for easy setting of output parameters.

Abstract: The invention relates to a device for working material, in particular for working tissue or bone, comprising a tool head and a tool arranged thereon, wherein the tool head (WK) has at least one support element (2) which is adjustable relative thereto and by means of which the tool head (WK) can be supported on the surface of a material (4) that is to be worked, wherein the position of the tool (1) relative to a material surface to be worked is adjustable through controlled or regulated adjustment of the at least one support element (2) by means of an actuator, depending on data that can be fed to a controlling/regulating unit of the at least one actuator during working of the material.

Abstract: The present disclosure is directed towards a medical instrument. The medical instrument includes a housing and an end effector assembly operably connected to the housing. The end effector assembly includes first and second jaw members each having a tissue contacting surface, at least one of the first and second jaw members movable between a first, spaced-apart position and a second proximate position, wherein in the second position, the jaw members cooperate to define a cavity configured to receive tissue between the jaw members. The end effector also includes at least one light-emitting element coupled to at least one of the first and second jaw members, the at least one light-emitting element adapted to deliver light energy to tissue grasped between the first and second jaw members to treat the tissue.

Abstract: Systems for gaining access into a body of a patient around an implanted body of an elongate medical device include a sheath having a deformable wall that allows insertion of the device body into a lumen surrounded by the sheath wall. The sheath wall may include first and second edges that extend from a proximal end to a distal end of the lumen, or just extend along a distal portion of the lumen. A tool, which includes a groove sized to grasp about a circumference of the device body, may facilitate insertion of the device body into the lumen of those sheath embodiments that include the first and second edges, by spreading at least one of the first and second edges of the wall apart from the other of the first and second edges while the device body is grasped within the tool.

Abstract: A curved bur with an inner flexible member that is rotatably positioned within an outer tube. The curved bur has a design that constrains the flexible inner coil within the outer tube as the curved bur is rotated (without permitting the coil to stretch and to allow the bur tip to come out of the distal end of the outer tube). To ensure containment of the flexible coil within the outer tube, the outer tube is provided with a constraining neck feature at its distal end to allow the flexible inner assembly to be constrained within the outer tube, and to prevent bur extrusion. The constraining neck feature also centers the bur tip and prevents bur wobble. The curved bur may have a convex or concave bend configuration.

Abstract: Rotational couplers for use with surgical devices that are actuated by semi-flexible actuators such as wires and the like. The couplers enable the actuators to apply various actuation motions to actuation features on the surgical device as well as other actuators to apply axial and rotational motions to the surgical device to manipulate the device into various orientations relative to an elongate shaft to which the device is movably attached.

Abstract: A guidance mechanism for a lancing device. The guidance mechanism includes a piston having a shaft, a plurality of wings or fins extending from the shaft, a plurality of sliding engagement structures, and a lancet holder; and a chassis having a body, a plurality of longitudinal slits or cutouts, a plurality of elongated engagement structures, and an end aperture. The piston slides within the chassis, and the wings/fins engage within the slits/cutouts, allowing for linear longitudinal guidance of the piston within the chassis.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes. A tool is provided to aspirate excess fluid and tissue from the treatment area.

Abstract: A treatment tool for an endoscope including: an insertion section inserted from a mouth ring provided at the base-end portion of a channel of the endoscope to the inside of the channel; an operation section provided at the base end of the insertion section; a rigid guide member having a tubular shape, externally fitted around the insertion section at the base end of the insertion section, and fixed to the operation section; and a fixing section that is externally fitted around the guide member, firmly attaches between the inner wall of the mouth ring or the channel and the guide member, and fixes the guide member to the inner wall of the mouth ring or the channel.

Abstract: A scalpel handle for holding a blade having a cutting edge includes a handle member and a blade shield for covering the blade cutting edge. The blade shield is connected to the handle member for pivotal movement relative thereto between a blade-covering condition and an out-of-the-way condition, and a movable shield latch mechanism is capable of releasably locking the blade shield in its blade-covering condition. A finger-operable actuator mechanism is mounted upon the handle member for movement between first and second conditions, and a spring is interposed between the actuator mechanism and the handle member. During a first phase of movement of the actuator mechanism from its first to its second condition, the shield latch mechanism unlocks the blade shield from its locked blade-covering condition, and during a second phase of movement, the blade shield is moved from its blade-covering condition to its out-of-the-way condition.

Abstract: A device for simultaneously monitoring the health of surgical drills and detecting proximity to critical structures during surgery is described herein. By using various sensors (e.g. microphones, accelerometers, temperature sensors, etc.), signals from the drill can be measured and analyzed. The processed signals can then be used to indicate the proximity of the drill bit to critical structures, such as the patient's brain, and identify drill health issues (e.g. worn bearings, misaligned rotational axis, etc.).

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A guard for use with a surgical cutting system. The guard includes a housing and wiring. The housing defines a longitudinal passageway, and is configured for releasable attachment to an instrument handpiece. The wiring is coupled to the housing and includes an electrically conductive wire and an insulative material. The wire defines opposing, first and second ends, with the first end being positioned within the passageway. The insulative material covers the wire apart from the first end such that the first end of the wire is exposed within the passageway. The first end of the wire establishes an electrical connection with a cutting tool shank upon placement within the passageway.

Abstract: Surgical tools and kits for performing methods include a grommet with cylindrical shaft, cutting tip, annular flange with suture retaining anchoring fixture; a grommet jig for extending between adjacent grommets and guiding a needle therebetween; a family of needles with single and double pointed ends, reinforced eyelets, stops to limit inadvertent exiting, double shaft construction with a longitudinal gap and sharpened, slicing ends, including a “J” shape embodiment; a bone anchor with ring to secure sutures about a patient's clavicle; a tissue dissector having radially extending cones to nick taut connecting tissues; a tissue rasp having a series of crisscrossing grooves along an end; a tissue mesher comprising one or more blocks having a matrix of holes for clamping a plurality of needles and a supporting framework; and a kit device and a method of surgically inserting an internal mesh brassiere under the breast skin.

Abstract: A method and tool for creating a location for a fixation device to be secured to a bone. The method includes bringing a bone cutting tool extending along a longitudinal axis into engagement with an outer surface of the bone. The bone cutting tool is rotated about the longitudinal axis while driving it from the outer surface of the bone to a predetermined depth in the bone to form a bore. The bone cutting tool is then continuously rotated at the predetermined depth to establish an enlarged bone pocket at a distal end of the bore. The bone pocket defines a shoulder extending around a circumference between the bone pocket and bore. The bone cutting tool is removed from the bone pocket and bore. The fixation device is then inserted into the bone pocket through the bore, where it is seated against the bone pocket shoulder.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A body fluid sampling system for use on a tissue site includes a single drive force generator. A plurality of penetrating members are operatively coupled to the force generator. The force generator moves each of the members along a path out of a housing with a penetrating member exit, into the tissue site, stops in the tissue site, and withdraws out of the tissue site. A flexible support member couples the penetrating members to define a linear array. The support member is movable and configured to move each of the penetrating members to a launch position associated with the force generator.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: The spacer serves for limiting the depth of insertion of a shaft of a medical instrument into a body of a patient. The spacer has a distal abutment for bearing on a body of a patient. The spacer has a spacer element extending along a length section of the shaft of the medical instrument. A device for releasably mounting the spacer on the shaft has an aperture via which the spacer can be mounted laterally to the shaft. For it the aperture is designed as a lateral slit aperture.

Abstract: Lancet device including a first housing. A first guide wall is disposed within the first housing. The first guide wall includes an opening. A cap removably mounted to the first housing. A needle holding member for holding a lancet. At least a portion of the needle holding member being able to move within the opening. A first spring for biasing the needle holding member toward an extended position. The first spring surrounding a portion of the needle holding member and being disposed between the first guide wall and a shoulder of the needle holding member. A movable trigger having a first position and a second position. A movable second housing including a proximal end, a distal end and a second guide wall arranged at the proximal end. The second guide wall including an opening. A portion of the needle holding member being able to move within the opening of the second guide wall.

Abstract: A cochlear fenestration burr includes a shaft oriented along a longitudinal axis of rotation of the burr, a cylindrical depth stop member oriented along the axis, the depth stop member having a thickness dimension, a diameter dimension and a contact surface, an extension member extended outward from the contact surface and coaxial with the axis, a cutting member having a cutting surface supported by the extension member, and a cutting tip at the end of the cutting member in the center of the cutting surface and coaxial with the axis. A maximum cutting depth is defined by a distance along the axis between an end of the cutting tip and the contact surface. A cutting grit is disposed on the cutting tip and cutting surface.

Abstract: Disclosed are devices and methods for creating a bore in bone. The devices and methods described involve driving a rotating bit in an axial direction such that both rotation and linear movement are controlled and measurable. The instrument is useful for a surgeon to control and simultaneously measure the travel of the tool into the bone and prevent injury to surrounding structures.

Abstract: A lancing system comprising a lancet with a handle portion and a needle bearing portion, the needle bearing portion retaining a thin needle protected by a safety cap. The safety cap includes first and second chambers, where the first chamber acts as a sheath and the second chamber having a surface positioned to compromise the structure of the needle when the needle bearing portion of the lancet body is inserted into the second chamber.

Abstract: Disclosed is a blood lancet device including a shaft which is driven toward a lancet, a blood collection button for launching the shaft, a tensioning unit for tensioning the shaft, and a depth-adjusting unit for adjusting a puncturing depth of a needle of the lancet. The shaft is provided inside a body, tensioned by operation of the tensioning unit, and combined with the lancet at a front end thereof. The blood collection button is provided outside the shaft, elastically supported by an inside surface of the body, and arranged to protrude outward from an end of the body. The tensioning unit is arranged in line with the blood collection button. The depth-adjusting unit is combined with a front end of the body in a rotatable manner, has a hole provided in a center portion of a front surface thereof, and covers the lancet.

Abstract: A body fluid sensing device with a body fluid capture structure and a body fluid measurement sensor positioned in the body fluid capture structure. A capacitance sensor is coupled to the body fluid measurement sensor. The capacitance sensor is used to assist in the positioning of a body part relative to the body fluid capture structure.

Abstract: Disclosed herein are devices useful for marking and making circular incisions in surgeries particularly breast surgeries. The devices generally comprise a body, a central handle and a marking or cutting implement affixed to one end. Also disclosed herein are kits comprising the marking and/or cutting implements and methods for improving breast surgeries comprising using a device for circularly marking and making the surgical incisions. The devices and methods can provide improved cosmetic results and improved healing.

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 a stop mounted to the outer 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: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.